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Doctor insights on: Why Psychotherapy Did Not Work

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Which psychotherapy or technique works best with children suffering from adhd?

Which psychotherapy or technique works best with children suffering from adhd?

ADHD treatment: It is the skill and relation with trained therapist that works best rather than merely technique. It is very important for parents to learn about the nature of adhd and brain development, to understand better what your child is dealing with. A good book for adhd education is "scattered" by gabor mate. Kids with adhd are sensitive, relationship-hungry, creative and punishment does not work. ...Read more

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Dr. Pamela Pappas
1,283 doctors shared insights

Psychotherapy (Definition)

Psychotherapy is one treatment strategy for a variety of mental health conditions. It has also been shown to help a variety of chronic medical difficulties such as chronic pain. There are a variety of therapy types including, but not limited to, cognitive behavioral therapy (cbt), psychodynamic therapy, & interpersonal therapy. Certain therapy is better suited for ...Read more


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Are there particular medications that work in addition to psychotherapy in teenagers for depression?

Absolutely: There are many medications. However, only a fully qualified medical doctor, specifically a child psychiatrist, is positioned to make this determination. ...Read more

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I have been in psychotherapy for over 17 years and on medications for 15 years....While I am somewhat better, I am now for the first time on social security disability....Due to the fact that i can not focus long enough to do any work. I am depressed, c

I have been in psychotherapy for over 17 years and on medications for 15 years....While I am somewhat better, I am now for the first time on social security disability....Due to the fact that i can not focus long enough to do any work.  
I am depressed, c

Since : Since you you have moved, is a different doctor prescribing your psychiatric medications as well? If a general doctor is prescribing your psychiatric medications, you could inquire about being evaluated by a psychiatrist. Since you are not my patient, and i know very little about your history, i can not make any specific medication recommendations. However, sometimes if depression is recalcitrant the doctor might consider using a mood stabilizer. Different therapists and different patients use different approaches to counseling. I have sometimes adopted patients who spent years in counseling but said that the time was spent addressing complaints. Improving depression and anxiety often requires making changes in our lives. Change can be frightening. If your previous counseling was not directed at making healthy life changes and you really are motivated to pull up your sleeves and do what it takes; talk to your new therapist about this approach. Good luck. ...Read more

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What's the next step in therapy when the antidepressants and psychotherapy doesn't work at all?

What's the next step in therapy when the antidepressants and psychotherapy doesn't work at all?

Differing drugs: There are several different classes of antidepressents. If those fail, your doctor may decide to augment your therapy with another medication. Electroconvulsive therapy may be an option as well. ...Read more

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Does psychoanalytic or psychodynamic psychotherapy work for children with social anxiety disorder?

Does psychoanalytic or psychodynamic psychotherapy work for children with social anxiety disorder?

It can...: Depending on the child that you are treating. No child is the same and should not be treated that way. With social anxiety disorder, it may be useful to take an eclectic approach using play therapy, social skills training, and relaxation training in working with this diagnosis that requires skill building. ...Read more

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What exactly is psychotherapy?

Talk therapy: It is a method to alleviate and cure consisting in sessions of talking; without using meds (in most cases). The basis were given by psychoanalysis (method discovered by s freud). There are many different modalities and schools. It is a fascinating area. ...Read more

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What is intensive psychotherapy?

Varies: Intensive psychotherapy can refer to many types of psychotherapy, but has the common factor of very frequent visits. This can be twice a week or even more frequent. This occurs to assist a severe, worsening, or acute condition. ...Read more

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Who gets intensive psychotherapy?

Severe illness: A best practice for cognitive psychotherapy for someone with depression whose depression and anxiety worsen is to increase the frequency of sessions/increase intensity. Generally, more intensive psychotherapy is helpful for those with severe, worsening, or relatively acute symptoms/conditions. ...Read more

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Can you undergo psychotherapy online?

