Letters posted here are associated with the following Salon Premium Member:

damnthatxanadu

Published Letters: 684
Editor's Choice: 14

Monday, January 28, 2008 10:14 PM
Original article: Don't be happy, worry

FredrickBernanke

You know, it's not me that's successful, it's the person. And sometimes it's the technique, like EMDR or Narrative or Art Therapy or CBT (homework...). And I should say there are clients I've had who I'm sure I did NOT help at all. And I'm not saying therapy is always the answer. I think sometimes for some people it's definitely NOT the answer.

But, for me, if therapy didn't work, if I didn't have the experience of people actually getting better, I wouldn't be doing it. It's just not in me. I've had clients that keep coming back (good sign something's going on) but I'm just mystified and frustrated as to what's going to help them. I have felt like a contortionist sometimes trying to think of what to try or say next. And I ask them and they tell me it's working for them. What's working, they don't know. But something's working... Therapy, when it works, is 20 percent technique and 80 percent client/therapist alliance or rapport.

Sorry, if I sounded overly defensive but for people who don't realize it does or doesn't work for them until they personally try it and are thinking they're depressed, someone writing in about it how it doesn't work period, then maybe that person doesn't get the help that could actually help them.

And what a lot of people who criticize therapy don't realize is that for some suicidal people, it's their last resort. Giving therapy a bit of credence actually could save someone's life. In addition, people who have had great experiences in therapy and have come a long way but are fragile emotionally, can come to doubt their experience and the gains that they have made because someone else insists it doesn't work because it didn't work for them. I'm not defending so much the profession, but more the work and the people who have strived for so very much within it.

I'm sorry to hear of your experience. Being depressed as a child is terrible. I know that because that was also my experience and I know the deep pain of it. But unfortunately, it took me until my twenties to come to terms with it. Mostly I did more transformative group therapy and not individual.

And yes, medication works for many people without therapy. Although for most, medication comes first and therapy is the grist for the mill work on oneself to figure out where one makes changes in one's life to solidify the gains of the meds.

And then there is therapy that sucks. Believe me all therapists having to go through their own therapy for school have a particular type of therapy they don't like or saw a therapist that didn't work for them or they couldn't stand. The therapy or the therapist works for others but not for them. So goes the patient/client, too. One thing works for one person, but leaves another cold.

In addition, not to anything you wrote, but to address the doctor mention in the article. Doctors for the most part recommend patients get therapy along with the SSRI prescription. I don't know any doctors who write a prescription for meds, especially for clinical depression who would not insist on it for their patient.

Tuesday, January 29, 2008 09:23 AM
Original article: Don't be happy, worry

♀♀♂

No offense, but you should read more carefully. You would then know that I'm not blaming the person for CBT not working. I said that CBT was limited, NOT the person. CBT really requires homework or experiential work for it to have an effect for a person and that's IT'S LIMITATION. Some people don't want to do that homework and that's okay. Even then it doesn't always translate to an emotional difference for the person. What works for some does not work for others.

Tuesday, January 29, 2008 09:49 AM

Hmmmm...

If Obama was winning in Florida in the polls instead of Hillary, you can damn well bet he'd be hooting and hollering about letting about how unfair it was and be pushing to let those delegates count.

But of course, it's Evil Hillary that's winning....and that's different.

Tuesday, January 29, 2008 08:34 PM

842,653 Votes for Hillary in Florida

Sorry, but that's a BIG something in my book. That's 842,653! That's a crazy number. 300,000 more than Obama. She'd be a fool not to fight to have them seated. Not like that will happen, but it's a statement loud and clear. Altogether, 1.5 million people who want their voices heard. Someone should listen.

Most Active Letters Threads

530

Do Obama officials know what his Afghanistan plan is?

What explains the completely contradictory statements from key aides on a central plank of the war strategy?
183

I live in a van down by Duke University

How do I afford grad school without going into debt? A '94 Econoline, bulk food and creative civil disobedience
147

A new report questions "suicides" at Guantanamo

Why is the Obama DOJ attempting to block judicial review of three highly suspicious deaths?
128

Is my kids making me not smart?

Stay-at-home fatherhood dulls my intellect to a nub. Excuse me while I ponder the subtext of "Hippos Go Berserk"
126

Trig, the anti-abortion straw baby

Sarah Palin's son is being used to demonize pro-choicers

View all »

Letters Help

Currently in Salon