Week of:
Mar 02, 2018

Types of therapists

Dear Alice,

I'm thinking about seeking therapy for my anxiety and I was wondering if you could talk about the different types of therapists out there. I know the difference between psychologists and psychiatrists is a psychologist didn't go through med-school and so can't prescribe drugs, but what about cognitive-behavior therapists verses... well, whatever else is out there?

Thinkin' about Therapy

Therapy's working, but I don't always feel like going

Dear Alice,

I've been going to therapy for some time now for general anxiety and obsessive tendencies, since about October last year. My question is do people always want to go to therapy or is normal sometimes to feel like "ugh, I don't feel like going/care to go tomorrow" like if it's more a burden or a... "Nuisance" than anything else. I can confidently say it's been helping me! But why do I feel like that sometimes? Is it normal? Shouldn't I know that I need it. That it's good for me?

Finding low-cost counseling


For a long time, I have managed to persevere through some really messed up situations with family, friends, and life without seeing a counselor. It is not that I hold a negative opinion of counseling; it is that I can't afford it. I've hung tough; I'm a little proud of that. I've survived.

I am a recent college graduate relocating to a new city. I would like to seek counseling when there to work through a lot of these issues, but I frankly do not see how I would be able to afford it. Would you have any recommendation as to where I (or anyone in general who might have this problem) could locate free or low-cost counseling?

Also, while I understand many jobs include counseling as part of a health plan, this may or may not be an option for me (and others), so I would appreciate any alternatives to what you might suggest. Thank you for providing such a service to the Internet at large. You're really a godsend.

A Bit Tired of Going It Alone

Soothing therapy tensions

Dear Alice,

My partner gets nervous every time I see my psychotherapist because she doesn't like the idea of me talking about our relationship. For her, it's anxiety-producing because she fears there are things I tell my therapist that I don't tell her. For me, it's anxiety-producing because I feel like my therapy sessions should be a safe and confidential space for me and because I feel like having that space has made our relationship better overall. How can I assuage her fears and anxieties without feeling like I have to, a) tell her everything I say in therapy, or b) lie and say that she doesn't come up?

Disappointed with therapist?

Dear Alice...

All year I have been wondering about my stress level and what I perceive as unusually heavy mood swings. I'm sure I'm not the only first-year on campus who has noticed new changes in her or his psyche as of "the first year at college." I had a hard time doing it, but I finally decided to see a therapist about my psychological condition, the development of which continues to this moment. I am experiencing some amount of sexual frustration, and I have managed to find my way into plenty of stressful situations all year.

Alice, I'm disappointed. My "health services" therapist is not listening to me (i.e. remembering things that we have discussed in past sessions), and I am feeling only worse. I feel lost. I'm an actor, and I have been in theatre since seventh grade. My mind is always in the theatre, and I feel as though my acting pervades my life. I have lost myself in a sea of specifically self-engineered "parts" which I "play" in differing situations which call out for differing personae. I feel as though hardly anyone really knows me, and I feel like an idiot for identifying with this pseudo-artistic complaint.

I want to make films, but first I have some major issues to work out, and health services is not helping me. I feel intimidated by my therapist, and I feel unable to change therapists within the university system. I want a therapist that I feel will see through the guise that I think I put up automatically. I'm sorry to be cliché, but I need some help finding myself. Meanwhile, my stress level and periodic depression is keeping me from being alert in class (I'm perpetually tired) and pulling me behind in my studies. I have lost the will to work, and I want to find it again. Sorry that it's so long.

Loose ends