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Psychoanalysis For Ptsd?

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Ah, okay. Thank you.

The 'approved' (by the German health insurances) therapeutic mode by the name of 'psychoanalytic therapy' is talk therapy with a couch and a therapist who tells you that you only disagree with their interpretation of your experience because of 'resistance'. It's what it says on the official site (less sarcastically, of course - it's classical Freudian methodology).

I also visited the homepage of 'that certain institute' I mentioned and it's pretty much a marketing place for Freud paraphenalia.
 
Ah... fair enough. A little sad a Government still endorses such a thing, yet each to their own I guess!!!

Saying that... Germany is quite the pioneer of excellence. Look at how mental health has become such a problem in USA for example. Most other countries don't have that problem because the therapists are held to be accountable and not allowed to just tell people they have something for the sake of providing a service.

Whilst that clinic may not be good for some real cases... I can also understand some logic of it when viewed against mental health procedures in other developing countries. Germans don't do nonsense well from my limited experience... and you do make usually the best of things that are exported (Miele, BMW, etc). :D Big fan of German engineering here. :tup:
 
Even within the US, each state has different regulations. Evidently, there are certifications for psychotherapy. I met a therapist at a conference that was from NY state and was a certified psychotherapist.

In the past couple of years, West Virginia corrected a therapist that advertised as a marraige and family therapist and also called himself a psychotherapist (not permitted). As far as marriage and family therapist, WV does allow it but the therapist had to complete additional coursework.

States regulate licensing requirements in all areas (SW, counseling, psychologist, M and F, addictions, etc) and the regulations do vary. For example, to be a counselor you must meet competency requirements in addictions, however, you cannot advertise as an addictions counselor. There is special certification for this.

I agree with Anthony-visit the clinic is the best way to discover what is actually happening. I would be interested in hearing.
 
Even within the US, each state has different regulations.
That would just make things all that much worse for all therapists across the US.

The stupid thing is, there are restrictions on therapists providing services across state borders within the US, yet the US and other nations are completing an open endorsement for the provision of goods and services across borders without the very restrictions that limit therapists within the US itself.

The Trans-Pacific Partnership should be signed this year, opening a legal context for what is already occurring:

Cross-Border Services. TPP countries have agreed on most of the core elements of the cross-border services text. This consensus provides the basis for securing fair, open, and transparent markets for services trade, including services supplied electronically and by small- and medium-sized enterprises, while preserving the right of governments to regulate in the public interest.

Australia is nationwide, you can provide services to any state, regardless of which you live within.

The www is making things easier, yet much more confusing.
 
Anthony I think part of it is money making for the regulating agencies. For example, counselors and social workers must pay a licensing fee bi annually (around $300), and to have their license renewed, they must complete a number of training in that 2 yr period (usually about 40 continuing education credits, always including 3 in Ethics). There are some regulations on those hours, ie, some can be internet which is generally a bit less costly. Often these conferences are about $40 per CEU. So the min. cost is about $1600. Essentially, the min. cost of keeping up ones license is apx $2000 every 2 years. Due to cost of administration of licensing boards, one state I know of raised licensing fee $50 and due to complaints of the increase, lowered the number of CEU's required for license renewal. Seems a$$ backward to me, as professionals need to be up to date on new treatment and expanding education.

If you want to hold a license in another state, (if you moved), some states have reciprocity-pay again of course. Other states require additional classes and re-taking the same exam that you took initially. (exam costs apx $300). Even if you practiced 20 yrs in one state, you may have to take additional college courses prior to taking the states exam in the new state.

I live in WV, but 2 miles to Ohio and 7 miles to Pa. To be licensed in Ohio would require 2 or 3 college courses and re-taking an exam. Total cost about $3500. Even though the exam is the same. The courses are repeats but must be from an Ohio school vs WV. Pa gives reciprocity to wv counselors-just pay the licensing fee. All the regulations are the same as they use the ACA code of ethics. There are some differences in what is mandatory reporting or what can be done which is governed by state laws. Some states licensing board are seperate for SW and Counselors, others have the same board. Each state is very different on the issue of reciprocity.

Many years ago when there was a shortage of social workers, anyone with a bachelor degree could apply for a SW license and if they took the exam and passed, it was granted. So a school teacher could obtain a SW license. This stopped in the year 2000, but those who had received and maintained their license were grandfathered in for life. After that year, to get a SW license (provide counseling), you had to have a masters degree in SW. However, many states need SW's to work in areas of child protective services, and those people can get a provisional SW license to do a specific job with the state, but cannot practice outside that area. That is why I have noticed that the CPS workers are often not the brightest crayon in the box.

