View Full Version : Psychotherapy...


netsavy006
11-21-05, 01:38 PM
I am currently undergoing psychotherapy for my bipolar I and asperger's disorder. :confused: Do you believe in psychotherapy? :confused: Please vote.

Tara
11-21-05, 01:41 PM
I believe it can be very helpful if a person finds the right match in a therapist. I also think that a person must realize that they may not see instant results in psychotherapy. It can be a fairly long process but over time may be very beneficial.

mctavish23
11-21-05, 01:42 PM
I hope so, but then again I'm biased.:)

Scattered
11-21-05, 01:54 PM
Averity,

My experience is that a good psychotherapist can be very helpful. They can point out things that might be in your blind spots; encourage you to not forget your positive traits; help you grieve your losses; and give you good concrete techniques to help you function at your best. Unjudgmental support is a very good thing!

Take care!
Scattered

Nova
11-21-05, 02:07 PM
I believe in the therapy, but then again...my step mom is a psychiatrist, and I have been going to one or another, since the age of seven...
So...I have a biased opinion, which leans in favor of psychotherapy, in conjunction with psychotropics.
Nova

casinowife
11-22-05, 02:08 AM
I totally believe in therapy! I think a lot of people go in to therapy expecting the therapist to "fix" them though. I also think that if you're not ready to accept 100% responsibility for your life and really examine and challenge your thoughts and beliefs than it won't work. Therapy is the hardest thing I have ever done in my adult life. At one point my whole world was turned upside down while working through some parts but it's the best thing I have ever done. I know my child's future will be better because of it. I broke the cycle and I feel so free.

Joyous56
11-22-05, 12:42 PM
I think there should be some sort of 'orientation' when people decide to try therapy. I know that I used to believe that somewhere in the course of talking about my life and my problems I would have some kind of 'breakthrough' and things would change. It gave me tons of insight, but nothing changed. To my way of thinking, this is to the therapists advantage as it tends to prolong the proce$$.

Instead, I think a responsible therapist should explain what can and can't be expected from therapy. I also think that at the end of each session the therapist should give some kind of instructions, or homework, to be done or considered or thought about before the next session.

I love that I understand myself more, but at some point I wish we'd discussed 'reasonable expectations' and how to get there.

netsavy006
11-22-05, 01:15 PM
Yeah. I know that w/ psychotherapy, it's all on you. The therapist can give me ideas but it's up to me to follow through on them. I have to want to change in order to change.

mctavish23
11-22-05, 04:14 PM
For the last 10 + years, I've had my own (personal ) memo that I give to all the parents/guardians of the new clients (kds between 6-19) I see for the first time for Diagnostic Assessments (Intakes) or even Re-opens if it's been over a year since I saw them last.

My memo is headed : "Informed Consent: What is Therapy and What Can You Expect From It ?"

It's 2 1/2 pages and summarizes the various types of therapies and therapeutic techniques I use as part of an "evidenced based (research substantiated)" practice.

In addition, it also discusses the situations in which Limits of Confidentiality might apply, as well as identifying me as a Mandated Reporter in my state.

I also briefly discuss testing and psychiatric referrals;should those appear to be necessary.

I can't tell you how much time this saves me, as the paperwork involved in opening a chart by our Intake Dept is time consuming.

The Intake workers at our non-profit, rural community mental health center also discuss confidentiality as well as ask for the necessary consents to be signed;assuming the client is willing,etc.

While that part saves time in terms of explaining the fee scale, the lenght of an appointment and any insurance related maters, I don't expect them (Intake ) to be able to describe the way each of (Outpatient /Clinical Dept) us does our jobs; nor should they have to.

I primarily work on establishing rapport so that the kid has some fun and the parents leave feeling that their main reasons for the referral were discussed and that they have some idea of what I do and how I do it.

Excellent question. Thanks.

take care
mctavish23 (Robert)

speedo
11-22-05, 06:29 PM
Not only do I believe in psycotherapy... I believe in the Easter Bunny... :eek:

YES, I think psycotherapy is a good thing. I am just now completing psycotherapy and I found it to be quite beneficial. I'd recommend it to anyone. Pausing to take a good look at one's self is a good thing to do once in a while.

