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Question

07 Jan 2005

DEPRESSION
Hi CS,

What is CBT ? Is seeing a councellor very different than a psychologist ? I stopped seeing my last year, could not afford it and have been seeing a christian counsellor, is there much difference. I sometimes feel that Cilift is not helping me and want to get a second opinion, I sometimes feel like a loskop and go into a daze, I sometimes still feel very suicidal and that worries me alot, How does a person get out of depression ?
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Expert
CyberShrink
cybershrink

01 Jan 0001

CBT is Cognitive-Behavior Therapy ( check the arcives where I've often discussed it ) --- it's the method with the best current research showing real and lasting benefits. It focusses on the assumptions you have made about how life and yourself works, on testing them, and on discarding those which are not useful, and revising them and replacing them with other personal rules and assumptions which work better.
A counsellor should have had basic training in how to apply the basic level of talking therapy. I am sceptical about "christian counsellors" for two reasons --- many that I have come across do not seem to have been properly trained on the counselling side, and because I also believe that any therapist should work with respect for your own beliefs, not on a mission to impose or extend their own beliefs.
A psychologist has had far more training in more in-depth counselling and psychotherapy ( talking therapy ) skills, and a psychiatrist will be a fully trained medical doctor with similar aditional training in psychology and related therapies, including drug therapy, after qualifying in medicine.
A combination of good counselling / psychotherapy like CBT AND meds like Cilift is often the best combination. Maybe see a psychiatrist for a second opinion / re-assessmentm and discussion of possible revision in your therapy.
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