Author Topic: Treating depression and anxiety  (Read 3238 times)

Neil

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Treating depression and anxiety
« on: January 24, 2012, 08:45:53 PM »
Hi everyone.

My name is Neil Cook and I’m an Honours year student at Liverpool Hope University studying Applied Social Science and Psychology. I’m currently conducting research into how effective or useful therapy (in particular CBT) and medication is for treating symptoms of distress (depression and anxiety). I’d be interested in hearing feedback of any experiences that you may have had with therapists and doctors and the treatment they provided (positive and negative).

To get the ball rolling here are some questions that indicate what kind of things I’m looking at:-

Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?

Do you sometimes feel as though you are being judged when you see a therapist?

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?

Why do you think people often feel ashamed or guilty about having depression or anxiety?

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
 
Who should decide what the outcome of therapy should be? (You or the therapist?)

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?

Why do you think therapy doesn’t work for some people?

I’d be interested in any comments you have regarding the above questions (which are just guidelines) or any other comments regarding your experiences of therapy and medication.

Many thanks for reading this and I look forward to any replies. If you have any questions or comments that you do not want to post publicly please feel free to PM me or email me at 09006218@hope.ac.uk

Ezel

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Re: Treating depression and anxiety
« Reply #1 on: January 25, 2012, 12:14:52 AM »
I will 'sticky' this thread and will come back at a reasonable time (it's 15 mins past midnight) to answer questions.

lost rolex

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Re: Treating depression and anxiety
« Reply #2 on: January 25, 2012, 06:01:13 AM »
Hi everyone.

My name is Neil Cook and I’m an Honours year student at Liverpool Hope University studying Applied Social Science and Psychology. I’m currently conducting research into how effective or useful therapy (in particular CBT) and medication is for treating symptoms of distress (depression and anxiety). I’d be interested in hearing feedback of any experiences that you may have had with therapists and doctors and the treatment they provided (positive and negative).

To get the ball rolling here are some questions that indicate what kind of things I’m looking at:-

Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?

medication it takes the edge off a little so at least someone is able to get through to you

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?

you say curing, i say keeping well is where the system lets suffer's down, after treatment your put back on spin cycle

Do you sometimes feel as though you are being judged when you see a therapist?

yes as if they are trying to find a trigger, there are many triggers in some situations, a root cause, sometimes many causes.

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?

no because what influence's other's to seek change, are so far off the radar for people who suffer distress it's not a starting point, as these can be the triggers.

Why do you think people often feel ashamed or guilty about having depression or anxiety?

because they are not in control anymore, the body is there but the mind is off balance which causes frustration as dealing with anything is very hard.

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?

No it can all be rubbed out by one episode you do not pass go you do not collect your £200.00, because real life has no therapists in it,you are alone.
 
Who should decide what the outcome of therapy should be? (You or the therapist?)

when you are depressed you the sufferer has no idea, the same as you go to the doctor and they decide what happens/treatment.

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)

everything impacts on your mental state from, from little problems big problems grow, the main influences the real world is so unstable, that's your yard stick

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?

will power, that's what put us here in the first place. keep well away.

Why do you think therapy doesn’t work for some people?

because they have too much of the above, will power, mental strength, determination, caring, suffering, the inability to be hurtful, and a willingness to help others and meet there demands until you burst, we are strong people who other's have taken advantage of they see the kind person and throw more and more &$%+e at them, we don't suffer fools gladly we take them seriously as our caring side was always open, we have skin like a rhino and the stamina of the Spartan's,but we end up shot and wasted in a world that just takes. you will find people that walk away hide in the background cower in the corner run for the hills are the weak ones the one's who pretend to care who are also in a position of power.

like the captain of that ship who ran away if that was one of us on here when we where well we would have still been on that ship now searching not cowering in a cell.    that's the difference, 


I’d be interested in any comments you have regarding the above questions (which are just guidelines) or any other comments regarding your experiences of therapy and medication.

