Feel help: i can’t fully open up to my therapist. - Help.com

Post it here on help.com as anonymous. Are you the type of person who is more comfortable talking about these types of things online with a screen as a medium? Then I suggest asking your therapist to talk to you through email or something.

i don’t really feel comfortable opening up in general, if that makes sense?
long story short i know i’m destroying myself with alcohol, drugs, and eating disorders. i want help but don’t know how to get it?
but, i don’t even know if i want to change.

i know how that feels. the only thing that got me to open up and talk about how i really felt was talking to someone else who was at the same level, who had the same problems as i did

How many sessions have you had with your therapist? If you are just getting started, I suggest giving it more time. From what I know of therapy, a foundation of information must be layed down before you get down to the nitty-gritty. I think you should get to the bottom of why you are hurting yourself, then if you want to make changes in your behavior, fine. If not, at least you will have a keener understanding of how you became the person that you are today. Does that sound reasonable?

i suppose. i’ve been with him since july, and usually a session a week.

You might just want to tell your therapist that you are hoping to make real progress with your therapy. I know someone who used to ask for a homework assignment every week. This put the therapist on notice that she was interested in working toward a goal of understanding herself.

i’m pretty sure that my therapist doesn’t think there’s anything else to make progress on. the main reason i went to him was of this decision i had to make, and i’m extremely indecisive.

Well, it is up to you to get what you expect from your therapy. If all you wanted was to get help with a decision, that’s up to you. I would want more. I would want to understand myself better. Maybe you would like to ask your therapist to determine why you have trouble making decisions.
I am not a therapist, but if I had one, I would be making her work for her fee.