It would be great to have a more uniform system. Particularly with issues such as internet counseling services. One could find themselves in a world of trouble for practicing without a license by crossing state lines via internet. All very complicated and quite frustrating.
 
That's what really gets me... once qualified here, I can provide services via the www to the US, regardless of the persons state, because my qualifications here do not impose such limits. My only limits is that I must factor in the clients state laws for their privacy, etc... pretty standard for any kind of counselling. Yet in the US, as you cite brat, you are a stones throw from two other states, yet cannot practice within them. Once would think states would have more joint agreements... yet I must concur with your statements, I also believe it is about $$$$.

Here, you have to have 10 hours per annum credit, either supervised or via the standard attendance at some boring conferences, workshops, etc, to remain within the association, however; in Australia it is not mandatory to be a member of an association for therapeutic services here, as there is no accredited association for counselling in Australia. Basically, you need to have a license and regulatory authorisation to manage someones finances here, but you can screw with their head as much as you like, no compulsory licensing required through an associative body.

I do agree though, remaining current in any industry, not just mental health, is really more about professionalism.

Sad the difference between countries! The stupid thing is that you can't provide services to the two states a stones throw away from you, yet you can provide the services online, email or phone to an Australian resident, without any further licensing or such, as long as you treat their privacy concerns according to their laws, not your laws, and that you are licensed in your state. It is just silly the indifference between countries when it comes to mental health.
 
This profession pays pretty low here, particularly if you work for an agency, with a masters in counseling or sw, might start around 35K tops, if you have a few yrs experience. Private practice obviously much better. But even so, insurances may pay around 50-60 hr, but you have all the overhead and some qualified employee to do office/billing.

With that in mind, I understand why some were upset with a $50 increase. Yet it has not been increased in many years. Now this increase is to offset the cost of having a more professional and production board that oversee's. I never thought 40 ceu's were too much for bi-annual renewal. As a matter of fact, I am all for more training because most therapist do not focus on only one area, such as ptsd, and see a variety of clients with a variety of issues. So for example, if you work primarily with adults and lack knowledge about kids, but you have many adults that bring parenting problems, might want to expand and chose some training on kids, etc. The things that are our passion, we tend to seek out through books and learn really well on our own. So when the state lowered the number of ceu's to offset the cost, it kind of upset me. I interpreted it as "40 lowered to 35-no problem, long as we get to hire more staff".

That being said, I have a respect for the licensing boards, as they are there to protect the public, take complaints, and make sure that those providing services are competent. I respect laws, rules, etc. but also want to be up to date on what changes are being made. Im sure their job is not easy. However, because of the attitude, therapist's will not call them when they should. When therapist's have a ligitimate question-they get scolded for asking. They are told -didn't you read xyz. Well of course they did, but its not always clear. They have scheduled meetings where anyone can attend-thats what they say, however, it is discouraged. When therapists do attend, it is questioned why they are there.

I was at a weekend training with a friend that was put on by a state credentialing board(not licensing) . During a break where fruit was served, a board member made a racial slur to a collegue about watermelon that was served. This collegue is white and her son is bi-racial. She was so taken back that she left and drove 3 hours home. Apparantly this board is primarily old white men.

If you do something wrong, even very unknowingly, you are in deep trouble. Yet the state licensing board will not comment/advise on internet counseling. So the rules are very vague, they will not clarify, only ward. Basically, the wording is very discouraging in participating in such.

People go into the field for many personal reasons, never for the money. The salary is about the same as a high school drop out working in a warehouse, half of what a UPS driver makes, less than a teacher with a bachelor degree and summers off, less than the average used car salesman. It is designed to say that you must be a little co dependent to go into the field. Even so, it is one of the most worthwhile and needed services that need to be more available for anyone that needs it, not just those with insurance.

I met a therapist at a conference that speicializes in grief counseling. She is in private practice and refuses to jump through all the hoops of insurances, and deny service to those without insurance and cant pay. So while she does not take insurance, she leaves it up to the client to pay what they feel the service is worth, with a minimum pmt of $15 per hour. She provides them with a paper that shows what the average cost of service is, explains her philosophy, and leaves it up to them. Some chose $15, some $60. She said some can only pay the $15-25 but occasionally pay $100 when they have extra to offset it. I really like her idea, and most insurances require a $10 -20 co pay anyway. She has cheap office space and little overhead, no office staff. She said she makes a good living doing it this way.
 
