Schizophrenia - General Discussion
in Psychology & Therapy ·
Eric Mitchell55 said:I’m still having a hard time coming to terms with the fact that I'll be on medication for the rest of my life. It’s heavy, knowing I’ll be managing this condition indefinitely, just constantly hoping to stay in remission for as long as possible. Looking back at the stretch between age 14 and 19, I went through six episodes—which works out to a little over one episode per year on average.
Lately, I feel so disconnected from myself. I struggle to trust people, I find it hard to believe what I see right in front of me, and I definitely don't trust what I hear. Everything just feels... surreal, like nothing is quite real.
To be honest, I’m scared of what life has in store.
I have had—unfortunately, if I am being honest with myself—the opportunity to participate in group therapy sessions, though constraints regarding space, time, and, let's face it, money, meant I was often grouped with severely psychotic patients.
We were talking about so-called short-term group psychotherapy. It is such a neglected form of treatment; I haven't heard of anyone practicing it since, nor do I know if anyone even still does.
Over time, I realized that the facilitators of these therapies treat different patients in entirely different ways—they employ distinct approaches that yield vastly different results. Does that make sense?
Initially, based on a patient's history and medical background, the therapist would assess the stability of their Ego. With patients whose Egos were, shall we say, completely overwhelmed by psychotic experiences (think severe cases of schizophrenia or those "neglected chronic" types...), a very specific approach was taken. The goal wasn't necessarily for the patient to fully grasp their condition, but rather to help them adjust their orientation from their internal world toward the external world.
This particular style of therapy demanded an immense amount of effort and total commitment from the doctors—from the psychotherapists, specifically.
Then, there was also this focused method of short-term group therapy designed for less severely ill individuals—or perhaps more accurately, those who are partially ill and approaching recovery with much more ambition.
In those cases, the work was more educational in nature.
It could essentially be broken down into three parts.
1. Helping the patient accept assistance from another person within the group.
2. Providing them with some way to understand their own "maladaptive" behaviors.
3. Pointing out potential provocations or dangerous situations related to the illness, such as a regression or a relapse.
If the group can help a patient recognize these triggers and find a way to avoid them, then that therapy is a success. Is that not the ultimate goal?
There is so much more to say—I could write pages upon pages—but I have noticed that this type of therapy is incredibly effective, yet it remains completely forgotten and overlooked.
Generally speaking, group therapy works, provided one attends regularly and the sessions are conducted properly.🙂