Ask a Counsellor

Experienced a sexual assault, want counselling, concerned about confidentiality

I was raped when I was 15 years old. I was black-out drunk, and don’t know who my attacker was. I still feel the consequences to this day. It still affects me in my daily life. I know Mount Royal offers sexual abuse counselling services, but I’m wearing of using them because I’ve heard that they are required by law to report any accounts of rape to the law. I know that 5 years later having to deal with the police would do a lot more harm than good, especially considering I don’t even know the man who did it.
Would it be possible to get the help I need without the police being involved?

Hello and thank- you for your message.

I am so sorry you were assaulted and that you have been carrying this trauma for five years. The counsellors at MRU Student Counselling Services offer confidential counselling services to students. As you note, you can also access a counsellor from Calgary Communities Against Sexual Abuse in our area. This person has specialized knowledge about counselling those who have experienced sexual assault and abuse. From your message I understand that you have concerns about the limits of confidentiality, so I hope the following information answers your question:

When a student meets with a counsellor for the first time, the first thing that is discussed is what confidentiality means and what the limits of confidentiality are. This is done before any confidential information is obtained from the student by the counsellor. Counsellor’s conduct in terms of confidentiality is not only governed by professional ethics but also by law.

Confidentiality means the information you share cannot be released without your consent, with the exception of three conditions.  I’ll share about the exceptions and then explain the process of you giving consent. First, breaking confidentiality in the counselling relationship is generally about safety.  If the student is at risk of significantly hurting him or herself or others, then the counsellor has a duty to release information for the purpose of keeping people safe from harm.  This may take the form of working with the student to figure out who else needs to be brought in to keep them safe. Second, if a counsellors learns about abuse of a minor (someone 17 years old or younger who is currently at risk of, or is being, abused), it is the law that they have to report this. Sometimes people interpret this as having to report an adult’s past abuse when they were a minor. But this is not the case. Finally, there is the rare circumstance when a judge can subpoena’s a counsellor to give evidence in a court case.

Under normal circumstances any information obtained from students in a counselling session is released to another party only after the student has given informed consent. This means the student agrees to the information being released, knows where or to whom the information is being sent, what information is being disclosed, and for what purpose. The pros and cons of releasing the information are discussed and there is an expiry date for the consent.

From what you have said in your message there do not appear to be any grounds that would necessitate a counsellor reporting the assault to the police – there is no ongoing or imminent risk of harm to yourself or to others.

I encourage you to meet with a counsellor even if it is only to talk about your concerns about confidentiality. Your assault is something over which you had no control and it is important that you feel in charge, and are fully informed, about the process of counselling.

So kudos to you for taking the time to ask this question and perhaps helping someone else be less afraid to seek support.

All the best,

Ria Meronek

Counsellor

Wellness Services: Student Counselling

Can’t bring myself to seek help

I’ve basically hit rock bottom at this point, and I know that I need help, but I can’t bring myself to actually seek help…if that makes sense. I want to go for counseling, but I just can’t. What do I do?

Hello,

Sometimes when we feel overwhelmed or highly distressed, we can feel immobilized. So I wondered if that makes sense of your experience. Here are some ideas to mobilize yourself to seek help. Since I don’t want to assume what is going on for you, I’ve offered a variety based on the potential barriers to seeking help.

-get a friend to walk with you to Counselling Services. Friends are typically glad to see a friend get help, and it’s so much easier to walk in with someone. Perhaps they can even sit with you before your appointment.

-talk to family members who can support you in taking the next steps. Remember that getting help shows resourcefulness and is a measure of good health. Perhaps certain family members could share a sense of pride about you taking a positive step to improve your situation.

-go to the Office of Student Success (on Main Street across from the library). There are student helpers there and a coordinator, Sarah, who are there to be a friendly face to support students in finding the help they need. One of them will be happy to walk with you to Counselling Services.

