Cognitive behavioural therapy- values and depression
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Original post by belis
The provision of services unfortunately varies from place to place so I can't speak with absolute certainty as to what would be available for you. I would say that if you utilise AE so often an argument could probably be made for regional or national services, if things are not available locally, on the basis of cost effectiveness alone. I'm sure that your team has a plan B.
CBT is an intervention that has strongest evidence behind it when it comes to treating health anxiety. There is a very good chance that it will work for you. Stick with it.
How is your values questioner?
CBT is an intervention that has strongest evidence behind it when it comes to treating health anxiety. There is a very good chance that it will work for you. Stick with it.
How is your values questioner?
i live in Barnet, which is apparently the worst place in london for the provision of mental health services.
I want it to work more than anyone else. The fact that ive been waiting so long to get it is a joke. Its meant one year of my life wasted and its just cost the NHS a lot of money which they could have saved if they treated my case more urgently. I cant help being angry about it still.
I havent really looked at the questionnaire again.
Original post by Anonymous
i live in Barnet, which is apparently the worst place in london for the provision of mental health services.
I want it to work more than anyone else. The fact that ive been waiting so long to get it is a joke. Its meant one year of my life wasted and its just cost the NHS a lot of money which they could have saved if they treated my case more urgently. I cant help being angry about it still.
I havent really looked at the questionnaire again.
I want it to work more than anyone else. The fact that ive been waiting so long to get it is a joke. Its meant one year of my life wasted and its just cost the NHS a lot of money which they could have saved if they treated my case more urgently. I cant help being angry about it still.
I havent really looked at the questionnaire again.
London is probably the best place you could live when it comes to accessing services. Most of the specialist, national clinics are based there including the Centre for Anxiety Disorders. So there are plenty of options available.
I understand your frustrations. It doesn't make much sense either form your quality of life point of view or the economical standpoint for you to go to AE so frequently. Usually GPs worry about it a bit more as AE attendances affect their own figures and statistics.
The main thing though is that you have finally reached the top of the waiting list and you have now got a chance to work with your CBT therapist on getting better. Make the most of it.
Original post by belis
London is probably the best place you could live when it comes to accessing services. Most of the specialist, national clinics are based there including the Centre for Anxiety Disorders. So there are plenty of options available.
I understand your frustrations. It doesn't make much sense either form your quality of life point of view or the economical standpoint for you to go to AE so frequently. Usually GPs worry about it a bit more as AE attendances affect their own figures and statistics.
The main thing though is that you have finally reached the top of the waiting list and you have now got a chance to work with your CBT therapist on getting better. Make the most of it.
I understand your frustrations. It doesn't make much sense either form your quality of life point of view or the economical standpoint for you to go to AE so frequently. Usually GPs worry about it a bit more as AE attendances affect their own figures and statistics.
The main thing though is that you have finally reached the top of the waiting list and you have now got a chance to work with your CBT therapist on getting better. Make the most of it.
London is certainly not the best place to be for mental health services. Do you know how long the waiting lists are here? Even if there are groundbreaking institutions and brilliant doctors, the chances of an average person ever accessing them are very slim. And now with all the cuts the government is making its even worse. Theres too many people in need of therapy and not enough supply.
Original post by Anonymous
London is certainly not the best place to be for mental health services. Do you know how long the waiting lists are here? Even if there are groundbreaking institutions and brilliant doctors, the chances of an average person ever accessing them are very slim. And now with all the cuts the government is making its even worse. Theres too many people in need of therapy and not enough supply.
Unfortunately it's a very similar picture all over the country. The benefit of being located in London is that your trsut is much more likely to commission specialist national services than trusts in other parts of the UK and that if you are offered appointment in one of those clinics you don't have to travel across the land. So in that respect it does have advantages although I agree that 'the best' is a bit of an exaggeration.
Was waiting to be seen in hospital today and id been there an hour without being assessed so i went up to the receptionist to ask what was going on. Another receptionist standing by who had seen me several times before said "you choose to come here, you just have to wait" like it was my fault that id been waiting or something. Rude ****. Does he think its fun for me going in every day?
Bump.
Original post by Anonymous
hi,
ive been given a form by my cbt therapist which asks me to identify my values and answer questions like "what kind of partner do you want to be?".
I doubt there'd be many people on here with experience of this but if there is, did you find it easy to identify your values? I think it's a tough thing to ask of someone who is depressed like I am.
I'd also like to know if you found CBT helpful. When I asked my psychologist if she thought it was going to help me she just replied "It works for some people" and "therapy isn't for everybody" which is not really the answer i was looking for. What i wanted to know was whether she thought the therapy would help ME, because if she doesn't, then what's the point of me going to these sessions?
I want to start learning some coping strategies because i have severe health anxiety and I go to hospital every day (literally, have been doing so now for months) which is taking over my life and is spending a lot of the NHS's time and money which just makes me feel guilty. I dont know if anyone else has experienced this but it would be reassuring to know if there is.
anyway, sorry if this sounds incoherent. i'm meant to give her back the form tomorrow and i haven't written anything on it. I feel like a teenage student who hasn't done her homework.
ive been given a form by my cbt therapist which asks me to identify my values and answer questions like "what kind of partner do you want to be?".
