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When therapy does not help...

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Sweetleaf
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22 Jan 2011, 5:30 pm

So It was a bit of a hassle to get in counseling, but even after all that and a few meetings I just feel like its pointless. I mean I can't even get a real diagnosis or full psychologicical evalution which I feel is what I really need. I mean he's trying to help with the depression and anxiety but it does not seem to be helping and does nothing to address some other issues I've been experiancing and what the causes might be. I mean I feel my mental health deteriorating and like I am going over the edge and he talks about recovering from depression......how am I supposed to recover from that or cope with it any better when all of my issues have not even been adressed yet? due to the fact he has rather limited knowledge as he is just a therapist not like a licenced psychologist or anything.

I mean now I don't even want to be in certain public places by myself because Im worried about what my mind will do... On top of this I am back in college and I really kind of want to do well this time even if I don't end up getting a full degree or any sort of career I would like to not fail because of mental problems. But I am worried that if things keep getting worse I'm going to end up having a mental breakdown or a psychotic moment and will end up missing school over it. I mean then I don't know what I will do about staying enrolled and all that. Then part of me is kind of just waiting for a mental breakdown to happen because I feel like it might be the only way I will actually get any actual help with anything. I know I am kind of ranting but I am really getting kinda frusterated and am concerned but I can't seem to express how concerned I am to anyone.



CockneyRebel
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22 Jan 2011, 5:54 pm

I was seeing a couple of counselors many years ago, and they tried everything that they could to help me, but nothing worked. One of them was going to get an autism expert in to see if it was my autism or my personality. I think it was my personality. I have a bit of a rebellious streak when I feel that my free will is taken over by another person.

I hope that you will eventually find something that will work for you.


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Sweetleaf
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22 Jan 2011, 6:04 pm

CockneyRebel wrote:
I was seeing a couple of counselors many years ago, and they tried everything that they could to help me, but nothing worked. One of them was going to get an autism expert in to see if it was my autism or my personality. I think it was my personality. I have a bit of a rebellious streak when I feel that my free will is taken over by another person.

I hope that you will eventually find something that will work for you.



Yeah I hope so to, but yeah its weird its like I half of me is concerned and really wanting to get this sorted out before it gets any worse. And the other half just wants to enjoy the ride and see where things go....I guess i can't decide what I would prefer.



Allstar
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22 Jan 2011, 7:40 pm

Sweetleaf wrote:
I mean now I don't even want to be in certain public places by myself because Im worried about what my mind will do... On top of this I am back in college and I really kind of want to do well this time even if I don't end up getting a full degree or any sort of career I would like to not fail because of mental problems. But I am worried that if things keep getting worse I'm going to end up having a mental breakdown or a psychotic moment and will end up missing school over it. I mean then I don't know what I will do about staying enrolled and all that. Then part of me is kind of just waiting for a mental breakdown to happen because I feel like it might be the only way I will actually get any actual help with anything. I know I am kind of ranting but I am really getting kinda frusterated and am concerned but I can't seem to express how concerned I am to anyone.


Obviously, you're fragmenting yourself mentally.

Some friendly advice, take it or leave it. I would not get into worries about what your mind will do...if you do that, then yes, bad things could erupt, because you're at war with yourself (that's what it sounds like anyway).

And, I think you should be your own therapist...nobody knows you better than you. I sought counseling too, and got some as*hole who couldn't stop looking at the clock. He obviously couldn't wait to shut me up and send me on my way.

So, if you deal with one issue at a time, you may just come out on top.

I wish you the best.



sufi
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22 Jan 2011, 8:32 pm

Quote:
But I am worried that if things keep getting worse I'm going to end up having a mental breakdown or a psychotic moment and will end up missing school over it. I mean then I don't know what I will do about staying enrolled and all that.


Sounds like you are setting yourself up for a self-fulfilling prophecy.
Maybe your therapist can at least help you to avoid this.


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23 Jan 2011, 12:09 am

The dirty little secret about psychiatry/ clinical psychology is that there is a considerable amount of patient heterogeneity, even within diagnostic categories. Finding the right combination of therapy and medication for a particular patient can be difficult. In addition, there is a subgroup of people for whom medications and/or psychotherapy techniques do not work. I do not know to what extent this is related to autism spectrum disorders.

Last year, when I was cleaning out my deceased brother's flat, I came across a copy of the following article:
"When All Else Fails, Blaming the Patient Often Comes Next "
By Richard A. Friedman, M.D
http://www.nytimes.com/2008/10/21/health/21mind.html



Sweetleaf
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23 Jan 2011, 1:46 am

sufi wrote:
Quote:
But I am worried that if things keep getting worse I'm going to end up having a mental breakdown or a psychotic moment and will end up missing school over it. I mean then I don't know what I will do about staying enrolled and all that.


Sounds like you are setting yourself up for a self-fulfilling prophecy.
Maybe your therapist can at least help you to avoid this.[/quote

Well i am not really trying to, I am just concerned is all...I don't even feel like I have much of a connection with anyone in my family anymore. And yet I am trapped, with a chance of moving out.......but i dont know if I will last that long. I can't even enjoy anything hardly without feeling guilt that I am somehow letting someone down.



Sweetleaf
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23 Jan 2011, 1:50 am

Allstar wrote:
Sweetleaf wrote:
I mean now I don't even want to be in certain public places by myself because Im worried about what my mind will do... On top of this I am back in college and I really kind of want to do well this time even if I don't end up getting a full degree or any sort of career I would like to not fail because of mental problems. But I am worried that if things keep getting worse I'm going to end up having a mental breakdown or a psychotic moment and will end up missing school over it. I mean then I don't know what I will do about staying enrolled and all that. Then part of me is kind of just waiting for a mental breakdown to happen because I feel like it might be the only way I will actually get any actual help with anything. I know I am kind of ranting but I am really getting kinda frusterated and am concerned but I can't seem to express how concerned I am to anyone.


Obviously, you're fragmenting yourself mentally.

Some friendly advice, take it or leave it. I would not get into worries about what your mind will do...if you do that, then yes, bad things could erupt, because you're at war with yourself (that's what it sounds like anyway).

And, I think you should be your own therapist...nobody knows you better than you. I sought counseling too, and got some as*hole who couldn't stop looking at the clock. He obviously couldn't wait to shut me up and send me on my way.

So, if you deal with one issue at a time, you may just come out on top.

I wish you the best.


I guess you are right, and I am trying not to worry too much about it...but maybe thats not a good idea either. For the time being I am just trying to focus on college and moving out in the next couple of months. But thats also the trouble I have been dealing with everything alone for most of my life.....I don't know if I can really handle it all on my own, but it seems I have to because no one else can help.