How would you respond if your client asked you to give up on them?

Asking because I’m pretty sure I’m just going to ask this to my psychologist this week.
I’m 25, from Australia and see my psych fortnightly. I’ve used up my 10 subsidised sessions as well, so now I’m paying like $260 every 2 weeks and sometimes this still doesn’t feel like enough.
I’ve been seeing her for a year and she is so so supportive and patient with me, but I’ve been in this depressive episode for over 2 months now and I don’t seem to be receptive to anything that anyone in my life does to try and help.
I feel like I’m wasting her time.
In my head, I’m doing everything I can to stay alive and function, but I feel like it doesn’t seem like I’m trying.
I just don’t know what to do.

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u/wtficantdothis — 14 hours ago

Water intoxication

I calculated and I’ve had just over 9 litres of fluid today (8 of them being water), this is across maybe 9 hours.
I have a headache and a little bit of ear ringing.
I ate dinner around 50 min ago and it was salty, but I’m wondering if that was enough?
Anyone else been through this?

(Also I’m not diabetic, idk how I managed this)

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u/wtficantdothis — 5 days ago

Chest/slight short of breath

I’ve been having a really rough time and purged my dinner the past couple of days (not all of it but my one meal a day).
Basically my chest feels sore, like muscularly? Not chest pain but it just feels like more of an effort at the moment to take a deep breath. My back also is a bit sore but maybe it’s from my chest
I don’t think it’s hospital worthy but yeah has anyone else had this?

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u/wtficantdothis — 11 days ago

Low

I feel extremely horrible depression-wise.
I was purging before and honestly felt like if I’d just passed out and never woke up right there, then that was okay.
I don’t want to have to exist another day.
Im still alive and my throat just hurts

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u/wtficantdothis — 13 days ago

HCT 40% to 28% in 2 days… is this possible?

Checked with a home blood glucose meter both times.
Do we think this is just an error? I literally used my last test strip on the one that read 28% so can’t test again right now :/ (I have not donated plasma for about a year now) I had to have an iron infusion 2 months ago

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u/wtficantdothis — 17 days ago

Hit a cyclist but no serious injury/harm, what happens?

Early this evening, I turned into a road that had a line of cars waiting to turn onto the main road I came off of. (Hope this makes sense)
I made it about 15-20 meters (going under the speed limit) before I caught a very quick glimpse of a cyclist riding across the road and hit them. I broke as hard as I could but virtually had no time to react. I was not doing any illegal activity whilst driving.

They had entered the road between a gap from two of the cars lined up on the road next to me, to which those cars also had their lights shining at me and I had no way of seeing this person was coming from my right side. It’s also a particularly dark area and he was riding a dark bike, fully dark clothing with earphones in.
It took my drivers side mirror completely off and have a small scratch on my car.
Also, this was not a dedicated pedestrian/zebra crossing, however I know we always have to give way anyway. It was on a small street like area/main road entry.
Luckily the person is okay, I checked in with him a lot and made sure there were no injuries or damage to their bike. I feel sick about it. I’m very lucky they weren’t seriously injured.

No emergency services were needed at all and we were both okay.

I’m wondering with instances like this, is it meant to be reported to police?

Also any general advice for someone who may have been through similar? (Emotion wise, I’m struggling with loads of guilt which I know is normal after this but still)

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u/wtficantdothis — 24 days ago

ED specific therapy?

Has anyone here done ED specific therapy?

Basically I see a clinical psych but she doesn’t specialise in eating disorders, so I will also have another therapist that I see who will focus on my disordered eating, and I will continue to see my clinical psych for trauma/emotional regulation etc.
What can I expect from this?

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u/wtficantdothis — 30 days ago

Has anyone here done ED specific therapy?

Basically I see a clinical psych but she doesn’t specialise in eating disorders, so I will also have another therapist that I see who will focus on my disordered eating, and I will continue to see my clinical psych for trauma/emotional regulation etc.
What can I expect from this?

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u/wtficantdothis — 30 days ago

Photos

Sometimes I’ll be having an OKAY day about my body and then I see a pic that my friend sends me and I look so big and disgusting.
Almost like reverse body dysmorphia in a way? Like I think I’ve gotten smaller but still look like the same old me or even bigger somehow.
The weird thing is that I’ve actually lost like 5kg through strength training but I still look the exact same. :(
I’m so stuck.

