Topic: Cognitive behavioral therapy case study
April 26, 2019 / By Alberta Question:
I really honestly hate myself. I stopped going to school last year because of my anxiety. I tried online schooling(ecot) but had a horrible experience. At the beginning of this year I tried to go, and it worked for a couple weeks but the anxiety got to be too much. Im doing an online school now and I stopped going for a few weeks and I cant even go in the doors because of my anxiety. my parents really dont understand. Every time I try to open up to them now they yell at me. Im going to counseling but I cant talk to my counselor about anything. And now I have an amazing boyfriend and awesome friends and all I want is to go back to regular school like a normal kid but im just so overwhelmed and I dont know what to do. I hate myself so much. Im more alone than Ive ever been and I just wish I didnt exist. And now the law is getting involved and whenever I think about any of it, it feels like I cant breathe and I start to tear up. I need advice, and as much of it as I can possibly get because I honestly cannot do this anymore. If I fail school this year Im probably just going to kill myself. I dont know what to do anymore. Does any one have suggestions?
Trevelyan | 7 days ago
Think about this for a minute - do you hate yourself or do you hate this problem you have? If you hated yourself, you'd be saying, "Hooray - they're gonna lock me up! I deserve to suffer!" You don't really hate yourself. You want to be good to yourself. You're just frustrated with finding how to be good to yourself.
It may be that your counselor is not up-to-date with the latest treatments. There's some good things you might not know about, and I'll be happy to tell you about them.
One very important thing is the mind-body methods. In Jan. of 2014, Time magazine had a cover story, "The Mindful Revolution," that was mainly about Mindfulness-Based Stress Reduction. It also mentioned Mindful Schools, which has reduced violence in high crime neighborhoods by teaching kids how to respond in stressful situations (basically, it's just cooling down with at least two slow breaths so you can get calm and think carefully about the best response). A book that seems to be as important as MBSR is one by psychiatrists Richard Brown and Patricia Gerbarg, who have spent years studying the effects of controlled breathing on the autonomic nervous system, moods, and mental health. If you just breathe slowly, 5 breaths a minute, about 4 seconds inhale and 4 seconds exhale, for 20 minutes, that should make you feel better. They say that doing 20 minutes twice a day is an actual treatment for anxiety and depression. Their book is The Healing Power of the Breath. In their book, they talk about other mind-body things that help - body movement and meditation. If you're interested in meditation, PalouseMindfulness, an online version of MBSR, is recognized by universities and mental health profressionals and it's absolutely free.
There's a lot of cross-over between depression treatment and anxiety treatments. The following is a list of depression treatments. These are things you can talk about with your counselor.
PLEASE NOTE: this information should not be considered authoritative and it is offered only for educational purposes. None of these treatments are recommended for a particular case of depression. People suffering from clinical depression and people who have reason to believe that they may have this problem should consult with a qualified professional.
1. COMMON TREATMENTS
a. Cognitive-Behavioral Therapy
This form of therapy, generally administered by a clinical psychologist, is
aimed at teaching healthy attitudes and habits. A published program that has been validated through clinical testing is used. This is standard treatment for moderate and severe depression. Dialectical Behavior Therapy, a form of cognitive-behavioral therapy that makes use of mindfulness methods, was designed to help people with serious self-destructive behavior problems and can be used to treat depression. (See "Mindfulness therapies, below.")
Whereas many people benefit from these drugs, conflicting results have arisen from studies analyzing the effectiveness of antidepressants in people with mild to moderate depression. Stronger evidence supports the usefulness of antidepressants in the treatment of depression that is chronic or severe. In 2004, the Food and Drug Administration told all drug makers that they must sell their antidepressants with warnings of increased suicidal thoughts and behavior in children, teenagers, and young adults. Psychiatrists, who specialize in prescribing psychotropic drugs, often work together with clinical psychologists, seeing patients mainly to monitor progress and change prescriptions when necessary.
