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After confessing her sexual dreams about her, the therapist fired me.

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I am a veteran with PTSD, depression, anxiety and marriage disagreement. The Veterans Secretariat paid me to meet the therapist. In the last session, I shared with the therapist with the therapist that he had a sexual dream about her. I did not share specific contents about dreams, and I did not say or suggest that she had a crush. (I am not.)

My therapist flew to me. The next day I was so bad about the case I sent and apologized to the therapist. I told her that I was embarrassed and would never share it again. She did not answer.

Two days later, I received a call from her receptionist saying that the therapist came out and ended the treatment.

For the record, the therapist has never told me that he has escaped any subject. In fact, she said that treatment is a safe place to share the problems I want to raise. I remember asking her, “Can I tell you?” And she said, “Yes.”

I feel confusing and abandoned. She was the only person I could share and did not feel judgment. It is the way many veterinarians feel when we share a terrible or failed work in active duty. I think I will not believe the therapist again.

I feel sick just by being lost. Can you provide guidelines?

From the therapist:

I’m really sorry for what happened to you because you didn’t do it at all. Instead, the fault of your therapist is in trouble that makes you deeply angry. The therapist needs to create a truly safe space and is fatal when trust in the therapist fails. What you have experienced, especially after sharing a very delicate individual -not only hurt, but also unstable.

Treatment is about the therapist, and even in sexuality, there are all rights to achieve their dreams, and they can believe that the therapist will handle everything that brings into dialogue with technology, compassion and professionalism. It can help you understand how this disclosure was handled before suggesting how to explore this violation.

When people are treated, two mechanics usually appear. Metastas occurs when a patient directly makes his own feelings about their lives and therapists. For example, if you have a problem with a family you think you are controlling, you can transfer the feeling to the therapist every time she suggests intervention to try.

These feelings can vary from anger to worship, and when the therapist reminds the patient’s romantic partner or the object of love, or meets the previous needs by the therapist, it feels unconditionally accepted, safe, emotional intimacy, or seeing or protected. Dreams are often a method of handling complex emotions of potential minds, and metastasis can be very useful if the therapist helps to identify the patient as a method of gaining insight into fundamental emotions.

But something seems to interfere with your therapist’s ability. In training, therapists learn how to recognize that they are known as their opposition to the patient, that is, the opposite meeting. The therapist who reminds her of her mother who is impossible for her can begin to feel helpless and resent the patient. Alternatively, the therapist can exaggerate with a patient who has a hard time with a similar problem with a person who has handled in the past (divorce, alcohol parent), and that the patient’s feelings and experiences cannot be solved.

As with metastasis, the reversal must be revealed and treated. However, during the treatment session, the therapist processes the opposite transition by receiving feedback from another clinical (or self -therapist) to avoid trying to help the patient.

We have words about treatment. If it is hysterical, it is historical. In general, history works when people have a strong response. It sounds like the therapist has a strong emotional reaction to your dreams, but it doesn’t seem to be properly explored what the basics are. She made a dream a problem instead of understanding the feelings of a dream. By doing so, she gave up after being shy and caused pain in violating the sacredness of the clinical patient relationship, causing this confused experience and preventing you from leaving without continuity or continuity.

The sudden withdrawal of the therapist has strengthened many veterans who manage PTSD, depression, anxiety or trauma experience. The vulnerability leads to abandonment.

But this experience is very painful, but it does not mean to give up treatment. You need a therapist to walk with you. Your therapist’s behavior has shaken the foundation of your trust, but I think you can rebuild it with the right support of other clinicians.

Starting with sharing your experience with an appropriate mental health resource coordinator, you can discuss your options about how to handle the situation with the therapist (for example, complaining to complain so that other patients don’t have to withstand similar things).

Before starting the treatment, ask for consultation, interview two or three therapists, and tell us what happened to each other and how it affects you. Misrying on the loss of the relationship you have and giving you a feeling of being betrayed by someone you trust is open to the therapist and hesitant to find someone who can help you to move forward from that experience. Check how each therapist reacts and give it the most comfortable feeling.

Finally, I want to know that you are not alone. You can feel it now, but there are people who are there to understand the layers of what you have experienced and to support you.

Do you want to ask the therapist? If you have any questions, send an email to askthethapist@nytimes.com. By submitting a query, you agree with us Reader. This column does not replace professional medical advice.



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