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Old Feb 13, 2008, 06:02 PM
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(JD) (JD) is offline
Legendary Wise Elder
 
Member Since: Dec 2003
Location: Coram Deo
Posts: 35,474
May I think from the other side of the desk?

Sometimes when a patient constantly displays suicial ideation and uses it to counter a Ts every move and suggestion, it's good for a T to remove all resistance to the act. Sometimes saying, yes you have that option, and no, I can't really stop you if you choose to do that, gives the patient the control they need. It often stops the patient from "hanging it over the T's head."

silent, if your T truly says this to you but has failed to discuss the rationale behind it, that you do have ultimate control, then you do need to have that discussion. If you really are planning to end your own life, and aren't saying these things to try and urge others that you are reaching out for help you don't feel you are receiving, then you do need to go to hospital.

Some diagnosis carry with them this suicidal ideation. It needs to be put on the shelf as a last resort, and never used, nor talked about once it's aired (the desire.) Knowing it's there can often help someone suffer through the work of therapy, which can be difficult at best.

Silent, your T is keeping in touch with you I hope. Or you are sending her information on a regular basis to where she knows where you are at. I hope you have some type of agreement, written or verbal, that you won't act on these particular thoughts without contacting her first.

I feel for you in this place of feeling there's no hope for change in the future. I know there is always a possibility of change. Depression will lie to you, make you think you are thinking things that are true when they aren't.

It isn't ok for you to die. No one here wants you to bug out of life. I'm betting your T doesn't either, but really cares for you. Stick around to see if I'm right, ok?

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