Many thanks for reading this and I look forward to any replies. If you have any questions or comments that you do not want to post publicly please feel free to PM me or email me at 09006218@hope.ac.uk




Regards LR
« Last Edit: January 25, 2012, 06:25:35 AM by lost rolex »
Harmful intentions
particularly those involving deliberate acts exploitation, seem to cause longer-lasting and more painful emotional consequences than natural disasters. The crucial factor may be that such experiences destroys people’s trust in others, particularly if they involve someone you have depended on.

lbruk

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Re: Treating depression and anxiety
« Reply #3 on: January 25, 2012, 12:28:27 PM »

Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?

Therapy only goes as far as you allow it too, in terms of its easy not to say something important to your therapist! Medication helps by making certain symptoms more manageable, on its own medication isnt a treatment.

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?

I believe it should be "an illness that needs understanding" i dont think the curing part is relevant, as i think we just learn to live with parts of it, like a limp! you might not have the broken leg anymore, but something is still there.

Do you sometimes feel as though you are being judged when you see a therapist?

No, sometime a little like a rat in a maze being experimented on

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?

Absolutely, if you want to continue living the way you are, then why go see someone to help you?

Why do you think people often feel ashamed or guilty about having depression or anxiety?

Because a lot of people do not understand the illness. They assume its an excuse or laziness because there are (mostly) no physical symptoms that can be seen, we are the only ones that feel them. Because you cant have a cast put on it, or have surgery, its not really regarded as a "proper" illness by a lot of people. Certainly there is not enough done in places of work to educate people in any mental illnesses.

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?

Sometimes, but it takes time
 
Who should decide what the outcome of therapy should be? (You or the therapist?)

Jointly, if i decide i need to keep talking, then why should a therapist say no you don't. And vice-versa

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)

Building trust again is one of the foundation parts of recovery, not only with other people, but trusting yourself again.

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?

Too much willpower will make you do things that you are potentially not ready for. Being too headstrong or decideing you are just going to "beat this" usually ends up with you getting worse.

Why do you think therapy doesn’t work for some people?

I think it does if they give it time, some people give up too easily, i have seen people who hate therapy and WILL NOT open up as they put it, slowly, very slowly get to it

L

smirfy21

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Re: Treating depression and anxiety
« Reply #4 on: January 26, 2012, 05:17:47 AM »
Hi everyone.

My name is Neil Cook and I’m an Honours year student at Liverpool Hope University studying Applied Social Science and Psychology. I’m currently conducting research into how effective or useful therapy (in particular CBT) and medication is for treating symptoms of distress (depression and anxiety). I’d be interested in hearing feedback of any experiences that you may have had with therapists and doctors and the treatment they provided (positive and negative).

To get the ball rolling here are some questions that indicate what kind of things I’m looking at:-

Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?
Therapy only works if you are honest with both yourself and your therapist, you have to be open about everything and not just rely on a pill to take the pain away

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?
depression and anxiety is life long, it can never be cured but with the right treatment is sure as hell can treated

Do you sometimes feel as though you are being judged when you see a therapist?
there are those therapists that don't always do the right thing by you and you find them judging you, but like anything you have to shop around before you find the right one that suits you.

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?
Lifestyle change is a biggy if you want your situation to change, do the therapy, take the meds and change your lifestlye!!

Why do you think people often feel ashamed or guilty about having depression or anxiety?
in my opinion people feel ashamed because they are made to feel like that due to stigma and ignorance towards the condition. there is not enough information out there.

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
treatment is never over, therapy may be over but treatment is life long!!
 
Who should decide what the outcome of therapy should be? (You or the therapist?)
you should decide together but the last decision comes down to the patient and their needs

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)
relationships are the most important part of therapy if you cannot trust your therapist they will not be able to help you.

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
you have to be motivated to seek the help but will power is a whole new ball game, when depressed will power completely goes

Why do you think therapy doesn’t work for some people?
you have to want the help to let others in, therapy only goes as far as you want it to.

I’d be interested in any comments you have regarding the above questions (which are just guidelines) or any other comments regarding your experiences of therapy and medication.

Many thanks for reading this and I look forward to any replies. If you have any questions or comments that you do not want to post publicly please feel free to PM me or email me at 09006218@hope.ac.uk


Got

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Re: Treating depression and anxiety
« Reply #5 on: January 26, 2012, 03:08:18 PM »

You need to create a proper survey if you want to obtain any usuable data. You need enough resoponses for the stats, and your survey needs triangulating etc to make sure your responses are accurate.

