I say, thirteen is too many dogs for good mental health. Five is pretty much the limit. More than five dogs and you forfeit your right to call yourself entirely sane.
Even if the dogs are small.

E. Lockhart

Tags: humor dogs sanity psychotherapy



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As Louis Cozolino Ph. D., observes, a consistent theme of adult psychotherapy clients is that they had parents who were not curious about who they were but, instead, told them who they should be. What Cozolino explains, is that the child creates a "persona" for her parents but doesn't learn to know herself. What happens is that "the authentic self"--the part of us open to feelings, experinces, and intimicy--remains underdeveloped.

Peg Streep

Tags: depression psychotherapy trauma



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How does your patient, doctor?

Doctor: Not so sick, my lord, as she is troubled with thick-coming fancies that keep her from rest.

Macbeth: Cure her of that! Canst thou not minister to a mind diseased, pluck from the memory a rooted sorrow, raze out the written troubles of the brain, and with some sweet oblivious antidote cleanse the stuffed bosom of that perilous stuff which weighs upon her heart.

Doctor: Therein the patient must minister to himself.

William Shakespeare

Tags: sorrow depression heartbreak psychiatry psychotherapy mental-health antidepressants



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Psychotherapy works for the treatment of depression, and the benefits are substantial. In head-to-head comparisons, in which the short-term effects of psychotherapy and antidepressants are pitted against each other, psychotherapy works as well as medication. This is true regardless of how depressed the person is to begin with.
Psychotherapy looks even better when its long-term effectiveness is assessed. Formerly depressed patients are far more likely to relapse and become depressed again after treatment with antidepressants than they are after psychotherapy. As a result, psychotherapy is significantly more effective than medication when measured some time after treatment has ended, and the more time that has passed since the end of treatment, the larger the difference between drugs and psychotherapy.

Irving Kirsch

Tags: psychotherapy better antidepressants



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For people who are depressed, and especially for those who do not receive enough benefit from medication of for whom the side effects of antidepressants are troubling, the fact that placebos can duplicate much of the effects of antidepressants should be taken as good news. It means that there are other ways of alleviating depression. As we have seen, treatments like psychotherapy and physical exercise are at least as effective as antidepressant drugs and more effective than placebos. In particular, CBT has been shown to lower the risk of relapsing into depression for years after treatment has ended, making it particularly cost effective.

Irving Kirsch

Tags: depression psychotherapy antidepressants good-news cognitive-behavior-therapy placebo



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For example, in order to identify these schemas or clarify faulty relational expectations, therapists working from an object relations, attachment, or cognitive behavioral framework often ask themselves (and their clients) questions like these: 1. What does the client tend to want from me or others? (For example, clients who repeatedly were ignored, dismissed, or even rejected might wish to be responded to emotionally, reached out to when they have a problem, or to be taken seriously when they express a concern.) 2. What does the client usually expect from others? (Different clients might expect others to diminish or compete with them, to take advantage and try to exploit them, or to admire and idealize them as special.) 3. What is the client’s experience of self in relationship to others? (For example, they might think of themselves as being unimportant or unwanted, burdensome to others, or responsible for handling everything.) 4. What are the emotional reactions that keep recurring? (In relationships, the client may repeatedly find himself feeling insecure or worried, self-conscious or ashamed, or—for those who have enjoyed better developmental experiences—perhaps confident and appreciated.) 5. As a result of these core beliefs, what are the client’s interpersonal strategies for coping with his relational problems? (Common strategies include seeking approval or trying to please others, complying and going along with what others want them to do, emotionally disengaging or physically withdrawing from others, or trying to dominate others through intimidation or control others via criticism and disapproval.) 6. Finally, what kind of reactions do these interpersonal styles tend to elicit from the therapist and others? (For example, when interacting together, others often may feel boredom, disinterest, or irritation; a press to rescue or take care of them in some way; or a helpless feeling that no matter how hard we try, whatever we do to help disappoints them and fails to meet their need.)

Edward Teyber

Tags: psychology psychotherapy counselling counseling core-belief core-beliefs object-relations



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Life is a purposeful action.

Asa Don Brown

Tags: psychology spirituality psychotherapy waiting-to-live counseling



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The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma.

Judith Lewis Herman

Tags: truth denial psychotherapy trauma taboo ptsd post-traumatic-stress-disorder



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When you feed a girl, you make her feel that both her body and her self are wanted. When you screw her she can feel that her body is separate and dead. People can screw dead bodies, but they never feed them.

Joan R.D. Laing

Tags: psychotherapy schizophrenia false-self-system the-divided-self



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It is impossible to win a contest with a helpless opponent since if you win you have won nothing.

Jay Haley

Tags: psychotherapy opponent helpless



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