However, I've found taking charge of the therapy process - really taking a good hard look at my own issues within that context - and leading it, with much honesty, rigour and being able to articulate what changes I want for myself has been ultimately empowering. It has been helpful that I am really analytical to begin with, and like a dog with a bone when there is something I don't quite understand. And there is still enough middle class attachment to notions of dignity, which means I'd prefer to tackle all the demons of my psyche within the therapy space than metaphorically be bleeding all over the shop in other areas of my life. I have an absolute fear that I'm the only person in my life that isn't aware that I'm acting out my mental health issues all the time in public.
When first seeing a therapist, I've found it useful to articulate what I want to happen - that my decisions about sex work are off limits, and about what I wanted to get out of the process. I've found doing my homework in between sessions - going after extra information on particular issues, and examining my value system in relation to things that have emerged in sessions - increases my sense of control over the process, and generally makes me feel empowered. Also, most therapists would tell you that your independence is an important part of the process.