Social surveys are tough.

Lol

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Re: Treating depression and anxiety
« Reply #6 on: January 26, 2012, 06:18:59 PM »
Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?
Both have helped a lot. A lack of communication/understanding with therapist or patient, or between the two.

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?
Definitely. They can be cured and should be to allow relief.

Do you sometimes feel as though you are being judged when you see a therapist?
Not personally, I am aware that my situation is being judged, but I know that this is in order to produce clarity.

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?
Not necessarily, if the person is aware of the source of suffering and has a clear and affective way of deeling with it, therapy or changes may not be necessary. The changes come from within.

Why do you think people often feel ashamed or guilty about having depression or anxiety?
It represents a loss of control to them, somethng has 'got' to them and they have somehow 'let it in' And it does feel like an 'intrusion on the self' which compounds this. There is still a social stigma about it; weakness, damaged, insanity, incapable etc

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
Yes if the relationship between the therapist and the patient is good and the type of therapy is appropriate to the problem such that effective communication occurs that allows for thoughtfullness and mindfulness afterwards.
 
Who should decide what the outcome of therapy should be? (You or the therapist?)
The patient can not see the wood for the trees, although the goal should be common; To alleviate/reduce the anxiety caused by the problem by understanding the problem and how we've responded to it, replace any unhealthy processes and congnitions employed to cope with this with healthier ones, and being able to control how we respond to it in the future and in retrospect so that it can no longer cause harm.

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)
Very important. Keeping symptoms of distress within ones self contributes massively to depression, especially its chronicity, and having a confident to express it to without judgement is necessary for its release

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
Will-power and motivation are sometimes the only tools we have AKA stubbornness, good therapy could help this by giving it a healthier direction or perspective that we are unable to see ourselves, bad therapy could easily ^&"$ it up further.

Why do you think therapy doesn’t work for some people?
wrong kind or wrong therapist. Too painful a problem to uncover and deal with. Denial over needing it. Avoidance behaviour
« Last Edit: January 26, 2012, 06:30:00 PM by Lol »

carrie_m

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Re: Treating depression and anxiety
« Reply #7 on: January 26, 2012, 07:51:13 PM »


Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?
I think a mixture of the two helps me. I find therapy helps although for it to help me for a long period of time I feel I would need to go to therapy once a week for example, for most of my life.

Do you believe that it is correct to label depression and anxiety as illnesses which need curing?
Yes.

Do you sometimes feel as though you are being judged when you see a therapist?
No, I feel lucky with my therapist as she is very understanding and at times I feel like I'm talking to a friend.


Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?
It depends on what the distress is related to, if a person is aware of what causes their distress and a change needs to happen then yes, I feel that everybody suffering from depression or anxiety should try therapy.

Why do you think people often feel ashamed or guilty about having depression or anxiety?
I felt ashamed at the beginning, because I felt that it wasn't something I wanted to talk about with people who was not close to me, and felt that it was a sign of weakness.

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
As I said in my first answer, I think for therapy to have a lasting positive effect it needs to be used as treatment for a long period of time.
 

Who should decide what the outcome of therapy should be? (You or the therapist?)
I think a mixture of both, discussing goals and outcomes.

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)
I think the relationship with a therapist is extremely important, you need to have a good relationship otherwise opening up can become difficult. Relationships in general are important, for someone you love to cuddle you or hear you moan!

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
It totally depends on what goals you have for you're therapy. personally, my therapy is part face-to-face discussions and self-learning which helps. Will-power and motivation are very important.

Why do you think therapy doesn’t work for some people?
Everybody is different, and I think a relationship with your therapist has a large connection with positive outcomes. I also think people need to be open minded with therapy and stick at it.



 [/quote]

Ezel

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Re: Treating depression and anxiety
« Reply #8 on: January 26, 2012, 08:46:38 PM »
Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?

