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Originally Posted by Sometimes psychotic
So as far as anxiety meds my pdoc was like are you having so much anxiety you literally can't sleep at night? That's when it needs medicine. For anxiety there is this tendency to give benzos which are super addictive and don't actually teach you to deal with the stress. You just learn that you can mute it whenever you want with a drug and never learn to deal with the underlying problem. They are supposed to be used as a short term intervention but people end up on them for years and have to keep increasing the dose. There are however other things for anxiety like Paxil and others---they aren't quite so much a quick fix though.
Personally for anxiety cbt therapy is fantastic because you deal with the underlying problems which is the way you're choosing to deal with the situation. It inserts a new layer of analysis into your cognition. Problem I'm going to start hallucinating again and hallucinating is scary so I'm scared. So you would take it apart and say OK what are the percent chances you're going to start hallucinating and I'll give you a hint its not 100%---how often am I actually hallucinating percent of time hmm only 5% that actually sounds almost tolerable---how much time am I wasting thinking about hallucinating vs actually hallucinating? If I worry about hallucinating can I actually change whether I hallucinate or not? No in fact its increases the chances as its a stressor. SO it might happen or it might not if I have no way to control it then it doesn't matter if I worry about it or not nothing will come of it. The thing is these analytical processes are very person specific what will stop her from worrying will be different than what will stop you. Knowing its not real might seem reasonable to you but in the moment you don't know its not real so that rarely works. In my opinion she needs a therapist to help her with this and people who specialize in anxiety are easy to find however finding one who will deal with anxiety of invisible things might be harder to find in this country---I admit I had a specialist but I suspect you might be able to find someone who can deal with basic stressors like friends teasing etc....the beauty of this is once you know the process you can do it with any anxiety its all equally applicable. There are also books specific for cbt for psychosis although most are directed toward professionals.
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oMGosh. Every day I have the same conversation with her. I break it down just as you explained. I do it everyday because she forgets.
She has a therapist but the therapist doesn't seem to think there is anything she can do to help her. There are no child therapist that know how to work with schizophrenia. Very frustrating. I even mentioned to this therapist that if she could please work with Bean about reality checks but she just does not understand. She has now changed her schedule and we'll be seeing being for 1/2 hour every two weeks instead of one our each week. I'm disgusted. I'm trying to find a different therapist but they're very few of them around here.
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