Posted by tygereyes on May 1, 2006, at 18:48:45
In reply to Re: tyger, posted by Racer on May 1, 2006, at 10:35:57
You're right; I was asking for suggestions. However, I was asking for suggestions that are realistic to me: medication management and outpatient treatment.
I have been on both sides - a psychiatric patient and med student. I've been involved in research though (obviously, for privacy purposes) I can't disclose the nature of that research.
Additionally, I have done a tremendous amount of independent research. I have learned that CBT - the standard treatment for AN - is horribly ineffective for this condition. That DBT as a treatment for BPD, if you examine the research studies, has not yet been proven to be effective [despite what Marsha Linehan would have you believe from her conclusions/discussions - however, scrutinize the methodology and actual numbers and do a head-to-head comparison with other BPD treatment studies and you will find that DBT is actually rather ineffective]. Psychodynamic psychotherapy has a similar lack of efficacy for both populations. Residental programs work - until the individual returns to the real world and realizes they've just wasted a significant period of time in their lives.
When I speak of knowing what does and does not work, I speak not only as a patient who has failed multiple treatments but also as someone who has done extensive research, both personally and professionally.
> >
> > From working in psychiatry, I have seen that inpatient programs do not help. Period.
> >
> > Thank you for your concern. But I am not doing inpatient. Aside from the fact that there are NO effective inpatient programs for borderline personality disorder [what underlies the addictive behaviors], I have seen the lack of efficacy of these programs with my own eyes.
> >
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> So, if you already know what you're going to do, and you've decided that you're not going to do anything other that this one thing, why are you asking for advice here? Or maybe what I want to say is, "We're offering advice in good faith, could you maybe take it with a little more grace and a little less stridency in your refusal?" It does sound like Borderline thinking, on your part, to ask for advice and then say it's wrong quite so bluntly.
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> For the record -- neither Ravenstorm nor I said word one about inpatient treatment. We were talking about residential treatment facilities, which are very different things. You're absolutely right, they do take you out of real life and put you into a place that doesn't have a lot of those stresses that trigger people. But they have a wide range of treatements available within their programs, and they can help a lot.
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> You'll excuse me for saying this, too -- you say that you've seen and learned so very much in your 23 years, so you know best what sorts of treatments work or don't work? I've been anorexic for 28 years now, am in treatment for it now, have learned apparently much less than you have, and am here to tell you that you will have a much harder time with any sort of treatment if you reject what other people offer quite so broadly.
poster:tygereyes
thread:637352
URL: http://www.dr-bob.org/babble/20060429/msgs/638955.html