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Started out as a short-term CBT patient

Posted by fallsfall on September 29, 2004, at 9:09:52

In a post above, Mair said:

>>...that I started out anyway as a prospective short-term CBT patient (that's a laugh now).

In my first therapy appointment, my CBT therapist said that she thought that I was depressed and that she would need to see me for 6 sessions or so.

8 1/2 years and 2 hospitalizations later I switched to a Psychodynamic therapist. He said that clearly I should be able to get back to work (I had been disabled for 6 1/2 out of the last 8 1/2 years), "maybe not by September, but soon there after" (This was late June). It is now 12 months *after* that September. I am working 10 hours a week, but neither of us consider that "working".

Over the last couple of weeks, he filled out a disability form for me, and had a discussion about changing pdocs (really, more changing medication philosophy), and said "You really aren't doing well".

So what is it that makes me give these (competent) therapists the impression that I'm an "easy" case, and then over time they figure out that I'm really a mess? Why is it that I am different from the typical patient, in that they assume that everything will proceed smoothly and I'll be "fine", but things don't proceed smoothly and I don't get "fine" (and in some ways get worse over time)?

Why should I believe my current therapist when he says "I know that you can feel better, we just need to do X, Y, Z"?




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