Thanks for understanding re. my long answer.

Wow - how tragic it might have been if the client you mentioned had been with a therapist who may have drawn conclusions...and with that kind of situation it would be very tempting to - but clearly that would have not been helpful.

I get frustrated sometimes because clients will come to me saying that a prior therapist has told them they "must have" been sa'd because they have X symptom or Y symptom or some kind of pattern.

It's a lot of work untangling that kind of situation and helping the person to gradually figure out and define their own truth...which as you say, may very well remain uncertain.

I think this is one of those situations where just a little bit of information (knowing the symptoms and what they often indicate) can be a dangerous thing.

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Carol Ann Rowland, MSW, RSW