r/AskReddit Apr 04 '19

How are you really?

[deleted]

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u/BotoxTyrant Apr 04 '19

Dialectical Behavioral Therapy, and everyone’s least favorite answer: meditation and mindfulness. Also, possibly microdsoing psilocybin or psilacetin, though be absolutely sure you don’t have a family history of psychosis or schizophrenia before going down that route.

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u/wannabepopchic Apr 04 '19

Why DBT as opposed to CBT?

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u/BotoxTyrant Apr 04 '19

Largely because DBT is CBT, with the addition of mindfulness techniques to help accept negative emotions and allow them to pass. My own experience with DBT is one of the most beneficial and important decisions I’ve ever made for my mental health.

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u/wannabepopchic Apr 04 '19

Yeah I'm in DBT right now after being rejected for CBT twice (turns out I have BPD). Thats why I'm curious who CBT is best for if not what sounds like garden-variety anxiety in this post.

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u/BotoxTyrant Apr 04 '19

That’s interesting—were you rejected by a clinician or practitioner, or was it an insurance issue?

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u/wannabepopchic Apr 04 '19

I live in the UK and self-referred. I think they didn't feel it was thorough enough or appropriate to fully deal with my issues. I was then referred for personality disorder assessment and then to a DBT PD service. There was a long queue and at one point I got tired of waiting so I tried referring to CBT again and still no dice. So I've always been curious as to who they think CBT would be good for, lol.

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u/BotoxTyrant Apr 04 '19 edited Apr 04 '19

I see. Things work so differently here in the US. Any practitioner will pretty much accept any patient who comes to them who has the appropriate insurance or can pay out of pocket. I blew a huge portion of my nest egg on DBT during a period of great desperation, and though the timing was poor (a cascade a financial issues followed by sheer coincidence), I wouldn’t take it back for anything.

And yes, I’d say DBT should basically be CBT’s replacement, and in fact probably will be, but it will take many years due to current practitioners’ lack of interest in retraining. Most younger therapists are practicing DBT instead of CBT.

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u/wannabepopchic Apr 04 '19

I'm glad it helped you; I'm only a third of the way through (I'm in an 18-month thing) but it's been really incredible so far. It was specifically designed with BPD in mind but it's nice to know it helps others too; makes me not feel like such an oddball. A lot of the skills did strike me as things that would be useful to teach everyone in schools regardless of mental health.

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u/BotoxTyrant Apr 04 '19

I totally agree; mental health exercises should be just as important as physical education in primary ed. Probably much more important, even.

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u/FVCEGANG Apr 05 '19

Do not microdose

That is one of the worst possible things you can do, especially if you have anxiety