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Finally Found – A CBT-p Practioner – Part 3

Finally Found – A CBT-p Practioner – Part 3

This is my third posting about my ongoing experiences with Cognitive Behavioural Therapy for Psychosis (CBT-p).

I make these posts because they may be of interest to others wanting to explore drug free interventions for psychotic related problems such as schizophrenia or bipolar disorder. Thinking, writing and then posting about my experiences also helps me to reinforce the process in my mind.

CBT-p is very much about practising how we look at, think and respond to our day to day experiences. To be effective, it requires regular practice. There is a lot of convincing evidence that with such practise, CBT-p is likely to be at least as effective as any drug based intervention.

I have now attended 3 sessions with the psychologist. I was due for a forth session but her daughter contracted Covid and the psychologist had to isolate. Easter also gets in the way so it will be a month between my 3rd and 4th session. I could have opted for a tele-session which on all accounts work just as well but I prefer to wait until one-on-one sessions are available again.

I am not worried about the break between sessions. I have plenty of “homework” to do which involves observing and recording my thoughts and feelings as they relate to my day to day activities together with practices for grounding myself as I make these observations or deal with various issues.

For me, the Cognitive Behavioural Therapy (CBT) part of this process is simply an established and proven structure for dealing with a tangled network of thoughts, feelings and behaviours in my mind. The reason for this tangled mess is not really important but it appears that in my case a lot of it probably resulted from the trauma of being forcefully and probably illegally used as a human guinea-pig for psychiatric research by the psychiatric profession and their institutions. Many like me who were involuntarily hospitalised in the 1970's and 1980's were subjected to similar treatment.

The psychosis (-p) part of this CBT-p process is simply the willingness and ability of the CBT-p practitioner to engage in a normal and respectful way with someone who is deemed to be psychotic . For many years I have been selected, inspected, injected and then finally rejected by the psychiatric profession and the Victorian Mental Health Authorities (VMHA) as being hopelessly insane. I was told quite recently that I was considered by the VMHA to be a serious danger to society. Their proposed solution to this “problem” was to increase my level of my medication to the point where I would be unable to function and then put me in a lock up aged care facility for people with “incurable” mental illness.

Seeing that I am still quite active for my age, this is hardly a welcome outlook. To put it bluntly I am terrified of this prospect which results from the ignorance and fear that surrounds psychosis by the general public, the VMHA and the psychiatric profession.

CBT-p is not a single process but a collection of techniques. The CBT-p practitioner hopefully employs the right selection of these techniques in a skilful way to help facilitate the mental untangling. From the first session, my practitioner started mapping out the connections in my brain based on our dialogue. Attached is the current “map” of key mental elements that seems to currently drive my life and accounts rationally for the irrational way that I sometimes behave or respond to situations. This map is still evolving.

The other ongoing homework is about staying grounded or anchored, particularly when problems or difficult situations arise. This has been referred to as the ACE process. Acknowledgement, Connection with one’s body and (re)-Engagement or focusing on the immediate task at hand.

Attached is a copy of a double sided hand out that I was given to use as a ready reference.

I expect that these practices will take quite a while to develop into habits. I have given myself about a year which should involve about 25 fortnightly sessions with the psychologist . In that time I hope to achieve some worthwhile improvements. My psychologist has higher aspirations. She is aiming for a drug free and psychosis free outcome for me for the first time in 50 years.

“Sow a thought and you reap an action; sow an act and you reap a habit; sow a habit and you reap a character; sow a character and you reap a destiny.” ― Ralph Waldo Emerson

Here is a link to the previous post on this subject

Finally Found A CBT-p Practitioner Part 2

Here is a link to the next post on this subject

Finally Found A CBT-p Practitioner Part 4

Regards

Willy

14 replies

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In response to: Finally Found – A CBT-p Practioner – Part 3

Re: Finally Found – A CBT-p Practioner – Part 3

I find I'm a great deal more emotional off meds than on them. I believe thhe meds affect our brain chemistry in irrepairable ways, like I've never been the same as I was before I ever had them. It's this reason why they should be one of several treatment options and perhaps even last resort option.

In response to: Re: Finally Found – A CBT-p Practioner – Part 3

Re: Finally Found – A CBT-p Practioner – Part 3

Hi @Patchworks
It is pretty common knowledge that the primary function of meds is to suppress emotions.

