where the writers are
Time Out

Over twenty years ago, I went to a therapist who worked for a very popular HMO in the Bay Area.  Times weren't flush, so I saved a huge bundle by going to this fellow, handing over my ten dollars instead of 80.  The idea of bargain hunting for one's mental health is pretty damn bizarre, but I didn't have a choice at that point. My then husband and I were raising two children and teaching, and anything extra usually went toward food or something for the kids.

In any case, I was anxious and suffering from periodic panic.  You know, the kind that makes you feel like you've just stuck your finger in the closest electrical socket.  So I called the intake social worker and later headed out to the HMO to be--as I hoped--cured.

The reasons for some folk going into the mental health professions still boggles my mind.  This therapist was as dry as toast, about as juicy as a raisin.  He didn't smile, he didn't lean forward when I spoke.  He made me feel that I was absolutely ridiculous for having panic attacks.  For goodness sake, all was well in my life!  I'd just been hired full time at my college.  My children were happy and healthy, my husband was kind AND had a job.  Put on, as they say, your big girl panties and shut up.

But here's the worst thing that happened at that visit.  He had a radical new treatment plan, one where during the middle of a session--you know, the point where you are sobbing uncontrollably and blowing snot into your sleeve--where he took a "time out."

"It's the time," he said, "for me to consider your situation."

And with that, snot and all, I went out into the hall and sat in a plastic chair while he thought about what to do with me.

Now, isn't that convenient?  Just when things start to hit the fan, off goes the patient into the hallway.  For a moment, I imagined him throwing back a shot of gin.  Or calling his wife.  Or reading the newspaper.  Was he really sitting in there reading over my chart?

What a stupid idea.  I mean, truly.  Think about applying it to other intense moments.  A big fight, for one.  "Hey, Michael," I would say.  "I know we are talking about your ex wife and your mortgage and your job, but I need a time out.  I'm going to go into the living room to consider my next statement."

Or during a race of any kind.  Or during a dinner out with a friend.  Or in the classroom.  "Kids," I would say.  "I need to think about my pedagogy for about ten minutes.  Talk amongst yourselves."

The time for a time out is before the moment you need one.  If you ask a patient into the room, be prepared to keep her there for her full 50 minute session.  Listen to her in that moment.  Yes, yes, I am sure there are good reasons to stop something intense and leave the room.  Before you stab someone with a pen or something of that violent nature.  But not when someone is looking at you, wanting help or information or affirmation or assistance.

"You want me to sign your book?"  I say to a reader holding a book out to me.  "Sorry, come back in ten minutes.  I need to take a time out to contemplate my inscription."

I thought of this man this morning when I lay in bed deciding to get up.  Frankly, I don't remember the treatment options he gave me because they didn't really work, whatever they were.  I'm feeling so good, so happy, and have for years now.  And I should forgive this man and his silly ways.  But I want to go back to him and whisper in his ear as he looks at the 27 year old woman in front of him.  Tell him to listen, let her talk, let her cry.  Don't tell her how she should feel.  And don't, for god's sake, lead her out of the office and close the door behind her.

Comments
12 Comment count
Comment Bubble Tip

Wow!

Well *I* don't forgive him, because if he acted that heinously to you, he acted that heinously to other people too.  You made it through to happiness, NO THANKS TO HIM.  But imagine the damage he might have done to others.

Comment Bubble Tip

What?!

I know I shouldn't be laughing about the behavior of this medical "professional," but I just can't help it now that you have drawn the parallel of your booksignings and classroom instruction. It's as if this crazy man thought his practice was some sort of "reality" show in which he could edit out the timeout so he could come back with some sage advice after you had already collected yourself. Ridiculous to the point of becoming "redonkulous" (riduculous with a whole lot of donkey embedded in it).

I am glad you are happy to get out of bed each morning, Jessica, to share your obviously self-taught wisdom with the rest of us!

Shana

Shana McLean Moore www.caffeinatedponderings.com www.sunnysidecommunications.com

Comment Bubble Tip

It just caught me up

thinking about this.  What was he thinking, and yes, Ericka, this is what he likely did to everyone!  What a nutbar!  And Shana, I chckled a bit myself writing because it seems completely ridonkulous! 

Thanks both for your comments.

