23. OCD Treatment: What to look for in therapy
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- Опубліковано 4 кві 2021
- CBT therapist Katie d'Ath talks about what to look out for when choosing therapy. Katie offers individual therapy but you might like to check out BetterHelp at betterhelp.com/katiedath
Compensation received using these links supports Katie's work in helping people overcome OCD.
Thank you so much for making these videos
I am glad that you have resumed your previous series on ocd treatment. Thank you so much.
Welcome back doctor . Your videos helped me a lot . Thank you very much doctor .
Immensely helpful advice, thank you.
Amazing, Katie! thank you for your efforts with these informative videos.
Hi Katie! I just wanna say that your videos have been really helpful for me over the years and I wanna thank you for that. I am now free from my OCD after some really good treatment. But I never would’ve gotten into therapy in the first place if it wasn’t for your videos! Thank you! You make a difference!
I'm so happy to hear that you are OCD free - fabulous news and great work!
Maam how to contact u
I too want to be ocd free
I've been waiting for your videos.thank you mam .I owe you my life...lots of love from India 🇮🇳
Nice video Madam, new perspective , fresh topic that you have covered here .. Thank You ..
Hi Katie, I rarely comment but I just wanted to thank you so much for making these videos. After suffering for so long and having OCD affect everything from school, work and being able to take care of myself, I finally just searched UA-cam for "OCD treatment" and stumbled upon your videos, not expecting much, but the way you explained everything and got through to me gave me the reassurance and hope that I can really get better. The day I watched your videos for the first time, I started with attention training and just trying to look at my thoughts differently and the treatments started working immediately; they were tiny changes but I was so surprised that they actually worked. I'm still working on my exposure therapy at home while I try to find a new therapist but these videos are so nice I feel like you're my therapist sometimes, I just hope that more people discover you and other videos like yours that make it easy for us to understand our OCD and how to treat it. I really like the way you talk about it in your videos, almost as if it's a normal thing and the way you approached the explanation of exposure therapy, it made it less scary and I finally understand its purpose the way others couldn't explain it to me before. So thank you again, and coming from California, you've reached a lot of people. I wish that more therapists specialized in OCD or at least understood how to treat it better like you. I just have a few suggestions on more video topics if you have the time to talk about them:
OCD and its relationship with other anxiety disorders - I'm curious about how OCD coincides with my generalized anxiety, sometimes I feel like when my GA level goes up, my OCD goes down, and vice versa. I also wonder about my urge to pull on my hair, I'm not sure if it's a compulsion, whether I have trichotillomania or Tourette's because it feels like it could be any.
OCD and reading/writing - I don't know how common this is but I have a hard time reading and writing because I keep going back a few words or sentences to check that I wrote everything correctly. This is especially frustrating when filling out forms because I keep checking that I wrote my own name and birthday correctly. This is happening right now as I'm writing this. I feel like in the back of my mind, I know I'm writing everything correctly, but the doubt is so overwhelming that I made an error or something that I keep rereading everything. If this is something you can help me and others with, a video would be so great and appreciated.
OCD and how it affects your memory - after checking things so many times to the point of exhaustion, it's as if I've actually forgotten whether or not I locked the door or whatever it may be. If you have any insight on this, please let us know. I know that in time I'll be checking things less often and learning how to live with the uncertainty but if you have any other advice, it might be helpful to some.
Thank you again Katie, sorry if you've gone over some of these topics already, I'm still watching the rest of your videos. But I hope you know that you're making a difference and I wish you all the best.
To everyone reading this, I hope you're all safe and well, and keep pushing, I know it's hard but it gets better.
Hi Jorge. Thanks for your detailed feedback. It's so helpful to know what is working for people and what you need more of. If it's ok with you rather than answer each of those questions here I will put them on the list of videos to make as I think they are questions that warrant explanation and a video might help lots of people who have the same queries.
That is exactly what happened to me , they just wanted to rationalize things, Never mentioned or used ERP and they got worse :((
I cannot tell you how much admiration you've got !!
@@AG-vp1ok They just wanted me to "think about it, have counter thoughts that are more logical" and that kind of stuff never gave me any exercise or ERP. They just lead me to think about my thoughts ALWAYS.. trying to justify and rationalize that they are illogical thoughts and so on.
I Was at my worst EVER..
Your talk is so helpful. Need more advice.
Thank you for this🙏
You're very welcome.
