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Re: I am going through a suicidal crisis....help, plea

Posted by undopaminergic on April 29, 2021, at 10:52:10

In reply to Re: I am going through a suicidal crisis....help, plea, posted by Lamdage22 on April 29, 2021, at 1:40:45

> Analytic therapy. It is not to say we never talk about behavior though. It is just not focused on that as much as CBT would be. There is a couch to lie on, but I don't use it :)
>

I'm of an analytic orientation myself, but have been experimenting with behavioral approaches recently. In my opinion, it is really just a way of getting to the psyche indirectly through analysing and shaping behaviour. I guess the main advantage is that it can be much easier than finding an effective direct psychodynamic approach. I recently discovered that it does not have to be aversive at all; indeed, using purely positive reinforcement (immediate reward of desired behaviours) can be more effective!

For more information, I recommend the book "Don't Shoot the Dog!" by Karen Pryor.

I tried using nicotine spray as the reinforcer, but I've moved mostly to xylitol tablets, as it is easier to time the delivery of the reward accurately (this is *key*!), and also nicotine is overkill; there are reasons to use the smallest reward you can "get away" with.

Rewarding myself in connection (best simultaneously) with desired behaviours, I've been able to "train" myself to get out of bed more. I'm now trying to tackle the apathy, by reinforcing desired (non-apathetic) thought patterns and emotions.

-undopaminergic


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poster:undopaminergic thread:1113893
URL: http://www.dr-bob.org/babble/20210418/msgs/1114808.html