I guess the issue is I don't trust mental health professionals to help even when I am honest, so why be honest?[...]
Because of that trust, in all actuality. While trust is delicate--it shouldn't be defined by the first acting people who gave you a really bad impression that they seemingly become representatives of the whole medical field.
Ok well let me a little more specific and say that the only mental professional I've spoken to who has actually genuinely improved my life was a friend of my family's, seeing me strictly in a friendly sense, and a celebrity forensic psychiatrist by trade. Other then that I have dealt with over a dozen professionals, from different institutions and at different stages of my life, and none of them that I've seen has helped me with the bigger issues in my life. is all of that my fault? yes. I blame little 8-yr old misko the most: harangued by his mother to say very specific things that he found uncomfortable, but he agreed to because he knew that it was for an important reason, and he didn't his father would continue to do bad things. He didn't want to let that happen. So he had to stay strong and repeat after his mother, and that's where I first learned that what I *thought* was supposed to do (be honest to therapists) conflicted with what I should actually do (treat them like cops, or lawyers: be polite and courteous and tell them what they need to know, but volunteer nothing).
There's a thing called avoidance behavior--and it harms the person more than helps them when they avoid being open because of what had happened earlier in impression.
sigh. yes, yes I know. I've been lectured on the theory of this before. If theory was all I needed to convince myself of something I'd be on top of my life right now. My mother had two great failings, and that was one of them: Unable to understand that awareness of a fact is not a substitute for action. She just didn't understand that there could possibly be a disconnect in someone's head what they think they should do, and what they are actually doing. To this day, whenever you do something she doesn't like, she lectures you in a very roundabout way; not about the specific thing you need to do better, but about GRAND PRINCIPLES that lead to the actions involved. Well now I'm a master of principles. I know what to do in principle in almost every situation! It's not enough.
Why not be honest is the better question to ask--questioning the virtue of honesty won't get a direct or exact answer as to why you may be possibly doing all that. :O
If I'm really honest I know all of you are absolutely right. I'm completely aware of this. I'm just arguing that it makes no difference. I seek to explain causes where I can't change results. I don't control myself. i can't make a decision and stick to it. if I could do that I would have no problems at all! I know quite well that being direct and honest with a therapist is the best way to handle my problems, and if there was a way to do that abstractly, I'd be fine. But if I could just be honest and direct and forward and all the other stuff I need to do to fix myself, I wouldn't have anything to fix. But how am I supposed to fix the problem of fixing problems? How am I supposed to, say, get help about the fact that I'm scared of mental health workers and the damage they can do to me... to a mental health worker I'm scared of? how am I supposed to be motivated to fix my motivation?
How can I want to get better when I don't want to wake up? what did I do so wrong to end up like this...
But for the sake of argument: You want one good reason not to be honest? I don't want to be labeled a suicide risk. More broadly: I believe mental health professionals consider some things more important than the privacy of the client-patient bond. Specifically, the one thing every single physician I've had since I turned 13 has told me: "I will keep everything we say here secret, provided I don't believe you are a risk to yourself or others." Boom. So now if me. therapist thinks I happen to look a little too much like columbine for his tastes, it's not
him who has to deal with the consequences, its
me. I would never hurt anyone else, I'm too scared to seriously consider killing myself (and non-lethal self-harm has no appeal to me; I hate pain). But if even one person I talk to thinks otherwise, I've got all sorts of shit on my plate I didn't have before, and I will always be on the books as a potential nutter. God forbid I wanted to become a doctor or lawyer then... And if I wasn't talking about depression and the fact that I'm suicidal, this would be no problem. But I am. So here I am.
Besides, what do I say?
Open up gradually rather than keeping ideas in.
"I want to kill myself. I hate myself immensely, and I cannot remember a single time in my life that I was truly happy. I have depression, anxiety, and ADHD, and unless all three are supressed my life continually spirals into crisis and failure. I don't enjoy any activity, I cannot keep friends, I have no goals in life but to avoid pain, and I don't think I will ever be happy. You doubt me! You say 'Lots of people think that way'. Well, a lot of people kill themselves too. Maybe they know something you don't."
I'm sorry I seem like I'm attacking the profession. I don't mean to. I don't have a grudge against them or anything (the only profession I genuinely have strong antipathy for is people who work in children's services). I just don't believe they've helped me personally, and at times I strongly doubt they can