I am taking Citalipram wjich did work for me up until December but I am gettng my medication (take others for high blood pressure, high cholesterol, NSAID for arthritis and pain relief) reviewed next week.  I'm waiting for CBT.
 
Do you believe that it is correct to label depression and anxiety as illnesses which need curing?

Yes

Do you sometimes feel as though you are being judged when you see a therapist?

N/a as I haven't seen one.

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?

Yes, I suffered in silence for many years and due to a chain of events in my life I finally opened up in 2004 then hit rock bottom in 2005.

Why do you think people often feel ashamed or guilty about having depression or anxiety?

I thought I would be labelled negatively or wouldn't be believed.  For many years I was accused by family members of being moody and an attention seeker

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?

N/A
 
Who should decide what the outcome of therapy should be? (You or the therapist?)

If I was getting it then me but with input from the therapist

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)

Very important.

How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
 
Although I don't have a therapist I do have will power to recover but sometimes triggers set me back

Why do you think therapy doesn’t work for some people?

Only they can answer honestly but I think sometimes they may not be ready for it or other treatment would be better

chilliconcarnage

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Re: Treating depression and anxiety
« Reply #9 on: January 28, 2012, 12:18:22 PM »
Hi everyone.

My name is Neil Cook and I’m an Honours year student at Liverpool Hope University studying Applied Social Science and Psychology. I’m currently conducting research into how effective or useful therapy (in particular CBT) and medication is for treating symptoms of distress (depression and anxiety). I’d be interested in hearing feedback of any experiences that you may have had with therapists and doctors and the treatment they provided (positive and negative).

To get the ball rolling here are some questions that indicate what kind of things I’m looking at:-

Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?
Medictation made me feel worse at the start, and during treatment I was ok for a week or so then started feeling bad again so had to up the meds. I dont thinks meds alone can be used to trwat depression, well not with me anyway. You have to get up out of bed in the morning and push, push push yourself to carry on. Therapy wise, I think it can help, but again you have to be open and give it a chance. if you walk in thinking "Nah, aint going to work", then it probably wont.
Do you believe that it is correct to label depression and anxiety as illnesses which need curing?
Yes, becasue it is just that, an alliness, no different than any other bodily illness you may get, its just not so understood as others.
Do you sometimes feel as though you are being judged when you see a therapist?
No i dont. of course the therapist may challenge you on a few things your going to say, but thats just therapy.
Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?
Lifestyle changes need to take place sometimes. Because when your depressed your "normal" lifestyle can be hindered and you have to push to get your old self back again. Its very very hard, but something needed to be done to try and get yourself feeling good again.
Why do you think people often feel ashamed or guilty about having depression or anxiety?
Due to the ridiculous Stigma of mental health and the ignorance of others towards it.
Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
 For me it depends pn how im feeling that day. If ive woken up feeling low, then it can only be a partial relief when i have therapy. Other times, if im feeling good and certain things are brought up in therapy that are sensitive to me then it can make me feel bad! But most of the time i walk away feeling like i have got something off my chest.
Who should decide what the outcome of therapy should be? (You or the therapist?)
Both
How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)
Very improtant. If it wasnt for my family and friends and therapist, I may be in a very different place now, or perhaps not here at all.
How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
Its very important. Thinking positively CAN make you feel better, its all about changing your mind set. Sometimes like I said earlier Therapy can make you feel a bit worse as you bring up the past, which can make you feel low.
Why do you think therapy doesn’t work for some people?
I think you have to want to give it a go. If you dont really want to do it or arent open to it, the likelyhood of it working are much reduced.
I’d be interested in any comments you have regarding the above questions (which are just guidelines) or any other comments regarding your experiences of therapy and medication.

Many thanks for reading this and I look forward to any replies. If you have any questions or comments that you do not want to post publicly please feel free to PM me or email me at 09006218@hope.ac.uk
Yesterday was the past, and anything forward of today is fantasy. Now is all that matters.

chilliconcarnage

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Re: Treating depression and anxiety
« Reply #10 on: January 28, 2012, 12:19:37 PM »
Apologies for my poor grammar. But the page wouldnt scroll down properly when i tried to type the answers?
Yesterday was the past, and anything forward of today is fantasy. Now is all that matters.

