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Psychotherapy for BPD

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Psychotherapy for BPD

Postby TwinkleStar » Tue Jul 11, 2017 4:13 am

Hi,
do you make psychotherapy with a therapist who is specialised in BPD patients (if you make psychotherapy at all)? I did some psychotherapy earlier, but the relationship to my therapist was not good, she did not take me seriously at all and we could not really work together. I am thinking of restarting therapy again with a new therapist. If you have experience with therapy, which one helped you the most, DBT or another?
Since I learn more and more about DBT by reading, I have the feeling that I better can analyze my behaviour in some situations and not act on them with impulsivity but instead give it time. After therapy, if it would go perfectly, would it be somehow possible to not only act in a appropriate way (like being not so impulsive), but to really "think" differently? Like not only not react impulsively with self harm e.g. when you are hurt by someone/ a situation, but to "see" the situation in a different way so that you do not feel the urge to react inapropriately? Is it more like you are able to control your behahaviour by not acting to an impulse or is it more like to developing this impulse anymore? I guess for DBT it would be this way, or am I wrong? Any experiences in regard to my question?
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Re: Psychotherapy for BPD

Postby TwinkleStar » Tue Jul 11, 2017 4:39 am

I did therapy for addiction, in the beginning it was to stop reacting on my urges, but now my thinking has also changed, I do not have urges, because I can see things clearly and I do to have to stop acting on urges but instead I do not have urges. Is it comparable with therapy for DBT?
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Re: Psychotherapy for BPD

Postby blank » Tue Jul 11, 2017 5:00 am

I've never tried DBT, but I have been in talk therapy for the last year and a half, and yeah, it helps.

TBH I don't have the mental energy ATM to get into a lot of specifics, but, I find just having someone to talk to and getting another perspective on things very helpful.

Some times we just need someone to talk to and unload to, you know?
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Re: Psychotherapy for BPD

Postby iate » Tue Jul 11, 2017 10:10 am

TwinkleStar wrote:Since I learn more and more about DBT by reading, I have the feeling that I better can analyze my behaviour in some situations and not act on them with impulsivity but instead give it time. After therapy, if it would go perfectly, would it be somehow possible to not only act in a appropriate way (like being not so impulsive), but to really "think" differently? Like not only not react impulsively with self harm e.g. when you are hurt by someone/ a situation, but to "see" the situation in a different way so that you do not feel the urge to react inapropriately? Is it more like you are able to control your behahaviour by not acting to an impulse or is it more like to developing this impulse anymore? I guess for DBT it would be this way, or am I wrong? Any experiences in regard to my question?


I have never tried DBT, however I had the same feelings as you after CBT. I started understanding my behaviour and control my impulses more.
I'm really a fan of "fake it, till you make it". Even though my CBT ended, I still worked on my new acquired sills of controlling my impulses. In the meantime I also attended psychodynamic therapy, however, it was just a waste of time and it didn't help me at all. Anyway - I worked on my behaviour myself. It took me a few years, but right now I can definitely say I really think and feel differently. To the point I don't even think I could be recognized as pwBPD anymore. It still surprises me sometimes. Like, you know, I react in totally different way than I suppose I would (no because of control, but becuase of different emotion I feel), and I just sit there a little bit confused asking myself who is the person that has just reacted like that.
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Re: Psychotherapy for BPD

Postby TwinkleStar » Tue Jul 11, 2017 5:09 pm

Thank you for your replies! I wrote I am reading about DBT..I wanted to say BPD, anyway DBT would also make sense since for BPD DBT is often recommended.
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Re: Psychotherapy for BPD

Postby toddamus » Tue Jul 11, 2017 5:18 pm

DBT is skills based therapy, think of it like a class. When a certain situation arises, you are supposed to use the skills learned in those situations to create a better outcome. At first it feels like work, but I find it helpful to think of it like working out. If you want to get in shape, run a marathon, the start is going to feel like a lot of effort, but the more you work at it the better the results, the more it becomes something you do and a part of who you are.

As I said in my DBT write up, its not talk therapy. If you have a DBT therapist you will spend time analyzing your diary cards and addressing issues as they are prescribed by the DBT best practices.

I had trouble with DBT mainly because I have issues with relationships, and those issues stem from having negative role models growing up. For me, the best therapy is individual with a person I trust who I can work on healthy relationship practices with. For me and my DBT therapist I felt as if there was an authority problem there, and I didn't trust her so I stopped. Thankfully I found an individual therapist that I have a good relationship with and things are back on track.

I still have the DBT workbook and refer to it from time to time. It is a good resource.

When therapy is successful, yes, you start to think and react differently. It is a slow process though and you'll likely not realize the changes you are making, however you will notice the differences in your life that are occurring because of them.
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