I doubt there'd be many people on here with experience of this but if there is, did you find it easy to identify your values? I think it's a tough thing to ask of someone who is depressed like I am.
I'd also like to know if you found CBT helpful. When I asked my psychologist if she thought it was going to help me she just replied "It works for some people" and "therapy isn't for everybody" which is not really the answer i was looking for. What i wanted to know was whether she thought the therapy would help ME, because if she doesn't, then what's the point of me going to these sessions?
I want to start learning some coping strategies because i have severe health anxiety and I go to hospital every day (literally, have been doing so now for months) which is taking over my life and is spending a lot of the NHS's time and money which just makes me feel guilty. I dont know if anyone else has experienced this but it would be reassuring to know if there is.
anyway, sorry if this sounds incoherent. i'm meant to give her back the form tomorrow and i haven't written anything on it. I feel like a teenage student who hasn't done her homework.
In all honesty, she gave that answer because it was the truth. It depends on how individual's think, and how they assimilate advice.
Hope this helps: http://www.thestudentroom.co.uk/showthread.php?t=1684759&page=188&p=42371387#post42371387
You can substitute the driving test example with your anxiety over health concerns
Original post by ash92:)
In all honesty, she gave that answer because it was the truth. It depends on how individual's think, and how they assimilate advice.
Hope this helps: http://www.thestudentroom.co.uk/showthread.php?t=1684759&page=188&p=42371387#post42371387
You can substitute the driving test example with your anxiety over health concerns
Hope this helps: http://www.thestudentroom.co.uk/showthread.php?t=1684759&page=188&p=42371387#post42371387
You can substitute the driving test example with your anxiety over health concerns
Sorry i dont follow. She gave what answer?
Ive been given yet more sheets that i cant fill out, called "the costs of avoidance worksheet".
Original post by ash92:)
In all honesty, she gave that answer because it was the truth. It depends on how individual's think, and how they assimilate advice.
Hope this helps: http://www.thestudentroom.co.uk/showthread.php?t=1684759&page=188&p=42371387#post42371387
You can substitute the driving test example with your anxiety over health concerns
Hope this helps: http://www.thestudentroom.co.uk/showthread.php?t=1684759&page=188&p=42371387#post42371387
You can substitute the driving test example with your anxiety over health concerns
oh I see what you mean now. even so, what kind of an answer is that? it's like asking "will I be able to quit smoking?" and being given the reply "well, some people do, some people don't...". :s
Original post by Anonymous
oh I see what you mean now. even so, what kind of an answer is that? it's like asking "will I be able to quit smoking?" and being given the reply "well, some people do, some people don't...". :s
It's an honest reply though. Your therapist will have some ideas as to how likely you are to benefit based on your formulation, readiness for therapy etc but they can't predict the future and know with any degree of certainty how you are going to respond. If they thought that you are very unlikely to benefit you wouldn't be offered CBT.
Original post by Anonymous
Sorry i dont follow. She gave what answer?
Ive been given yet more sheets that i cant fill out, called "the costs of avoidance worksheet".
Ive been given yet more sheets that i cant fill out, called "the costs of avoidance worksheet".
Sorry for not being clear. By "she gave that answer" I mean the response to your question of "does CBT work?".
Original post by Anonymous
oh I see what you mean now. even so, what kind of an answer is that? it's like asking "will I be able to quit smoking?" and being given the reply "well, some people do, some people don't...". :s
Cool. She was being honest, so I don't think she should be put down for this. It's the same as acupuncture - it will help some, but not other cases of pain. It's akin to saying "let's try CBT, it could work".
Well I'm halfway through my therapy now and I haven't made any progress. I'm not disputing her ability to do her job but I don't think she senses the urgency in the need to improve. I feel worn out and exhausted every day, because I go to hospital every evening, and I can't do anything else. If anyone knew how exhausting that is they would understand, but I think I must be the only person in the planet that does this. I can't have enjoyment in anything. If she doesn't start teaching me what to do in order to break this cycle now, then quite frankly I don't see that there is much hope for me.
Original post by Anonymous
Well I'm halfway through my therapy now and I haven't made any progress. I'm not disputing her ability to do her job but I don't think she senses the urgency in the need to improve. I feel worn out and exhausted every day, because I go to hospital every evening, and I can't do anything else. If anyone knew how exhausting that is they would understand, but I think I must be the only person in the planet that does this. I can't have enjoyment in anything. If she doesn't start teaching me what to do in order to break this cycle now, then quite frankly I don't see that there is much hope for me.
What have you covered in your sessions so far? What tasks has she set you to complete outside of sessions? Have you attempted these tasks?
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Original post by mya369
What have you covered in your sessions so far? What tasks has she set you to complete outside of sessions? Have you attempted these tasks?