2. COMPLIMENTARY TREATMENTS
The word "complimentary" should not be confused with the word "alternative," which means rejecting what has been scientifically validated in favor of something else, ranging from an herb rumored to help to a good luck charm. A complimentary treatment is one that can be used with other treatments, including those recommended by authorities. The best treatment for a case of depression might be a variety of treatments.
a. Self-Help Based on Cognitive-Behavioral Therapy
i. The Feeling Good Handbook by David Burns. This best-seller by a psychiatrist and CBT expert is the book recommended most often for depression by professionals. Studies have shown that Burns' writing is helpful for adults, teenagers, and elderly patients with mild to moderate depression. Because this research is fairly new, it's not clear who benefits from reading as therapy. Comprehension level and belief in the power of the book are suggested as important factors in Handbook of Self-Help Therapies (2008), which reviews studies.
ii. MoodGYM. With 750,000 registered users, this virtual therapist is offered online by a university - free and anonymous.
iii. Recovery International. Regarded by some as the original CBT program, this self-help organization began in 1937. It has books and
meetings, local and online. Because it relies on the ideas of its founder,
psychiatrist Abraham Low, it has, perhaps, the disadvantage of never adopting new ideas, but people continue to benefit from it. The program's emphasis on motivating people to go through activities of daily life is especially helpful to people with difficulty leaving their homes because of fear or depression and people who feel that they "can't get out of bed." The You Tube video "Managing anger and fears to lead a productive life" is a news report hosted by Greg Gumbel.
b. Lifestyle Therapies
i. Therapeutic Lifestyle Change. Based on extensive lifestyle research, this program for stress and depression makes use of simple elements of lifestyle, things we all need anyway. It's a common sense approach that helps with all kinds of depression. TLC is mostly easy if not downright fun. The Depression Cure, a book by Univ of Kansas project head Stephen Ilardi, explains TLC in simple language and provides advice for dealing with problems like insomnia and the program's risks (for most people, slight). A psychologist's review in Metapsychology online calls it "a splendid book."
ii. Controlled breathing. Psychiatrists Richard Brown and Patricia Gerbarg have pubished a number of papers on the effects of controlled breathing on the autonomic nervous system, moods, and mental health. In their book The Healing Power of the Breath, they recommend a 3-way approach: controlled breathing, body movement, and meditation. (See Mindfulness therapies, below.)
iii. Mindfulness therapies. Hundreds of studies have shown that mindfulness can help with stress and coping with chronic pain. Also, studies have shown that it is very effective in preventing relapse after recovery from depression when combined with cognitive therapy techniques for dealing with obsessive thinking called rumination. Books: The Mindful Way Through Depression, Full Catastrophe Living. Audiobook: Mindfulness for Beginners. The You Tube video "How mindfulness can change your life" is a 24-minute program from the Univ of Massachusetts Medical School. A free online version of MBSR, the subject of that program, is available. It's known as PalouseMindfulness and it's recognized by universities and mental health professionals.
c. Cranial Electrotherapy Stimulation
Not to be confused with "shock treatment," this treatment, which makes use of very small pulses of electricity with a device that can be powered by two AA batteries - like a TV remote - has been used in Europe and Japan since the 1970s. It's available in the UK without prescription. The FDA, expressing concern about possible seizure risk, has put it in the by-prescription class, although a review by the National Research Council found no significant side effects. Information is available on the Internet. Three products are mentioned here, in alphabetical order. You Tube has videos with physicians interviewed, such as a news report on Miami University's use of the Alpha Stim in a program to help people suffering effects of recent hurricanes. Studies showing the benefits of CES are cited at the CES Ultra website, with the claim that "only the CES Ultra has the configuration that was used in independent, university-based studies." The Fisher-Wallace company offers its device with a money-back guarantee.
You need to see a mental health professional for a complete diagnosis and to get on a solid treatment plan.
aww im sorry, huggy i dont know if ur willing to hear me or not but god is testing us to care about everyone purley love god and love good poeple who care when its hard if u ever need a friend or need some company or idk [email protected]
but dont share name city etc onlien an keep a good pw ok? it is ok to not do wel in shcool but not easy by any means is it bullying or something? can u fight it off with the caring i told u of? pleae?
