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Major Depression: Reasons Why People Avoid Treatment continued...

I’m afraid of having to talk about painful subjects in therapy. “Depressed people avoid treatment for fear of having to undergo a probing examination of their psychological pain,” says Joe Wegmann, a licensed clinical social worker in Metairie, La.

“They have a fear of opening it all up -- ‘I don’t want to go there,’” Kate Muller says. Unfortunately, in some cases, getting into painful discussions is necessary for healing, she says. “But in other cases, it doesn’t have to be as deep or scary as you might think. A good therapist understands what is like for someone to open up to a stranger and will guide you through that process. He won’t push you to open up too quickly or at a level you are not comfortable with.”

Expert advice: Find a therapist you feel comfortable with and ask him as many questions as he asks you, Muller says. Find out what therapy will be like. Although painful discussions may be necessary in time, your therapist cannot force you. What you reveal is up to you.

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