Councelor Archives

I am in a close and very tender relationship with someone, who might be suffering from PPD. He has been reading the symptoms and the characteristics and feels they totally describe him. He is willing to get some help. He has a great mind, is quite mature emotionally and is open to discussing his problems of mistrust and his ungrounded suspicions. So he manages to have his paranoid thoughts under control most of the time, though I dont know with what cost.

Once a month though something irritates him and he has a burst, accusing me of trying to hide information from him, being manipulative and a liar, being flirtitious etc. He really insults me and I feel so rejected and angry, since I am a pretty straight forward and loyal person, I hate lies and manipulative behaviors- it’s just not me! Although I know at these moments he cannot control his thinking and although I know that trying to confront him with logical arguments doesnt work, I started falling in this trap lately. I cannot not “not react” when being falsely accused and I can not find a smooth way to put my limits. Recently I got extremely raged and lost control- it’s so tiring and hard to respond calmly all the time…

What is the best way to behave when I am being verbally attacked about things I “have done”, that have nothing to do with reality? Just leaving the spot doesn’t really help, because he will come back with the accusations. Confronting him is helpless too. My patience starts to reach its limits as far as this issue is concerned, but then again he means so much to me- I really need to find a way to make this part of our relationship. So does he, he really tries hard, but it all goes away when “it gets” him…

If he starts therapy and manages to stay in therapy, is there a point in seeing the councelor together some time? How can I bring myself to keep control of my anger? I failed once already, even though I kept repeating to myself “dont take it personally, it’s over him…” Not to get hurt from what he says? But also not falling into the trap of admitting things I never did just to stop this attack? How can i put my limits?

Your boyfriend should be evaluated by both a therapist and a psychiatrist. The therapist might suggest therapy. The psychiatrist will most likely focus on medication. In most cases, both therapy and medication are integral parts of a comprehensive treatment approach to mental health problems. He should also have a medical evaluation to rule out a possible physiological problem.

If he agrees to therapy, it would be advantageous for both of you to meet with the therapist. Therapists often request at least one session with a client’s significant other, especially when there are problems in the relationship. The therapist may request to see each of you individually. He or she may want to see you together; it depends on the therapist.

If your boyfriend chooses not to seek treatment, then I would highly recommend that you see a therapist. A therapist could assist you in dealing with the anger you have toward your boyfriend. A therapist could also offer guidance about what your “limits” should be in the relationship. The therapist, based on a detailed description of his behavior, might also be able to determine if your boyfriend has a mental health disorder.

His behavior is unusual, and it is damaging the relationship. He should seek help immediately. If he is unwilling to seek help and his behavior does not change, you will need to decide whether you should or should not stay in the relationship. The “find help” tab can assist you in locating mental health professionals in your community. I wish you the best of luck.

Dr. Kristina Randle

I don’t really know how to explain the situation, but I deal with a lot of family drama, my parents have kind of high expectations, with the stress of school on top of that I became extremely unhappy and kept all of my emotions in and I wore that fake smile everyday until I finally reached my breaking point. I started self harming for about six months until my mom found out and suggested an inpatient program at a hospital. I refused to go because I didn’t know if it was going to go on my record which could possibly affect my dreams of becoming a psychiatrist. So, instead she sent me to a councelor who I’ve been seeing for about a year now. She sent me to a psychiatrist when I first started going to her and I was diagnosed with depression and put on medication but I stopped taking it a month after it was perscribed. I have a major fear of choking and drowning As well and can’t swallow pills. I’m still having major problems with the depression And My anxiety has been very bad, I’ve been considering talking to my parents about finishing the year by taking online classes. Because I need to get away. But what I really want to know is, how can I deal with depression and dig myself out of this hole? It seems like everytime I get so close of beating in, I get nocked right back down to the bottom. I’m still seeing my therapist but it’s not enough, my mom is still pushing me to go back on medication but doesn’t understand my fears. Is it even possible to beat this without medication? I also apologize if a lot of this doesn’t make sense.

Thank you for writing. Of course, you’re making sense. You’re asking good questions and you’re trying to take care of yourself.

Finishing the year online might help you temporarily “get away” but your problems are going to stay right there with you. Whether you stick it out at school or do the work online, you’ll still have to deal with the depression and anxiety.

Yes, it’s possible to get out of depression and to calm anxiety without medication. It takes eating right, getting some exercise every day (enough to get those endorphins going), getting at least 8 1/2 – 9 hours sleep every night, and really collaborating with your therapist to learn new ways to cope. These are all things you should be doing with or without meds but it’s even more important if you’re trying to be med-free. It’s certainly worth a try.

But here’s another thing to think about: You say you want to be a psychiatrist. If you are going to be prescribing medications to others, it’s probably important for you to learn as much as you can about how to help someone like yourself feel comfortable about trying medicine as an assist. You’ll have more empathy for your patients and you’ll be able to do your work with integrity.

Do have a serious talk with your therapist about your goals for therapy and your sense that things aren’t moving along as you’d like. You could bring this letter and response to your next session if you are hesitant to talk about it. I wonder if she knows about your fears of drowning and choking.

Please don’t give up on your treatment. Be as honest with your therapist as you can possibly be. She only has what you tell her to go on. And don’t give up on your dreams of being a psychiatrist. Some of the best doctors I know are those who have been through their own troubles. They can relate to their patients because they know what it’s like to feel discouraged and they know what it takes to gain a sense of balance again.

I wish you well.
Dr. Marie

Councelor

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