Originally Answered: School absences due to anxiety?
I totally get where you're at, because I was like that in high school (I just graduated this year).
I have DSPS - or, Delayed Sleep-Phase Syndrome, and basically that means that I have a hard time falling asleep before 3 AM (no matter how hard I try, I just couldn't fall asleep!), making me constantly sleep deprived and because I lacked sleep, I'd have a hard time waking up in the morning. It wasn't uncommon for me to miss the first couple of classes and miss full days because of it. I couldn't wake up and when I would, I'd be a walking zombie for most of the day. Then, in the evening, my body would finally start waking up and I couldn't get to bed at a good time. Everyone would tell me to just sleep earlier, but I couldn't - and trust me, I tried! I constantly get yelled and speeched at about responsibility by my teachers, my parents and even my principal, got pulled out of class and got pretty much got asked if everything is okay, and if I was into hard drugs or my parents hit me or something (I don't even drink alcohol and my parents wouldn't ever hit me).
Then, it happened a couple of times when I missed a week straight of school because I missed the first couple from not waking up, and I'd become so stressed and anxious about what to tell my teachers and the load of homework I'd have and the awkwardness of people asking me why I wasn't there that I'd "procrastinate going to school" - I also have tense-afraid procrastination problems (or whatever it's called) - and it made it worse.
I only found out about DSPS in the last couple of months, and I wish I knew about it then, because I would have at least known what was wrong with me and I could've better explained myself and I wouldn't have needed to constantly lie about being sick and where I was. Like you, I wasn't missing or skipping school because I wanted to - I just couldn't wake up in the morning, and because of it, I'd start getting anxiety, and I'd start feeling depressed and stuff because I felt like I should be able to wake up on time, but I just couldn't - and it made me feel like a failure, and I'd get treated like I was a lazy, irresponsible individual just because I couldn't get up on time and I'd be too tired and zombie-like to actually do my work in the day time. Thing is, when I'm well-rested and on my own schedule, I'm actually very productive and full of life - I'm just nocturnal and my internal sleeping clock is different than most.
You mentioned you have a sleeping disorder, but do you know which kind of sleeping disorder you have? If not it might be good to do some research and try to find out. I always knew I must have had one, but I never knew what I had.
If I could go back and explain to them all, teachers, principal and fellow students, what I had, I'd explain what I had to them like this; my internal clock is different than most people. It's like if they'd get switched from working days to nights, they'd have a harder time copping with it and they'd be zombies, too - but we'd probably thrive in that environment.
Most people have a hard time understanding what they don't have and aren't familiar with, so I'd say if you can somehow relate what you're going through with something they're familiar with, it might help.
I wish I would've known more about what I had in high school so I could've done something about it.
I'd suggest for you to do some research on the conditions you have (if you haven't already or wish to know more about them) and use the information and examples you find to be more convincing when you're trying to get your mom or anyone else for that matter to take you more seriously. I know the pain of not being taken seriously because no one would take me seriously if I ever tried to explain to them that I wasn't an insomniac but I somehow couldn't sleep at night - it was FRUSTRATING - until I found out what I have, now I tell people I have DSPS and explain what it is and they're more understanding. You might even find and learn ways to better manage your sleeping disorder or anxiety or something - I learned a couple of methods to help my DSPS, they're not perfect but because of them I'm better off now than I was before.
I'd also suggest that you to go talk to the councilor or the principal or anyone that can help you. If you can get a doctor's note or something, that would be great. If they realize that you can't control it and you sincerely can't wake up in the morning, they'll usually be understanding about absences.
It can be hit or miss, though. Sometimes they'll be willing to help you, and other times they might just ignore you. Don't let this discourage you - they just don't understand. Keep trying if you must and remember - you can't help it! You have trouble with your sleeping, and because of it, you can't wake up from being so sleep deprived. If they start blaming you and saying you're just irresponsible or crazy or something, they're dlcks.
Again - a doctor's note may help.