-You say you know what you need to do.  There can be a problem when we wait until our emotions are aligned with what we know we need to do. The best next step does not always make us feel relieved. Actions based on principles or values are not necessarily emotionally satisfying. I would bet you can recall times when you have taken steps that created some distress but that you knew were important to do.

-It also sounds like you are done thinking. You said you know you need help. So imagine yourself walking into U216 at 8:30 am the day after you read this, see yourself saying “Could I please have a drop-in appointment today. I really need to see a counselor. It is urgent.” and book a drop-in time. Don’t think beyond that. Start walking and don’t stop until you are at the desk, saying what you need to say. When it is urgent, a counsellor will check in with you even if they are fully booked, and then assess when a next appointment is needed. You can also attend a Stress and Coping session on both Monday and Friday at 3 pm. 

-If beginning to talk about your concerns in a more anonymous way would be helpful to get the ball rolling, call the Distress Line (403.266.4357). It does not need to be an emergency to use this service and this might help you begin to articulate what you are going through and strengthen your resolve to seek help. The Distress Line is also for situations where feeling rock bottom has led you to having suicidal thoughts. They will connect you with help 24/7.

-Focus on the doable next first step, not the thing as a whole. Just do the next smaller, immediate doable thing, and then the next small doable thing, and so on. Sometimes we get immobilized by what we imagine will happen in the future, far beyond the moment when we can actually choose and act.

I hope that somewhere in all those ideas, there is something that helps.

All the best,

Mirjam

Mirjam Knapik, Ph.D., R. Psych.

Wellness Services: Student Counselling

Don’t know how to get started addressing concentration, focus, and persistence

Hi,
I’ve had this issue for a while of not being able to concentrate. It didn’t really bother me in high school because I could get by with minimum amounts of studying. I noticed when I get frustrated I usually just abandon tasks and my mind often wonders during lectures. I’ve always been told if I just worked a little harder I could excel in my academics, but I can’t seem to get myself to stick to a task. I’m currently working on a long term goal that I am passionate about, and my grades are a really important aspect in achieving it. So I think it’s really about time I address this issue. But I don’t know how to get started.
Thank you for your time.

Hello,

Thank you for sharing your experience. It is not unusual for students to present with the difficulties you describe when they shift from high school to post-secondary. The amount of studying (and concentration required for that), the longer assignments (and longer term planning and persistence required to complete them), the attention required during lectures,  the more difficult material, and the raised performance expectations, can shake us up. I certainly experienced this (many years ago!).

However, some of the difficulty you describe might not be about this transition alone. It can be that the difficulties you describe first present themselves as a problem in post-secondary because the high school conditions did not present a sufficient challenge to attention regulation.  The minimum amounts of studying required to pass, the possible parental supports for healthy eating and sleep, and the exercise through team sports, can all mitigate attention regulation difficulties so that they are less impairing of performance. In order to assess if you meet diagnostic criteria for attention problems (Attention Deficit Disorder), an assessment by a psychologist, specialist doctor, or psychiatrist is required. To learn more about these kinds of assessments you can visit my ADD in Post-Secondary blog and check out the assessment page.  I hope you will find this additional information useful for answering your question about how to get started..

In either case, you have stated you are ready to address this issue. So even if you don’t meet criteria for a diagnosis, there are many things you can do to address the difficulties you describe. It is wonderful to read that you have a long term goal that you are passionate about. This will serve you well since excitement about the material will often support attention. As I’m sure you are already aware, not every course you need to take will match your interest. It is often in courses that are of less interest to you, that students need to figure out how to sustain attention, get themselves going on assignments that don’t yet feel urgent, and persist when it takes a long time to learn the material. I also get the sense that you have not fallen into the trap of thinking you are experiencing problems of intelligence or laziness. Indeed, you seem to already frame your difficulties as a problem of performance.

There are many resources at MRU that support student success. With what you describe, Student Counselling Services will give you a chance to explore your challenges in more detail with a counsellor and discuss the best place to start.

All the best,

Mirjam Knapik, Ph.D., R. Psych.

Counsellor

Student Counselling Services