March 4, 2021

GIL

Daily Global New Media

How Psychotherapy Works

1 min read

43 thoughts on “How Psychotherapy Works

  1. The only reason why I haven't committed suicide yet is because I don't have the guts. I know that suicide takes you to hell, so if I did, it would be either hell or just darkness forever and ever and ever.I wanted neither of these, because I don't want to be tortured in hell or stay in void for eternity! I also want to keep my great family, which is so nice to me! There is no way to confirm reincarnation unless I risk this. I wish life wasn't so hard on me!!!

  2. I cannot stop thinking of these devastating thoughts… I have improved my once weak fear of darkness, I have been getting more suicidal thoughs, I plan out my own death… I AM LOOSING MY MIND!!! I can't seem to tell my parents! ;( I need help! Please!

  3. I'm only 11 and I already have deppression, anxiety, and crippling lack of self esteem. I have already seen horrible creepypastas such as the troll video that was abandoned a long long time ago, but somehow put on air, The Grieving (a horrifying and deppessing Amazing World of Gumball video made by a small group of people mocking a (hated) guy with a child which was murdered by a crazed serial killer. Don't. Ever. Watch. It. IT IS ABSOLUTELY HORRIBLE! NO MATTER YOUR AGE DON'T WATCH IT! I watched it about an hour go, and I still can't stop thinking of Gumball hanging himself…

  4. The reason psychotherapy works especially for people who had tough childhoods is that for such people it is very difficult to let go of the "pain" associated with their painful experiences until they feel like that this "pain" is properly Validated. Which is why, if you take MDMA in a confined safe environment with someone who you are very close to, let's say a best friend, and you let it all out and passionately talk about your past pain, they will validate it for you, and you will eventually move on. That's the core of Psychotherapy, validating pain that has become too personal for you to let go of. Or if you have an open & transparent conversation with the person who caused you the pain (could be a parent – the perpetrator) and as they validate your pain and admit the fact they harmed you (even if it is due to their own trauma) then you could find it easier to move on.

    So in short, psychotherapy is validating the pain you have not processed yet from an early or recent incident in your life that left an emotional wound in you. And I found MDMA extremely helpful in somehow replicating the same environment of a patient-therapist dynamic. It took me 2-3 active years of that to reach a very good state of healing, and it continues to get better.

  5. First, I don't understand how CBT is considered not Psychotherapy in this video. Second, efficacy studies have been demonstrating for decades that psychotherapy (and that includes CBT, as well as the likes of existential, humanistic, psychodynamic, and many more) is process-based, that meaning: it's not about theoretical and technical approaches, it's about dialogical and semiotic aspects equally investigable in any truly psychotherapeutic service. CBT is just highlighted as more effective (and apparently, to my surprise, sometimes even as something different from overall psychotherapy) because it holds the majority of the studies about efficacy – it's a historical (epistemological and political) matter in science.

  6. Plant medicine plus therapy, acupuncture plus therapy… It's never going to be enough alone. Trauma is body based, stuck in our cells. Trust me, at age 36 I've finally found relief after plant medicine

  7. However contradictory it may sound, psychotherapy could not be described as an

    exact science but rather a ‘philosophical art’ based on scientific principles, logic and

    empathy.

    It is important to note that most psychotherapeutic relationships share the same

    fundamental commonalities, namely:

    -The psychologist cannot be present to assist a patient in every possible situation,

    especially problematic ones;

    -The patient must be guided to use all means at his/her disposal optimally in adapting

    to life’s demands:

    -The patient must be guided to function independently as far as possible.

    To illustrate the above, the following metaphor is presented:

    The psychologist can be seen as a marine engineer and the patient a solo

    yachtsman. On experiencing difficulties at sea, the yachtsman can return to the

    harbor and consult the engineer. On arrival, the engineer could inspect either

    the sailor’s whole boat or only that part of the boat with which the sailor might

    be experiencing difficulties. This could for instance be the rudder mechanism, a

    winch or any other part which may be giving problems. The engineer would

    analyze the problem in terms of, for instance, cause and effect and explain this to

    the sailor. The engineer always keep s in mind that at some point, the sailor may

    be alone at sea when problems arise. He also keeps in mind that the sailor may

    only be able to keep a certain number of tools at hand – those with which boats

    are normally equipped and therefore teaches the sailor how to use them with the

    best possible effect. The sailor is now equipped with more knowledge and

    confidence and can assume his/her next voyage…

    from: psychotherapy.co.za Metaphors for some psychological Concepts Coert Mommsen D.Phil (Psychological Ethics)M.A. Clinical Psychology

