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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Christ_empowered on January 13, 2015, at 18:32:21
Probably should be in the psychology area, but...well...I dunno...
...this is the model community/public mental health clinics in my area operate on. I did some Google-ing, and even the state mental hospital runs on this model, which is encouraging (in large part because I almost ended up there). Then again, most of the state mental hospital was sold off in a fit of Condo Fever, sooo...
...anyway, anyone else have experience w/ the recovery model? What do you think? What's the alternative? The Thorazine Shuffle model?
Posted by baseball55 on January 14, 2015, at 20:08:01
In reply to the recovery model, posted by Christ_empowered on January 13, 2015, at 18:32:21
What is the recovery model?
> Probably should be in the psychology area, but...well...I dunno...
>
> ...this is the model community/public mental health clinics in my area operate on. I did some Google-ing, and even the state mental hospital runs on this model, which is encouraging (in large part because I almost ended up there). Then again, most of the state mental hospital was sold off in a fit of Condo Fever, sooo...
>
> ...anyway, anyone else have experience w/ the recovery model? What do you think? What's the alternative? The Thorazine Shuffle model?
Posted by SLS on January 15, 2015, at 0:19:27
In reply to Re: the recovery model, posted by baseball55 on January 14, 2015, at 20:08:01
> What is the recovery model?
>
>
> > Probably should be in the psychology area, but...well...I dunno...
> >
> > ...this is the model community/public mental health clinics in my area operate on. I did some Google-ing, and even the state mental hospital runs on this model, which is encouraging (in large part because I almost ended up there). Then again, most of the state mental hospital was sold off in a fit of Condo Fever, sooo...
> >
> > ...anyway, anyone else have experience w/ the recovery model? What do you think? What's the alternative? The Thorazine Shuffle model?I don't know about recovery models per sé. However, I do draw a distinction between treatment response and recovery.
I think that a response to biological therapies of a chronic mental illness is but one step in the recovery process. Often, psychosocial stress can precipitate or drive a biological pathology. This might need to be addressed through psychotherapy in order to prevent relapse or even allow the treatment to work at all. Even if there were no psychosocial stress before the onset of illness, the illness itself can leave psychological damage in its wake. One must learn to function independently and socially after so long a time spent isolating or in a psychotic state. Recovery from mental illness can be accomplished using a multimodal approach, which might include individual psychotherapy, group psychotherapy, exercise, behavioral desensitization, occupational therapy, etc.
Anyway, that's what I think of when I consider the treatment of the whole person, and not just the brain disorder.
- Scott
Posted by baseball55 on January 15, 2015, at 20:53:43
In reply to Re: the recovery model, posted by SLS on January 15, 2015, at 0:19:27
Thanks Scott. I guess this is how I think of this too and how my p-doc and DBT therapist think about it. I am out of bed, no longer feeling like I've given up and in despair, no longer plotting my suicide. Now, they both say, is the time to do therapy. To look at the scary thoughts that make suicide seem so appealing, to look at the fear and shame that made taking to bed so appealing.
This doesn't mean the depression has no physical basis, because obviously is does. I just means that if the worst of the physical depression is under control with meds, we are able to look at the psycho-social issues that give the depression content and keep people (or kept me) unable to move on.
I have not been severely depressed for three years now. But I still need help from my therapist and p-dco with my tendency to give up and plan suicide. This weak grasp on life is a problem for me independent of biological depression
Posted by SLS on January 16, 2015, at 2:33:55
In reply to Re: the recovery model » SLS, posted by baseball55 on January 15, 2015, at 20:53:43
> Thanks Scott. I guess this is how I think of this too and how my p-doc and DBT therapist think about it. I am out of bed, no longer feeling like I've given up and in despair, no longer plotting my suicide. Now, they both say, is the time to do therapy. To look at the scary thoughts that make suicide seem so appealing, to look at the fear and shame that made taking to bed so appealing.
>
> This doesn't mean the depression has no physical basis, because obviously is does. I just means that if the worst of the physical depression is under control with meds, we are able to look at the psycho-social issues that give the depression content and keep people (or kept me) unable to move on.
>
> I have not been severely depressed for three years now. But I still need help from my therapist and p-dco with my tendency to give up and plan suicide. This weak grasp on life is a problem for me independent of biological depressionI sooooo want to see you succeed. It seems to me that your plans for life now predominate over your plans for death. I know that you will continue doing the work. I work on myself every day with the lessons I learned from various psychotherapies. It is an ongoing synthesis. This has been possible only because my biological therapies have produced a partial improvement of what is otherwise a horrendous bipolar depressive illness. Prior to this, psychologists said that the efficacy of psychotherapy would be limited because, in their words, I "couldn't think my way out of a paper bag." During these times, I told my therapists that they had only one job to perform - to keep me alive.
- Scott
This is the end of the thread.
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