The following is a work of fiction, based on my experiences working with clients but not a reproduction of an actual session with a specific person.
My office, any given day:
— It just feels like I’m not making any progress. I mean, I know I’m making progress, but…it just doesn’t feel like it.
— Yeah. It’s hard to keep going when you can’t tell where you are.
— Yes, it’s like, I keep doing the things that are supposed to help—getting in to see you, getting in to see the psychiatrist, getting the referral for the assessment, starting the medication—but each step takes such a long time, and then that psychiatrist turned out to be unable to do the assessment, and then when I finally got the referral and scheduled it, it turned out they don’t even do those assessments either…
— Does it feel like those steps—for instance, getting in to see the psychiatrist or starting the medication—are getting you to where you want to go?
— Not really, because the psychiatrist couldn’t do the assessment, and the medication isn’t really helping so now I have to try another one.
— Right. It’s frustrating when the steps you take don’t seem to “count.”
— Exactly. Like, if the medication isn’t helping, did that step really take me anywhere?
— What does your gut tell you?