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CBT and Suicide

Started by Satyrane, December 01, 2014, 09:51:49 PM

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Satyrane

Every time I leave my therapist, I become more ill than I was when I walked in. She uses cognitive behavior therapy (CBT). She said she was confident that I was intellectual enough to understand it and benefit from it. She asks me questions that expose all the irrational and destructive beliefs I feel to challenge them. I find that this process is reinforcing the beliefs, making them more complex and ingrained, and awakening dogs that the medication was putting to sleep. The worst part is that I feel it is all my fault that the therapy isn't working. It's my own stubbornness, hubris, and fear of change (chiefly the fear that my identity will be erased and reprogrammed by outside forces for their benefit) that it causing this pain. All she is doing is asking simple questions, and I don't have the strength or sense to let down my mental defense mechanisms and learn to be a half-decent person.

I have gone backward in my recovery since seeing her. I am once again believing suicide is the best option for an unstable, useless person like me. I have once again set myself on a death clock: in two weeks, after finals, I will kill myself if I still feel like it. I have the tools I need to self-immolate. I've researched the effects of this method of suicide, and I have no fear of the pain or the consequences if I survive.

I don't even know what I want out of therapy anymore; I'm not even sure if I knew to being with. I've learned it's not to change my perspective. I apparently like being filled with hate and sadness. If I didn't, I wouldn't be so antagonistic to help, right? I picked this person specifically because I thought not only would she help me with depression and self-destructive thoughts but she also specialized in LGBT related issues, and I thought she could give me referrals to endocrinologists and help me coop with the stress of transition. She knows I'm trans, and totally accepts it but she downplays it greatly. She says its only a small part of me, and I will grow out of believing it's such an important part of my identity (kind of like how gays and lesbians stop waving rainbow flags everywhere the longer they're out, as her example). Heck, she downplays all facets of my identity. All we do is focus on my crazy, irrational schemas, and at then end the session they are more crazy and irrational.

I am I right to believe its my fault the therapy isn't working? I read discomfort is common in the initial sessions of CBT; should I just try to work through the pain ? Has anyone else heard of these kind of powerfully negative effects from CBT? Is there any other schools that could work out better for my issues (I'm a fan of Jungian psychology but I don't know if that will actually help or I'm just romanticizing)? If I don't know what I want out of life and so obstinate to change, should I not seek out a therapist at all? I feel like transition is just not an option for me because of all this. If I do, I'll still be all kinds of screwed up in the head, and might even make myself worse but if I don't, I definitely will never truly make a recovery, and might make myself worse.

I'm sorry I'm burdening you with such serious and personal issues. I find that this forum based communication is the best why to get my thoughts clear, and understand the thoughts of others. I just want to get some perspective. Thank you, and I'm sorry.
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Tessa James

I see this differently.  If you are feeling worse to the point of suicidal ideation please run, don't walk, away from this therapist.  The credentials for being a therapist do not keep some from being enchanted by their personal perspectives. 
I too had a psychologist long ago who was strictly CBT and he wanted no part of trying to understand my troubled past.  He was convinced I was simply gay and transgender in those days was rarely on anyones radar.  I told him I didn't feel at all like a man and he said "a lot of gay men don't."  BS is not restricted to bulls;-)

Yes therapy suggest a relationship that is therapeutic.  Sometimes we are challenged by uncomfortable revelations during therapy but that sounds different than what you describe.  Please know you are no burden to people here.   We want you to feel supported, not sorry. 
Open, out and evolving queer trans person forever with HRT support since March 13, 2013
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PinkCloud

I became suicidal in therapy. My therapist nearly drove me to it. I quit and found another therapist, and thing went better for me.
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cathyrains

@Satyrane
Are you also attending group CBT sessions? Group sessions are an integral part of CBT. It's unusual for your CBT to consist only of one-to-one sessions with a therapist.
Exceptions to the norm do not constitute a spectrum.
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JulieBlair

Satyrane,
You are never at fault in a therapeutic situation. If you are being challenged, good.  If you are looking at things that are uncomfortable in safety, good.  Gender issues for me were the core to recovery.  It is a big thing, and for me has been for years and decades.  If it was me, I would talk about my concerns and refuse to allow them to be minimized.  You act from where you are, and that may not be helpful but it is where you are.  Stay close, and know you are never a burden.  Listen to Tessa :)

Julie
I am my own best friend and my own worst enemy.  :D
Full Time 18 June 2014
Esprit can be found at http://espritconf.com/
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Cynobyte

Satyrane, are you doing better?  The holidays are also hard.  Feel free to contact me or any of us if you want to talk.  Our stories may not be the same, but we are all here for each other..  the goal with therapy is to feel better than when you went in.  It sounds like you need to tell her it's not working or better to just go elsewhere and she will understand.  In time after you get this worked through, you will feel better, but it is hard.  I still feel suicidal every once in a while and especially when it rains;(  I have friends I just contact and meds to take to work through it.  We all have to find our coping mechanism.  We will be glad to help you find yours;)   I don't get out of bed much, so I should be easy to find.. take care.. jamie
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MrSeahorse

You need to find a new therapist. That one is clearly not working for you. I also find CBT distressing when it's intensive and 1 on 1. Group CBT sessions saved my life. I was in an outpatient psych program where I did a lot of group CBT and dbt sessions. FWIW, I was intensely suicidal until I increased my meds significantly. Try to find some new mental health professionals. If you can't do it yourself, find someone to make those calls for you. That's what I do.
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