WillySenior Contributor
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