"Do I Have to Tell My Therapist the Details of My Self-Harm?" ep.117

Ask Kati Anything ep. 117 | Your mental health podcast, with Kati Morton, LMFT

1. I'm wondering if it's important to go into the details of self injurious acts when discussing it with your therapist. My therapist always wants to know exactly how I self injured (what I used, where, etc) but it makes me super uncomfortable to go into such detail. I know I should probably ask her why, but that makes me uncomfortable as well..  
2. Depression often robs us of all joy. Is there an effective way to combat anhedonia? How can we motivate ourselves to do things we used to enjoy, when our brain feels no pleasure from it whatsoever? Do we just force ourselves to do it and go through the motions in hopes that...  
3. Should your therapist be similar or have similar values to you? I know that usually patients don’t know much about their therapists and their personal beliefs, and I agree that they shouldn’t. On the other hand, I sometimes wonder if therapy is more beneficial if certain values are the...  
4. Sometimes I'm wondering what a 'normal' amount of stress or fear is. Everyone is experiencing stress sometimes. (Asking a colleague something, giving a presentation before a group of people, driving your car to a new location, walking in the dark...) At what point is stress or fear 'too much' for...  
5. How do you approach patients that don’t feel anything? My last therapist said I was her most difficult client as I never knew how I was feeling I just knew I didn’t like it. I’m worried about seeing someone new as after a year and a half in therapy we came to a place of no progress and...  
6. Can you explain how exposure therapy is supposed to work? I get nervous easily, but still manage to do the stuff that makes me nervous (when I can't avoid it or procrastinate).  For example, I get sick to my stomach, heart starts beating faster and find it a little harder to breathe whenever...  
7. Why can’t I get myself to share things with my therapist? I am 6 sessions in and I want to start talking about things that matter and that I need help with but I can’t get myself to share. I do like her and trust her but I still can’t seem to do it. I find myself full of anxiety while there to the point where...  
8. Can you explain the differences between dissociation and a flashback? Also both happen at the same time? My recent experience was triggered through a topic and I felt really anxious. During this I shivered, my muscles were tense and I couldn't react to the words of another person but still hear her.

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