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Short term vs long term therapy opinions and experiences

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I don't think it's fair for you to say who is severe and who is not based on diagnosis alone. Every disorder ranges from the minimum to be diagnosed with highly functioning people to the other end of the spectrum of great severity of symptoms with minimal functioning and minimal stability. You will always have some people who have PTSD (a non-severe disorder under your assumptions) who struggle far more than some people who are bipolar (a severe disorder under your assumptions). I'm not sure if perhaps you're minimizing your own disorder or if perhaps you don't understand how severe PTSD can be. Given the suicide rates of PTSD, I'm pretty sure that it's a severe disorder!
 
Given the suicide rates of PTSD, I'm pretty sure that it's a severe disorder!
I think you're now confusing PTSD with depression. Those with depressive symptoms, get a depressive diagnosis, comorbid to their PTSD one. PTSD does not cause suicide -- depression does.
 
I don't do well with short-term therapies, because I know the modalities like the back of my hand. If I could train myself to function without actually dealing with the shit, I would have done so successfully years ago. I desperately NEED a long-term therapeutic relationship to learn how to be a human, interacting with other humans, since that's something I never learned to do. Basically, I started with therapists to treat the PTSD, but it wasn't until I discovered and began working on the Autism Spectrum issues with my current T that the PTSD issues have started calming down. Now, the PTSD is pretty much under control completely, but I still have years of therapy learning human interaction before I can quit. I've been with my current therapist over two years now, and will continue with him until I am satisfied that I don't need him anymore. Besides, I have a lot of abandonment and betrayal issues that need to be worked on still, and my history is one where people disappeared after 2 years, every 2 years, so I need to break that cycle...who better to attempt that than my T?
 
@Abigail7 I inadvertently had forgotten to add PTSD to the list. I believe PTSD is a spectrum and it is harder in cases when there is comorbidity. Also, it depends whether it is PTSD or C-PTSD.
 
@Abigail7 I inadvertently had forgotten to add PTSD to the list. I believe PTSD is a spectrum and it is harder in cases when there is comorbidity. Also, it depends whether it is PTSD or C-PTSD.
@UniversalBeing I am not sure where I would fall in your thoughts regarding long-term and short-term therapy. I have been working with my T for almost 3 years. I have been diagnosed with C-PTSD with MDD. However twice during our work together therapy has been hijacked by other issues first emergency brain surgery and dealing with the aftermath of that then 18 months later suffering a mini-stroke in the middle of a job interview (didn't get the job big surprise). It has really only been a total of 18 month the last 12 with major improvements. Do I think that my T is stringing me along for the money? No Do I think we will be working together forever? No, I am currently looking for other jobs almost all that would take me out of the area (minimum 2 hours away) it is my goal to process my multiple traumas before I would relocate but that still remains to be seen.
 
In my opinion long term or short term doesn't matter really. I don't know how many therapist's I've been to before I actually found one who gets me. We've gone through our challenges, but in my mind all of my parts agree that she's a keeper. I also feel like she's as anxious for me to get better as I am. She doesn't have a problem getting clients because she's good at what she does.
 
I started with simple talk therapy In the middle '70's as I was not diagnosed until '92 with PTSD, I went for depression and anxiety... was having flashbacks and did not know that was what was going on.. had been told all my life that I was crazy. So didn't mention it... very short term as I moved back to my original home area..... two years of CBT... but also had consistent 12 step help.. which in many ways is the same... but not... Then had another T that specialized in Gestalt, it was called then... I probably made more progress in that short period than all the others combined..because I could not express any feeling except rage.. a few more 'talk therapies' and have been pretty much on my own since... last time I was in therapy was probably in the early 90's.... I have read and continue to read things that apply to my situation... have probably filled my tool box more from reading that therapy....and just finding out what works and what doesn't... Clear about my triggers which are only a few, as in two, because have done a lot of healing.. and my stressors... well, just life ya know...

I just finally got to the point of being tired of having 'paid friends'... I do not feel any of them were money mongers as I was, and still am very poor so had to have sliding scale T's..... but the combination of all of them, were what i needed at the time...

I have unrecovered memories that have never surfaced... and at my age... they can stay where they are...what was remembered was enough. I'm ok for the most part today... have my moments,,, but not months and years anymore... so short term worked best for me....

Great thread by the way.... thanks....
 
@anthony
Be independent and just focus on the question,
I apologize if my comments did not come across as independent and on point to the question. That was not my intent I was trying to make the point that there are those of us that have ended up in what is considered long term therapy due to new and different challenges/traumas occurring while we are in treatment that are best dealt with while fresh rather than letting them fester.
 
What has been your experience with therapy? Long term vs short-term? Are the therapists that get directly to the heart of the matter more efficient and more successful or do you benefit more from long-term therapy? Do you think or do you have experience where you felt a therapists was dragging you in therapy for long time because of her financial needs or other unresolved codependency issues?

It is no where near that simple. Trauma plays a HUGE part on therapy.

Taking the first year out of my therapy being he didn't know the real reason why I was there (due to me, not him) and to get me to stop coming onto him and actually stay seated and listen, it was IMPOSSIBLE to get all of my trauma out of me in one session or even a few sessions. Its an hour a week! And there are details and then stuff I was still doing today (and apparently still dive back into). That takes a TON of trust to tell him of those. Trust takes TIME! In my case, a ton of time and over time I felt more and more comfortable to tell him more and more.

That took 2 yrs. Going once a week for an hour a week for 2 yrs to tell him all of it.

Then I had Stolkholm Syndrome (advised by my therapist - I will not debate this) that took years to get through. Years! With that, my family took about 3 yrs of my therapy alone.

So are at 6 yrs already if not going into 7. I have been in therapy, once a week, for 8 yrs. It is not about getting to the point off the bat or the therapist wanting money. It is all based off trauma and how slow that takes. It isn't a race. I also pace our therapy. He goes off of how slow or fast I need to go. Actually, at this point, he almost seems to be rushing me a bit. I am activitly doing something that helps and is proactive to help me function in the future. Training a service dog for myself. He seems to be positive that I am not just distracting and I get the feeling that he will wrap this up soon ish. Like a year or so. And I am not sure if you are advising this or not and don't want to assume but I have been seeing a lot of 'if you are in therapy X long then you are stuck/want to stay sick' etc. That isn't the case at all. Not for me and not for many.

If you felt like therapy wasn't being paced by you then I would have said something (though I wouldn't assume she just wanted to pad her pockets) and going to a new therapist sounds like it was a good thing for you. But many, like myself, it would have been determental to my mental health to have rushed to the point. Also given 2 "therapists" had sex with me, and 2 ended sessions because I was "wasting their time", that would have been the end of me or at least of my going to therapists! I was forced into therapy as it was so it wouldn't have been good at all! Slow was and is the only way to go with me.

So those are my thoughts, feelings, and opinions on the matter.
 
I have to say that while I would LIKE to believe the idea of 3-5 years, I don't think that's very likely with me.
I'm at 3.5 right now and it's just not going well. Pretty sure that's a me thing.

Depression, PTSD and suicide are all very strangely intermingled and yet (for me at least) very much a separate thing all in and of itself. I'm not sure I could even explain that well enough to be understood.
 
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