i am being offered dynamic psychotherapy for the bpd that i have, when ive been told the correct therapy for?

Question

BPD is dbt dialectal behavioural therapy.
should i refuse the treatment offered and complain that its not the 'right' therapy for my disorder? or should i accept what is being offered?
can anyone please advise?
iam 30 and want to move on with my life, so i dont want the incorrect therapy

Answer 1

Psychotherapy is resurrected under "new" names to keep those wedded to individual psychotherapy competitive with the newer and more effective therapies arising from the cognitive-behavioral therapies. "Dynamic Psychotherapy" is just a renaming of an old mode of treatment with limited applications in today's world.

Dialectal Behavioral Therapy (DBT) was developed by Dr. Marsha Linehan to SPECIFICALLY address the needs of the BPD person. BPD is her specialty. It also has proven effective with other personality disorders as well . . . but it's main effectiveness is with BPD.

I have good long time friends that have BPD. They are successful in their life and friendships because of Dialectal Behavioral Therapy. I encourage you to reject the ISTDP or DP as inappropriate to your specific diagnosis.

What I see as someone who deals extensively with human dynamics everyday is that DBT focuses your interaction with yourself and others in the present moment. It is a 2-tier approach; you have your connection with the therapist and then you practice the skills in a group which is merely a microcosm of what "real life" is like.. It is extremely effective. And it is something you can use immediately apart from the group and therapist.

I want to congratulate you on asking that question and of being concerned about BPD and what is the best treatment approach. You are approaching this with the right attitude and that is over half the battle.

Be patient. It takes time to change old behaviors and integrate new and healthy behaviors. DBT will make a difference in your life.

P.S. I reported Julius C ... I have never read a more inappropritate and callous response. What a jerk!

Answer 2

DBT was first used to treat borderline personality disorder and the results was so good that it has now been used for other disorders like bipolar disorder. let me tell you this therapy will make such a massive difference to your life. I really mean everyone I have ever talked to about this therapy swears that it changed there lives for the better. I think you should do the therapy they offer and try and get them to also look at letting you have the DBT. psychotherapy is very good and may help you a lot well you are waiting for the DBT. I think you really have to be at a certain point in your disorder for DBT to really work and it maybe that is why they are not offering it to you right now. take care good luck

Answer 3

I'd say go to the group therapy - what have you got to lose?? If it's not for you then stop going, but if you don't try it you won't know. When I was severely depressed and in hospital I was asked whether I wanted 1 to 1 counselling/therapy or to go to the Open Therapy ie group therapy. I was adamant that Open Therapy wasn't for me and said that I only wanted 1 to 1 therapy. It's worth noting that sometime before going into hospital I had had 1 to 1 Psychotherapy which was meant to be CBT (Cognitive Behavioural Therapy). However, we did a bit CBT but mostly delved into my childhood and upbringing. A while later one of the staff persuaded me to try the Open Therapy, and I attended many sessions and much preferred it to the 1 to 1 therapy I received whilst in hospital. You feel less alone, you realise you are not the only person with problems albeit different ones, it's more interesting and you learn about other conditions etc, you can contribute thereby helping others which in itself helps you because it raises your self-esteem. No-one else will judge you or look down on you because you are all in the same boat. You can choose when to join in and when you don't want to them you just don't. You say that you have problems socialising with people, the only way this can improve is to actually socialise and doing it in group therapy is doing it in a safe environment. I say, give it a go because if you don't try it you won't know whether it was for you and whether you would have benefitted from it. Also, ask the assessor or therapist whether there are any groups specifically for low self-esteeem because a friend of mine has been referred to one by her therapist and it is helpful. I thought my self-esteem/confidence wasn't great until about 8/9 years ago until I did a Confidence and Assertiveness Course with MIND and discovered there were people out there who had lower confidence etc than me.

Answer 4

You cant always get dialectal behavioral therapy everywhere. Sometimes you have to take what you can get. If you can get it, ask for it! If you need to get a new therapist to get it, do it. Psychotherapy will help, but it probably will take longer. Do want you need to feel better faster.IMHO.

Answer 5

the best thing you can do is discuss it with the psychologist.
Have them explain to you exactly why this treatment is being used and talk about the options that are available for you.
Therapy can help you in a lot of different ways but first you need to have someone take the time to sit with you to discuss it.
Sorry this answer isn't completely helpful but when it comes to matters of mental health you're best bet is to talk to a psychologist and not the general public.

Answer 6

cognitive therapy is supposed to help bpd as well.

I would take it and if it doesnt work after a few months see if you can get the other type of therapy

also it depends on your insurance.

good luck

Answer 7

Take it whilst it's offered. Have you never heard of the expression "Nothing ventured, nothing gained"? It might be the start of the end of all your problems, and it's not as though you've got to pay for it is it - WE have !

Answer 8

I am not clear on what it is...but will look it up...I think that making a decision, without really checking it out, would be a sad mistake..but I fail to see what would make you a 'fruit loop' as someone here labeled you....I felt that was a comment completely out of order, ...I feel that if that is the case, it sure takes one to know one....but beyond that,...I think that I would research it for sure,...it might be something that helps, you just don't know right now. You might start here, in the U.K. with this explanation: http://www.cpsych.org.uk/dynamic.htm