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Rosi700
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Thumbs up Jan 23, 2023 at 06:53 AM
  #1
I am not writing this to say that some therapy approaches are better than others. Because no therapy approach is standing out as an approach without critique. So it is in the scientific world ...

The Freudian approach (psychoanalysis) is about that if something happened to you in a certain age before school age, you have been fixated to that development stage, emotionally. Originally one used to lay on a couch with the therapist behind. The method was free associations, that means to lay on a coach and say whatever came into one's mind.

There have come many other ways to help (still inside the psycho-dynamic approaches) since Freud (1898). Many benefits from these new approaches.

The CBT is looking about the link between your thoughts, emotions and behavior. If you change one of these something in you will change as well. The most usual is to try to change the link between your thinking and your feelings. Thinking goes so fast that probably nobody knows what they thought right before they had a panic attack or went into a depressive episode. CBT looks at what is continuing to keep your anxiety or depression going (the thoughts that make your depression going and not every other thought you have). It is not a statement about that you as a person is wrong. It is about what thoughts that don't work for you. As already mentioned the CBT approach looks at the connection between the thoughts you think before a certain mental health problem hits you. So at the beginning one tries to make the client (behavior therapists don't see you as sick) be aware of one's thoughts. From these first recognizable thoughts one goes backwards and try to find out how the originally thoughts looked like. If a person had a sick mother for some years of their childhood, the child can have been asked to not disturb the mother and the child could have thought that the mother had stopped liking it. As years passed the child becomes vulnerable to every hint from others that could mean it wasn't liked and that is what the therapist and client work together with. They try to see if a sentence like «I am not likable» really fits for the client. If they together finds that this fits, they decide to work on that. There are certain forms to fill out between each session and the client has her to say as they work together, so disagreeing is not forbidden. There is, however, a goal or certain goals they work together toward. It is if this or that approach will lead the client to the goal they have agreed upon that is the topic for the therapy.

If what they are doing together doesn't work, they will shift focus. As with Freudian therapy, the CBT has developed too and integrated many tools to use by the last 30 years.

There are lots of other therapies for depression. So may be I haven't mentioned the therapy you got or get.

One of the most important scientific studies I have heard about is that those therapies that is successful is the those where the therapist and the client have agreed about the goal for the therapy.

Every therapy approach has some critiques. So if you feel that you and your therapist are on the right way with regard to what you want; to become less depressed, you are on the right way, whatever the name of the therapy. Don't let anyone scare you away from a therapy that works for you. If you feel that you are not on the right way, tell your therapist and she/he may change the methods or refer you to another one, but please let nobody make you doubt your therapist by criticizing the approach as long as it is inside normal ethical frames (no sexual or other almost intimate behavior).

By the way, a lot of therapists combine methods from different approaches, and that may work well.

Nobody here should talk negatively about the therapy another person receives. It is not caring and it is without respect for the person who receives that sort of therapy! This web-page has an own section for those who need to discuss their therapy. The section is called: «Treatment and self-care strategies». The threads are grouped under the label «Psychotherapy».

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unaluna
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Default Jan 23, 2023 at 09:59 AM
  #2
altho i would exchange the word feeling for the first occurrence of thought in many of your statements above. First come unbearable feelings, then erroneous thoughts.

I have found books about shame helpful, as that was my parents' only disciplinary tactic. They would ask me, "Arent you shame?" And my tiny child brain would get caught up in how that wasnt the correct term grammatically.
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Default Jan 23, 2023 at 10:44 AM
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Originally Posted by unaluna View Post
altho i would exchange the word feeling for the first occurrence of thought in many of your statements above. First come unbearable feelings, then erroneous thoughts.

I have found books about shame helpful, as that was my parents' only disciplinary tactic. They would ask me, "Arent you shame?" And my tiny child brain would get caught up in how that wasnt the correct term grammatically.

Yes, I would say that you are right in your sayings: "First come unbearable feelings, then erroneous thoughts". There must have been a trigger once, but what continues the depression or whatever, don't have to be the same thoughts that the one one thought first.


I lost a familymember only three years old. The grief was unbearabe. I never forgot those feelings when they let me know about it, that moment. What I thought at that actual moment, I cannot remember, but I understand that loss, real or imagined, is playing a role in my life now.

Sorry, that your parents treated you that way!

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