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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by terrics on February 4, 2004, at 17:12:09
I'd appreciate any real info. on the exact nature of DBT. e.g. How it is conducted, what is the goal and does it REALLY help? Pdoc thinks it may be useful to me; Yet when I asked her if she knew of any successes she said no. terrics
Posted by Dinah on February 4, 2004, at 17:42:15
In reply to DBT...I really need info, posted by terrics on February 4, 2004, at 17:12:09
http://www.behavioraltech.com/aboutus/
I think the best way to see what it is is to look at the "Skills Training Manual for Treating Borderline Personality Disorder". My Barnes and Noble has them on the shelf.
Basically, it teaches mindfulness, distress tolerance, effectiveness training, etc. in a rather structured setting.
Posted by alexandra_k on February 4, 2004, at 19:15:50
In reply to DBT...I really need info, posted by terrics on February 4, 2004, at 17:12:09
Hi there, I have done a year of DBT.
I attended skills training sessions for one year (we went through the skills training manuel twice) which is usually conducted once per week in a group therapy setting with a closed group of other people with a diagnosis of BPD.
I also had one session per week with a DBT trained T where we would try to apply the skills to problems that arose in my life. To do DBT I had to contract to agree to work on the treatment hierarchy which set the agenda for individual therapy settings.
self harm / suicide attempts first.
therapy interfering behaviors (from the client and or T)
current problems.. (incl. urges to harm)
Then (I think)quality of life stuff (trauma work is somewhere too I think..) you could get this stuff from the training manuel which I found to be a good read..Theres more but I don't think I got much lower down the list than the third thing on the hierarchy. You start at the top of the hierarchy (if needed) and work down till time is up.
I found it fairly useful. I thought that I got much more out of my individual sessions than I did with traditional CBT. Although I was told I had made 'no clinically significant improvement' I did improve with respect to my mood swings, suicidality, self harm, functioning, and overall quality of life from my own subjective point of view. I would reccomend giving it a go.
Posted by Dinah on February 4, 2004, at 19:30:35
In reply to Re: DBT...I really need info, posted by alexandra_k on February 4, 2004, at 19:15:50
> Although I was told I had made 'no clinically significant improvement'
How utterly charming of your treatment providers. :( I'd have my therapist's head on a platter for a remark like that.
> I did improve with respect to my mood swings, suicidality, self harm, functioning, and overall quality of life from my own subjective point of view.
How do they manage to reconcile their view with yours? Surely a subjective view that you had improved in so many areas must have some clinical significance?
Sometimes I'm glad I have to pay for healthcare. It makes me more of a customer than a consumer.
Posted by alexandra_k on February 4, 2004, at 20:57:35
In reply to Re: DBT...I really need info, posted by Dinah on February 4, 2004, at 19:30:35
Aaaah yes, I did indeed have my therapists head on a platter for her 'encouraging' and 'supportive' comment... Her comment went down on my file and no clinician would work with me - they would cite that as the reason.
I complained (loudly and persistently) to her superiors and had meetings where I invited other people who had worked with me. The upshot was that they agreed that I had indeed improved quite significantly. The reason why I was not receiving treatment (it was finally admitted to me) was that funding was very, very tight and also they did not have someone currently on board who was suitable (I realise that I do need to see someone who is perhaps uncommonly secure in themselves - and who has experience and flexability).
Didn't get an apology though..
> Sometimes I'm glad I have to pay for healthcare. It makes me more of a customer than a consumer.Indeed. Unfortunately it costs far too much for me to be able to see a professional. It costs as much for me to pay to go to an hour session privately as it costs me in rent, phone, and food each week. Maybe you do indeed get what you pay for, however. I don't know...
Posted by justyourlaugh on February 4, 2004, at 21:25:05
In reply to Re: DBT...I really need info, posted by Dinah on February 4, 2004, at 19:30:35
d,
you just put down a few countries...
i am so glad to know i get the same care as someone with no home or income,,,and yet the same as the pm wife....
please be civil
j
Posted by terrics on February 4, 2004, at 21:25:44
In reply to Re: DBT...I really need info, posted by alexandra_k on February 4, 2004, at 20:57:35
Hi Alexandra, I might give it a shot. However it sounds like you were unfairly treated and as Diana said I would have that Ts head on a plate [or maybe in a pot of boiling water]. You should have at least gotten an apology. terrics
Posted by Dinah on February 4, 2004, at 21:38:46
In reply to Re: DBT...I really need info » Dinah, posted by justyourlaugh on February 4, 2004, at 21:25:05
I'm sorry, JYL, and Alexandra too. I know I'm lucky to have good healthcare coverage. But I just hear so many stories about people who can't find therapists, or have to be on two year long waits to get therapy. Here you can't throw a rock without finding a therapist - not necessarily a good one, but a therapist nevertheless. It seems like such a rotten thing for me that therapy should be completely unobtainable for all intents and purposes under some national health services. Nikki and Slinky are both having trouble with waiting lists. Paying seems like paying might be the lesser of what are both unquestionably bad situations.
Posted by alexandra_k on February 5, 2004, at 2:50:38
In reply to Re: DBT...I really need info » justyourlaugh, posted by Dinah on February 4, 2004, at 21:38:46
sorry but I didn't see how what you said was meant to be offensive... Public health systems typically are underfunded. That being said I think that I probably do get the same quality of treatment as I would if I paid for it. Usually because it is the public T's who see people privately in their own hours!! It is indeed infuriating having to wait for treatment. I was enraged, and blamed myself, and thought there was no hope for me, and thought that people just wanted me to curl up and die etc etc round and round for ages......
I would love to have a system where there were lots and lots of T's and you get insurance and can pick and choose - but only in America aye??? Thats something to be proud of I think, it makes up for all the lawyers :-) (Do hope I haven't offended any lawyers out there...).
It is expensive to go private, but then if I ever manage to hold down a full time job and get over being a student then it might just be feasable.... Then I can indeed pick and choose.
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