Category Archives: mental illness

Therapist Difficulties

Hey friends

On Friday I found out that a recent client had committed suicide. This is a complicated emotional experience for me because he was a difficult client.

He didn’t want help, he liked his suicide thoughts-he romanticized them. He also had some narcissistic personality traits and tried to make everything a debate. Most times he wouldn’t do DBT (a therapeutic intervention for people with Borderline Personality Disorder and works very well with suicide and self harm thoughts), and he stooped taking his medication several times.

He left treatment with me when I told him he needed to have boundaries with a friend he often talked about suicide and self harm (glorifying and romanticizing) -they had both been in the hospital twice very recently at this time and I felt the risk was too high for me to be his therapist as he continued this friendship.

He wouldn’t accept my limits and left. He also was somewhat nasty to me as he left-I told him I wished him well and enjoyed getting to know him-he retorted “I wish I could say the same”-he was very mentally ill. And often destroyed relationships as a way to control how others felt about him.

I’m angry at him for not accepting help. I’m sad for his family-his sister found him. I’m sad sometimes that I work in this wonderful and terrible field.

Yesterday I (we) painted our bathroom-the second to last room in our project of re painting the inside of our house after living here for 13 years.

I did not once think of my work. I was on a ladder, I was sitting on the floor, I was going up and down my stairs and completely focused on the task at hand. I’ve never been so thankful to be distracted by hard work. What a blessing not to think about work.

Hard work is a blessing.