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nanite1018
post Feb 22 2009, 02:15 AM
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I've been going to therapy at my university's counseling center for about a month and a half now, once a week, 45-minute sessions. About a week and a half ago I bought Feeling Good by Dr. David Burns, apparently it is supposed to be one of the better self-help books. I finished reading the part about cognitive therapy, the lat couple hundred pages are all on medication, and I am resistant to the idea I might need that (my counselor hasn't even diagnosed me with depression, at least not explicitly, though I am absolutely certain that is at least a part of my problem). In any case, I'm not going to try that just yet, so I'm not going to read that section most likely. In any case, there are a lot of exercises in the book to help correct the thoughts that are holding me back and keeping me from enjoying life. I'm supposed to write down my negative thoughts, and correct their "cognitive errors", which I understand I make a lot of the time. I don't really have much of a problem with the theory or anything, but I find it almost impossible to get motivated to do everything I'm supposed to. I mean, battling perfectionism, a need for approval, low self-esteem, lack of motivation, etc. all at once is a daunting task. I feel like it could easily take two hours a day to do everything the book talks about to help myself, and I simply can't bring myself to really try.

I feel like there isn't a point in doing it, and I feel like I should just give up because the problem is too big to fix. I often think about withdrawing completely, dropping out of therapy, stop talking with friends, etc. I know that that will just make me more miserable. And I know that doing the exercises and really trying my best to fix my cognitive distortions would help, probably. But I feel overwhelmed, and sort of lost. When reading the book I often would start crying, because it made me think about how I was really feeling, drawing my attention to it rather than letting me push it out of my mind like I normally do. I didn't particularly enjoy reading it, even though I know if I'd just do the work it'd probably help. I don't think I'm being completely honest with my therapist either, I believe he thinks I'm improving faster than I am. I feel better to some extent when I'm there, so he sees me when I'm in a happier mood than normal. And I have a hard time really being honest, because I'm afraid he's going to judge me or criticize me. I know I should be totally open, but its really difficult, I find it hard to even think when I'm there sometimes, just sort of go blank for some reason. And I'm afraid to talk this over with my friends because they really want me to get better and I think they'd be mad at me.

Anyone else have problems getting motivated to really "do the work", and has anyone read Feeling Good? Or comment on anything else I've said, that'd be good too. :)


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Its better to light one small candle, than to curse the darkness. --Confucius
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arboria
post Feb 22 2009, 02:48 AM
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Hi nanite1018,

I notice your signature is a quote of Confucius. I've always liked that one. :)

There is a parable out there somewhere, perhaps you've heard of it, in which several men are challenged to break a bundle of sticks. Only one of them is able to actually break them because he took the time to break the sticks one by one rather than the whole bundle at once.

I think this speaks for itself, but perhaps you could try this:

Do a little mood assessment in the morning and think about what things you will face that day. Pick one or two of the ANTs (automatic negative thoughts) that relate most to what you might struggle with and focus on those for the day. You could even choose one for each week to make it even more manageable.

I'm in a similar boat as I am struggling with the death of my mother, my already existing depression, in-law problems, the stress of buying a house, and the potential loss of a long time good friend over hurtful behavior. There are some days that I have to literally go minute by minute. Many days that means spending the afternoon in bed with a cup of tea. And I accept that because I believe that that is what my mind is telling me it needs at that moment. Trust your own judgment and use the book as an aid as you're ready for it. I have heard good things about it, and I think after reading your post I might pick it up.


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Scattered13
post Feb 22 2009, 05:10 AM
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I've read Feeling Good and hated it. I've read a lot of CBT books and had CBT for nearly 2 years with a psychologist and I still find doing some of the exercises hard. It helps to start off small: Just record one thought at first and try to work on that one. Then, move up to 2 then 3 etc. Eventually it will become automatic. Tell your therapist that you're having trouble with it and ask them to work through a couple of the exercises with you.


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Dx: psychotic depression, panic disorder, rheumatoid arthitis, 'something else going on'
Rx: mirtazapine 45mg,respiridone 1mg, adalimumab 40mg, azathioprine 150mg, hydroxychloroquine 400mg, prednisolone 5mg, diclofenac sodium 150mg, codeine 30mg, zaleplon 10mg, calcium and vit.d
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aussigirl
post Feb 22 2009, 05:44 AM
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I'm hearing you 100%. I've been diagnosed with depression for 9 years now. In the past dealing with it with meds and therapy was good for me, but at the present moment, it all just seems to much. I have and do contemplate giving up on a daily basis... but I know that is not the answer. As to not been completely honest with your therapist, been there done that. I've seen my fair share over the years, and you need to find the one you feel comfortable with and will tell the whole truth. I've told many a therapist what they wanted to hear, just so I didn't have to go back... They say many depressed people are very intelligent... that being the case makes it easy to hide how you are feeling, put on a brave face, and do only what you want to do. Not always a good thing.

Good luck and I hope you are able to work through these issues... (((hugs)))


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maybe the truth is...

we hide to see who will look for us
we cry to see who will wipe away our tears
and we get our hearts broeken to see who will care enough to fix them again
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Torchwood
post Feb 22 2009, 07:35 AM
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I'm in CBT at the mo and i have trouble doing most of the exercises, i guess it takes practise which i dont have the motivation to do and alot of it can be due to not being able to focus properly, when i'm depressed i find it hard to focus & get mind blanks so i find meditation etc. really hard.


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Clare

I dont know whats right or whats real anymore, i dont know how i'm meant to feel anymore - Lily Allen


Insanity Is Hereditary - You Get It From Your Kids!

Current DX Borderline and Avoidant PD'S mixed and Bipolar II
Meds - Seroquel and Escitalopram

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