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u/wtficantdothis — 1 month ago

Straterra after Vyvanse

Hi all,
I’m F/25 been on vyvanse for nearly a year, but I’m struggling to manage my anxiety with it. My anxiety is chronic and has been life long, but it’s been really getting to me. Also my skin picking has gotten really bad since beginning Vyvanse. My arms and legs are always getting sores:(
I was thinking of maybe trialling a non-stim, however I need to keep my appetite controlled and Vyvanse does that really well. I have a huge fear of weight gain and Vyvanse has helped reduce my binging heaps.
Can anyone tell me their experiences switching please and any side effects they had? How long it took for you to feel benefits or anything like that?
Thanks heaps.

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u/wtficantdothis — 2 months ago

Teeth and dentist appt after 7 years

I’m in Australia and haven’t been to the dentist since before I was 18 since dental isn’t covered under Medicare here as an adult.
Today my back left molar tooth chipped on the side though and I had a proper look in my mouth and it’s really not looking good. I have cavities basically all along my back teeth and I feel disgusting.
I didn’t look after my teeth very well admittedly as a teen and at times, as an adult, due to poor mental health, but I thought I was doing much better.
I haven’t even been purging for a year, barely even half a year.
I don’t brush straight after a purge and I rinse my mouth with water. I’ve also struggled with rumination ED for a long time though prior, so I’m wondering if the acid from that has also contributed.
It’ll be a new dentist I go to and I don’t know whether to be honest and tell them. I’m not sure if they will understand :( I’m so embarassed and disappointed. This is going to cost me so much money and I’m stressed out enough as it is. I’m also autistic and hate the dentists so much, it’s a sensory nightmare.

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u/wtficantdothis — 2 months ago

I need help but don’t know if I can do it

I’m in Australia & 25 if that makes any difference.
Already see a clinical psychologist but not specialised in ED.
I really need to get some help. I’m feeling sick from my anxiety around food and I feel like I’m almost at rock bottom due to the fact that my nose bled last week due to purging and every time I eat, my mind still wants to do it and I have done it.
I really want to get help, but I don’t know if I’ll be able to do the things I need to do to help myself or do whatever the professional needs me to do to help myself because there’s a messed up part of me that is comfortable.
I’m really lost and alone, I feel yuck and I’m desperate for some advice.

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u/wtficantdothis — 2 months ago

Do you ever feel your bulimia is worse during menstruation?

I feel so disgustingly full and bloated from it that I find it amplifies my anxiety around eating and drinking more than usual.

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u/wtficantdothis — 2 months ago

I was purging and noticed blood dripping from my nose. I stopped purging straight away but it freaked me out because this has never happened before and I never get nose bleeds ever.
Took a minute or so after me stopping for it to stop.
This was my first purge since about a week.
Has this happened to anyone else?

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u/wtficantdothis — 2 months ago

I’m going to try and stay as anon as possible I guess? I’ll end up deleting this anyway I think.

So I’m 25 and work in healthcare.

I work on a ward and have a patient load.

I happened to have someone on my list who has a history with this particular disorder, however not their main reason for being there. (It’s a general ward)

I was not seeing them for this issue but for a completely different reason (it’s extremely rare that I end up seeing anyone for a MH related reason due to my role)

I ended up seeing them and no problems, however I was deep in rumination after and found it quite triggering. I spoke about it all with my psych and it was fine.

My mentor at work who I get along with well, I thought I’d speak to her because this person was still on my list and in the past, she had let me know that I can request that someone else see a person if there is a conflict of interest or triggering thing etc, so I asked her if that was relevant still (but I didn’t specify that it was the person with this history because I have a whole other list of people with no ED history), but she ended up asking me if it was this particular person, to which I said yes and explained “it’s something in the history” (but the only other thing in their history was something I clearly don’t struggle with) but she was able to guess off my whole patient list (which none of my other people had this issue or history) that it was this person.

She was fine with someone else seeing them btw.

I’m worried I’ve accidentally kind of made it obvious that it’s either an active thing (the ED) or I’ve had issues with it. My mentor also always encourages me to take my breaks and go and eat lunch, I struggle with restriction and she knows that there’s been times where I’ve lied about eating my lunch and taking my breaks, and when I do eat lunch, it’s usually very little. (I’m a little overweight, though, so I don’t look malnourished or anything like that, but I have lost a small, but obvious amount of weight in the past few months)

I’m overanalysing, I know. I’ve just never ever spoken to anyone other than my psych about it all. I haven’t even come to terms with it. For me to admit it was even a trigger was something I had to dissect with my psychologist.

Anyway, idk what to think. She probably won’t ever even bring it up or she may not even be thinking about it, but it’s just my brain jumping to conclusions now.

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u/wtficantdothis — 2 months ago