Neil

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Re: Treating depression and anxiety
« Reply #11 on: February 20, 2012, 02:53:02 PM »
Hi everyone,

Thanks for all your responses and please accept my apologies for the late reply (I've been conducting a lot of research over the past few weeks). I have read through all your answers and they have helped give me an insight into the personal experiences and perceptions of those struggling with depression and anxiety. I have been conducting interviews with people currently undergoing (or have recently finished) a course of CBT and I've also interviewed a few therapists. Many of the answers I have received here and on other forums exhibit certain recurring themes such as the following: Those who suffer psychological distress to a degree that might be diagnosed as disabling are usually sensitive and compassionate individuals who have suffered from various forms of emotional abuse or rejection; the strength of relationships in someone's life is crucial to recovery and even avoidance of distress and the importance of material or emotional resources in dealing with depression (in particular) and anxiety is paramount. These themes emerged in the interviews too and it has been very enlightening as regards the role of therapy in recovery. Both therapists and those who have undergone therapy emphasised the importance of being able to change your life (relationships, jobs, hobbies etc.) as the key part of recovery. Some theorists argue that all therapy can do is clarify the reasons for someone's distress, provide a solid supportive relationship and encourage someone to use whatever resources they have available to change their lives for the better. If anyone would like to comment on this point of view, especially anyone who has undergone any form of therapy not just CBT, please do so as I'd be very interested to see if the opinions of people on this forum match those of the people I have interviewed so far.

To condense the issue in a (maybe overly) simplified way, how exactly does therapy work? What does it do for an individual? Can someone really change if their circumstances don't change? Can a course of therapy really undo years of emotional pain that may stretch back as far as childhood (for example)? Can a therapeutic relationship only provide the clarity, solidarity and encouragement that an otherwise isolated and depressed individual may need to make the changes necessary for recovery? Any thoughts anyone has on this will be of great interest.

Thanks again for your replies so far and if anyone has any questions please PM or email me - 09006218@hope.ac.uk

lost rolex

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Re: Treating depression and anxiety
« Reply #12 on: February 21, 2012, 05:03:34 AM »
Hi

for me if you think of a depressed person as a lump of steel, that steel has been invaluable over many years of service, but after years of using it, the damm thing breaks, you need to reform the steel, that's the problem, you need the tools to do it.

you find out that if you heat the steel it will melt but you need the right amount of heat, to much it melts way to little it's brittle, but you need to reform it you need to find the right tools to do this,


medication is the heat, the therapist and client must between them find away to re-form re-build re-educate,

and the new piece of steel is reformed. that's not the end that's the beginning, then the real work takes place.


the service can get people well, where it lets them down is staying well.

LR
« Last Edit: February 21, 2012, 05:06:01 AM by lost rolex »
Harmful intentions
particularly those involving deliberate acts exploitation, seem to cause longer-lasting and more painful emotional consequences than natural disasters. The crucial factor may be that such experiences destroys people’s trust in others, particularly if they involve someone you have depended on.

em89

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Re: Treating depression and anxiety
« Reply #13 on: February 23, 2012, 01:37:35 AM »
Do you think therapy or medication helped you at all? What do you think are the limits of therapy based on your own experiences?
Years ago I always had this stigma that if you went on antidepressants, you were stuck on them for life. I believed they turned you into a zombie and there was no way back. Last January I had to go on them because I'd just hit an all time low, and I think they have really changed things BUT i do think that therapy is key too. So combined, I think they offer the best cure for depression and anxiety. Antidepressants have helped me to calm down and keep my mind stable while therapy has helped me work out my problems and the overwhelming feeling when I was diagnosed with depression.
- As for the limits of therapy, it depends on the therapist and how far you're willing to trust them and really get to grips with your problems. You have to open to explore all corners.



Do you believe that it is correct to label depression and anxiety as illnesses which need curing?
It is correct because depression and anxiety are illnesses and I only wish that this could be recognised by my more people. Just like a cold needs a cure, so does a mental illness. It's just the cures are different.

