I'll be due to start therapy soon, but what am I going to talk about? I don't know what makes me depressed, I just am. There are people who have stuff to talk about that has made them depressed, stuff like bereavment etc. The one thing that I'm depressed about is my inability to socialise.
Well, your inability to socialize would be a good place to start. Are you shy? Or do you just prefer to avoid people for some reason? Low self-esteem (I have this a lot)? My shrink tells me my depresssion is a chemical imbalance. I have had times though when life has thrown me a few curves, we all do. Most of the time I don't have a reason for the depression, it's just there. I took Effexor on/off for 7 years. I would gain 60lbs. each time I was on it.....lose it when I stopped. I am now on Wellbutrin, but lately, I think I need more as I am going through perimenopause (pre-menopause), which causes a lot of sobbing for no apparent reason.
I resisted going to a shrink for a long time as I felt I didn't have anything to say. Finally, depression got so bad I didn't have a choice. You will find the words to say and hopeully, therapy and maybe a med will get you back on track.
Well, I am sure your therapist will ask you questions to lead you open up certain topics. I had no idea why I am depressed, it doesnt mean I know why by now, but after having doen some counselling sessions and about 3 differnet assessments with totally different people, I now kind of understand why I am depressed, I dont totally agree with the issues that my doc and counsellor think are causing my depression, but they look at them from a totally objective point of view, and I look at my issues from a totally subjective and personal point of view, so this is what makes the difference.
Oh yeah, one more thing, if there sth you dun wanna talk about or you just simply dont know, just say "I dont know". I have said I dont know for as many time as I dont remember. And both my doc and counsellor could sense my answers from me saying I dont know.
My first visit was mostly background questions and the hour flew by. My advice is to be completely open. Therapy is confidential, and therapists can be most helpful when they know the whole story. There are a lot of reasons a person could be depressed, and they don't have to be earth shattering. A terrible childhood is not necessary. A skilled therapist can pick up on more subtle causes. I would keep an open mind to the therapist's feedback. Shyness seems to be a common root cause.
Yes - a good therapist will know how to fill the gaps. I used to go to a guy who never asked me questions or raised issues. Sometimes the 45 minutes would draaaaag! The therapist I've had for the last year is great! He always thinks of something to talk about, even when I can't.