In the "old days", neuroleptics (antipsychotics) used to be known as major tranquilizers. All the other medical psycho-jargon is the work of the spin doctors (advertising people).

I like to think of psychiatric meds as pain killers for emotional pain. In that capacity they can be useful in the short term in exactly the same way as physical pain killers can be. They don't however fix or change any underlying problems.
Physical pain medication usually has a message on it saying something like "If pain persists, see your doctor".

But psychiatric meds say nothing like this. The medical advice often given is to just keep taking them indefinitely. If things get worse, you try different meds until hopefully something improves. Apparently meds only work reasonably well without significant side affects for about 20% of people.

We now have a situation in Australia where state mental health authorities are insisting that people with serious mental health problems take quite high doses of psychiatric medication indefinitely, regardless of possible long term physical health consequences. Refusal to comply often results in legal action and further non compliance can result in incarceration.

There is no evidence to support the theory that so called mental illness is a caused by a chemical imbalance in the brain. This appears to have been just another multi billion dollar propaganda campaign engineered by the by the spin doctors for the pharmaceutical companies.

There is a lot of growing evidence that childhood trauma plays a big part in mental health problems. That doesn't mean that you were beaten up or sexually abused etc as a child. Far from it. The trouble is not the traumatic event. The problem is that as as children many of us have never learned how to manage or release the residual emotions associated with trauma. It stays there in our body and can accumulate throughout our lives. Almost everybody has this to some degree. When some event occurs to trigger this unresolved traumatic emotion it often explodes like a bomb.

There are ways of releasing this emotion. These methods are not new. They have been around for tens of thousands of years but seem to have been largely lost in contemporary society where mental health problems are escalating.

Here is a technique that I came across recently . It seems to be to be a life skill worth learning for anybody dealing with trauma related emotions. It is somewhat similar to one my own psychologist taught me several months ago. It is called the RAIN technique.

Recognise
Allow
Investigate
Nurture

There is a short youtube video by Canadian doctor Gabor Mate. He is author of a fairly recently released book called The Myth Of Normal. He explains the RAIN technique and how it is used to deal with anger but it can be employed with any emotion.
If interested Google "You Tube Dr. Gabor Maté on How to Process Anger and Rage | The Tim Ferriss Show"

Other things that are being shown to have a significant impact on our mental health are social conditions like
Loneliness
Poverty
Discrimination
Jobless
Homeless
Stress
Physical Illness

These of course can also be interrelated with unresolved residual emotions from trauma.

Regards
Willy

In response to: Re: Finally Found – A CBT-p Practioner – Part 3

Re: Finally Found – A CBT-p Practioner – Part 3

Thanks so much @Willy for your reply. I watched the Dr Gabor Maté video. I have been trying to maintain my meds on the lowest therapeutic dose, and starting to sit with emotions. In moments alone, I'll allow myself to recognise my emotion about something, I guess allowing myself to feel it, to cry, and it does give me some catharsis, a bit of release.

Some psychosocial states I find very difficult to endure such as heightened anxiety and paranoia. Particularly anxiety. I can tell my cortisol rises and I become so unsettled and the complete opposite of my usual calm. I don't take any prn any more in these situations (as I said, keeping meds to a minimum) so I'm here figuring how to manage in other ways. The mindfulness and grounding techniques can help sometimes but not always.

While I am fortunate meds mostly work for me, they're not without side effects. So if I can work on recovery as you are, maybe I can taper off some meds and avoid a premature death or reduced quality of life from diabetes and its related health impacts.

I agree with the childhood experiences impacting us. My parents' generation/culture didn't include expressive emotions. I don't understand how they can keep the stiff upper lip always. We're human and human nature is we are emotional beings too. I much prefer having emotions than blunting them away with major tranquillisers, even if those emotions are very uncomfortable like rage or shame.

When I get through my current pile of unread books, I'll be buying Dr Gabor's myth of normal as I've got a lot from his other books

In response to: Re: Finally Found – A CBT-p Practioner – Part 3

Re: Finally Found – A CBT-p Practioner – Part 3

@Patchworks
I think what you are attempting is what many, perhaps most people do who for one reason or another are not happy with a purely pharmaceutical approach.i.e they minimise medication while using some form of therapy/life skills technique to work on the underlying problems. It can be a slow and sometimes difficult journey in my experience.
Regards

Willy

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