Therapy

Join the Conversation on
Therapy
11.2K people
0 stories
1.6K posts
Note: The hashtags you follow are publicly viewable on your profile; you can change this at any time.
Newsletters
Don’t miss what’s new on The Mighty. We have over 20 email newsletters to choose from, from mental health to chronic illness.
Browse and Subscribe
What's New in Therapy
All
Stories
Posts
Videos
Latest
Trending
Community Voices

Coming through the other side. #MajorDepressiveDisorder #CPTSD #Anxiety #Therapy

Tuesday I called in to work, I didn’t leave my bed for more than a few minutes at a time. Wednesday and Thursday are my off days, I stayed in bed except for my therapy session on Wednesday. I had scheduled PTO yesterday so I was off work again. Yesterday the clouds started to lift, so to speak. After four days I finally took a shower and changed my clothes, I actually ate more than one time and even managed to do some things to tidy up, in small increments. I had suicidal thoughts, intensely, especially on Thursday. My therapist called Friday to check on me because I had emailed to cancel my next scheduled session. He knew that the last time I did that it was because I had thoughts of suicide. At that point in the day I was still struggling. He called again today to check in, I was happy to share that I was doing better. Today I actually left the house, I made myself, I had to go to the pharmacy. My third oldest and my youngest kid went with me and we had lunch at the park. I commented to her, she’s 21, that it’s strange how yesterday I wanted to die and today I was numbly enjoying the blue sky. Yes I was a bit numb and still carrying the heaviness in my chest, and I was so much better than yesterday morning. Tomorrow I’m returning to work. I’m feeling all sorts of ways about that and it has to be done. It’s ok though as I only work three days then I’m off two and work Friday then my 10 day vacation starts. As one of my bosses at work said, depression is a beast.

Community Voices

Selfcare

<p>Selfcare</p>
4 people are talking about this
Community Voices

Hello everyone...

Just to say hello and a little food for thought. I read a quote the other day, made me laugh.. Most people in therapy are there because of people who should be in #Therapy .

5 people are talking about this
Community Voices

CBT

<p>CBT</p>
5 people are talking about this
Community Voices

Today's Therapy Session..

.... opened up some wounds. Ate me alive. Blew my mind. Put shit into perspective.

Attachment Styles was the main topic after talking about roadtrip anxieties.

Y'all, I'm part of the "fearful" group of Attachment Styles. & when I was reading it, my heart sank to the floor. Made complete sense.

Now, here I lay on my bed trying to put all these emotions/thoughts/feelings on paper yet nothing is happening.

I wanted this journey. I'm going to fight this journey.

To my inner child, I'm sorry. You're safe now. You're more loved than before. You're protected. I love you.

#Anxiety #Depression #Insomnia #Therapy #Migraines #Healing #GAD #CheckInWithMe #PTSD #Trauma

9 people are talking about this
Community Voices

Done with therapy, maybe

OK. Never thought I'd be on the "outside looking in". My run with awesome therapist for years has ended, they are retiring. I always said I'd stick with them until they retired. I know the stages of grief. In my head I know what to do, BUT it's still a jolt. I said, after them, I was done with therapy , but not quite sure how true that is right now. #Depression #aniety #expected eventually #Therapy #lost #Grief #helped me a ton.

20 people are talking about this
Community Voices

Staying in doors when things are hard

Even when I know to practice opposite action and do the "right thing"for my mental/physical health, trauma processing and panic makes it very hard

After my therapy session over the phone, I don't have the motivation to go outside. One of those "order food and eat ice cream" days. Its a hard day for me. Can anyone relate?

#Trauma #Therapy #Depression #struggle

27 people are talking about this
Community Voices

Do you find it harder to forgive yourself or others?

<p>Do you find it harder to forgive yourself or others?</p>
76 people are talking about this
Megan Glosson