It's controversial: Some approaches to psychotherapy that are more standardized (some might say "cookbook") can be done by chat or similar text channels, but in my opinion a lot is lost by not meeting in person. Some therapists use skype or other video apps. This is clearly better than text, but i'd still reserve it for situations when in-person psychotherapy is impossible. Many subtleties are lost. ...Read more

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What are benefits of phone psychotherapy?

Several..for many...: Though controversial, i find phone/skype sessions (as main service or complementary to face-to-face) very helpful in many instances: 1)if high anxiety is a central issue that could get in the way of a patient making it to the office 2)if transportation is an issue 3)if patient is out of town and needing to keep up with therapy process 4)for 2nd opinion, treatment planning or general consultation. ...Read more

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What is strength-based psychotherapy for?

Strength-based: "strength-based" describes the main focus of the psychotherapy. It attempts to create hope and change through focus on the person's strengths, as well as those of others. Many people overlook the positive characteristics they have, overemphasizing faults. "problems" are explored of course, but the focus is finding realistic, effective solutions and nurturing existing capacities for growth. ...Read more

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What's the matrix model of psychotherapy?

What's the matrix model of psychotherapy?

Addiction treatment: Primarily aimed at addition, the matrix model is an outpatient model of treatment focusing on behavior (rather than underlying 'issues') and accountability to therapist, with whom a positive therapeutic alliance is crucial (perhaps the lynchpin of the entire model). Other aspects of the model are a potpourri of common interventions, e.g. Psychoeducation, 12-step, family involvement, etc. ...Read more

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What are the different kinds of psychotherapy used?

Psychotherapy: Supportive psychotherapy, insight-oriented p. , psychodynamic p. , psychanalysis. ...Read more

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How does a typical psychotherapy appointment proceed?

Therapies differ: It depends on the type of psychotherapy. "dynamic" therapists encourage you to say anything that enters your mind (and don't speak much themselves). The therapist listens for patterns and underlying feelings, helping you understand yourself better. "cbt" therapists give "homework" exercises to help you un-learn unhealthy thoughts. Both kinds usually meet with you 45-50 min, once weekly. ...Read more

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Is traditional psychotherapy helpful for most people?

Yes: Thee is extensive research showing that psychotherapy is effective. Some years ago, consumer reports also tackled the question through a survey of subscribers. The overwhelming majority who had had psychotherapy reported that they benefited from it, including the people with the most severe problems. ...Read more

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What is the definition or description of: psychotherapy?

Therapy: Psychotherapy is one treatment strategy for a variety of mental health conditions. It has also been shown to help a variety of chronic medical difficulties such as chronic pain. There are a variety of therapy types including, but not limited to, cognitive behavioral therapy (cbt), psychodynamic therapy, & interpersonal therapy. Certain therapy is better suited for certain conditions & individuals. ...Read more

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What must I consider before starting holistic psychotherapy?

Need More Info: Psychotherapy is often holistic in and of itself; it is a healing modality that uses talking and social phenomena, behavioral exercises, and the body-mind interface. It might be easier for experts to answer the question if you could specify what you mean by 'holistic psychotherapy.'. ...Read more

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What are some alternative solutions other than psychotherapy?

Support, lifestyle: For many mental health problems, alternatives to psychotherapy can include having good outlets and support, such as friends, family, hobbies, exercise, church, and social groups. Maintaining a healthy diet and healthy outlook are important. Depending on the problem medication can be helpful as well. ...Read more

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How long is the average time for seeing results in psychotherapy? (not necessarily in my condition)

How long is the average time for seeing results in psychotherapy? (not necessarily in my condition)

It depends: This depends on the condition being treated, the type of psychotherapeutic work being done, the commitment of the patient, and the training ; skill of the therapist. For specific questions about your own situation, please discuss with your psychotherapist. ...Read more

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Did (Definition)

DID is an acronym for "Dissociative identity disorder" or "Multiple personality disorder" (psychiatric disorders). It is also ...Read more