My Therapist Fired Me After I Confessed to a Sexual Dream About Her - The New York Times


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The Situation

A veteran with PTSD, depression, anxiety, and marital issues, whose therapy was covered by the Veterans Affairs Department, shared a non-specific sexual dream about their therapist. Despite previously being assured that any topic was acceptable to discuss, the therapist reacted negatively and subsequently terminated the therapeutic relationship.

The Patient's Perspective

The patient expressed feeling confused, abandoned, and betrayed. They emphasize the importance of trust in therapy, especially for veterans dealing with trauma, and worry about the implications for seeking future therapeutic care.

The Therapist's Response (Partial)

The article includes a response from a therapist stating that the patient did nothing wrong and that the therapist's actions were inappropriate and caused unnecessary harm to the patient.

Key Issues

  • Ethical concerns regarding the therapist's reaction and termination of therapy.
  • The importance of establishing a safe and trusting therapeutic environment.
  • The unique challenges faced by veterans seeking mental health support.
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I am a veteran with PTSD, depression, anxiety and marital discord. The Veterans Affairs Department has been paying for me to see a therapist. At my last session, I shared with my therapist that I’d had a sexual dream about her. I did not share any specifics about the dream, and I did not say or suggest that I have a crush on her. (I do not.)

My therapist blew up at me, saying that this is something you should not bring up to a therapist. The next day I felt so bad about the incident that I texted the therapist and apologized. I told her I was embarrassed and would never share something like that again. She did not reply.

Two days later, I received a phone call from her receptionist telling me that my therapist was terminating therapy with me.

For the record, the therapist never told me any topic was off limits. In fact, she told me that therapy was a safe place to share any issues I wanted to bring up. I remember asking her, “I can tell you anything?” and she said, “Yes, anything.”

I feel confused and abandoned. She was the only person I could share anything with and not feel judged. This is how a lot of vets feel if we share anything terrible we had done or failed to do while on active duty. I don’t think I will ever trust a therapist again.

I feel lost, alone and hurt. Can you offer any guidance?

From the Therapist:

I’m so sorry that this happened to you, because you did absolutely nothing wrong. Instead, your therapist’s wrongdoing has left you in a deeply upsetting predicament. A therapist should create a truly safe space, and it’s devastating when trust in your therapist is broken. What you’ve experienced — especially after sharing something so delicately personal — is not only hurtful but also destabilizing.

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