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Re: Thank you guys =) . CBT experiences » alexandra_k

Posted by Tepiaca on November 16, 2004, at 2:08:13

In reply to Re: Thank you guys =) . CBT experiences » Tepiaca, posted by alexandra_k on November 14, 2004, at 19:46:21

> > mmm , nope ,actually he was the one that told me that , but It was also in his book when I read it
>
> Hey Tep. Sometimes CBT is experienced as invalidating because it seems as though the message is that the problem is all in the way that you are thinking and so if you would just change the way that you are thinking then you would be ok. While there is clearly some truth in that it is not terribly helpful to be told that, it is far more useful to learn some skills around HOW one is supposed to go about changing ones thinking. I have found that CBT is most invalidating when the clinician is busy and or rushed. Could you tell him your take on what he said and what you read? He might find it helpful to see your take on it. He also might be more helpful in the future because of it.
>
> > Yes , I always try to think that they are not looking at me , I know I´m in a mistake. But I can´t avoid it . It´s like telling a squizophrenic that do not listen to the voices he hears.
>
> Yep, I hear you. While there isn't really much that one can do about hearing voices, there is a lot of work that one can do on how one interprets the SIGNIFICANCE of those voices, however. For example, whether one believes that the voice is infallible, whether one must act on what the voice is saying etc.
>
> I dare say that people do look at you and talk about you at least sometimes. But whether you think that they are constantly judging you or mocking you or plotting against you is on a par with how one interprets the significance of the voices.

>
I accept it Alexandra , I´m a very stubborn person . Maybe this time I´m thinking that CBT does not work based on the fact that during 8 years I have tried to control this erroneous thougths with every positive idea that have come to my mind but It has been useless . So I feel like If I had already tried CBT using all the positives thought . And if this did not worke , then CBT won´t . This is the way I think , but I also know CBT has to be something more complicated than just having positive thoughts .


> > What if I use an Anti-anxiety medicine with CBT . How would I know if the responsible of an improvement is my mind thinking correctly now or maybe it is just the effect of the anxiolitc.
>
> You won't really. I would say that an antipsychotic may be more beneficial. That together with CBT may help you interpret the significance of others looking at you etc. in a more positive light. Both together may have a more dramatic effect than either taken individually.


Why do you think an AP could help me ?
do you think Psychosis is involved in Social fear ?

I must mention that the first drug that help me
was Zyprexa . And believe me, I tried many many drugs before .
>


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poster:Tepiaca thread:414156
URL: http://www.dr-bob.org/babble/psycho/20041113/msgs/416513.html