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I

itchingtoend

Member
Oct 5, 2025
16
My therapist says I "need more help". She wants me to do an IOP. We have talked about this before and I have no interest. She is now saying she will not work with me if I don't do the IOp. How does this help? I get she thinks I need more intense support and that my SI scares her, but in what world does leaving me all alone do anything but make me want to CTB immediately? I really don't understand the logic. And I'm scared she is going to bail.
 
BrainSplatter

BrainSplatter

Member
Oct 31, 2025
19
Happens to me with every therapist I share my dark thoughts with they're like 'oh sorry this isn't the right therapy for you' or 'that I need a more specific therapy' I don't get attached anymore cos they're a therapist not your friend it's just their job they could literally quit anytime they wanted and choose to work elsewhere. Do you want to do IOP anyway? Maybe a new therapist would be good one that won't force IOP
 
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MediumRareChicken

Member
Oct 28, 2025
22
I have some thoughts on this. Yeah, some therapists are not equipped to deal with suicidal ideation, and I get that. I just got discharged from PHP and, frankly, I think that my mental health got worse. I actually think that they sort of kicked me out or made me voluntarily discharge because, as someone with suicidal ideation, I am a liability.

You could do IOP and it would give you the comfort of being at home or an in-patient program that stabilized you more. However, consider that going to these types of programs, while potentially helpful, is not easy, and to be frank, discussing suicidal ideation in almost any space can lead to you being involuntarily committed to a facility. I wish that there were non-mental health professionals that could help people practically navigate the mental health care system.
 
I

itchingtoend

Member
Oct 5, 2025
16
I just feel so betrayed. The SI is part of it but she and I have talked about suicide for the whole time I have known her. I don't know if she is just sick of not seeing progress or what. I just feel abandoned.

I tried an IOP years ago and hated it. I don't have it in me to try a new therapist. If she bails, so do I.
 

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