Therapy agreement. Is this logical?

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  • This topic has 34 replies, 3 voices, and was last updated 3 months ago by KA.
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    July 24, 2024 at 11:05 am #1129885

    OK. So then you need to listen to your doctors. You need to take your medication without hand holding. If you feel you are being prescribed the wrong thing, seek a second opinion to see if you have any alternatives. Go through the trial and error process of finding the right medications for you.

    If you’re going to be miserable either way you may as well pick “miserable but trying.”

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    July 24, 2024 at 2:54 pm #1129886

    I can’t afford a second opinion. This is all public health care I get for 100% free apart from the medicine, that I have to pay for. Either way.

    I was just hoping the therapist would help me start feeling better along the way, to gradually start taking the medication (def not any psych ones, just my physical conditions) and not require me to start taking them alone without any help. This is why I went to therapy, to find the reason it is so hard for me to follow through treatments, and battle it along the way. If I could do that alone, I’d not have been in her office.

    It’s like someone can’t eat and therapist tells them EAT straight away from the first session or I’m not working with you.

    I’m not a baby because I can’t do it, just like someone with anorexia is not a baby because they can’t eat.

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    Anonymousse
    July 24, 2024 at 3:16 pm #1129887

    Then take your fucking meds! Stop being ridiculously childish about your health if you’re caretaking for animals. Jesus, grow up.

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    Anonymousse
    July 24, 2024 at 3:17 pm #1129888

    You seem to have strange ideas about what doctors are supposed to be doing for you, if you won’t do a goddamned thing for them.

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    Anonymousse
    July 24, 2024 at 3:19 pm #1129889

    You nee a caretaker, can’t afford it? Start taking your meds. It’s really that easy. You can not afford anything, so stop fucking around with your own health and take your medications- ALL of them- as prescribed. There’s no disease or syndrome if not being able to take medications, and while you probably need a better therapist since you don’t have all the money and time in the world to find that…just take your medication.

    What would you do if your cat needed insulin? Let it die? Sounds VERY PREVENTABLE.

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    July 24, 2024 at 4:09 pm #1129890

    If someone can’t/doesn’t eat, they are hospitalized or sent for inpatient treatment…

    Nobody here can help you. Just showing up to therapy without doing any work will not help you. You need to help yourself.

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    Anonymousse
    July 24, 2024 at 4:22 pm #1129891

    I’m not surprised your doctors would rather work with a patient WILLING to take the damn medicine they prescribe. You don’t have doctorates in medicine, psychiatry or psychology. They do. No one has time for this bullshit.

    It seems like you need an in patient program, or grow up.

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    LisforLeslie
    July 25, 2024 at 11:18 am #1129892

    Clearly you’re dealing with a lot but it sounds like the therapist figured out that you want excuses not solutions. You’ve put accountability on others and your therapist is holding you accountable for yourself. Not taking the medication means you aren’t managing your health and a therapist can’t solve your mental issues if you’re spending all of your time talking about how poorly you feel because you aren’t taking the medications that in your case, will stabilize your issues. You’ll likely never be “cured” but you can be stable.

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    Kate
    July 26, 2024 at 4:43 am #1129893

    I don’t think it’s unusual for a therapist to say that, basically, what they can offer won’t benefit you. I have had depression in the past and I remember a therapist saying that really I should see a psychiatrist to get meds prescribed, or like focus on faith, but she really couldn’t help me any further. It’s their choice to work with you or not. And no, I don’t think “the point” of therapy is to help you gradually start taking your meds. She’s probably saying she needs you to be in that base level state of being properly medicated before she would be able to make progress on your mental health issues via talk therapy.

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    Gigi
    July 26, 2024 at 7:14 am #1129894

    My younger brother has advanced MS. He gets depressed a lot. You are correct that the mental drugs won’t fix anything. You shouldn’t feel like a zombie throughout your day. I think you need another therapist.

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    PurpleStar
    July 26, 2024 at 10:38 am #1129897

    OP – I have been reading this thread from beginning. Wasn’t going to comment, but you remind me of my sibling who refused to help themselves for years (and a little bit of me – see below). In fact, I have probably said much the same to that sibling.

    The thing with therapy is you must be willing to take accountability for your own health – be it physical or mental. Your physical ailments are literally physically crippling but also mentally crippling. Somewhere in that you need to take the first step in breaking the cycle. In your case, it would be the medically recommended medicine protocol. Will medicine cure your physical ailments? No, but it will help alleviate/control symptoms leading to feeling better physically, which in turn leads to feeling better mentally. Then the therapist has something to work with.

    If you will not do in-patient care to get stabilized, look into Intensive Outpatient Therapy(IOP). This allows you to be home to care for your pets but has many types of sessions throughout the day – individual, group, etc. The therapist may be able to line you up with a program. If not, contact your local mental health center.

    As for wanting to not be on the planet anymore – your reason for not going inpatient is your pets – let them be the reason for remaining on the planet.

    On another note – I am a Type II Diabetic with severe IBS. I was devasted when I received that diagnosis as I always ate healthy, was not overweight, and exercised. It came down to genetics – Type II is up and down my family tree, and, as it turned out, gut issues (no one talks about that one though). Oh, I took the medicine as prescribed – but did not make any dietary changes. I was in major denial. It took me about a year to wrap my head around it and make the changes needed to bring both under control – I feel physically feel better 95% of the time and mentally have come to see my dietary restrictions as a fun challenge.

    No one can make changes in your life but you. Therapists can support you, help you with coping skills, and help you assess and release the emotional blocks you have put into place. But none of that will happen unless you are willing to take the first step. And that step is to take your medicine.

    I wish you peace and success in taking that first step.

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    July 26, 2024 at 12:07 pm #1129898

    I sincerely don’t understand why you bother with a psychiatrist if you don’t want to be medicated. And I will also add that, though I don’t know what you were prescribed or in which doses, you’re not supposed to stop taking some medications without talking to your physician first! I feel like you are doing yourself a huge disservice every step of the way. If you can get your mental health stabilized, you have a much better shot at managing the symptoms of your other ailments.

    I am curious, since you mentioned it, if your primary reason for not wanting to take the meds you were prescribed is because you fear regaining the weight you lost? Not judgment at all if that’s why — I failed my “mood quiz” at my annual check-up this year and told my doctor straight up that I’ve wondered for about a year now if I should ask about anti-depressants, but 1) felt embarrassed to ask for that kind of help, and 2) am scared of weight gain. He didn’t judge me for saying that aloud. We came up with a game plan that included trying the more “weight neutral” drugs first and at a low dose. I’m a few months in now. Like I said, the first thing I tried didn’t work. But the second prescription seems to be working for me so far. I’m sleeping better and feel more motivated to do things like exercise again (something I’ve typically enjoyed but in the past year or so have not wanted to do). I actually think I’ve lost a little weight. The right drugs to manage your mental health won’t make you feel awful.

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Therapy agreement. Is this logical?

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