  8. I've just started psychotherapy with a psychiatrist, and whilst it's too early for me to comment on any possible results, I've noticed a huge difference with seeing psychologists and having some CBT sessions in the past. I don't think CBT and similar therapies are for everyone and every situation – in the case of complex-PTSD, it was hard to narrow down focus of one or a few events in CBT to change my thinking and mindset about what happened, and how I reacted and felt. But, I could see how it would help those, at least in trauma related conditions, re-frame and digest a single, traumatic event that occurred fairly recently. It's also important to note that CBT can be carried out by general practitioners and other professionals, and has been quite successfully in war-zones, refugee camps and other immediate crisis response units – see 'Transforming Trauma' by Dr. James Gordon. It's a type of therapy even the right school teacher who is trained by a psych can administer if need be in a crisis situation. Committing to psychotherapy 2x a week is also a huge step – it's the first long term and solid commitment you might be making in your life. I find that in itself is transformative.

  9. my therapist,given by national health, does nothing but giving me pills to sleep,our sessions take place once every two months,and last less than 20 minutes
    i feel like i'm just a burden,and i can't afford myself to have a better therapist,since i'm unemployed,and i basically have no money
    i feel depressed,demotivated,and i think i even started developing trust issues toward people,since it seems like nobody actually cares for me
    somehow i stil manage to go forward,but it feel like i'm moving of inertia

  10. Dear School of Life, When it comes to psycotherapy with you guys,you
    need to let peole know about the hidden existence of a waiting list as
    well as about the referral system scamy selling tactic of yours. First
    you charge £100 for a referral , then you put people on a waiting list
    for therapy with you. You knowingly do not inform your potencial clients
    about your paid referral system non about the waiting list before
    chaging them the £100 for the referral. Is that of help for people in
    need ?

  11. CBT doesn't work if you have serious issues. CBT is what parents and the schools use. I had to go into my emotions to move past them. You have to feel the fear, anxiety and shame to move past them. I'm still working on releasing fear and shame.

  12. What psychotherapies get wrong, demonstrated by a simple recipe for happiness.

    Essential to all psychotherapies is the principle that core affect (feeling bad or good) is dependent upon restructuring what one thinks about, or the ‘normative’ aspects of experience. However, for the field of affective neuroscience, core affect is instead dependent upon ‘how’ one thinks, or the ‘abstract’ aspects of experience. If this is true, then the personal control of positive affect can effectively bypass psycho-therapeutic interventions and make ‘happiness’ simply a matter of rearranging abstract aspects of one’s perceptual world. The virtue of this approach is its simplicity, predictive power, and testability, so it has a low shelf life if wrong. An exemplar of this is a ‘recipe for happiness’ proposed below.

    In affective neuroscience, it is well known that behaviors that involve continuous high and positive act/outcome discrepancy (gaming, gambling, creative work) correspond to elevated dopaminergic activity and a feeling of arousal, but not pleasure. However, for many individuals engaging in similar activity, a feeling of pleasure is also reported, but only when their covert musculature is inactive (i.e., a state or rest). Because relaxation activates opioid systems, and tension inhibits them, it is postulated that dopaminergic activity stimulates opioid activity, but only during resting states.

    This hypothesis can be easily tested and is described in greater detail below. If correct, it will demonstrate for the first time that elevated and sustained arousal and pleasure, or ‘eudaemonia’ or ‘happiness’ can be induced easily through simple modifications of abstract perceptual properties of behavior that anyone can easily do throughout the day.

    THE CONTINGENCY MANAGEMENT OF POSITIVE AFFECT

    AFFECT AND MOTIVATION

    Opioid and dopamine systems represent bundles of neurons or ‘nuclei’ in the mid brain that are respectively responsible for the affective states of pleasure and attentive arousal, and sub-serve the neural processes that govern motivation.

    OPIOID AND DOPAMINE SYSTEMS ARE ACTIVATED BY DIFFERENT STIMULI EITHER VIRTUAL (COGNITIVE) OR REAL

    Eating and drinking, having sex, and relaxing or resting all activate opioid systems, whereas the anticipation or experience of positive act-outcome discrepancy (or positive surprises or meaning) activate dopamine systems.

