Not the case. Let me preface this entry by stating the problem is inherent within the system and in no way the fault of the providers (in general) This isn't an entry to "trash" the treatment providers but rather the deficiencies within the system. On the flip side I wouldn't exonerate someone that doesn't deserve it.
I believe treatment has to be individualized, personalized and based on the individual and not the diagnosis.
That is the main issue I want to raise. Our current system is designed to treat the diagnosis and not the individual. Non clinical folks make decisions driven primarily by dollars and cents. The system isn't designed to care.
Before I decided to take a break from treatment (except meds) my last intake with a new therapist was eye opening...well not for me per se' as I have previously identified these deficiencies in previous entries...but it was indicative of my point.
At the end of our hour she said that the mental health centers policy was to allow short term therapy unless you were willing to commit to DBT- then she could see me a year. Otherwise they had a waiting a list and needed to see other clients.
Let that sink in. Now this isn't an article designed to disparage DBT but also remember due to insurance and location this was the only place I could go.
Use whatever treatment works for that client. Develop a relationship. The other really big issue is finding a therapist that you connect with that doesn't either leave or your insurance changes and they aren't covered, etc...
How long someone needs to be "in therapy" is specific to each individual. Having access to that therapist long term is really the key to developing trust. You can change Primary Care and your records are all they really need. Mental health can't be captured by a file. Or a diagnosis
Saying that you know how to treat my mental health based off my diagnosis.... is like saying you know what being an orphan is like because you read Oliver Twist. It's somewhere between ridiculous and insulting. We are still individuals
Many personality disorders are accompanied by a lack of self identity. I see it all the time in Twitter comments by people I follow. They say something like "Borderlines are angrier than others"...well this is a combo of wanting to belong to something and the need to put everything into black or white. It's probably not even true and even if it were....so what? What does it mean?
I don't pretend that dealing with us isn't fun. We need lots of support, acceptance, validation of feelings, not necessarily behavior. Patience. We can be unreasonable and worse...
I'm really glad that when the encounter described above happened to me I was already in a pretty good place and in spite of many stressors I remain there...aware as I can be.
What did work for me was connecting with a therapist both early on and near the middle. One moved so that's not the systems fault...the other though was told they had to wrap me up at some point as I didn't live in their county and even though my insurance covered me they had some grant issues...which I even question the validity of. Those last few sessions I just kept thinking it was ending so I quit working.
I don't handle goodbyes well :-) I'm ok with that. Yes, I am responsible for how I handle that. I need to fight my fight or flight reflex. I won't always catch myself and I am ok with that too....just keep working on what I can .
Again, I feel blessed. Great family and early on the support from the professionals I needed. No doubt helped save my life. I worry about so many others though. So many that don't have access, can't afford meds, don't have the support system I do. Yes, in spite of my own issues I worry.
I've preached the simplicity of CVA along the way....its a start
Validation of feelings (Not necessarily actions or behavior)
Access to affordable and quality services
Pay the therapists and case managers a real wage. Help create stability for those of us already feeling unstable.
I want to end with this though.
Thank you providers for mostly doing what YOU can. You change lives