Wednesday, May 19, 2010

HumP dAy May 19th, 2010

Welcome to our new addition here at My DBT Life. Granted not all new ideas are good ones, so please bear with us while we get used to this one. I figured that we all work so hard on a daily basis to reach our goals that it would be of particular interest for us to share with one another how we get through the entire week.
Ok, so here is what I came up with. I decided I wanted to touch bases with everyone mid-week. Our Sundays can be something big to take in, we have a lot of reflecting to do from the week previous, we are taking in a lot of new ideas and concepts as it relates to our skills, or perhaps we are getting good reminders of skills that we are learning in our groups or therapy. Either way you look at it, we are working hard everyday towards recovery. So I figured on what many term the day as “hump” day, let's get you through the hump and onto the rest of your week. Give you some fuel to get you on to the next...


If you feel specifically unfortunate as of late, by all means take a gander at this gal:




Seriously, not only are people coming apart at the seams and acting out in ways that are unimaginably faulty, but now they have a cheering squad? Yikes, this is the type of behavior that anyone of our BPD sufferers would consider 'out of control' I think this gal, and her support person could use a little mindfulness. This type of news bit is funny and odd, yes. But also disturbing.


While I was on my hunt for something to share today, I ran across this:




Wow, I laughed so hard I literally cried. It was good therapy, I suggest everyone give it a go.


Finally, I wanted to share a bit I found from a doctor on BPD. Although in general his site was very informational and I seriously do feel there is a lot of honestly good information to be found there, I couldn't help myself and my strong opinions when I read myth #6 of his 7 myths about BPD. Follow along if you will:




On this home page, you can scroll to the end, and he will have a link posted to the myths about BPD, the following is an excerpt from his site, mind you he is telling us this is a myth:


Dialectical Behavior Therapy (DBT) is the Psychotherapy of Choice in Borderline Disorder

This myth appears to be the result of the misinterpretation of very good news for some patients suffering from borderline disorder. DBT is the most systematic and carefully studied form ofpsychotherapy for patients with the disorder.[remember most systematic & carefully studied, it proves noteworthy later on] It has now been shown to be more beneficial for some patients with the disorder than the usual treatments they receive, or even alternative forms of care provided by some experts in the field.20 [italics are mine]Those who have been shown to benefit most from DBT demonstrate suicidal and other self injurious behaviors, and require or request numerous brief hospitalizations, primarily for these actions. [ok, ok, wait a minute here, the myth is that DBT is the therapy of choice for BPD patients, so that must mean that in reality DBT is NOT the therapy of choice, yet, DBT is what? what did his statement moments ago say? read it again 'the most systematic carefully studied' I don't know that sounds like a good reason to be optimistic, that also sounds like good news and I don't think that would be a misrepresentation of that info. however, he also makes a strong link to this therapy being so useful for BPD patients with the list of symptoms there, that are actually BPD symptoms! So what he is saying then, is this form of therapy not only has been studied very systematically specifically for BPD, and it has brought some patients good news (I can only assume he means good results) but it also proves useful for those with BPD that actually have symptoms of BPD but amazingly enough is not the choice of therapy for those with BPD. hmmmm oh yea, and did you catch what else he pointed out?Go back and read it, I italicized it for you]

The beneficial results of DBT are obvious [again, noteworthy]. However, a serious misunderstanding has developed about the implications of the research data related to DBT. It appears that some patients, families and mental health care providers are so eager to determine an effective and prompt treatment for borderline disorder, that they have made the unfounded assumption that DBT is more effective in general than other forms of psychotherapy in the treatment of borderline disorder[ok, hold the phone, first of all, yes, my family and myself were very eager for treatment, but is it really an unfounded assumption? Aren't assumptions based on something that hasn't really been researched thoroughly? Wouldn't that be a direct conflict with his first notable statement? Now, this I really do not get, he claims this is an unfounded assumption that DBT is more effective in general than other forms. Well, let's let that sit...in general, haven't we already established that by his own admission that patients displaying some of the most common BPD symptoms have benefited from DBT in fact, once again read the italicized bit in the first paragraph...it has shown to be more beneficial...but now he says, unfounded assumption to be more effective in general. boy, my heads spinning how about yours?] . DBT has not been shown to be more effective3 or less costly21 than other forms of psychotherapy for symptoms of borderline disorder, other than those described above. [when put with the italicized sentence in the first paragraph, this sentence doesn't even make sense.]

This issue is of additional importance as many patients and families search in vain for therapists who are specifically trained in DBT when the treatment may not be indicated, and do not seek help from therapists highly skilled in other forms of therapy who would be of help. [this may be true, some may pass up perfectly good therapy simply because it is not DBT, probably not likely enough to necessitate an entirely convoluted 'myth' section about DBT though]

It is well to remember that in medicine, simple cure-alls for complex disorders are extremely rare.[where in the world did he get the idea that DBT was being billed as a simple cure-all??? Perhaps he doesn't mean it specifically to this, but come on, who out there with a diagnosis of BPD (or any other mental illness for that matter) has some silly notion that there is a cure-all, none-the-less one that is SIMPLE! I want simplicity in my recovery, where do I sign up!] This is equally true in borderline disorder, whether one is referring to medicationspsychotherapy, or any form of treatment.



Ok, so that was fun. He has a book too. . . that could be hours of fun, maybe even days. Seriously though, there is truth in what he is saying here, and if I had to sum up this myth? I would probably label it, "Myth #6 - DBT is the only effective treatment. Understand there are success stories as well as failure stories, in DBT, CBT, other typical psychotherapies etc. Don't get hung up on the latest and greatest, research your options and don't stop until you have come to something that works for YOU!" There, done. P.S. I went to leave a comment for the good ol' doc, until I read his disclaimer for responding to comments, and I figured he would not perceive my comments useful to his site. Therefore I did not leave one.


This is what got me over hump day, what about you? :)

MJ