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Re: update

Posted by emmanuel98 on January 19, 2012, at 18:56:27

In reply to Re: update » paisleygirl, posted by sleepygirl2 on January 19, 2012, at 17:56:51

I'm a little unclear on the DBT guy. You didn't keep a follow-up appointment and he sent you an email saying call 911 if you need help. But he didn't close the door on your reconnecting, right? Can you call him again and make an appointment? Of course, if you don't keep the appointment, he may drop you. This is something therapists take very seriously with good reason.

As far as ultimatums. Maybe if you start the DBT you can call your p-doc and ask if you might meet with her and discuss this. But my p-doc/therapist has twice given ultimatums and I took them very seriously. They really put a fire under me, because I cared so much about our relationship. When I first started, he insisted I attend an outpatient program and, after two days, I said I couldn't go. He said, in that case, he couldn't work with me. He was serious, so I went to the program and actually got a lot out of it. Later he told me that if I didn't get off opiates, he would not continue to see me. I started calling every suboxone clinic/provider in the area, found a good one and he tapered me off, which was a good outcome.

Therapists don't issue ultimatums to intimidate you or because they hate you. They have simply reached a point where they realize -- I can't help this person or deal with this person if they don't get additional resources. It is too much for me. They have their limits. Therapy is emotionally draining and they need to set boundaries for their own peace of mind. Once I asked my p-doc what our relationship was like for him and he said, it's intense. It's intense on both ends. He said it's not a job where you just go home and forget about everything, although you have to learn to do that to some degree.

Anyway, if I were you, paisleygirl, I would reconnect with the DBT guy and make a committment to it. (DBT therapists are very big on committments and contracts). If you are suicidal, go to the ER. You don't have to go to the hospital where you work. I know ER's suck and you wait and wait and wait. Another option is to connect with this DBT guy and ask him to help you get admitted. Some stand-alone psych hospitals do direct intakes if a therapist calls and arranges it without you having to go through an ER.


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Psycho-Babble Psychology | Framed

poster:emmanuel98 thread:1007661
URL: http://www.dr-bob.org/babble/psycho/20111220/msgs/1007800.html