ME :D

bythesea
11-23-05, 02:08 PM
I am just now completing psycotherapy and I found it to be quite beneficial. I'd recommend it to anyone. Pausing to take a good look at one's self is a good thing to do once in a while.
Something I've been wondering about, especially as I've already used up more than half of the sessions my insurance will help cover in a year.

How does one evaluate/decide that they don't have as much need for their psychologist and stop seeing them?

I've also been wondering about this because as far as I know I will be moving from the state I'm in this summer, after I graduate. I've developed a rapport and trust with my psychologist and I don't know about trying to start over from scratch with a stranger. We could consult by phone for a while, but I don't know what my insurance situation will be and eventually I'd want someone face to face. That is, if I still feel a need. Maybe by then I won't. But I will be in a period of transition and it might be good to continue talking to someone until the dust settles a bit.

Here's a thought... I wonder if anyone uses the phone and a webcam? That'd be more like face-to-face.

I can see where one could usually benefit from seeing a psychologist, as long as you have the money and insurance to cover it. But if you're not in a crisis, you could probably get some similar benefits from talking to a friend, or to a support group, posting on forums, or something else.

In terms of other ways to get similar benefits/support: in my field many of us form a relationship with a "spiritual director." It is not unlike an appointment with my psychologist. They offer listening, observation, support and suggestions, but the focus is on the spiritual aspects of your life. I had one back home and stumbled across someone to see here (they recommend it while in school). But last year I needed to focus on these other issues more and didn't have the energy (or money or time) to do both, so I haven't seen spiritual director in almost a year. However, someone mentioned theirs recently, and I thought I might be at a place now where it wouldn't feel like too much to see both, and might be a good balance.

The point being maybe when I move, instead of finding a new psychologist I can connect with a spiritual director, and that might be enough as the dust settles. Or maybe I can find a support group and make some connections there, or just be intentional about getting together with friends, or call and email classmates who will be scattered throughout the U.S. to share our experiences. So maybe I won't necessarily need to find a new psychologist.

So... if you've completed treatment, how did you reach that decision? If you are currently seeing a psychologist, how do you think you'll know when the time has come to stop going?

Did you, or will you intentionally come up with some other support system/safety net to help fill in that gap, and if so, what was it, or what do you think that will be?

Peace, ~~bythesea :)

netsavy006
11-23-05, 06:40 PM
I don't think you should ever be done. I think everyone should see a therapist. Even though that's not possible, That's my belief.

bowlerkid
11-23-05, 11:31 PM
If therapy doesn't work out very well, it could be that the patient and therapist aren't a great match. I know when I was in therapy, I stayed with my counselor for a while even though I didn't feel comfortable..it was my crazy anxiety that kept me there. I would say just go ahead and if you're not comfortable switch therapists.

bythesea
11-24-05, 12:37 PM
You misunderstood. I really like my psychologist. I think it'd be cool to just go chat with him just because, and I'm not happy that when I graduate and move that I won't be in town and able to see this one and may need to find a new one.

So what I'm wondering is, if you like going and you find it helpful, how do people get to a point when you decide you are going to stop seeing the psychologist? Does your issue feel resolved? Does it feel like you've still got work to do, but you're on the right track and can keep heading the right direction by yourself? or what?

speedo
11-24-05, 12:48 PM
For me, I hve accomplished the purpose of my psycotherapy, so it is time to move on. I really enjoy my talks with my therpist and i feel that I have made a friend, but it is time to move on very soon.

Me :D

tybeho
11-24-05, 02:12 PM
What people call psychology is a hodgepodge of conflicting ideologies, each one secretly contemptuous of all the others. Psychoanalysts think that cognitive psychologists are at best wasting their patients time. Cognitive psychologists think that rehashing your childhood is morbid and pointless.Art therapists will tell you that if you express your anxieties in painting they will disappear.
Sure it can be helpful to discuss your problems with someone,but not someone financially and intellectually wedded to a particular narrow view . Your likely to get a temporary mood lift by confiding in someone, but eating a cookie or going to a movie will do the same.

