Help! I’m Afraid to Talk to My Therapist about Self-Injury

I'm having a tough time bringing up the important stuff during counseling sessions! I'm a college freshman and I've been seeing a school counselor since September of the fall semester. I had a lot of problems in high school, namely depression and self-injury. These did not go away once I came to college and I came to really yearn for help, so I sought it. I'm very thankful for the opportunity to have counseling and I want to make the most of it, but I just can't bring up what I really want to talk about. Up to date, we've mostly been addressing depression but in more recent days my self-injury and other bad habits have resurfaced and are wreaking emotional havoc. I really need my counselor's help but I can't find the words to start the conversation and I'm scared to reveal how I'm feeling! It's a very embarrassing and even shameful thing for me to talk about. I'm afraid of how he might perceive this. I completely trust him and I know he is experienced and totally qualified, but I'm still afraid of bringing this up even though I really want (and need) to. Any suggestions are appreciated! Thank you! —Holding Back

You are feeling frightened and ashamed to talk to your counselor about your problems with self-injury and other “bad habits.” You might worry that your counselor will feel critical or think less of you, even though you know that it is an unlikely reaction to occur to a trained therapist. You know that you must discuss your worries and problems in order for the therapy to work. This is the hardest part of therapy—and the best part, too—because here is where you learn and develop yourself more than almost anywhere else. I have some thoughts and suggestions that might help you out.

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You write that you’ve been meeting with your counselor since September. The first part of therapy usually has to do with developing a relationship of deep trust, and that takes time, as it should. Even though you understand that your counselor is experienced and qualified, you are still getting acquainted and learning to have faith in yourselves and in each other, too. So your first step is to have patience and let the treatment develop.

It’s also important to understand what a good therapist does. A good therapist has compassion for the parts of you that are destructive, the parts you’re most ashamed of, and can help you see that those parts are protective and well-intentioned—even when it doesn’t feel like it, even when the strategies behind them produce unwanted behaviors and harm.

Sometimes, before we are able to talk about what we fear, we have to learn ways to handle feeling afraid. Your counselor might be able to help you become less blown about by the winds of your powerful emotions and more able to navigate your feelings and use that feeling energy for your well-being. Right now it sounds as if you are being controlled by gale-force winds of feelings—at their mercy, really, with little ability to grab the rudder and set out for a particular direction of your choice.

The first part of therapy usually has to do with developing a relationship of deep trust, and that takes time, as it should.

You write that you “can’t find the words to start the conversation.” I think that when you are ready for the discussion the words will come—it sounds to me like you have them already. In the meantime, maybe you don’t need words anyway.

“How can I not need words?” you might ask.

Maybe at this point in your treatment, words are less important than simply being comfortable with the person who will help you learn how to live with your strong feelings. Could you ask the counselor if he or she might know some methods for calming the self, centering the self, soothing the self? Breathwork, for example, is one way to calm down, but there are other ways that you might know of already, and with a little encouragement, you can use them.

These are important issues about caring for yourself. An important part of therapy is learning how to care for yourself. Maybe you could ask for help in self-care, then later get to know who you really are, deep down. Therapy is an exploration, done with a guide who will walk the deep walk with you and protect you in your journey. Feeling safe and good self-care come first.

Eventually you will feel safe enough to speak up and communicate your fears and needs more directly. Even now I think you are beginning. Soon you might tell your counselor that you are afraid, that you have a secret and you’re afraid to say what it is. That’s the truth, and the truth is a good place to start.

Sincerely,

Lynn

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