AuDHD Flourishing

103 How I'd Therapy Now (20 years in)

Jul 12, 2025
Explore valuable lessons from nearly two decades of therapy experience. Discover how to identify the right therapist, set effective goals, and know when to move on from unhelpful relationships. Learn about processing trauma while facing real-life challenges, and the importance of being honest with clinicians. Mattia shares insights on sensory needs and the complexities of grief, emphasizing therapy as a space for emotion without the need for rationalization. Reframe your approach by believing you're not broken and using provisional beliefs for growth.
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ADVICE

Start Therapy With Clear Outcomes

  • Focus therapy on specific outcomes: name what you want and what's blocking it.
  • Use trauma work when it clearly obstructs your goals rather than as a default fix-it plan.
INSIGHT

Processing Alone May Not Change Life

  • Processing trauma doesn't always change present-day struggles immediately.
  • You can fully process something and still face the same real-life obstacles afterward.
ADVICE

Treat Not-Knowing As A Therapy Goal

  • If you don't know what you want, make that a therapy goal and explore it there.
  • Develop awareness of moment-to-moment cues so you can notice preferences and consent signals.
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