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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Zonked on August 8, 2011, at 8:34:46
It seems to me that perhaps pills will never get me out of this. When I first wake up and my brain is booting so to speak, I actually feel okay. Then once I realize My job prospects are minimal, and I face homelessness come december, the rumination starts. I can't stop it. I am in therapy which I've found useless. Has anyone tried hypnotherapy? The last time Nardil worked I was financially okay, and had no reason to be depressed. Job was fine, had friends, I just felt no pleasure. Ketamine is starting to sound appealing. Somehow, I need to reset my brain. I could be totally wrong though as in remissions before a lot of this stuff went away when the med kicked in. Can't wait to see my labs at the end of the month... tsh was high and testosterone was that of a 70 year old man last time they were checked but the shrink I had then refused to try augmentation. Your fellow suffer, z
Posted by SLS on August 8, 2011, at 9:04:55
In reply to Some thoughts on automatic thinking due to depression, posted by Zonked on August 8, 2011, at 8:34:46
CBT
- Scott
Posted by Phillipa on August 8, 2011, at 10:51:29
In reply to Re: Some thoughts on automatic thinking due to depression » Zonked, posted by SLS on August 8, 2011, at 9:04:55
High thyroid and testosterone off endocrinologist? Just a thought? Phillipa
Posted by floatingbridge on August 8, 2011, at 16:42:01
In reply to Some thoughts on automatic thinking due to depression, posted by Zonked on August 8, 2011, at 8:34:46
Yes to Hypnotherapy. She was good and helped with anxiety for awhile.
Yes to cbt, too. I found a hybrid cbt/dbt helpful (I was non-SI).
What is your therapy like? I have found much of my (f*ck*ng) years of talk therapy like throwing money and my Psyche to the wind. If you think it's useless, it probably is.
Life coaches for ADD types use cbt. Good therapists often use cbt. Cbt is here to stay, but I can fall asleep if asked to go page by page through a workbook exclusively.
Posted by Shes_InItForTheMoney on August 10, 2011, at 16:51:08
In reply to Re: Some thoughts on automatic thinking due to depression » Zonked, posted by floatingbridge on August 8, 2011, at 16:42:01
Hi,
As a social worker I have a few comments.(And as a depressed person too.) First, I would try to seek out a counsellor who does more what is called "Reality Therapy". No 'workbooks', or hundred page lists. It deals with the 'here and now', without being as patronizing as CBT. You will feel a very strong attachment with a good therapist.
Best,
Jay
> Yes to Hypnotherapy. She was good and helped with anxiety for awhile.
>
> Yes to cbt, too. I found a hybrid cbt/dbt helpful (I was non-SI).
>
> What is your therapy like? I have found much of my (f*ck*ng) years of talk therapy like throwing money and my Psyche to the wind. If you think it's useless, it probably is.
>
> Life coaches for ADD types use cbt. Good therapists often use cbt. Cbt is here to stay, but I can fall asleep if asked to go page by page through a workbook exclusively.
Posted by jono_in_adelaide on August 11, 2011, at 1:24:00
In reply to Some thoughts on automatic thinking due to depression, posted by Zonked on August 8, 2011, at 8:34:46
I am about to start therapy with a psychologist, because I think morbid/depressed thinking has become a habit I cant break, even though my depression is controlled.... so that I often think of suicide over minor upsets in life etc.
Its a habit I hope the psychologist can help me break
Posted by SLS on August 11, 2011, at 7:39:13
In reply to Re: Some thoughts on automatic thinking due to depression, posted by jono_in_adelaide on August 11, 2011, at 1:24:00
> I am about to start therapy with a psychologist, because I think morbid/depressed thinking has become a habit I cant break, even though my depression is controlled.... so that I often think of suicide over minor upsets in life etc.
>
> Its a habit I hope the psychologist can help me breakYes! Go for it.
Keep in mind that intrusive thoughts often resolve without psychotherapy, once remission of depression is achieved biologically. It has taken me quite a bit of psychotherapy to extinguish bad habits and establish new ones. Even if you cannot change the frequency of intrusive thoughts, being able to recognize them for what they are (dysfunctional brain processes) can allow you to develop strategies to deal with them when they emerge. Of course, once the depression and anxiety diminish substantially, you will likely be left quite a psychological mess to clean up in the wake of the damage to one's psyche that depression can produce.
For me, I found it effective to ignore those thoughts that were intrusive or melancholic. They did not represent reality. Nip these thoughts in the bud and pretty soon there will be little content left but to ponder things constructive and positive in purpose.
Would anyone like to suggest a psychotherapeutic treatment modality that they found effective to treat pervasive depressive and intrusive thoughts while one in in the midst of an episode of Major Depressive Disorder?
I use a combination of IPT and CBT.
I also like seeing the use by others of psychodynamic approaches as long as they can be justified by the use of established evaluative diagnostic tools.
- Scott
Posted by floatingbridge on August 11, 2011, at 8:32:51
In reply to Re: Some thoughts on automatic thinking due to depression, posted by jono_in_adelaide on August 11, 2011, at 1:24:00
> I am about to start therapy with a psychologist, because I think morbid/depressed thinking has become a habit I cant break, even though my depression is controlled.... so that I often think of suicide over minor upsets in life etc.
>
> Its a habit I hope the psychologist can help me breakJono, I think it is entirely possible for you to change this habit. Did you expressly speak of this goal to the therapist?
Your goal seems sensible and achievable, if not with this
therapist, then another. The thoughts, I imagine, are painful ones. Very best with this.fb
Posted by floatingbridge on August 11, 2011, at 8:44:12
In reply to Re: Some thoughts on automatic thinking due to depression » floatingbridge, posted by Shes_InItForTheMoney on August 10, 2011, at 16:51:08
Jay, I met with a therapist yesterday. I don't know about 'reality therapy' which sounds interesting, but she did say she very much deals with the here and now, which seems great for an anxious type such as myself.
She also has extensive experience using EMDR with some success, though appreciated her statement that it is no panacea. It is a modality I have not tried. She has a number of patients w/ chronic PTSD and demonstrated understanding the overlap of that with BP features and other disturbances in emotional/affective regulation.
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