Posted by DL on January 24, 1999, at 19:37:57
In reply to Re: Book, posted by Toby on January 22, 1999, at 10:36:05
> There is a difference between cog/beh and beh therapy. Beh therapy doesn't involve looking at the automatic dysfunctional thoughts that perpetuate unwanted behaviors and an example would be some of the smoking cessation programs that involve snapping a rubberband against the wrist whenever there's an urge to smoke but don't look at why a person believes they need to smoke or why they believe they can't stop.
I asked because the EMDR person closest to me (one of the two we have talked about most) has a practice called "Atlantic Behavioral Therapy". Does this mean it is probably not cog/beh therapy?
Toby once told me you knew of someone in MA (for EMDR etc.). Is that someone accessible from NH? THe other person above has been described to me by the therapist I was seeing ( through other ins co)--as "a quiet, older man". She knew him since he had once worked at the same place she does. She said she didn't know he practiced EMDR since he had never mentioned it. He was the one who thought EMDR might not be his choice of a tx tool to use with me. I would like to find another therapist who is experienced in cog/beh as well as EMDR. Therapy was stopped because of ins. co change. I am realizing that I still need those sessions. Last one was 1 1/2 mo ago and I seem to be sliding within my self more and the issues I should work on seem to be getting burried again--back where they were for years. I'm not sure if my desire to just come home from work by myself and do nothing in particular is just my need to have peace after all those terrible years, or a sign that something isn't right?
> Fenfluramine is still available, just not in the combo with Phentermine for weight loss. You won't be able to tell if the fenfluramine will cause jitteriness until you take it, but again, it hasn't had that effect with any of the other patients who have tried it, even when they had jitteriness from SSRI's. You will have to check I suppose with the insurance company as to whether they will cover it. Some companies cover meds for off label use.Which of the many things you have talked about for me would be the best choices to try with the Remeron? (for weight gain and the concentration and the inertia?) I know the Doc I see now is not interested in working with me on meds., but if I connect with someone new I will ask about these meds. I am still having some trouble concentrating also. We all took infant and child CPR last week. When we took the test at the end I was the last one taking it. It was like taking my certification exam--so hard to keep my focus on the question--things kept flying out of my mind.
My take on this is that a combination of the medication and all the "stuff" floating inside my brain just under the surface are clouding things a little. I think some of the eating is a way I am "keeping myself alert" in the evenings.
I am still getting no where with the new ins.co.(Remeron as a non-preferred drug) and the MD does not want to call them. When I look back over the # of appts over the last few years and realize how many didn't accomplish anything, I wonder how they don't realize that a good initial workup and agressive treatment right off the bat--with perhaps one or two consultations with a MD focused on psychopharmacology--would have made sense????? Managed care is being trapped by it's own rules I think.
poster:DL
thread:2037
URL: http://www.dr-bob.org/babble/19990101/msgs/2645.html