assessing suicidal patients

Поділитися
Вставка
  • Опубліковано 22 лис 2024

КОМЕНТАРІ • 11

  • @NanePirumyan-x5f
    @NanePirumyan-x5f 6 місяців тому +1

    Thank you, very interesting.
    I had ISTDP therapy in Germany for 6 Months. I have to be honest and say that I was even more annoyed that I ended up having to reconcile with my parents and the people who hurt me. I finished the therapy full of anger and disappointment. May be I have to try it again with another Specialist.
    I feel a lot, I can feel the pain from everyone from my past und present. But I felt me alone as someone who needs help in this therapy. It was like to give everything to others und stay alone there (emotional).
    Does ISTDP have some kind of religious touch? I feel myself not comfortable with outcomes of this therapy. It can also be, that I did not understand the core of this therapy. It is complicated for me. Thanks.

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +2

      The research is clear - some therapists get better results than others. It's the person of the therapist, rather than their method, that seems to matter. I am sorry to hear that you complied with suggestions that did not resonate with you. Try again!

  • @gabrielmello3476
    @gabrielmello3476 6 місяців тому

    Thank you. Can your model treat psychotic disorders?

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +1

      Some Psychiatrists who prescribe medication as well as conducting ISTDP have gotten some remarkable results with psychotic patients.

  • @bizarrebroz3424
    @bizarrebroz3424 6 місяців тому

    I would love to know what we as the depressed patient can do in an emergency. Where I live, these suicide helplines say they can only talk to you for 15 min and then it's literally bye Felicia with no further support. I have a psychologist but I have to wait for the next appointment and, though I'm BPD, I am totally aware of and respectful of boundaries and know that I cannot and will not expect her to talk me through a crisis at 10pm or anytime outside of our scheduled session. I respect the boundaries of our alliance. I have no family and only casual friends. Are there any online resources we can utilise in times of crisis? I don't have these bpd suicidal episodes often. I was in remission for 25 yrs but suddenly it's back and I feel totally alone. Felt suicidal twice in two weeks and it feels really heavy, like I'm carrying a whole bucket of stones in my chest all day every day.

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +4

      Ask you therapist for resources in your area. In the meantime, track the precipitates to your suicidal thoughts and have an honest look at whether there is anger at others that you are turning inward. Best to you.

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd34 6 місяців тому +1

    "cash in his chips", "pull the plug".... Can we no longer name death as death??
    just buggin ya, great vid as always. I remember Dr. Jonathan Shedler saying one time that when we're dealing with suicidal patients, we really want to know 2 things: What makes them want to die? And 2. What makes them want to live (in other words, why _haven't_ they killed themselves yet?). The S.I patient presents with an internal conflict: to live, or die?

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +3

      I meant no disrespect and appreciate your comment. Patients have conscious thoughts about why they might want to live or die but we really need to get to the unconscious source of their suffering in order to help them heal.

    • @SylviabombsmithUjhy75bd34
      @SylviabombsmithUjhy75bd34 6 місяців тому +1

      @@patriciacoughlinphd1852 agreed. I'm sure Shedler would suggest approaching the work around uncovering the *unconscious* reasons for the S.I, rather than try to get that information from the patient at some *conscious* level (at least I hope so! He is a psychdyanmically-trained psychotherapist like yourself after all! 😃)

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +1

      @@SylviabombsmithUjhy75bd34 I know Jonathan well and we approach clinical situations in very similar ways. He is great.

    • @patriciacoughlinphd1852
      @patriciacoughlinphd1852  6 місяців тому +1

      @@SylviabombsmithUjhy75bd34 I know Jonathan well and our approaches are quite similar.