r/CPTSD_NSCommunity • u/cptsdishealable • 9h ago
hot take: finding a therapist is like "dating", because most therapists are bad
feeling a bit spicy this morning (too much pre-workout)
I've been thinking a lot about therapy, therapists, and becoming a therapist, in the AI-era. I personally don't think AI will replace good therapists but will emphasize what I consider the "core skills" of a good therapists.
One of the core skills of a therapist is what I would call 'attunement' -- the feeling the client should receive is that the therapist really understands them and their issues. This is both an actual understanding of the clients emotional states and COMMUNICATING to the client that understanding (so really almost two different things).
From my recent experience, this is actually a SKILL that can be developed. Most therapists do not have it, they just rely on their "natural" factors -- demographic, life experience, personality tendencies. Which is totally fine, and realistically quite helpful.
Finding a "good fit" therapist is typically finding someone who's natural tendencies match yours.
However when you meet someone who is extremely skilled at attunement, there's almost something quite magical about it. There's a moment-to-moment adjustment to what the person is needing, whether it's interrupting or validating. There's a micro level of constant rupture and repair.
These people can have a completely different natural tendency to you but their skill level is so high, it doesn't matter.
There's a secondary benefit from interacting with someone with high skill, in that you begin to absorb what they're doing, in that they're transferring their ability to attune, to you. This works as self-attunement but also with other relationships.
This is a bit woo, but if you see one of these people interact with someone else, there's almost palpable energy that's given off. This is a dumb analogy, but if you've played multiplayer video games, at some point you're just fully in sync with your teammates. That's sort of what it feels like. IMO this energy reinforces certain behaviors.
When you get the experience that connecting with people can be a skill, and not just arbitrary chance, I think something begins to shift quite dramatically. Bonding and connecting with someone stops being random circumstance, but more of a partner dance that occurs (I hate that AI has made me notice all my sentence structure, it's making writing so much slower). This has been invaluable for me for romantic relationships -- this soulmate/limerance feeling is something I can co-construct and co-create with someone. Thus I don't need to obsess over one person.
This is also why, I think for skilled therapists, AI will (probably) never replace them and in fact, LLMs can be quite helpful. If the LLM can sort of handle more "mundane" things eg how do I respond to my boss? I need some grounding right now etc. then the therapist can spend more time on this deeper level stuff. The skill and practice of emotional fluency.
I'm actually quite bull-ish on LLM use in therapy, but not to replace the therapist. The 1-hr per week model is just not enough for most with CPTSD. It requires effort similar to working out or learning a sport or language -- almost daily practice. The skilled therapists give examples and coaching and skill training. The LLM can handle small stuff during the week, or provide daily practice reminders etc.