Amazing video
Thank you so much. I’m so much better last three weeks listening to your videos. About Pure O. I can see clearly that erp is for me. In 18 years of therapy never was it mentioned to me
NOOOOOO!!! I'm so sorry to hear that. It's such a shame as ERP is very effective. If it helps at all, I had a client once who'd had 10 years of pscyhotherapy, being encouraged to unpick every thought and once I persuaded him to try and deal with his thoughts differently and stop asking why, he engaged in ERP and was a different man after a few months. So yes, if you have OCD you want to do ERP!!
@@23katied I’m staying with it Katie. I’ve decided that I can’t look back … I can only go forward. I’m practicing everyday to go towards my anxiety when it comes upon me and go towards my uncertain thoughts when they appear or “pop up”.
Please tell your significant other that they are very very fortunate.
You have helped me and I’m sure countless others to have hope … have light …. when all was dark
When I started treatment for my OCD 15 years ago, here in Greece, I believe that ERP was unheard of. So they actually used CBT, but not for OCD. As a result, I could find some short-term comfort, but the problem was surely not solved. Now, 15 years later and having watched most of your videos, some of them 2,3, or even more times, I came to realise that ERP, although frustrating as it feels, it is the only or at least the best way to tackle OCD. I first came across the concept of ERP one year ago, when I started having serious flare-ups. At the beginning ERP sounded a good idea, but probably I could not use it properly, as I was trying it myself. Now, during this last year, I have experienced very very intense flare-ups, and every time I hit a wall, I would watch your videos and get a better understanding of how to tackle my problem. Now I can say that I am better, surely not fully recovered though, although call me crazy, I might see a near full recovery coming. Your videos helped a lot, but I am not sure (probably some OCD here intervening) if the level of understanding of your videos was the result of hitting so hard on dead-ends from all these terrible flare-ups.
You can fully recover,trust me,i m doing it right now
I got a therapist through NOCD, the video sponsor, and she had me do a lot with engaging with my obsessive thoughts, countering them, reviewing why the thoughts were unhelpful. All it did was make my symptoms worse.
OH NO! That is NOT good at all. I am not directly involved with NOCD but I had a long conversation with the therapeutic director before I agreed to let them sponsor the videos and he is highly qualified and experienced in treating OCD so I assumed the therapists would be too. So this is very disappointing to hear and I will feed back to them - thank you for sharing.
Im spending up to 22 hours a day doing OCD rituals. This disorder is a death sentence
Hey where you were I was watching your videos of 7 years ago🙂
Hi Katie, could you please explain more on the different CBT techniques for OCD? I am a bit confused on how I can do CBT while not getting engaged with the actual thoughts. Thank you for your great videos!
CBT for OCD focuses on processes over thought contents. With other CBT therapies you may begin to explore thoughts and use strategies to either restructure the thought/ check the evidence for the thoughts but with OCD treatment- you may initially explore content but then begin to ask yourself " well what do they all have in common (they are doubts/ uncertainty/ etc)- then one can begin to have a new relationship with the thought- it doesn't matter what the content of the thought is whether you doubt you shut the door- or feel not right because there might be germs- the coping mechanism is usually the same (creating certainty- checking, cleaning). So one then begins to say- this thought is adoubt and I know that when I doubt I check and when I check I feed my OCD monster.
@@kellytheakston3578 Thank you Kelly! Very well described!
@@AG-vp1ok I’ll do my best :)
Hi Katie D ath I had a question for you I do apologise my writing isn't always the best because of lack of concentration levels. Due to my ocd and depression.
My mind is automatically saying please please I will do it...... I automatically react to this then I act out the thought this causes immense problems for me at the moment as I'm not able to react differently to this thought which I think I have trained myself like this due to ocd. I want to change this and be able to react differently but I'm not able to could you assist me here or give me any advice? Kind regards J
Face your fears I trust myself I love myself. Be a man don't stress
Hi Katie how much do you charge for sessions, I have been diagnosed with severe ocd about been gay and feel so scared that I am realising I am.. but was told by therapists this is just ocd and I am not. I am so scared this can be true from what I have read but then therapist said this isn’t about my sexual orientation.
would you guys consider me repeatedly confessing or talking about an event to loved ones in order to get reasurance ocd? for example I was in a secret relationship that I kept from my parents and when I broke up a few years later and eventually told my parents everything they said it's ok and I felt a weight get off my shoulders once I let it out because I kept this thought and secret in for so long I felt relieved, until a new thought came in saying "yeah you told them that part about the relationship but did you apologize for lying to them? or did you tell them this part about it? etc. and I get anxious or migraines from stress if I dont tell them or when I think about it.. it feels like a cycle, is this ocd?
yes!! I know of others in an ocd group I am in that suffer from a similar theme as you
My country has a-war and that increase of my ocd a
Hey Katie, just a quick question. So, when focusing on something else do you simply just shift focus on what you are doing externally until the thought or emotions or sensations go away by themselves or is it something different? Thank you again for your response in advance.
