I had seen this woman as a patient only once before, but I had seen more like her than I could count. She was in her late fifties, like me. Her gray hair fell in waves down her shoulders, Alice-in-Wonderland style. All of her clothing was childlike, too. If her hair had been blonde (as she had insisted it once was and was still meant to be) she would have looked, from the back, like a little girl in her calico dress.
She had been “traumatized” by her family. She didn’t want to talk about details and was more than a little surprised that I made no effort to push her to divulge them. She wanted to tell me about all the types of psychotherapy she had studied and learned, or even more she wanted to tell me about all of the great and famous figures of psychology she had met personally, and how wonderful they were.
“I don’t care if you met God himself or—–herself.” She was not happy with my response, but by now she had enough sense not to be surprised. She was labeled as a “borderline personality disorder” as well as a “treatment resistant depression.” She had refused anything even remotely resembling an antidepressant; she was worried about all kinds of side effects. She was on diazepam (generic Valium) and would accept nothing else. Among other things, this drug would do a fine job of keeping her depressed. She would not consent to anything else and it seemed to have helped minimally with anxiety. The choice of medication had been only one in a garden of self-sabotaging choices. She had been a training patient for a couple of generations of therapists, none of whom seemed to have been able to do her the least bit of good. Read more on If You Are Stuck — Try Dancing…
Filed under Psychotherapy by on Jun 10th, 2010. Comment.
She was a depressed woman in her 50’s, on conventional antidepressants, who I saw in a clinic. She had none of the “neurovegetative” signs of depression. That means, she slept well and ate well and her mood was acceptable. All of the things that we generally measure in antidepressant response were there, so there was really not a lot more for me to do, except to renew the prescription. I did ask a few questions.
Did she have a purpose in life? Yes, she had a job in a bookstore, which she enjoyed, and grown children, who had babies of their own, and she loved to play with them, but they lived a bit of a distance away, so she could not play with them as often as she liked.
So I asked her what was the most fun in her life. She started laughing wildly, and stamping her foot. I knew this had to be a good answer, and I was ready. I thought she was going to talk about drugs or sex. I was really surprised with what she came up with.
Read more on Happy Dances and the Contact High…
Filed under depression by on Dec 3rd, 2009. Comment.