J

Jessica Barksdale Inclan www.jessicabarksdaleinclan.com

Comment Bubble Tip

your therapist's "time out"

Hey Jessica, isn't it obvious?  The guy needed to get you out of the room for a few minutes so that he could call his therapist!

Based on your description  ("dry as toast", "juicy as a raisin", "didn't smile"), he sounded like a basket-case who was most likely hooked on (at that time, highly experimental) anti-depressants, and needed to call his analyst periodically in order to at least maintain the illusion of being able to function.

All things considered, you should have run like hell as soon as the door closed behind you; and can thank your lucky stars that you managed to survive his nefarious sessions with your sanity intact and sufficient grace to actually wish to forgive him.

 

Comment Bubble Tip

That is funny, Saul!  He

That is funny, Saul!  He needed back up, so he got me out of the room to figure out what to do with me!  All he had to do was read what Dennis said below, and voila!  Cure.

I think this was his fancy little invention, so he liked it.  I must have gone back to him a couple of times at least, and I think this was the MO for the other visits.  What a nut bar!

Thanks for your comments.

Best

J

jessica Barksdale Inclan www.jessicabarksdaleinclan.com

Comment Bubble Tip

panic attacks are readily treatable

Jessica, 

Medication is the primary treatment for panic attacks. Behavioral modification methods can be helpful, but medications (particularly benzodiazepines) do work.

And the reason your therapist sent you out of the room was he wanted to either read up on what might be tried next or to make a phone consultation  to the same end. Been there and done that. But I've always heard of the Dr. leaving for a minute, the patient remaining seated in the room

When I started in emergency medicine, every ER in the country had a number of regular clients wsho would be brought to the er in a st ate of emotional decompensation. The ambulance drivers knew all patients and would call in in relaxed tones as the patient was trying to destroy the innards of the ambulance to get away. They came in frantically rebreathing from a paper bag.

Anymore such "routine transfers" to hospital ERs is rare.

Alas, folks with panic attacks often become demoralized, hypochondrical, agoraphobic, or depressed. Interestingly, about 25% of people with your problem also have obsessive-compulsive disorder.

Quality healthcare doesn't necessarily equate with price, but that's definitely one variable.

Comment Bubble Tip

Dennis--Thanks for all the

Dennis--Thanks for all the info, and I managed to cure myself quite well of them over 20 years ago.  The new radical treatment?  Let the panic run through and out of me.  Instead of fearing it, I just let it happen.  And truly, it took one letting go and feeling it and watching it disappear to keep it from ever happening again.  The good news for me is that this worked.  The not so good news is that it doens't always work for others, so your information is well taken, but happily not needed (at least by me!).

Best,

J

Jessica Barksdale Inclan www.jessicabarksdaleinclan.com

Comment Bubble Tip

Some "professionals" deserve prison.

You can think back on this failure of a so-called professional and know how strong you are to have survived his "therapy."  Congratulations.

As an adult, I came to know that my higt school history teacher (though a respected woman in our community) deserved prison for taking a salary and not teaching us. That is thievery just as your "therapist" was a thief.  (We took turns reading the textbook--up and down the rows--waiting miserably while the slow readers stumbled and we pitied but went berserk with boredom.)   I thought maybe I was too harsh until another friend recalled he deliberately wrote her a paper with nonsense after page one.  Because he was the youngest of a family of bright kids, she evidently felt she did not have to read his paper and just gave him an "A" grade.  This is beyond laziness.  It is theivery.  Ah well.  The human family has to put up with the incompetents and theives.  And terrorists.  Such troubling people have always existed and always will.  I'd rather suffer one than to be one. 

Comment Bubble Tip

Clearly, that teacher was on

Clearly, that teacher was on her way out, heading to the barn of retirement, a few years too early.

I think that there are folks who don't know what they are doing in many professions, and we have to hope we miss them.  You and I both managed not to miss, but now I have a feeling we could spot them!

Best,

J

Jessica Barksdale Inclan www.jessicabarksdaleinclan.com

Comment Bubble Tip

Time Out Therapy

Hello Jessica,

I am sorry to hear of your experience with the therapist . Yes, the whispers in your ears , to listen, let her talk, let her cry, have been your pearls that healed you. And mostly, your forgiveness of this man and his silly ways.