Yes that's pretty much it in a nutshell!
@@23katied Can I also do that when an unwanted thought or sensation pops up when I am doing that thing? Like when playing a game do I just externally focus on playing the game or just allow it to be there and focus my attention back on the game?
OCD is the strong painful impulse 😭
I understand the ERP component of OCD therapy. Can you give examples of the CBT component for OCD therapy? If that means identifying cognitive distortions and identifying healthier alternative thoughts, doesn't that run the risk of engaging with the OCD in the exact wrong way, e.g. seeking to reassure oneself that what you're obsessing about is not really a problem?
Sorry I missed this. Yes! In short in CBT for we do not ever engage in identifying alternatives or rationalise the thoughts in any way, instead the cognitive part looks mainly at the beliefs people have about their thoughts and the irrationality of these rather than of the thoughts themselves.
Do you have any thoughts on medication ? I started on 20G of fluoxetine for my mood swings and I told my doctor about my ocd and she said it will help with the thoughts. It’s been 2 weeks and my ocd feels worst does it get better after a while ?
Yes mam
Actually same was with me..
Dont skip medication and follow ur doctor for ur good
Hi there. I'm not qualified to give advice on medication as I am not a medical practitioner. However, it is common that medication can make you feel worse before you feel better. It should hopefully settle down quite quickly. The other thing to note is that medication doesn't tend to make the thoughts go away - it can however make them less loud and your reaction to them less extreme so it can help you to engage better with therapy.
Please could you share your thoughts on whether metacognitive therapy can be effective for OCD.
Many thanks.
Yes absolutely. Meta cognitions (your thoughts about your thoughts) are what we target in CBT for OCD. If you are working with someone who is purely meta cognitive they may not do ERP - it can work without ERP but most research still suggests a combination of (meta) cognitive and behavioural gives the best outcomes.
@@23katied thank you so much for taking the time to reply. And many thanks for all your videos, they are very helpful.
Hi Katie. My question is: how will ERP work for someone who is on SSRI and whose anxiety level and symptoms are controlled.
Yes no reason why not. As a general rule an SSRI won't get rid of thoughts or symptoms to the extent that you don't feel discomfort from doing ERP but instead it makes it more manageable for you.
You look so beautiful
Hi Katie. I've tried shifting focus before but I've been struggling because the thoughts are accompanied by a physical sensation that's really bothersome. I can't sleep until my bladder's fully emptied and that can take hours sometimes.. Any advice on how to lessen/stop the sensation that I need to pee? Thanks for the videos by the way, it's really helpful to understand ocd better!
Nope I'm afraid not - I'm sure you've tried everything you can think of and that will be the issue. The more you try and get it to lessen the worse it will be. Instead do some deliberate ERP - drink more water before bed etc to make the sensation more not less etc....
What I’m worried about is in both cases I’ll end up going to the bathroom and I’m scared it will still be all I can think about. I get how ERP works for intrusive thoughts but in my case it’s associated with something that I have to encounter everyday and I’m not really sure how my brain would make the difference? Thanks for your reply by the way!!! Grateful for the help
@@manonjourry4976 you should better go to pee before you go to bed, me in the same way, I see it is normal. So the last thing I do before I go to bed is to go to the WC to avoid any annoying (and I pee easilly). I would not be on the bed trying to sleep when my bladder having an urge to go to pee, so just go to pee to empty the bladder.
@@manonjourry4976 so here’s the thing - you’re “worried it’ll be all you can think about” - so that is a very typical worry in ocd. Thing is it’s all you are thinking about already so what’s the worst that can happen if you try something different? You have to teach yourself that if you behave differently the feelings will subside on their own. Practice some attention trying (see video) and try using this to help you when you are in bed instead of focussing on your bladder. Let the need to pee sensation be there and then focus on other things. I’ve seen lots of people with this issue - you’re not alone!