    OPIOID AND DOPAMINE SYSTEMS CAN CO-ACTIVATE EACH OTHER

    Taking our pleasures increases our attentive arousal, and increasing our attentive arousal accentuates our pleasure. If these systems are concurrently activated both are accentuated or affectively ‘bootstrapped’, as both pleasure and attentive arousal will be higher due to their synergistic effects.

    OPIOID AND DOPAMINE SYSTEMS CAN BE CO-ACTIVATED THROUGH THE ARRANGEMENT OF SPECIFIC ACT-OUTCOME EXPECTANCIES OR RESPONSE CONTINGENCIES

    As characterized by the well documented ‘flow response’ (pp.82-86), consistently applied contingencies that elicit pleasurable resting states and consistent attentive arousal result in self-reports of heightened pleasure and energy. This emotional experience can be easily replicated by simultaneously applied contingencies that elicit rest (mindfulness protocols) and meaning (imminent productive behavior and its uniform positive implications). To achieve complete rest and accentuate positive affect, these contingencies must be applied for periods of at least a half hour or more. Just as one sets meditative sessions to last for a set time period and frequency to be effective, so mindfulness and meaning sessions must be similarly arranged, with cumulative sessions if possible charted to provide proper feedback of efficacy. Finally, the intensity of positive affect will scale to the importance or salience of moment to moment meaningful behavior, with the more meaningful the task the higher the pleasurable affect.

    IMPLICATIONS

    Affect is as much an aspect of how information is arranged as what information is, or the abstract rather than normative properties of behavior. It follows that as a positively affective state, happiness is not just a product of what we think, but how we think, and derives not only from our pleasures but also from our incentives. Positive incentives can accentuate those very pleasures that we wish to maximize, and conversely, associated pleasure will increase the ‘appetitive value’ or ‘liking’ of incentives (or in other words, increase the value of productive work), and all sustained by simple choices within our grasp, as is ultimately happiness itself.

    I offer a more detailed explanation in pp. 47-52, and pp 82-86 of my open source book on the neuroscience of resting states, ‘The Book of Rest’, linked below.

    https://www.scribd.com/doc/284056765/The-Book-of-Rest-The-Odd-Psychology-of-Doing-Nothing

    This above book is based on the research of the distinguished neuroscientist Kent Berridge of the University of Michigan, a preeminent researcher and authority on dopamine, addiction, and motivation, who was kind to vet the work for accuracy and endorse the finished manuscript.

    Berridge’s Site

    https://sites.lsa.umich.edu/berridge-lab/

    also:

    Meditation and Rest

    from the International Journal of Stress Management, by this author

    https://www.scribd.com/doc/121345732/Relaxation-and-Muscular-Tension-A-bio-behavioristic-explanation

  13. As a graduate student studying to become a therapist, parts of this video were misleading and/or incorrect. 1) Medication is not for people who are overwhelmed by fear or anxiety. While these may be experiences for people who take psychotropic medication, there are biological and genetic dysregulations that medication seeks to correct. While anti-anxiety medication can help with extreme fear and anxiety, this is way too much of an oversimplification of medication. 2) Treatment often isn't medication or therapy. Often times, the best treatment consists of both. 3) CBT is a form of psychotherapy. Psychotherapy is an umbrella term for talk therapy. So, CBT is a school or type of psychotherapy one can utilize for certain people with certain types of mental disorders. Often times, treatment may consist of integrative therapy, which takes aspects of different types of psychotherapy to tailor a treatment for the client's needs. 3) The psychotherapy treatment that this video refers to is actually describing a school of therapy called psychodynamic psychotherapy. This type of therapy deals with a person's inner conflicts through the transference that occurs in the process of therapy. Transference also happens in CBT, however it may be dealt with in the form of cognitive distortions rather than directly as the video explains. 4) While psychodynamic psychotherapy typically is a longer term treatment, it really depends on the issues the client is facing, what their coping is like going into therapy, and other clinical factors. 5) It also mentions "stumbling upon a good therapist." While finding the right fit for therapy is so important to how will the treatment goes, there are many good therapists out there. If you're looking for some tips, Kati Morton, LMFT has a great YouTube video on the subject. It's not a product of chance, as the client takes an active role in finding the right therapist. I would say that the one benefit to this video is that it did a pretty good job of explaining what transference is. Otherwise, I would say that it has many aspects that are inaccurate or misleading.

  14. so thats why my therapist asks what I think of her…. Not sure if seeing this video was a good thing cause now I'll be looking out for what shes trying to accomplish.

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