The best way to confront an opinion is with facts. What is the evidence. Anecdote is not evidence. There have been countless studies on the effectiveness of various psychotherapies. They're not widely publicized, but you can find them if you look. The jury has been in for decades: the short term success rate for all established psychotherapies is the same as the placebo rate.: 10% . If you give people sugar pills to cure what ails them, 10% will feel better (briefly).
The long-term success rate is zero percent except for behavior therapy which isn't really psychotherapy, it's conditioning.
I don't know of any recent books on the subject, but "The Psychological Society" written about thirty years ago is comprehensive and unbiased.

mctavish23
11-24-05, 02:46 PM
That was very well stated and powerfully delivered; although I respectfully disagree with some of it.

One of the reasons I like evidenced based practice so much, is that it requires the clinician to use therapies and therapeutic techniques that have been proven (research substantiated) to actually work for whatever it is you're trying to treat.

ADHD is my primary area of expertise, so that for the hyperactive and combined types, I know that a rewards based behavior managment/home token economy program, applied "at the point of performance (where the behavior took place)," is the only technique currently known to work.

In order to deliver that treatment, Family therapy is the best way to accomplish that.

Parent education has been referred to as one of the most important parts of ADHD treatment; as it is the parents who apply the techniques at home.

With the Inattentive type, other evidenced therapies for depression and anxiety can be incorporated; along with the above mentioned approach.

I saw an excellent presentation in May on this subject.

The handout showed the types of therapies that worked for the different types of disorders; psychoanalysis did not fair well, as I recall.

The presenter mentioned that he had received several comments/e-mails stating the writers "displeasure"with the whole evidenced based concept.

Hans Eysenck, postulated many years ago that using any technique will make someone feel better.

It's also been said that "therapy is more art than science" and that "good therapists are born, not educated."

I agree with both of those statements.

Supporting that would be the longitudinal research showing that the relationship/rapport between the therapist & client is the most significant determinant of success.

The material from the presentation is at my office, and I'll be glad to post it sometime soon.

As far as behavior therapy with hyperactive children goes, it has long been established that as soon as the treatment is stopped, the target behavior returns to baseline;100% of the time.

Thanks for the input and welcome to the Forum.

mctavish23
( Robert )

casinowife
11-25-05, 02:18 AM
According to my source, my 2004 college text book, the success rate is more like 15% placebo, 15% technique, 30% relationship between client and therapist, and 40% support system & client resourcefulness.

The relationship bewteen client and therapist is the essential foundation, not the technique. In my opinion, a good therapist takes an eclectic approach and borrows different stratagies and techniques because each client is unique and the approach should be custom made to fit their needs.

mctavish23
11-25-05, 12:07 PM
casinowife,

Thank you so much for the reply.

I agree with you completely.

mctavish23
(Robert)

timh
11-26-05, 11:34 PM
Yes, it can be very beneficial. I think psychotherapy (along with medications) is a good place to start. Those sessions will help the therapist understand your upbringing, personality and if anything from your past is contributing to your current struggles in life.

Once the therapist gets to know you, then they should start to introduce congnitive behavior therapy (CBT). This will help you develop routines for you to make positive changes in your life. Homework is essential to the whole process and actually allows the patient to get more for their money.

The patient should not expect the therapist to tell them what to do. They need to be guided and allowed to figure it out themselves.

QueensU_girl
01-11-06, 10:10 PM
The question is unclear.

It depends on the Definition of "Psychotherapy". If it means sitting there and writing stuff down, then telling me time is up, uh, then NO.

Do you mean Psychodynamic Psychotherapy? These are really different types of therapies.

I don't believe Psychotherapy has been proven to help all mental disorders. I know they used to use it in Schizophrenia, but obviously it does not work in psychotic disorders.

Emma

mctavish23
01-11-06, 11:41 PM
Evidenced based interventions are slowly becoming the norm.

In doing so, there's nothing hodgepodged at all about therapies and therapeutic techniques that have been found to work for specific problems;via longitudinal research.