Posted by Penny on October 3, 2003, at 8:40:06
In reply to Clear goals in therapy, posted by Penny on October 1, 2003, at 13:21:55
And she smiled and looked as though she's been waiting for me to say something.
I also told her about acting out on my birthday - getting so angry with myself and reminding myself of my dad and the rage he used to express fairly often when I was a kid. She seemed as though that concerned her, but also like it was something that she could help 'fix' in a way, so she was interested in discussing it.
I was telling her that I got so angry with myself Wed. night - I was throwing things in my house and yelling at myself - and I don't get that way very often but I do have episodes - and it makes me want to hurt myself. I don't - but I want to - and she brought up the possibility of a DBT group, or, if one is not available right now, said that perhaps we could work through some of it in our sessions. But she also said that she doesn't want to be in a position where she has to push me to work on things I don't feel like working on. I think she would like it better if I was in a group rather than actually doing the DBT with her.
And I told her about my frustration with meds and how nothing seems to work and so on, and she talked a little bit about 'willing suspension of disbelief' and said she wasn't saying that I should 'pretend to be happy' or act as though everything was okay, but that maybe I could try to just not write off every new medication before I've given it a chance, and maybe I could try to look at it as "something will work, someday" even if this particular med isn't working right now.
She said my pdoc and I are working on one part of it, and that she feels we can get at the other side of it - she said she gives some credit to CBT, but thinks that it oversimplifies things quite often - that, no, your emotions aren't always a result of your thoughts - but that the thoughts can feed off of the emotions and the emotions can feed into the negative thinking, hence the downward spiral, so we need to figure out a way to stop some of that if we can.
Anyway, it was a productive session I think, though I'm not sure how I feel about the whole DBT thing. I don't really like the idea right now of seeing her once a week and then group once a week, and I don't know how I feel about us doing DBT in our sessions. I just don't know...
P
poster:Penny
thread:264742
URL: http://www.dr-bob.org/babble/psycho/20030925/msgs/265167.html