
I am not surprised the group stuff actually clicked though. Individual therapy once every two weeks is honestly a joke for real issues. You spend forty minutes just giving a status update on your life and then the session is over. It does nothing for actual skill-building. Those IOPs are a grueling time-sink, but they force you to actually sit with the garbage in your head instead of just ignoring it until your next fifty-minute slot.
You really hit the nail on the head at why standard timeframe individual therapy seems to have just sucked for me. Therapy appointments never coincided with issues…and then it’s basically just tell me about the past two weeks. “Ok bye.” While therapists in my experience have always been eager to try to give input to me…I just haven’t been able to have as much direct guidance as I needed. I’ll cry about a bad day to them, but the suggestions given afterwards never seemed to help me enough.
Then I went the other way and bought a comprehensive DBT workbook. Good lord! It has helped me too, but over time I realized that it was way too dense and actually gave way TOO many techniques for it to be effective in my life. These bite sized, but 3x/week DBT chunks make it a lot easier to try to add in skills to daily life.
Just be careful with that “needing a therapist less” talk from your provider. It sounds great in theory, but in my experience, that is usually just insurance-speak for trying to kick people out of the system once they are stable enough to not be an immediate problem.
Well it’s a bit different like that for me. I often complain to her about the cost of things and why all of my therapy and psychiatry appointments are not great for me monetarily. I have a crazy high deductible plan, so it is very expensive for me to see providers so often. The IOP program is a temporary hit to my financials (which I’m in a great position for) to potentially actually get some better help and ways to cope long term…as opposed to my current ineffective methods that still cost a lot of money overall.
I actually DON’T want to be in therapy long term. I want to be able to cope with life better myself. I would still obviously be open to seeing one in times of struggle, but I want to actually be able to have enough positive change in my life where it isn’t really needed as much anymore, if at all.






I think we have something similar. It’s called “partial hospitalization”. It’s basically a step above what I describe but below being entirely trapped in the hospital unable to leave.