Ask Kati Anything, your mental health podcast episode 216 | This week Kati talks about what to do when a therapist forgets our appointment or has to reschedule us last minute, and why that can be so upsetting. She then explains why our self-harm behaviors can change over time, whether or not validation in trauma therapy is good or bad, and the connection between religious trauma and OCD or perfectionism. Then she talks about perfectionism, where it comes from, and why it can permeate our entire life. Finally, she talks about being a highly sensitive person (HSP) and managing our sensory sensitivities.

Audience questions: 1. My therapist who I have been seeing for 2+ years double-scheduled me and another family “in crisis” on the same day recently and I had to go home. She was going to meet me the next day (on Saturday morning) but I felt the need to push away and delayed it to next week. I am really attached to her in this push/pull way and I felt really hurt even though I know intellectually she just made a scheduling error. I also felt upset because it triggered my beliefs from childhood that I'm not as important and that I am always second because the other family had worse things going on. Also, what does family in crisis mean? I have had several times where she has forgotten my appointments. I can't tell whether it is my disorganized attachment or truly an unstable therapy relationship? 01:23

2. Can you talk about why self harm behavior changes? I’ve changed places and how I do it a lot since starting and I’m curious as to why that is? I still have my ‘go to’ spot for when there’s nothing more I need than to do it after flashbacks but it’s changed so much and I’m not sure why... 15:41

3. Lately I've seen several references from other therapists talking about trauma therapy, and that validation can sometimes be harmful in trauma therapy. I had a therapist (who had postdoc training specifically in trauma) who I asked for validation, or correction if I was not correct, because I was perceiving him as incongruent. Turns out he was being incongruent (which came out at the end of a 10 months rupture he would acknowledge existed but refused to talk about directly and openly). I spent months in limbo, operating from the perspective that it was my perception that was the issue, which really impacted my perception of reality and trust in myself... 23:29

4. Can you talk more about religious trauma? What effects does the fear of hell have on a child? I developed some OCD tendencies and extreme perfectionism. Is this common? 31:32

5. I seem to be a perfectionist not only when it comes to work but also in regards to every human interaction I have: Whenever I meet with friends or family, I try my absolute best at making them feel validated and comfortable in my present. I strive to be the perfect listener and friend, although I know that that's an unattainable goal. And I'm not very good at it, either. I get so anxious about making "mistakes" and upsetting someone or even... 37:03

6. I have a follow-up to your HSP video. How do I sort out sensory issues? I know I have some sensory sensitivities being an introvert and having social anxiety. But I also have migraines and don't know if sensory issues are because of the migraines or a cause of the migraines, or could I be an HSP, or could I even be on the spectrum. I've tested... 41:42

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"Why do I always feel unimportant?" | ep. 216

Ask Kati Anything