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Old Oct 30, 2009, 02:34 PM
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lonegael lonegael is offline
Grand Magnate
 
Member Since: Aug 2009
Location: Sweden, back of beyond
Posts: 3,448
As said again, both are right. But when the disorder gets so bad that people are really not responding much to world, then trying to do therapy is really difficult if not impossible. Where I work we have a rule that people with chronic pain with up to moderate depression are taken into our program, but severe depression interferes too much with the learning and coping processes. It takes on it's own life, see, and there, neither therapy nor deciding to change things works. The same can be said of the depressions that come on with bipolar disorder. If I could tell you the number of therapists I have seen....
Many people can be helped with therapy or attitudinal help of other types until the body and the brain get to a certain point where the chemicals that help you recover just aren't produced anymore. Much of the same thing happens with pain sensitisation; everything hurts, everything is exhausting and the brain just does not process the signals coming in. At that point, it's time for the heavy artillary, someitmes before you can start on talk therap at all. Some people go almost automatically down to the bottom without hanging around at the more malleable stage.
Peg, another thing to remember is that depression often has clinical anxiety as a companion. Some people get to the point that even getting out of bed is not only a huge physical step to make, but utterly terrifying when they get that depressed.
I think it is very easy to offend people who have been doubted and questioned constantly for many years, though I know you didn't mean it that way. Better you asked than that you not. I really hope I didn't offend anyone here. Can we find a way to end this on a more positive note?
Thanks for this!
Anonymous29311, Catherine2