Though my experience was completely the opposite (at the same age) with an experience of a therapist. I can see clearly that You are the one who needed "Time Out"! All was well in your life, but that's not to say, perhaps, you were on overload! Trying to take care of two children, a home, and a promising profession, not to mention your help in watching over the finances, and those small everyday responsibilities of a family, especially more so with children,  that you took intelligent responsible choices for everyday. Is a whole lot that you were holding up , and no one to tell you "Just How Much You Are Doing! "

I loved your story, and it reminds me of my experience that I wrote in my book." Our Greatest Dream",  If I may share with you:

 

Therapist…. An Angel to Lead Us

Matthew 4,4 ‘Not by bread alone is man to live but on every utterance that comes from the mouth of God.”

Because of the overwhelming grief and loss, I went to see a psychologist who practiced at the hospital where my husband had recently died. She was a young woman, in her early thirties. As I told my story, she cried. The whole time I spoke to her she was obviously moved with emotion. She said that the things I had experienced by the age of 26 were more than some people experience in a lifetime. And that typically, it would happen in the later years of life. In the span of a few short months, I had lost my mother, my husband, and my home, all at one time. It is not something most people are prepared to deal with at such a young age. She explained that there were two ways to live through these kinds of experiences. Because traumas like this do change people. She said, as you live through this, you will either become harder or you will soften. Oh! The blessed wisdom she knew! She said I could choose love and become softer towards life, and its challenges. Or I could choose anger and become bitter and hardened by the harshness. (At this time I was carrying the cross.) She said it is your choice.

At that time, I did not fully understand the depth of her words. And even though I did not clearly understand it then, I knew I wanted to be softer. But God! The pain was great that I had blocked out most of my feelings. I didn’t feel much of anything. I was suffering and my heart was broken. I had lost so much in such a short time, it was beyond comprehension. I was numb, and confused, and it took some time to feel much of anything! Eventually feelings of anger would come up, and I cried out to God, "Please, don’t let me be angry. I want to be softer. I want to be love!”

Though I only had one visit with that therapist, her words and expression would affect me for a lifetime. Those sacred words were guiding me, like a compass to a lost traveler. I seemed to be led to every book with the messages I needed to hear … “the mysterious Spirit always guiding me”! It's important to remember that our words and our actions might affect someone else for their entire life. Choose wisely, choose love. That one visit with that person stayed with me my entire life. I did not seek out therapy again. Because I was living with my father at that time, I told him I had seen a psychologist and that she advised more therapy and a Doctor that prescribed anti-depressants because I was very confused, and depressed. He told me it was normal to be confused and depressed at this time, and seeing a doctor and taking any medicine was only going to hurt me later in life. He told me there would be something wrong if I acted any other way then the way I was acting. He said “you’re supposed to be hurt, sorrowful, depressed and confused with what you have gone through!!” His words stayed with me and supported me in allowing our true Source God to heal my sorrow naturally. He was old fashioned and was against anti – depressants and therapy, he didn’t know about them. I believed what he said. I never took any medicine. My medicine was in recalling the words my father spoke to me and the sacred words from the psychologist. They remained in my heart my entire life, and have served me many times. Today my father's wise words that comforted me back then, spoke volumes. I read in one of the most brilliant inspirational authors book “Return to Love” ….. “ it is not neurotic to grieve the loss of a relationship, it is neurotic when we don’t”,…. when I read her sacred words I remembered my fathers words in wisdom he said to me….that helped me accept that it was okay to feel my feelings. His words helped me embrace the process, it was okay to cry and grieve and it was okay to heal, naturally. These words, spoken by my father, and these sacred words written by Marianne Williamson are words that comforted me through the sorrow to healing.

 

Thank You Jessica ,Very Much for "Time Out"..I loved it and related to it the same:-)

Truly,

Catherine

Comment Bubble Tip

You had one very wise

You had one very wise father, Catherine.  Thank you for sharing your story.  I found it slightly selfish that the therapist cried during your therapy session.  Yes, your story was moving and sad, but isn't she there to listen and help you?

But you seem to have a great deal of understanding about what happened to you.

Again, thanks for your words.

Best,

Jessica

Jessica Barksdale Inclan www.jessicabarksdaleinclan.com

Comment Bubble Tip

"Time Out" Therapist

Sounds like malpractice to me!