I've watched and I appreciate the the content of all of this person's advice but I sent a personal message on Twitter which I thought was detailed enough to warrant a a response of some kind only for it to be ignored. Anyway the overall advice seems ok. Form is everything.
Sorry Alan I don't really do twitter. Please feel free to ask a question here so that everyone can benefit from it.
I hope my OCD story helps others in some ways.
When I was a teenager both my parents died through two separate incidents and at the age of 19 I started to have OCD at the timeI looked confident to the world but I was feeling insecure. This was the first time in my life I had had OCD which took me about a decade to get over reading self-help books and I did completely until last year when it came back bad.
Last year I did have a little bit of emotional stress and of course, there was the lockdown combined with for the first time ever I had little bouts of tinnitus which I still got but it's been getting less frequent
Over this period I'm discussing here the last year to the outside well that kept total normality and kept by a business working ok as much as posable in lockdowns but I have a problem in private life. Recently I've been managing to curb my OCD tendencies so I feel I'm finding slowly a way out and get moments of feeling totally normal in all respects, but I can slide back in a moment. Anyway, this is my problem area and I am trying ERP. I read Managing OCD with CBT for Dummies which co-written by Katie and Rob Willson and found it clear and very helpful. I open to do anything to stop it as soon as possible.
Last year I was getting worse, I started to have a compulsion that if I do not see and understand something, I may never get the chance again. This could be in the outside world silly little things like a year last February I remember driving past a telephone box in a remote spot and I wondered did it still work and I turned around to check driving back a couple of miles as I would not be coming back again it was on my mind, ridiculous I totally understand. This then manifested itself into television programs so when I watched I got to the point where must get all the details and even the point of lookup the meaning of words I do not understand. It means I could not watch things without tension and interruption. I would wake up the next day and it's like my mind looks and finds reasons to want to look back at programs, which I did feel silly but once I found what I needed I could forget but it happens again and again. At one point I never watched live only recordings and if I did not follow my compulsion at the time when I have refused to rewind things my ongoing compulsion is to go back and watch again. I have been refusing to do that for a little while, but now have a small list of recordings I feel a little too anxious to remove. Would you offer me a little advice have you ever heard of this type before? Or anybody else had this type of problem? I will do anything to stop totaly as soon as possible.
Well done Katie with the new UA-cam films they certainly bring the subject to good clear conclusions from your previous ones which are all very useful.
Regards to all Alan
@@AlanDavidson1958 hi Alan. Thanks for posting here. Sorry you’ve had such loss in your life. So sounds like your underlying concern is that if you don’t check or find out for sure then it’ll just keep being on your mind. So when you do check it solves that problem but it just crops up somewhere else so you can see that the checking in effect scratches the itch but doesn’t cure the rash. So, you’ve done this before you can definitely do it again. Write a list of typical triggers and do some deliberate exposure - e.g fast forward a little bit of something you’re watching or go and put the kettle on without pausing etc - I.e deliberately make yourself miss something and learn to tolerate the feelings that go with it. Also write a list of all your safety behaviours like keeping recordings, concentrating super hard etc and then do the opposite of these things when you are doing your exposures. Remember the more you check the more you’ll feel the need to check. The more you learn to tolerate discomfort through deliberate exposure the less discomfort you will feel in the long run. Hope this gives you some direction to get started.
@@23katied Hello Katie thank you for taking the time to consider my problem and offering clear advice which makes total sense to me. I'm aiming to use your feedback as an added incentive to make more changes and move away from this problem. I have watched some news tonight and skipped from channel to channel which is something resonantly I wouldn't do, it gives me a little anguish but it's a beginning hopefully.
I want to stop this as soon as possible as much as possible and I will leave a small future progress report on this thread so that any people that find this of interest and possible usefulness can read it.
Well done helping people with you're clear and well-delivered videos and book Alan.
