THERAPIST: So, what would you like to talk about today?
PATIENT: Well, I’ve been feeling really overwhelmed lately. Work is just… stressful, and—
THERAPIST: Mm-hmm, mm-hmm, overwhelmed, yes. Uh… tell me, does your boss send you passive-aggressive emails at 11 p.m., questioning every single decision you’ve ever made in your entire life? Hypothetically speaking.
PATIENT: Um… no, not really. My boss is fine, I guess. It’s more that—
THERAPIST: (sighing heavily) Must be nice. Anyway, sorry, go on. You were saying something about work?
PATIENT: Um… right. So, I’ve been feeling like I’m not good enough, you know? Like, no matter what I do, it’s never enough.
THERAPIST: (nodding vigorously) Oh, I get that. Totally get that. Like, the other day, I spent two hours trying to decide if I should buy a 24-pack or 48-pack of toilet paper. Two hours! Two hours! And in the end, I bought both because I couldn’t make a decision, and now my bathroom looks like a storage unit. What’s wrong with me?
PATIENT: I… don’t think that’s the same thing?
THERAPIST: (laughing nervously) Oh, right! Sorry, let’s focus on you. It’s just, you know… decisions are hard, and sometimes… sometimes you just have to remind yourself that it’s okay to be overwhelmed. You know, like when your entire life feels like it’s unravelling, and you’re constantly questioning if you made the right choices, and—
[Suddenly stops and forces a smile again.]
THERAPIST: Anyway, how does that make you feel?
PATIENT: Um… I’m starting to feel like maybe you’re the one who needs a therapist?
THERAPIST: (laughing awkwardly) Ha! Me? Oh, no, no, no. I’m fine! Totally fine. Just a little… stressed, that’s all. I mean, who wouldn’t be after what happened this morning, right?
PATIENT: What happened this morning?
THERAPIST: (leaning forward, suddenly animated) Oh, nothing major. Just spilled an entire cup of coffee on my laptop, lost a week’s worth of therapy notes, and then got a parking ticket because I was too distracted trying to figure out if my cat actually likes me or if he’s just pretending. No big deal. Just… life, you know?
PATIENT: Are you… okay?
THERAPIST: Oh, I’m great. Fantastic, actually. Never better. So let’s get back to you. You’re overwhelmed. You’re struggling with self-worth. And you feel like… like… Sorry, I just had a thought—do you ever wonder if everyone is secretly judging you all the time? Like, you’re at the corner shop, and the cashier is definitely thinking about how weird you look in joggers. Not that I’m projecting or anything.
PATIENT: That sounds like you’re projecting.
THERAPIST: (slightly unhinged) Maybe I am! Who isn’t these days? But let’s keep the focus on you. It’s not about me. It’s about you. You and your perfectly reasonable feelings of inadequacy.
PATIENT: I… don’t know if I want to talk about myself anymore.
THERAPIST: (leaning in, whispering) Do you think my cat is avoiding me?
PATIENT: I’m not sure?
THERAPIST: (nodding) Yeah, that’s what I thought. I’m getting the cold shoulder. He just… he just stares at me, you know? Like he knows something I don’t. Anyway! Back to your issues.
THERAPIST: (with a forced smile) Tell me more about these work problems. That sounds… awful. What was it again?
PATIENT: I was saying I feel like I’m not good enough…
THERAPIST: Yes! Imposter syndrome! A classic. The fear that at any moment someone’s going to pull back the curtain and reveal that you have no idea what you’re doing. I mean, that’s never happened to me, obviously. But I hear it’s common. (panicking slightly) Okay, maybe it has happened to me. Like… every day. But that’s beside the point! So, the trick is to remind yourself that everyone’s just pretending, really. Fake it ‘til you make it. Or, in some cases, fake it even after you’ve made it and hope no one notices. (breaking down a little) Oh, God, am I? [Stares at notepad, which reads “buy milk” and “schedule therapy for me?” instead of notes about the session.]
PATIENT: I really think you should talk to someone.
THERAPIST: I am! I’m talking to you! That counts, right?
PATIENT: I think you might need an actual therapist, though.
THERAPIST: Yeah… yeah, you’re probably right. But, uh, you can book your next session on your way out, okay?
PATIENT: Sure, but are you okay?
THERAPIST (sighing): Honestly? No. But it’s fine. Everything’s fine. (muttering) If I say it enough times, it’ll become true, right? Anyway, time’s up. Off you trot.
PATIENT: Um… thanks, I guess?
THERAPIST: (still staring at notepad) Yeah, yeah. No problem. Happy to help.
[The patient leaves, slightly bewildered but not as overwhelmed as before.]
THERAPIST: How do I feel about that?
[Nods into the distance, practicing for the next patient.]
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