How much does a therapist try, until they give up on a client?
I confident in saying that I believe this is probably different for every therapist. Here's how it works for me: I am very clear with my clients right up front that I believe the goal of therapy is to not need therapy anymore. I am also very clear with clients right up front that I know I can't change them, that if they want things to be different in their life, such that they don't need therapy anymore, then there is work that they have to do. I'm very clear about my expectation that they will be active in the therapy process.I am quite aware that what brings people to therapy in the first place is often well-entrenched patterns of belief, thinking, and behavior that can get in the way of their successfully engaging in the process, especially in the beginning. Many of my clients have serious problems relating to themselves and other people, stemming primarily from their experiences in their childhood families of origin, where there were disruptions in the attachment process affecting their emotional development. This can result in a wide range of problems in relationship, notably insecurities, preoccupation with fears of abandonment, narcissism, borderline personality disorder, and other presentations. So, for me, as long as clients are trying, even a little bit, even unsuccessfully, to implement some changes, to engage in the process, I reassure them that I am not giving up on them. This is true, even in the face of major relapses and repeated absences from therapy. I will stay with most clients as long as it takes for them to figure it out.However, I have “fired” clients who, over time, reveal through their words and behavior that they are not truly interested in engaging in the process. It is my belief that I have an ethical obligation to not take their money for something that I don't believe is helpful to them. Sometimes, it is this “jolt” that prompts them to get serious about engaging. Iwill usually offer to reengage with them when and if they are ready to truly engage, or to provide them referrals of other therapists whom I believe might be skilled in working with that type of client.That said, over the past 8 years of seeing hundreds of clients, this has only happened a handful of times. A more frequent occurance is that people simply drop out and don't come back. Rarely do they offer any feedback about why they make that choice. I choose to focus my attention on those who choose to engage.
Is depression a neurosis, psychosis, or personality disorder?
I feel I must write my own answer to counter the almost but not quite right answer given by Morgan Elizabeth Benjamin. Depression is classified as a mood disorder, or a disorder of affect. Affect simply refers to one's feelings or emotions. [See Affect (psychology) or affect.] Clinical depression is more than just the occasional "blues" or feeling down and usually requires professional intervention to overcome. Medications can help tremendously along with therapy to address unhealthy beliefs and thought patterns. [See NAMI: National Alliance on Mental Illness | Psychotherapy.]Neurosis can be easily confused with clinical depression because it involves feelings of stress, worry or fear. However, it has not been a recognized diagnosis since it was removed from the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1980. [See Neurosis - Origins, Categories, Causes, Diagnosis, Treatment.]Psychosis involves a loss of touch with reality. People tend to think of schizophrenia or the mania of bipolar disorder when they think of psychosis, but it can also be brought on by severe depression. If the psychosis only occurs during an episode of Major Depressive Disorder (MDD), the diagnosis would be Major Depressive Disorder with psychotic features. A separate diagnosis would not be appropriate since the psychosis does not present independently of the depression. [See Major depression with psychotic features: MedlinePlus Medical Encyclopedia or Psychotic Depression.]Personality disorders refer to deeply ingrained and maladaptive patterns of behavior. [See Personality Disorders or Personality Disorders: MedlinePlus.] They run the gamut from Schizotypal Personality Disorder to Borderline Personality Disorder to Antisocial Personality Disorder to Obsessive Compulsive Personality Disorder and so on. They are generally viewed as negatively affecting a person's quality of life and ability to relate to others in healthy relationships. Someone with a personality disorder can absolutely develop depression, but they are distinct disorders and would warrant separate diagnoses. I hope that cleared up the matter!
What motivates malice?
Eden: I think you are right and would like to say that it is not a trade I would like to make: Being popular with the type of person who is impressed by cruelty and malise, Far better to know inner peace by not dragging around a weight that has misery at it's core. We should look down on malicious people with pity, they cannot know happiness or peace whilst filled with the type of self loathing/self pity that makes them feel it is acceptable to spread such a cruel feeling. Pity to them and on them.
Depressive disorder NEC?
I think it's this:: Depressive disorder "not elsewhere classified" This code may be outdated. View the most recent version of ICD-9-CM 311 * A mental state of depressed mood characterised by feelings of sadness, despair and discouragement. (On-line Medical Dictionary) * An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. * Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders. But don't worry. You're going to be fine.
My mom blames me for her marriage problems? advice please? easy 10 pts :p?
You poor thing!! Sounds like your mom may be a bit mentally ill/unstable and need some psychiatric help...She may also be one of those mothers who suddenly becomes jealous and resentful of their daughters once they begin to hit womanhood because now the daughters are younger and more attractive than them...I've heard of this being somewhat common, which is super weird to me!! Try your best to communicate how bad she is hurting you and how much of an impact its having on your life; ask her where this resentment toward you came from! Just because she's miserable, doesn't mean she needs to drag you down with her! Tell her you're at the age when you need your mother the most, and you have no one to turn to because the only interaction you have with her is negative and you NEED her positive support and interaction now more than ever!! And honey, a marriage is between 2 PEOPLE...blaming outside influences for any marital problems is a cop out and you are NOT to blame for ANY problems in their marriage!!!
Was Jung and Freeud man ..acording to the Bible?
iKing David with whom the Holly Spirit was talking said that the one who says inside his heart that there is no God - is mad. Jung and Freud said that God is a creation of our mind, and that the demons and angels are halucinations..resulting Jung and Freud were mad... ironically their so called science belives that those who see demons and the angels of God ..are mad..i think this is the last fight of satan against the christians... besides God says that the one who says about the other that is mad..deserves the hell..so those who tell about the other that they are schysofrenic and paranoic..deserves hell..don't they/?