![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Roslynn on July 22, 2013, at 14:13:53
Hi everyone,
Does anyone know if DBT is the sole treatment for suicidal ideation?
What did the therapists do to treat this condition/symptom before DBT? Anyone know?
What was the therapeutic treatment of severe depression before DBT came out? Was it CBT?
How are they supposed to treat you in therapy nowadays if you are severely depressed but not needing hospitalization?
Can anyone shed light on how your therapist treated you when you were in a similar situation?
Sorry for so many questions.
Any responses greatly appreciated!Roslynn
Posted by antennastoheaven on July 22, 2013, at 21:50:17
In reply to therapy for suicidal ideation/severe depression, posted by Roslynn on July 22, 2013, at 14:13:53
When I was severely depressed my therapist wanted me to go to an inpatient mental health ward for 72 hours, but I refused. She then referred me to a partial hospitalization program. Five hours a day Monday through Friday (plus a break for lunch); 45 minute group sessions starting every hour with breaks in between, and weekly psychiatrist visits. 10% of the program is CBT and 10% is DBT. The rest of it was mostly group discussions of some sort; sometimes centered around certain topics. After two weeks of being in the partial hospitalization, I dropped down to the intensive outpatient program, which is actually the same thing except you only stay for the first three hours of the day.
I started a thread about it.
http://www.dr-bob.org/babble/psycho/20130309/msgs/1044771.htmlMany of the other patients in the program had attempted suicide or were seriously considering it; they often were in the inpatient psych ward before starting the program. They seemed to think being in the program helped.
Posted by alexandra_k on July 22, 2013, at 23:15:46
In reply to therapy for suicidal ideation/severe depression, posted by Roslynn on July 22, 2013, at 14:13:53
Hi.
Suicidal ideation doesn't occur in isolation so much as it occurs alongside other symptoms.
DBT has been found to be useful for people who have suicidal ideation occurring in the context of emotional reactivity - which is to say moods shifting reasonably rapidly from periods of okayness to periods of intense despair.
DBT helps provide skills to manage the emotional shifting. To get through the periods of despair and teach other ways to cope with the extreme pain than suicide / self harm. Teach ways to make it more likely that the mood will shift quicker.
Before DBT... A bunch of other treatments were tried. Even now, a bunch of other treatments are tried.
I did DBT. It was useful for me. It didn't 'cure' me, but it was an important part of the journey for me. It helped me a great deal.
http://en.wikipedia.org/wiki/Dialectical_behavior_therapy
What was most useful... Was that for part of the program I was working with a therapist who I really clicked with. Our relationship... Where she accepted me instead of challenging / trying to change me... Was really very helpful for me indeed. It helped me come to accept myself.
This is the end of the thread.
Psycho-Babble Psychology | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.