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What to do if therapy doesn't work?

What to do if therapy doesn't work?

I had a bit of a breakdown as a teenager, nothing seemed to help (medication/therapy), so I sortof just lived with it. However, I had another fairly big breakdown now I'm in my mid 30s, and I've been seeking support for about three years now: but I'm not getting anywhere.

Effectively: most psychologists operate from a very particular treatment methodology. In short, they believe that they can just convince patients that their underlying thought structures that are related to trauma are irrational, and those thought structures can then change which means the patient can work through trauma, if not towards a cure, then at least towards management of symptoms. The core idea is that the beliefs about someone's traumas that cause them problems, not the traumas themselves, and if this specific treatment methodology is correctly applied, then patients can see improvements in only a couple weeks!

But for people with complex trauma (or any serious trauma, even), this kind of treatment methodology (or other popular fads like 'mindfulness') isn't really useful, at all, but it appears to almost always be the only thing that's available (probably because it's cheap?). I've seen more than one psychologist who has told me straight up that they don't know how to treat me at all, and to speak with a psychiatrist. My experience with psychiatrists has effectively just been having pills thrown at me which make the symptoms far worse, and told my problems aren't bad enough for serious attention and that I just need to see a psychologist.

Has anyone managed to get out of a situation like this? How do you get help, when the people you go to for help say they have no idea how to help you?

13 replies

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In response to: What to do if therapy doesn't work?

Re: What to do if therapy doesn't work?

If you don't mind sharing, which state are you located? Members may know of some supports in your area.

I know that once I found one support, I got linked everywhere, and my supports were incredible. It was all in the public health system, so there were no payments needed. In my area alone, I know many different supports available including EIPSR program (Early Intervention Psychosocial Support Response Program); HOPE program; Western Bulldogs Daughters/Sons of the West program; Life! Program; Change Room Program; PARCs...

Just depends on what you are looking for @Horza . And if CBT is not a good fit for you, have you looked at DBT, ACT? I know you mentioned the costs involved, but would it be like using a spoon instead of a shovel because it's cheaper? Not sure if I make sense there.

I'd encourage you to continue looking. I know it can be tiring. Hopefully forum members will be able to direct you without mentioning specifics that can identify them (anonymity guideline).

All the best, tyme

In response to: Re: What to do if therapy doesn't work?

Re: What to do if therapy doesn't work?

DBT and ACT are both derivatives of CBT, so they're not things I think are worth much time. I'm quite rural, so I need something by telehealth, which you might think would make things easier. 😞

In response to: Re: What to do if therapy doesn't work?

Re: What to do if therapy doesn't work?

I encourage you not to give up @Horza . The clouds may be over you now, but the clouds will blow over.

Keep looking. I'm sure there are groups available. Do you have any particular interest in art? There are online art therapy groups I've attended in the past. It was great to connect with others and we had the option of having our cameras on or off. I've also attended online MH psychotherapy groups sessions, as well as 1:1s. Is your internet relatively stable? If so, you are open to many more opportunities.

Since covid, these online groups are definitely more readily available.

Sitting with you @Horza

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