Posted by alexandra_k on August 24, 2004, at 21:00:30
Hello to everyone who remembers me (and even those who don't). I haven't written anything on the boards since around February, but I do have a look from time to time. I would like to thank everyone who answered my posts, and I would like to thank you all for posting your own stuff. You all really helped me keep on going when I was feeling really alone and afraid without any support for my mental health stuff. And hearing what was going on for other people in the world helped prevent me from becoming completely absorbed by myself and my despair.
Therapy has just gotten to the point where decisions need to be made. Well, its always a bit like that, but there is a bit of a crisis. I have been diagnosed with BPD and did the DBT thing for a year, but this has not assisted me with the problems that concern me the most. I hear voices and miss time, and find that I've done stuff that I don't approve of (such as self-harm, high risk behaviours, drug use etc). This has been treated with medication but the medication has not really had an impact on these issues. Recently my therapist informed me that she had received emails from the voices, sometimes angry and attacking emails but that she felt it best to just ignore them. She passed the emails on to me and they mostly consist of attempts to communicate with her, and attacks at her non-response. My concern is that my psychiatrist is looking at a diagnosis of DID (if my EEG comes back clear for temporal lobe epilepsy) but that here CBT is the only publicly funded treatment and to the best of my T's knowledge the only 'treatment option' is for me to basically be punished for the behaviours which lead to that diagnosis. I have said that I am not a fan of the approach where the T tries to summon them forth etc and as I have some form of communication with them already (in the form of voices), why can't we work on improving communications between me and the alters (which should be the priority anyway, rather than her getting to communicate with them). Anyway, she hemmed and hawed and now she says she needs to take it to her supervisor because she cannot deliver treatment that is not empirically supported or that is not acceptable to the service.
Does anyone know of a treatment manual (I realise there are an awful lot out there)- or even an article would do - that is written by a reputable author from within a CBT framework? All I have encountered is Spanos socio-cognitive model which involves punishment for the behaiviours which lead to diagnosis. Any help gratefully recieved, thanks.
poster:alexandra_k
thread:381922
URL: http://www.dr-bob.org/babble/psycho/20040821/msgs/381922.html