tag:blogger.com,1999:blog-26666124.post6574426495435934173..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: The Chronically Suicidal Patient and Stigma from Within the Mental Health SystemUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-26666124.post-74778265903679432382017-10-30T16:30:14.499-04:002017-10-30T16:30:14.499-04:00"And you point out to them what they are doin..."And you point out to them what they are doing, how upsetting it is, and you suggest that if they need attention, they might try asking for it rather than upping the ante"<br /><br />Nice notion but makes it seem lie their state of mind is more upsetting for you than for them and that they have total control or outside supports to just go ask for attention in a healthy way. Hmm. The what they are doing part is interesting, because I do believe that more often than not, people become more actively suicidal as a result of what has been done to them as well of triggers (reminders of what has been done to them). Not to make it appear as none of the chronically suicidal have any social supports or other resources, but I do believe that we are looking more at trauma than not and you can talk about resilience ad nauseum, but many factors play into that and it is not really rocket science. <br />Borderline was rejigged by J Herman. Is it a personality disorder or more of an adaptation to a traumatizing environment. We have all lived through all sorts of traumas in life and I will not speak about big T vs little t, but I will say that chronic suicidality is probably a normal reaction to some pretty awful events when no one was around to give a hoot and no one since has respected the reality of the horror and the fact that no matter ho hard any therapist tries, they are never, not ever going to make up for what was absent in childhood with any of their techniques or meds and no matter how empathetic or hard nosed they may be. The chronically suicidal suffer a great deal and no one can help them. The damage done can never be undone. <br />I never went to med school but I know this. I do not seek attention and neither do I know what may or may not one day tip the scale to the point that chronic becomes right here and right now, but I do know that if it does, no one will have advance notice. <br />And sure, treat co-morbid disorders "aggressively" so that you can say you truly tried but there is so much overlap between chron s and co that you do not really know what it is that you are treating. Ah, I've never known or considered a brief H stay to be a break. They are holding pens at best and places which re-traumatize at worst. Sigh. TLC --what a funny idea. No wonder I barely come on this site anymore.Fertignoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-67464636701464776982017-10-17T04:17:00.689-04:002017-10-17T04:17:00.689-04:00Know two young women, diagnosed with EUPD/BPD from...Know two young women, diagnosed with EUPD/BPD from teeange years. Rediagnosed and treated for depression for one and schizophrenia for the other. |Suicidality and self harm disappeared! How much time and grief would be saved if psychiatrists did a thorough review of patients. Often seems to be you are young , female, self harming must be EUPD. And ny the way that menas you get no treatment and just have to somehow learn to manage it. Very recently read that depression in teenagers often presents as school refusal, irritability, etc. not as classic symptomns of depression in proper adults...... Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-53353072223251738902017-10-15T02:54:36.579-04:002017-10-15T02:54:36.579-04:00Good post. All behavior means something, even wit...Good post. All behavior means something, even with patients with dementia. It's the job of professionals and paraprofessionals to listen and find out what the behavior means to that person. Borderlines are just people that we haven't figured out how to hear and hold safety so they can heal. Hospitals used to be places of safety and healing and holding so that a person could collect themselves, in a structured milieu that anchored the person to the real world. <br />clairesmumhttps://www.blogger.com/profile/12235828110880302069noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-51456877758440094912017-09-25T08:33:10.429-04:002017-09-25T08:33:10.429-04:00Very nice posting. Your article us quite informati...Very nice posting. Your article us quite informative. Thanks for the same. Our service also helps you to market your products with various marketing strategies, right from emails to social media. Whether you seek to increase ROI or drive higher efficiencies at lower costs, Pegasi Media Group is your committed partner will provide b2bleads.<br /><a href="http://pegasimediagroup.com/Psychiatrists.html" rel="nofollow">Psychiatrists<br /><br /> </a><br />Anonymoushttps://www.blogger.com/profile/14356036829079638728noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-65312990977109364942017-09-24T16:26:28.414-04:002017-09-24T16:26:28.414-04:00Suicidality comes in many personal contexts. The e...Suicidality comes in many personal contexts. The exfreme negativity of the borderline personality is difficult to get a feel for. Emergency stabilization is a supportive safe environment while the patient complains contnually and with the energy of genius that the misery of their lives is only extended by the miserable treatment offered in the unit. Well that's true to their experience, an attitude fixed and pervasive. To soften the defenses, to open the shuttered mind, to seed new life in the desolate geography of the eclipsed imagination is the fix. By comparison suicide watch is therapeutic but of limited value for the extent of the problem of chronic suicidality. Modelng compassion and sensitivity to unit staff to help maintain clinical objectivity is needed. Staff may not know how to interact with these very special, unusually dark and conflicted personalities.Anthony Peckham APRN, PMHNPBCnoreply@blogger.com