A little sad a Government still endorses such a thing, yet each to their own I guess!!!
There are areas in life, where personal preference doesn't have a place. Health services are such a place; insurance should only pay for treatments that are scientifically proven to produce significant results within an acceptable time frame for an acceptable amount of money. We also have private insurance firms here, and they can even pay for faith healing, I don't care, but compulsory insurance ought to be a lot more responsible.
Most other countries don't have that problem because the therapists are held to be accountable and not allowed to just tell people they have something for the sake of providing a service.
I'm sorry to disillusion you, but all kinds of nonsensical, useless and even harmful practices are legal in Germany and even provided by licensed practices - it's marketed under the term IGEL, which means 'individual health service'. Regulation of this sector is only 'being considered' at this time.

Mental health is as unregulated, as long as the provider circumvents naming regulations and the patient pays for the service out of their own pocket. These people can make all kinds of claims, use all kinds of nonsensical methods (family constellations according to Hellinger, anyone? - my therapist recommended I do a weekend of this to 'gain insight') and get paid quite handsomely while they do it.

You have this kind of vultures in every country. Self-deluded individuals and conmen, making a lot of money telling bullshit. If there is a way around a law or regulation, they will find it, and they'll make it into a highway, plastered with little nuggets of gold.
Germans don't do nonsense well from my limited experience
That must be a very limited experience, indeed. Granted, German industry develops some good products every now and then, but that same industry doesn't give a shit about the people who actually build, transport and sell those products to make a living. Also, those industry moguls, the hard working people and the politicians here are just as stupid, criminal and irrational as everywhere else in the world.

My experience is that every country sucks, just in different places.

I agree with Anthony-visit the clinic is the best way to discover what is actually happening. I would be interested in hearing.
I'm not sure if I want to invest 40 bucks for a train ticket just to see if they really follow Freud all the way, as they say on their webpage.
 
Mental health is as unregulated, as long as the provider circumvents naming regulations and the patient pays for the service out of their own pocket. These people can make all kinds of claims, use all kinds of nonsensical methods (family constellations according to Hellinger, anyone? - my therapist recommended I do a weekend of this to 'gain insight') and get paid quite handsomely while they do it.
Australia is the same... it is unregulated, however; there are still legal implications if you provide such a service, do it wrong and cause harm. This is why 99.9% of people don't do it here unless qualified, even if unregulated.

The courts here don't get the person under qualification, they get them under other laws to do with causing harm, intentionally or unintentionally, you basically can't get out of it unless you have solid records, audio and even video of your sessions. If you screw someone up, you must explain, otherwise you are going to jail or losing everything cent to your name.
 
It is very rare in the US for someone to win any kind of lawsuit against a therapist for causing harm. I know of a couple settled out of court that the therapist engaged in a sexual relationship with a client. That is probably about the most prevelant in causing harm and proving. When that is the case, the therapist insurance will usually settle. Attorneys do not even want to take such cases. I am currently aware of someone who has had a very unethical therapist but did not involve sexual contact-cant find an attorney. Matters are handled by licensing boards, but sometimes poorly.

Unfortunately, it is the stigma around mental health that punishes the clients when they have been injured through therapy. They are perceived as not credible. If a client files a complaint, their entire mental health record becomes open. So even when the therapist engages in sexual contact, the client is often willing to settle for little out of court so that their entire record is not open in trial. I know of some in patient facilities that have discharged suicidal or homicidal clients and ended in disaster and have landed in court.

I know of a case where a therapist not only had sex with a female client, but was torturous. We know there is an inequity. It went to the board, and civil suit was filed. The woman settled for little, the board disciplined the therapist with probation and requiring supervision. Never lost his license and is still up to no good. From the details of the case-it should be criminal. There is nothing in place to prosecute such cases. Very sad.

The boards have therapists scared to death in their early practice that I have seen new therapists afraid to explore good treatment and end up sitting and listening and doing nothing-out of fear of doing the wrong thing. First line of tx is do no harm. Sometimes the supervision is inadequate to help the new therapist build the confidence and skills needed for treatment.
 
Yer... it's not uncommon here for licensed psychologists to get their license back after x time, as punishment served... even for sexual relationships with clients. They get suspended for a year, then can practice again. Laws suck...

There was a huge case here last year, from memory, and the person went to jail for years, got fined hundreds of thousands of dollars and basically is screwed for life, as they promoted themselves to provide services they didn't have a qualification for, and screwed some people up, someone committed suicide, and it was all over for them. Unregulated allowed them to practice, but when someone died, no qualification screwed them over enormously... then other clients came forward to provide evidence on how much the person screwed them up.
 
I have had PTSD and made it through after seeing a psychiatrist for 4 years. Currently I am a student in a modern psychoanalytic program. Their ideas of healing is talk therapy. Whereas for me I don't know how I would have made it through without the use of medications, I do feel psychoanalysis could help with what I have learned from my schooling. I will be writing a masters paper on it soon, I would love help, advice, comments on what question I may strive to ask for my paper on the subject of PTSD as I need to start it soon!
 
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