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heartWhen I was in my late teens I began seeing a counselor because I was depressed. I was taking a full load of undergrad classes at OSU and working 40 hours a week and living by myself without roommates or family for the first time ever. My weekly visits to Barbara (my therapist) quickly became the center of my schedule. I’d drag myself to work and school, grind my way through my day, all the while focused on that bright spot, once a week, when I would sit in her office and feel safe.

I loved Barbara even when I didn’t love therapy, which was hard and often painful. I didn’t always leave her office feeling better. There were days I left feeling raw and fragile, my face swollen with tears. I started scheduling my work so I had the day off on therapy days so I could come home, curl up in bed and sleep away my emotional exhaustion. I could feel myself growing stronger and straighter but it was hard going.

I think I saw Barbara for about a year, maybe a little more, maybe a little less. I saw her weekly and then I saw her every other week and then we agreed I didn’t need to see her anymore at all. But for the time I was in her care, I felt very dependent on her and I wondered how it was for her because she may have been the person I centered my weeks around but I was just a client on her schedule.

I wanted her to call me up to have coffee. I wanted her to like me best of all of her clients. I wanted her to lean in one day and whisper, “My sessions with you are my favorite!” And I was free to want that as much as I liked because I knew it would never happen. It was a little like Lisa Simpson’s copies of Non-Threatening Boys Magazine; a celebrity crush, all safe and worry-free. I knew I could tell her anything and she’d have to like me — or at least pretend to like me — because it was her job.

But I always wondered if she cared about me for myself and not just as a name in her appointment book.

Now I know because I have my own appointment book (well, iCal calendar — same difference) and I can tell you that yes indeed, Barbara cared about me and your therapist cares about you. But we care within the boundaries our profession sets for us and those boundaries are what allow us to serve you. It’s not like caring for a friend or family member because it has specific limits and in other ways it is limitless. The space we hold together in the counseling relationship is full of unconditional positive regard (loving acceptance of all you are), which is harder to maintain in real life relationships. In that way the counseling relationship is boundless. On the other hand, I would never call a client up and say, “I’ve been thinking of you; let’s have coffee on Thursday.”

I remember when my son was very small and I heard about a preschool teacher who made space in her evenings to think about every single one of her students for a moment, hold the thought of each child close and then let it go. This is a little bit like how it is with clients. Before work, I review my schedule and mentally and emotionally prepare for the specific clients I will see that day. Each night, before I leave my office, I review them (usually as I write up case notes) and then on the way home, I give myself permission to stop thinking about them by the time I arrive home. This is because it’s easy to worry about a client going through a particularly tough time and worrying does neither of us any good. When I do catch myself feeling anxious about a specific client, I take a page from the preschool teacher and give myself permission to sit with my thoughts for a discrete time. This helps me come to my sessions fresh and focused instead of wrung out and worried.

So this love and caring I have for my clients — and that Barbara had for me — is not the love and caring I fantasized about when I was in therapy (there are no intimate coffees, there were no confessions of favoritism from Barbara) but it is good and solid and dependable.

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