Posted from TSR Mobile
Posted from TSR Mobile
she just gave me these worksheets which I find impossible to fill out, one about my values and the other is called "the costs of avoidance".
Original post by Anonymous
she just gave me these worksheets which I find impossible to fill out, one about my values and the other is called "the costs of avoidance".
That's how CBT works. The cognitive bit of it revolves around worksheets I'm afraid. Have you discussed you difficulties in filling them in with your therapist? She may be able to get you started in session or help you in other ways. Why do you think they are impossible to fill out?
Original post by Anonymous
she just gave me these worksheets which I find impossible to fill out, one about my values and the other is called "the costs of avoidance".
What else have you talked about in your sessions though? You mentioned a few pages back that she set you the challenge of going to the cinema one night rather than going to a&e, which you said you found too difficult to complete. Can you discuss setting smaller goals which you think you can achieve, with the long term aim of eventually being able to resist the compulsion to go to a&e? For example, you could set yourself the target of setting a timer when you first feel like you have to go to a&e and waiting 5 minutes before letting yourself go. You could then try and increase this time each night. Or, you could go to a&e but just try and wait in the car park rather than actually going in for as long as you can, again gradually increasing the time each time you go.
You have to accept that CBT is not going to miraculously cure you after just a few sessions, because as you say you are attempting to break a habit which you have had for 2 years - a difficult thing to do. It's all about making baby steps of progress towards a long term goal. You have to try and believe that eventually you can reach this goal, but it will be a constant battle and you will have to put a lot of effort into it.
Have you considered anti-anxiety medication to help you cope as you try and conquer this? Something like beta-blockers could take the edge off the physical symptoms of anxiety you experience as you try and break your habits.
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Original post by mya369
What else have you talked about in your sessions though? You mentioned a few pages back that she set you the challenge of going to the cinema one night rather than going to a&e, which you said you found too difficult to complete. Can you discuss setting smaller goals which you think you can achieve, with the long term aim of eventually being able to resist the compulsion to go to a&e? For example, you could set yourself the target of setting a timer when you first feel like you have to go to a&e and waiting 5 minutes before letting yourself go. You could then try and increase this time each night. Or, you could go to a&e but just try and wait in the car park rather than actually going in for as long as you can, again gradually increasing the time each time you go.
You have to accept that CBT is not going to miraculously cure you after just a few sessions, because as you say you are attempting to break a habit which you have had for 2 years - a difficult thing to do. It's all about making baby steps of progress towards a long term goal. You have to try and believe that eventually you can reach this goal, but it will be a constant battle and you will have to put a lot of effort into it.
Have you considered anti-anxiety medication to help you cope as you try and conquer this? Something like beta-blockers could take the edge off the physical symptoms of anxiety you experience as you try and break your habits.
Posted from TSR Mobile
You have to accept that CBT is not going to miraculously cure you after just a few sessions, because as you say you are attempting to break a habit which you have had for 2 years - a difficult thing to do. It's all about making baby steps of progress towards a long term goal. You have to try and believe that eventually you can reach this goal, but it will be a constant battle and you will have to put a lot of effort into it.
Have you considered anti-anxiety medication to help you cope as you try and conquer this? Something like beta-blockers could take the edge off the physical symptoms of anxiety you experience as you try and break your habits.
Posted from TSR Mobile
Its mainly been about my values and then she asked me to recall a specific time when i went to aene, to try and work out my thought processes.
im already on antidepressants and beta blockers, and ive got diazepam.
Every day i hold off until the evening to go to aene, then at least i go only once. But i already know when i get up in the morning that im going to go that day, so everything else i do revolves around that. I didnt expect to be cured by now, it would just be nice to feel that i am making some progress.
Original post by belis
That's how CBT works. The cognitive bit of it revolves around worksheets I'm afraid. Have you discussed you difficulties in filling them in with your therapist? She may be able to get you started in session or help you in other ways. Why do you think they are impossible to fill out?
yeah I have.
it tells me to list everything ive ever done to get rid of unpleasant thoughts or feelings, inc distractions, activities that I have avoided, thinking strategies and substances. I think its supposed to make me have an epiphany that these things don't work. but I don't try to get rid of them anymore, ive just sort of come to accept it.
Cognitive behavioural therapy is *******s.
This really helped me understand though.
http://eqi.org/invalid.htm
If I could just understand, then that is what would help me.
And to understand, I need the ideas and words that I have been looking for but didn't know.
This really helped me understand though.
http://eqi.org/invalid.htm
If I could just understand, then that is what would help me.
And to understand, I need the ideas and words that I have been looking for but didn't know.
Original post by democracyforum
Cognitive behavioural therapy is *******s.
This really helped me understand though.
http://eqi.org/invalid.htm
If I could just understand, then that is what would help me.
And to understand, I need the ideas and words that I have been looking for but didn't know.
This really helped me understand though.
http://eqi.org/invalid.htm
If I could just understand, then that is what would help me.
And to understand, I need the ideas and words that I have been looking for but didn't know.
why do you think cbt is rubbish?