Do you sometimes feel as though you are being judged when you see a therapist?
With the therapist I have now, I don't feel like I'm being judged at all. It really depends on who you see. I have seen 4 (5?) counsellors/therapists now and I find that only one of them really judged me.

Do you think that therapy or lifestyle/relationship/personal situation changes are required for someone suffering distress to improve?
In my opinion therapy is key to getting better but having said that, I think lifestyle changes are needed, ie if you're using drugs, then these need to be stopped in order to get better. Exercise also helps, as does a good diet, and getting away from bad relationships. So I think therapy can often point these factors out if the person can't see them for themselves.

Why do you think people often feel ashamed or guilty about having depression or anxiety?
Sadly I think there still is a stigma attached to depression. 30, even 20 years ago, people couldn't talk about depression or anxiety without being seen as mad. While I think this is changing, and I'm glad that it is, I still think it's hard for people to talk about suffering from these problems because they can't be seen and they're all internal. I think people feel guilty for having depression because they feel guilty for being sad about nothing, but they just simply can't explain what this nothing is and feel that they'll be judged by others.

Do the positive effects of therapy last outside of the consulting room or once the course of treatment was over?
I've not finished with therapy yet, although I haven't seen my therapist for a few months since he's off ill, but I do think that once you let it in, therapy can help outside the clinic. It's not the same as being in the room, because once outside you're on your own, but after a few times I found it easier to try techniques and subconsciously, my conversations with the therapist have helped me to relax anyway.
 
Who should decide what the outcome of therapy should be? (You or the therapist?)
I think it's important that the patient decides what the outcome is, and this should be laid out clearly from the start. A bit of advice/encouragement from the therapist doesn't hurt either but ultimately it's the patient wishes that are most important.

How important are relationships in both maintaining and relieving your symptoms of distress? (This includes the relationship with your therapist)
The patient needs to have close relationships both inside and outside of the therapy room. They need someone who they can rely on outside, whether this is a family member, a friend, girlfriend, boyfriend, husband, wife, or even someone on this forum or a Samaritans counsellor. Anyone who can be there 24 hours a day, 7 days a week. The relationship with the therapist is also important because if you don't trust them then you're going to find it harder to open up.
How much does will-power and motivation play a part in recovery? Does therapy help or hinder this?
I think this is where medication is important, as it gives you the stability to find will-power. In order to recover, I think you have to have motivation and often therapy can give you this.

Why do you think therapy doesn’t work for some people?
I know sadly that therapy doesn't work for everyone, and this is probably because they just don't click with the therapist, just like some people don't click with others. Every therapy session/ course is going to be a good one, and it takes time to find the right therapist. This is why I don't think therapy works for everyone, but I think if you work with someone patient, understanding and that you can learn to trust you can learn to overcome your problems.

Pedro

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Re: Treating depression and anxiety
« Reply #14 on: July 19, 2012, 12:41:52 PM »
Hi Neil,
I suffered from depression a decade ago after a few very bad things happened over a short space of time. I am now a therapist who is very interested in depression and helping people with depression - hence why I joined this forum to hopefully offer advice where possible. There are many different types of therapies - some far more effective than others. However the "talking therapies" are focused mostly on the conscious mind and beliefs. Beliefs and disempowering thought patterns can play a large role and by amending these through a skillful therapist, people can start to feel better. However talking therapies arent able to tackle strong emotions very well if at all.
A belief backed by a strong emotion (most likely stemming from a particular life experience or series of life experiences) simply will not be budged by talking alone. For example if someone has an intense hatred of themselves, no amount of persauding otherwise will suffice because the hatred is emotional and not logical. In these and similar instances, until very recently people most likely have to turn to medication. If medication works, it tends to numb the person, reducing the capacity to feel good as well as bad. In the past 2 years new therapies have been developed which target the emotions directly and are quick and easy to use.

Once the emotion is released, often the disempowering beliefs fall away as they have nothing to power them (if they dont fall away of their own accord, talking therapies can be much more effective due to the removal of the emotion). Due to the dramatic success I have had with these techniques I am currently in discussion with a mental health commissioner about the possibility of rolling out these techniques. If you would like to discuss further or have any other questions for me as a therapist and my perspective, feel free to contact me Neil.