Hi Katie, I was hoping to ask for some advice, though I will understand if you are unable to respond (you seem to be a pretty busy person after all). I have a compulsion where I must repeat words, whether I am reading something or listening to others speak. The words in the sentence must be even, otherwise it doesn't feel right. I usually repeat them mentally, though I have used my teeth and jaw to keep track as well. Basically, the sentences must start on my right side and end on my left side. If not, I try to "fix" the sentence in my mind and if I can't, I get very frustrated. I do this near constantly, which makes it difficult to give my full attention to anything/anyone. I am unsure what the obsession is that causes this compulsion, to be honest, but it is very exhausting. If there is any advice you could give that would be helpful, I would very much appreciate it. Thank you.
do you have a feared consequence if you don’t do this or is it that it will just not feel “right”? In short, you’ll need to expose yourself to things that bring on this compulsion and start doing it deliberately “wrong” - go the other way, get stuff jumbled etc. Once you learn to experience the discomfort of it not feeling “right” you will end up not feeling the urge to do the compulsions. Might take quite a bit of time and patience if you’ve been doing it a while but it will work if you stick at it. Good luck!
@@23katied It is mostly a feeling of not being "right", though I do worry quite a bit about not understanding things I am reading/what is being said to me. I will do my best to deliberately do it "wrong" and sit with the discomfort. I would say it is the compulsion I do the most often. Thank you so very much for responding to my message. I really appreciate it!
You're such a goddess, Katie. ❤ What fool would let you get away?
Hello Doctor, thank you for all this help.
How do I know that I am doing my erp properly? For example , sometimes I just find myself anxious and thinking my compulsions kind of automatically (I’ve got the pure o) and then anxiety increases once I get to see that I am not doing “the right thing” because I did the compulsion PLUS I am still anxious about the obsession from the beginning. Those times I just dont know what to think! Just do nothing? Thinking that I may be doing erp the wrong way makes me anxious..
Hey Pedro stay firm on the erp and also say to yourself " hey ocd I see if you I'm busy goodbye" keep disregarding and go do something else. Everytime the thought comes back be certain and disregard. Takes so much practice. I relapsed on my ocd after a year. It's like I forgot all my information on retraining my brain from ocd. I feel so much better. Also check out Ali Greymond On UA-cam she is amazing like Katie as well
@@nikkig3799 oh thank-you!! I’ve been struggling a lot about this.. checking if I am doing the ERP the right way.. turns out that was ocd too.
Thank you very muck nikki! I’ll try this out
I always say it’s better to get it wrong than to worry about getting it right! Good risk taking behaviour!
@@23katied thank you very much.
Hi kite l like you i have ocd which took 7years without job and im a doctor till now i need reassurance and some time when less confidence i feel violence urge and need to repeat what happen mindly this make me tired
I'm sorry you are having such a difficult time. I have made this video series especially to help people who may find it difficult to access therapy otherwise. The information provided in these videos is the same as I would be giving in individual therapy. If you can put this theory into practice you should be able to help yourself overcome your OCD.
There is a short of cbt specialist here in this part of the world. What is the solution then?
Hey Mam
Intrusive unwanted sexual thought of partner with strangers is this ocd thoughts or not
Pls help me answer
Yes if you're obsessing about it
I went to 14 dr and do nothing
I’m currently seeing a therapist, but I’m not sure. She’s asked ask me what I’m afraid of if I don’t check, and notice if it’s an overarching theme. Although, I thought thoughts don’t mean anything? I was also concerned when she said it may be GAD not OCD, that I also have. However, compulsions are only present with OCD from my knowledge. Please can you add some light, Katie?
Yes it's true the thoughts don't actually mean anything but of course in OCD you do attach meaning to them and that's what the therapist is asking about - e.g If i don't check something bad will happen or I won't be able to forget about it and relax etc. There is a lot of cross over with GAD and OCD and people can often have both. All the of the work learning to deal with thoughts differently will help with either. With GAD it's important to look at your beliefs about worrying too.
@@23katied Thanks, for the reply, that’s helpful. Would you think I should stick with it? I’m actively working on it by myself but struggling to engage in therapy with her. I’m a very black and white thinker, as well. When she said GAD do have compulsions, and I saw on the Internet that they do not it made me doubt her ability.
W
Can you treat me and be my cbt therapist
Do we get any side effect after we healed.
That’s an interesting and important question. I wouldn’t say side effects but there is certainly a possibility that other things you’ve been avoiding dealing with because your OCD has been all consuming can become bigger issues as the OCD starts to get better. This shouldn’t put you off though - dealing with other things that arise is part of the therapy so you can either explore these with your therapist or if for any reason they think you may be better off seeing someone else they can refer you to someone.
