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Thoughts - mental health care professionals of our era

A page in the diary "Accept, Adapt and Appreciate: How?"
Written by nw4m Aug 5 2008 08:41 PM

This post is partly in response to Jaded's recent post about the mental health care professionals of our era.

I share the same/similar concerns and maybe feelings of disappointment or confusion expressed by Jaded in her post.

As she mentioned in her post: 'shrinks just don't have time to talk to us and therapists have too many clients leading to long waiting list. it's really sad'.

I have just visted my doctor a couple of weeks ago as part of those usual follow-ups (it's mainly to check if I had finished my medication, ask a few questions about what I am doing and..that's it).

I took up the courage to ask about whether I could be referred to a mental professional who can have more time to discuss various issues within me. He said this is called 'psychotherapy' and it is not widely available in Singapore. Furthermore, it would be expensive, both short and long-term.

He recommended me to go check out Counselling and Care Centre, where counsellor Mr Anthony Yeo is. He's the one who pens fornightly columns in Sunday Times about life and emotional well-being and replies letters by readers.

Actually I had already checked out the Counselling and Care Centre's website before this visit. For those who are interested, http://www.counsel.org.sg/index.htm. I also know rather clearly that it would be an expensive treatment option. That's why I have not taken any action to contact the centre and am unlikely to do so for some time to come.

My psychiatrist said as a matter of factly that he would not usually recommend psychotherapy to his patients unless a patient specifically asks for it and has shown the determination to be able to co-operate well with the assigned therapist in all sessions.

As he put it, there is no point in recommending psychotherapy to patients or for any one to go for such sessions if one is not ready/willing/unable to decide and act firmly to help him/herself recover.

I took the opportunity to recommend the doctor a book that I had finished reading. It's a memoir by a recovered Borderline Personality Disorder (BPD) patient. She's now happily married with kids and is doing well with her job as an accountant. It's called 'Get me out of here' by Rachel Reiland.

I personally feel it is a really insightful and touching read. Her conversations with her psychotherapist, Dr. Padgett during all their sessions gave me an introduction of what psychotherapy is about. This memoir also touches me cos it speaks of hope, recovery and most importantly, unconditional acceptance and concern.

Go read it. It may be helpful in some ways, be it whether you have BPD or not.

Tata for now. ^_^

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Comments from the community:

aiya; vent here lor, this site's still FREE; or find me n tell me all ur probs n viceversa haha-- dats for thick skinned pple like ME...

Written by 71damsel, Aug 5 2008 11:41 PM

hey nw4m, thanks for reading my post. hell yeah, it's really disheartening.. the attitude of our shrink sucks. it makes me more sad than angry. and yeah who can afford the high cost of psychotherapy treatment man.. it simply further depress me. my ex-therapist is charging $120 for an hour session. that's almost 500 bucks per month. it's insane cos thats like half of my salary ):

i have read Reiland's book (one of my shrinks diagnosed me BPD so i read everything i can find on the label). well, that sort of treatment is only available in US i guess and she did mentioned she spent alot.

sigh?

Written by Anonymous, Aug 6 2008 12:42 AM

Yes, psychotherapry is very costly and requires high level of committment from the patient - I used to pay more than a hundred per month for my sessions as a private patient in CGH (though I pay less now becos I downgraded). Besides the high cost, the committment to work with the therapist is very important otherwise its a waste of time and money.

As someone who is undergoing long term psychotherapy, I would say that treatment works for me as it helps me to cope with a lot of things - I would not be able to function if not for the therapy because my therapist has taught me some important stuff that really helps.

For me, I was recommeneded to go for therapy (and it so happens that my doctor then felt that therapy would be good for me) so it doesn't necessary mean that the request for psychotherapy treatment always has to come from the patient, especially if the patient is treatment resistant (like me). The doctor should recommend it if it is suitable - pills are not the answer therapy teaches one to cope with illnesses and issues etc. Psychtherapy goes a long way in helping me and if not for it, I would have been far worse off.

Written by Annieluv, Aug 6 2008 01:05 AM

yup psychotherapy really helps. i learnt really useful skills such as CBT. i guess the only problem is lack of good therapists. what happened? i thought psychology is a popular course? where are all the qualified 'psychologist'

Written by Anonymous, Aug 6 2008 01:27 AM

Don't worry, I am trying my best! =p

Written by Annieluv, Aug 6 2008 01:34 PM

you get well first lah.. don't stress yourself.. nobody wants a easily stressed up therapist

Written by Anonymous, Aug 8 2008 09:09 AM

I guess I recovered without pyschotherapy. Before reading this post I thought I have pyschotherapy from my pyscharist. I agree with you all that our psycharists are ....... I met a few that are "monotonous" and want you to leave the consultation room as quickly as possible. However, I am very happy with my "long term" psycharist as I am with him since the beginning of my sickness. I guess I learned a lot from him, sometimes I am quite slow in getting his "signals". Until after some self reflection, I realised what he is saying to me. I think he is the only or second person who knows me the best. It can be quite sad and disheartening when a patient needs some sort of support and then the pyscharist is like "robot".
I guess not everyone makes a good psycharist. Imagine you have to listen to people's complaints all day long. Can be very stressful. I think it is important to know what kind of person we are and to accept ourselves. I say this to people who are afraid to make mistake and have a tendency to seek people's approval. In my job, I have met some "shameless" people who "accept" their wrongdoing and they think they are right. Whatever bad things that have happened, you need to get over it and life still goes on. Think of your future to be a better one instead of worse as long as we do not repeat our mistakes. I am happy as long as I do not "harm" anyone, my conscience is clear.

Written by emmanuel, Sep 20 2008 12:30 PM