Types of Therapy for Borderline Personality Disorder

I have spent nearly 1,000 hours in therapy since I first received a borderline personality disorder (BPD) diagnosis nearly five years ago. Although it has by no means been a walk in the park every single week, I have reached a point in my life where I no longer meet the criteria for BPD and feel (mostly) satisfied with my day-to-day routines. Like many people who receive a borderline personality disorder diagnosis after a hospitalization, I was given the contact information for local dialectical behavior therapy (DBT) treatment facilities and therapists trained in this modality who may be able to help. What I didn’t realize at the time was that DBT isn’t the only option out there for people like me. In fact, there are a total of five different types of therapy that all have a proven success record with borderline patients. 1. Dialectical Behavior Therapy (DBT) Dialectical behavior therapy (DBT) is an evidence-based therapeutic modality designed specifically for individuals with borderline personality disorder. Psychologist Marsha Linehan designed DBT in the 1980s. Linehan, who spent years researching clients with extreme emotion dysregulation and suicidal urges, felt like cognitive behavioral therapy (CBT) caused these clients to experience burnout, lack of motivation, and invalidation. So, she combined some of the aspects of CBT with the ideas of acceptance and mindfulness practice to create a modality that was more fitting for this clientele. Fully-adherent DBT includes weekly individual therapy sessions, weekly skills group education sessions, and phone coaching between sessions. A full course of DBT takes around six months to complete, and clients are encouraged to complete two cycles to master the skills for mindfulness, emotion regulation, distress tolerance, and interpersonal communication. 2. Mentalization-Based Therapy (MBT) Mentalization-based therapy is another evidence-based practice created specifically for people with borderline personality disorder. It’s highly beneficial for people who experienced early childhood trauma that caused abandonment issues or people with insecure attachments to one or both of their parents. The modality borrows some techniques from other common types of therapy, including cognitive-behavioral, psychodynamic, social-ecological and systemic therapies. However, the main focus of this specific modality is to enhance each person’s ability to differentiate between their own emotional state and the emotional state of those around them. This concept is called mentalization, and it is something that many people with BPD struggle with. By learning how to separate your own emotions from others, you can regulate your emotions more effectively and spend less time trapped in a dysregulated state. Like DBT, people who enroll in MBT with a therapist typically attend weekly individual sessions as well as weekly group sessions. Unlike DBT, though, members in groups often interact with each other to offer advice and learn from one another. 3. Transference-Focused Psychotherapy (TFP) Transference-focused psychotherapy (TFP) is a specific type of psychoanalytic treatment in which the focus is on the relationship between the therapist and the individual client. The idea is that by focusing on the interpersonal dynamics that occur between the therapist and the client, the therapist can gain insight that will help the client improve. According to therapists who use TFP, most people develop BPD because of dysfunctional relationships with parents and other caregivers during early childhood. For people who live with borderline personality disorder, TFP is used to uncover the underlying causes of a person’s borderline symptoms so they can build new, healthier thought processes and behaviors. 4. Systems Training for Emotional Predictability and Problem Solving (STEPPS) Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a manual-based, 20-week group therapy program designed specifically for people with borderline personality disorder. Like dialectical behavior therapy, STEPPS combines cognitive behavioral elements and skills training in a group setting. The skills group programs meet once per week for two hours each session. The groups are typically led by a pair of therapists, and the groups are kept fairly small, with around six to 10 participants at a time. Within STEPPS, individuals learn how to identify automatic thoughts through schema work, monitor their symptoms, and how to problem solve situations in healthy manners. STEPPS also teaches the importance of self-care, and how to better manage overwhelming emotions. Although it has not gained as much recognition as other therapeutic modalities for people with BPD, it is still an evidence-based approach with studies that show its success. 5. Trauma Treatment Studies show that people with borderline personality disorder are 13 times more likely to have experienced early childhood trauma. Because of the strong links to trauma, many clinicians have started using trauma treatment with BPD clients to see if processing the trauma helps lower emotional intensity and other symptoms. In fact, some preliminary studies show trauma work as a viable option for people who have BPD and a trauma history. There are several notable types of trauma treatment that work well for people with borderline personality disorder who also have a history of trauma. Some trauma treatment methods that may work include eye movement desensitization and reprocessing therapy (EMDR), skills training in affective and interpersonal regulation (STAIR), and cognitive processing therapy (CPT). While each approach is a little different, they are all methods of processing trauma, which can help decrease symptoms over time. Like most other mental health conditions, treatment options for people with borderline personality disorder shouldn’t be a “one size fits all” approach. However, many people with BPD don’t realize just how many viable treatment options exist for them, and instead they give up when one recommended method doesn’t work. If you are looking for a path to recovery from borderline personality disorder, I hope this list gives you some options to pursue. Recovery from BPD is possible —  it’s just a matter of finding the treatment method and lifestyle that works for you.

Community Voices

Today's Car Talk...

<p>Today's Car Talk...</p>
8 people are talking about this