Category: treatments

Why People Refuse Therapy – Therapy Feels like an Insult

Yesterday I was at my psychiatrist’s and I wasn’t doing terribly well. It seems I’m a little stressed. Turns out being a well-known mental health writer is a smidgen more challenging than one might think.

And so one of the recommendations my doctor made was to do some mindfulness training in a local program.

Instantly I felt myself rile against the idea. Internally I was feeling very resistant against yet more therapy.

And I realized why – therapy feels like an insult. The idea that I need more therapy seems to suggest that I’m not handling my disease in the best way possible. This seems to suggest that I don’t know everything already. More therapy feels like I’m doing something wrong and have to be fixed. The idea of more therapy suggests that someone else knows something that I don’t. And boy am I tired of bipolar treatments that don’t work.

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Psychiatric Medications Don’t Work – a Fact?

Again, a commenter last night popped onto the blog to tell me how psychiatric medications “do more harm than good” and how “I [the commenter] know for a fact that these meds no not work.

Sigh.

I’m not sure how so many people confuse “fact” with “opinion.” It is the opinion of some people that psychiatric medications don’t work. It is the opinion of some people that psychiatric medications do more harm than good.

I am not of that opinion. And I actually have facts on my side.

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I’m Not a Statistic! – Yes, You Are a Healthcare Statistic

Apparently I’m the only one that understands the concept and usage of healthcare statistics.

Recently a commenter got angry at me for saying this:

“. . . Are there people who have had a bad experience with ECT [electroconvulsive therapy]? Yes. Are there people who have had very bad experiences with ECT? Yes. But then, I was hit by a car, so things happen. It’s not really the car’s fault. . . ”

My point, of course, is that there are people who have bad experiences, I would never deny that. But there are people who have bad experiences with everything. That doesn’t mean it’s the typical experience. We work hard to reduce traffic deaths and injuries in North America and doctors work hard to try to implement ECT in the best way too.

A Commenter on Statistics

But the commenter felt,

“. . . And you wonder why are people anti-psychiatry? Because they had horrible horrible experience and are consider “oooops” and downplayed number in statistic . . .”

Well, um, yes. That’s what statistics are.

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New Treatment Approaches for Treatment-Resistant Depression

I have been known to lament that there’s nothing new under the sun when it comes to depression treatment, and thus, there is little hope for people with true treatment-resistant depression. (And by treatment-resistant depression I mean people who really have tried everything, and there are few in this category.)

But I forget how far we’ve come and how fast. It isn’t fair to say there aren’t new approaches to treatment-resistant depression because there are new approaches being researched and approved every year. Here are a few noted by Current Psychiatry article Innovative approaches to treatment-resistant depression:

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Have You Had ECT? Help Others and Tell Me Where

As many of you know I’m writing a book on electroconvulsive therapy (ECT).  This book will hopefully answer all the questions a person might have before undergoing ECT  treatment as well as share with them my personal experience and the experience of others.

And I’ve decided to include, at the back of the book a list of hospitals that offer ECT to help people who want the treatment with a starting point on how to get it.

There’s just one problem – there’s no central repository on who offers ECT treatment.

ECT-Offering Facilities

Please Help Me with the List of Hospitals that Offer ECT

So I’m asking for your help. If you know of a facility that offers ECT, please let me know in the comments below and I’ll add it to the list. You’ll be helping me and helping others as well. Please include hospitals in Canada and the US.

And, of course, if you have any questions about ECT, also feel free to comment on those and I’ll make sure the answers are here and in the book.

Thanks.

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Why My Mental Health Opinions Aren’t Just About Me

Let me share a little secret with you – I don’t agree with all mental health treatment. I don’t agree with all the decisions doctors make. I don’t like all the available treatments. I have had very bad experiences with some mental health treatments. I have had some very bad experiences with mental health care professionals.

But I still talk about them. And I still think they are right for some people.

Why?

Because my story isn’t your story.

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Stopping Self-Harm Urges Using Dialectical Behavior Therapy (DBT)

If you feel you may harm yourself, get help now.

I talked about dialectical behavior therapy (DBT) in the last post. Dialectical behavior therapy is designed to work specifically with borderline personality disorder and part of this disorder is often self-harm so DBT uses specific techniques to try to stop self-harm urges and prevent self-harm.

What is Self-Harm?

Self-Injury and Cutting

Self-harm is a huge problem for many people. It is typically a sign of borderline personality disorder but it can occur with any disorder (or no diagnosis at all). Self-harm, also known as self-mutilation or self-injury, can be any form of self-abuse including cutting, burning, hitting and statistics often include those with eating disorders as well. Millions of people in the US practice some form of self-harm.

Self-harm is often practiced by teens and is more common in women than in men, but make no mistake about it, many adults self-harm and men do as well. It is a behavior to be taken seriously. Here are some techniques to stop self-harm urges.

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Dialectical Behavior Therapy for Borderline Personality Disorder

In spite of what some people intimate, I do endorse non-drug solutions and one of the best adjunct treatments to medications is psychotherapy. Many types of therapy can work for different people, but one current and research-backed therapy is Dialectical Behavior Therapy (DBT).

Now, don’t let the big words scare you – this is not a scary therapy. This is simply a therapy that works to use reason to integrate and synthesize to opposite points of view. Meaning, the techniques taught are designed to find a balance in emotion, behavior and acceptance.

Borderline Personality Disorder Group TherapyDialectical Behavior Therapy and Borderline Personality Disorder

Dialectical behavior therapy was designed specifically to treat borderline personality disorder; however, it has shown usefulness in mood disorders and research is currently underway to see if DBT techniques are also useful in other disorders. This therapy represents a huge breakthrough as the first indicated treatment of borderline personality disorder.

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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