Well understood Katie ❤️
Thank you very much
Since I follow only your videos( just by seeing your very first videos I was fully healed...I was suffering almost 20 years! )
Do I need to go for a therapist for these issues to get fully recovered?
Mam
My content of anxiety is stubbornness of anxiety itself .
My content of anxiety is """is something unknown mechanism of my unconscious mind is causing my anxiety to be stubborn ..... Why I am able to ignore the problems now if I had not ignored them earlier ....is something seriously wrong ......""""
Is something wrong with my unconscious mind programming ...
Was my brain has changed ...
Many fearful questions arise in mind .
Even if I get better I got anxious about why it took so long
Again cycle starts ...
I try to figure out how my anxiety was functioning before etc etc ....
Hi there. It sounds like you have already recognised that your biggest maintaining factor is that you keep trying to get answers to your doubts. You may find video 22 useful to watch.
@@23katied
Mam
Is my disorder is OCD or some other anxiety disorder .
My content Don't seem irrelevant to me and there is no single thought that is reapeating but a set of thoughts are troubling me.
Will all your video are helpful for me.
@@amitrajput6904 it doesn’t have to be a thought that is repeating. You are clearly full of doubt, engaging in those doubts and then maintaining the cycle. The trick is to treat it as ocd and follow the advice here (or another useful source) and see what happens. The content of your thoughts is irrelevant. It’s not uncommon for people to become obsessed by their ocd or their thinking processes - it’s all the same stuff and can be treated with the same techniques.
How do i do ERP with fear of social services? I want to have kids but have irrational fear of social services.
Make a heirarchy of anything you think would trigger you - e.g social services website, stories of social services taking kids away etc
The problem I have now is I feel I know I am gay Katie is this possible once the ocd is under control because I was told this doesn’t happen with my ocd therapist but I feel I know I am.. can someone realise this is true after so many years of been told it means you’re not. Please help me
So there could be two things at play here - you could have OCD about your sexual orientation and also realise that you are gay. The trick is to give up trying to get the answer for now - it’s only by doing this that you can get clarity and move on with your life.
@@23katied but my therapist said this doesn't or hasn't happened and this is OCD and i am not and then reading books its say this isn't true and this means we are not these things like pocd and harm ocd also so scared now as i was never told this i was just told it was ocd and i wasn't have i been misled as all the therapists i have spoken to have said this is ocd and i am not ? so scared so what i am feeling an be true then
@@23katied What if your OCD obsessions are about being psychotic and fear of your metacognition (that the way you think is insane, wrong, or scary)
Has anybody gone cold Turkey. In other words like drug dependence you just stop doing any actions. Don't seek out, do not acknowledge....
100% cold turkey.
.
Yes I was good for a whole year. I got triggered from talking to someone that did some fucked up shit and it fucked me up for a few weeks with anxiety. I feel so much better it's possible 🙏
I have known people do this. If you can stick to it then in theory it can work BUT you have to be clear that you are learning to deal with any thoughts and feelings differently and tolerating uncertainty rather than unwittingly getting really good at blocking as this won’t work long term.
@@23katied I understand totally agree. I found over the last month the TOTAL cold turkey ERP method didn't totally work for me, I tried but I was not strong enough but I didn't totally fail. It's basically like winning the battles but then realising you need to have a rest bite to win the war hopefully and I allow a bit of blocking avoidance etc. But I can see for me it was unrealistic to flick the switch and stop no matter and how much pain psychologically. So this gradual path towards normality is working...... The one thing I've noticed is that at the height of anxiety when I don't think I'll be seeing a unique situation ever again my OCD wants to see and understand etc and if I don't I feel it big anguish but it ALWAYS seems so less important and it's so much better later after more of these moments. Then my normal mentality starts to shine, so hopefully, I'm on the path away from my OCD. Thank you, Katie
Hi can I fully recover from HOCD with only just self help?
Absolutely. If you follow the principles outlined here you should be able to make a massive difference for yourself.
Empirically based therapy…hmm🧐 I’ll look that word up again later. Sigh. I want a big Russian or Irish woman to hug me and reassure me I won’t feel schooled by a person who doesn’t struggle and give 20% of my income that week for a good chaffing, and off you go , please reschedule next week as you leave. Spit spot. 😏 that’s not you, perhaps, but sometimes “therapy” reminds me of a good for you Nanny that doesn’t feel you’re much more than a transaction. I need a missionary! Or atleast a diligent dog owner.
mam how can i contact you