When Therapy (outpatient) and hospitalization (inpatient) aren't effective ... what 3rd options exist?

Question

Hi. I guess for while i've circle around this question. In seeking help i've felt it important to realize that I have and am trying, even if it's not in the forms that seem to work. Hence, my question, having tried multiple therapy/group progams and hospitalizations and asking in here .. i know, even if i don't believe it, that i'm trying to get help.

What i've also noticed are my shortcomings on getting help ... given my lack of socialization, economic status, insurance, etc.

Though i get that recent line is somewhat an excuse, so what isn't. My journals indicate all the things i don't want to be, or do, or become, though can't seem to list any of the do's (no matter how much i've tried). I get i have multiple issues ranging from detachments, isolation despair, etc.

So, the ? is, what options are there. I know i'm not suicidal, though i know i'm not an extrovert nor any desire to become one.

So what do i do, thinking more is needed to be posted by me?

quick clarifications ... yes, i do walk 3-6 miles every day (to and from work) ... no, i don't take meds (last 2 therapists, a few yrs ago recommended not taking them stating issues are personality, not chemical). though thanks for early bit of advise.

Thanks for the advise so far, though presently it's ideas i've considered before (obviously you all couldn't have known that). lol, maybe i'm seeking a 8th or 9th option, who knows.

i feel as two persons, the one knowing i need help for which i don't think is out there and the other who still has the ideation of hoping to not wake up.

Though i also know i can't go anywhere since i pay the bills for myself and others (others are actually disabled).

Wondering if maybe the issue is i have no respect and am disgusted with myself, but no concept of what happiness is for i can't see a lifestyle out there that appears happy to me, who knows. Still looking i guess

Thanks for the ideas regarding ECT. Been informed ECT doesn't work for those with dysthymia (mild depression), schizoid/narassistic personality disorder ... which is my situation. Though again, i do appreciate the 3rd option.

If there are any more out there, (since to be honest, tired of a dozen attempts of therapy, group therapy, and meds) and seeking something else out .. let me know (though not pray ... spiritual but not religious so please no "come to God" ideas .. okay, thanks.

Answer 1

Question: are you the kind of person that gets suggestions from professional caregivers (therapists/psychiatrist) and answers "...yes, but..." and then explains why it can't/won't work?

I'm working on a hunch here that may be totally wrong, but in my practice I've found it very difficult to treat patients who will reject all suggestions made for various reasons. They usually end up being the treatment failures, and being convinced that no one, no treatment, can help them.

If this sounds like it could possibly be you, consider doing therapy and medication and following the suggestions given instead of finding reasons why they won't work. I know that involves trust and that may be a hard thing for you, but it's the only way I see you getting better.

If you have tried everything and nothing's worked you are an ideal cadidate for ECT (shock therapy) as the success rate for turning around episodes of major depression is better than any medication. However, in order to maintain gains made there, you'd need to continue with medication and therapy afterwards, or else the positive effects would likely be lost quickly.

ECT has an 80-90% success rate in turning around serious depressive episodes; best antidepressant works no better than 50% of the time.

Answer 2

The third answer is to just keep on keeping on. Find a good therapist that you can connect with. That makes a big difference. There is the option of taking meds if you are not already doing so. Try to find thing in the future that you can look forward to. I don't mean way off in the future but maybe next week or next month. Anything other than that seems a bit too far away. Notice if you are enjoying any part of the day and try to recognize what it is that is making you feel a little better at that moment. Try to hold onto these ideas of what you like. Best Wishes

Answer 3

maximum actual therapy centers have the two. Inpatient is in lots of cases long term value extra. often, which skill a affected person needs be taught a thank you to speak, walk and in certainty can't safeguard themselves for a time being. Outpatient therapy could be somebody that needs suggestions with mobility or the kinfolk transports them back and forth to the power. There needs must be the comparable as an inpatients, besides the undeniable fact that they are no longer housed on the power. i'm undecided what state you're in, yet you could only do a seek for actual therapy clinics on your section and easily ask in the event that they provide the two. stable success

Answer 4

Hi,
What I would do would be to try a very serious kind of mental hospital. If you are truly trying to get help (and I believe that you are) but other places aren't working, try going to a serious, more tough-love kind of place. Sure, it may be hard, but it will all work out in the end. Also, try doing things that you are afraid of that don't harm you or anything. For example, if you fear going to a movie theater and seeing a movie, I would highly suggest going to see a movie, even though you might be afraid of it (not saying you are or anything, just using this an an example.) And once the movie is over (again, example) think to yourself about how you conquered your fear. You don't have to go to a movie everyday, just start out maybe once a month. Try this example with things that aren't dangerous, but that you fear.
I'm praying for you and I hope you get the help you deserve!

also, pray. God will always help those that call on Him.

Answer 5

ECT gives you memory loss which can be perminent. One women who I saw in a psychiatric unit had had it and even after years after having it she still could not rember people who she'd known for years. I personally would not touch with barge pole. It's not contrevershal and has to be oked by more that one doctor because of it's proven track record and lack of side effects!

I wish you the best of luck and hope you find something that is what you beleive in and not what others are telling you to believe in. I hope it works out for you. I have bi polar II and depresssion is no fun.

Answer 6

I'm not sure yours is a case of depression, but it's said that sometimes electroconvulsive therapy works when antidepressants don't. And a less invasive form that incorporates magnetism looked promising when it was announced.

"Shock therapy" is probably near the bottom of the list of things depressed people would like to try, but continuing in a depressed state probably isn't near the top.

Good luck.

Answer 7

meds. and walk 3 to 4 miles a day. all the best :)