I've read Burn's book. 60% of his patients do CBT only and 40% do meds
plus CBT. None do meds only. Changing the way you think can change
your mood and correct your chemical imbalance.

Don't believe me, get a group in a circle and do some laughter
therapy. Don't knock it until you've tried it!!!

I'd advise you to do the least invasive (CBT) treatment modality
before doing the meds, if the CBT fails. In my humble opinion and 25
years of experience, unless you are suicidal and violent, the
side-effects of the meds have done me more harm than the meds have
done me any good.

In fact, I believe it was the high doses of chlorpromazine and
haloperidol they gave me that set off the bipolar in the first place.

Dr Stanley Wiseberg, formerly of Hillingdon Hospital in Middlesex, is
dead. Anybody knows where his grave is? I'd like to go piss on it. Or
if you are in the area, please go piss on it for me.

AZKOH


----- Original Message -----
From: ygf_diary <ygf_diary@...>
Date: Sat, 12 Jun 2004 10:31:31 -0000
Subject: [BAD_MD] Re: Cognitive Therapy
To: bad_md@...






Hello,



I wonder if anyone can give advice.



I am being pulled between Phsychiatrist and Psychologist. The

Psychiatrist had prescribed medication for Cyclothemia (I think I

am actually Bipolar as I haven't filled them in on everything) but

the meds are working pretty well in general. The Psychologist,

who I have seen twice is convinced that my difficulties can be

helped through therepy only. I am very keen to do CBT because

my behaviour has been so distructive in the past, I am very

willing to commit to working hard and learning as much as I can.



However, this doesn't change the fact that I have been told by

another Dr. that I have a chemical imbalance... and for this CBT

will only go so far because I cannot control the flow of chemicals

in my brain. Yes, I can learn about triggers etc. and subdue

some changes but I came out of the consulting room yesterday

feeling very angry.



I felt that my family life was being blamed for everything. That

isn't

fair, not on my family or me... and it is quite insulting to the

Psychiatrist's diagnosis (his coleague)... Do these people ever

work together?



In the NHS, you as the patient are constantly made to feel that if

you put a foot wrong then you will lose treatment so I am scared

of standing up to the Psychologist and saying that I want the CBT

but to not approach it through past troubles. He started talking

about mood swings... he got it completely wrong.



He is blaming things on my father and I am very angry. My dad is

etcentric but not a bad person. If I say no to the CBT treatment I

will never get it again.



Have others experienced this type of problem?



I am not to see my psychiatrist for 3 months. I don't want to keep

bothering her... none of the Drs ever really listen to me... it is

like

being in a dream/nightmare where you are talking about really

serious things and people don't respond.



I can't afford to go private as I am on benefits.



Thank you.













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