Now you've GOT something. Your expectation of the process is pretty accurate -establish the relationship, then start the talking. There may or may not be a couch. The "couch" is a throw-back to the early days of psychiatry, when the patient reclined and just began to spew out whatever thoughts came into their heads, while the psychiatrist quietly took notes. That was called "analysis." But today, the skilled psychiatrist can fairly quickly figure out how your experiences and feelings fit into various patterns and suggest appropriate subject matter for discussion, new ways to look atbold material, etc.
At its best, having a psychiatrist is like having an excellent guide in the wilderness. The guide doesn't know where the "bear" is, but knows how to detect the tracks, the short-cuts, the best approach. In the end, it is YOU who does the work, which is WHY it works -you did it, and in the doing of it, you learn that you CAN adapt, change -be happy, even! And it is entirely reasonable that some portion of your trek will be through previous experiences -back into childhood.
Following is a partial list of my Journal entries which are the result of the new self-understanding I acquired from my time in psychiatry. These are not meant to be a template of what YOU will discover, but rather, an example of how thinking and understanding change. I hope you like them.
Copy and paste them (one at a time) into your browser address box, or just click my name to go to my profile page and find them there:
The Stain on the The Stain on the Floor -an Anxiety Story
www.medhelp.org/user_journals/list/366811
Where is it Coming From?
www.medhelp.org/user_journals/show/9206
Meet the Panic Family
www.medhelp.org/user_journals/show/7843
Is it possible? Could it be? (Symptoms)
www.medhelp.org/user_journals/show/7377
All in the Head
www.medhelp.org/user_journals/show/7293
Smoking Guns and Puzzles.
www.medhelp.org/user_journals/show/6075
Anxiety -and EVERYTHING else
www.medhelp.org/user_journals/show/14907
The Last Good Thing
www.medhelp.org/user_journals/show/12845
You're on your way, Suzy. Nice work!
-S