1/ It causes me pain when I hear someone describe themselves as "a person living with [psychiatric disorder]" the way they might say "I'm a person living with diabetes"—when I know the "disorder" they are describing reflect underlying psychological conflict that has NOT been
2/ treated and would, with near certainty, respond to in-depth psychotherapy.
They've typically been to multiple "experts" who also have no concept of in-depth psychotherapy or what it can accomplish—because they've never encountered it in their graduate programs or psychiatry
They've typically been to multiple "experts" who also have no concept of in-depth psychotherapy or what it can accomplish—because they've never encountered it in their graduate programs or psychiatry
3/ residencies. So instead, they try to "manage" the symptoms with the usual medication cocktails, and with ultra brief, manualized "evidence-based" therapies that attempt to suppress symptoms but not address their underlying psychological causes. They were taught this is
4/ it's the "gold standard." So there is nothing left to do except try to "manage" symptoms and learn to "live with" the incurable condition. And it is impossible to tell them otherwise, because they've already seen "all the experts," typically at academic medical centers where
5/ in-depth psychotherapy does not even exist. Why wouldn't they believe what they've been told by people they think are experts? Why should they believe me? Especially when the "experts" tell them that the kind of psychotherapy I practice is outmoded and debunked and "no one"
6/ does is any more. But I and my students and supervisees have treated similar cases successfully thousands of times over. The kinds of doctors they see as "experts" have been my students—and I know what they know and don't know. And I know they know nothing of in-depth
7/ relational therapies and have never been exposed to it.
"I'm a person living with..." literally causes me pain, makes me cringe and wine inside. Because I *know* I could help, know it in my bones, know it from decades of experience—but there's not a damn thing I can do.
"I'm a person living with..." literally causes me pain, makes me cringe and wine inside. Because I *know* I could help, know it in my bones, know it from decades of experience—but there's not a damn thing I can do.
8/ (for whoever needs to hear it)
For the love of god, I did NOT say any/all psychiatric conditions are due to psychological conflict and can be treated via psychodynamic therapy. I think no such thing. I'd consider any such broad sweeping statement to be ideological—and idiotic.
For the love of god, I did NOT say any/all psychiatric conditions are due to psychological conflict and can be treated via psychodynamic therapy. I think no such thing. I'd consider any such broad sweeping statement to be ideological—and idiotic.
9/ SOME mental health difficulties SOME OF THE TIME are understandable in terms in intrapsychic conflict & amenable to exploratory psychotherapy. Many others are not. That should be obvious. I was talking about certain specific cases "𝘸𝘩𝘦𝘯 𝘐 𝘬𝘯𝘰𝘸 the 'disorder' they are
10/describing reflects underlying psychological conflict."
Did you catch that part? "When I know" means, obscurely enough, 𝘸𝘩𝘦𝘯 𝘐 𝘬𝘯𝘰𝘸.
I'm a bit dismayed this needs clarification but apparently it does 🤷🏻♂️
Did you catch that part? "When I know" means, obscurely enough, 𝘸𝘩𝘦𝘯 𝘐 𝘬𝘯𝘰𝘸.
I'm a bit dismayed this needs clarification but apparently it does 🤷🏻♂️
*writhe inside
*wince inside
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