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Basic InformationMore Information Someone to Talk to Truth, Effectiveness, and Mental Health: Part ThreeA first-impression review of the new HBO series 'In Treatment'Aiming AttentionAn Interview with Bruce Ecker, M.A., L.M.F.T., on Coherence TherapyAn Interview with Bruce Ecker, MA, on Memory Reconsolidation and PsychotherapyAn Interview with Jon Frederickson, MSW, on Experiential Psychodynamic PsychotherapyAn Interview with Joshua Lerner, MA, LCSW, on the History of Object Relations TheoryAn Interview with Kirk Schneider, Ph.D., on Existential Humanistic PsychotherapyAn Interview with Leslie Greenberg, PhD, on Emotion-Focused TherapyAn Interview with Wilma Bucci, Ph.D., on Psychoanalysis and Cognitive ScienceAsleep at the WheelB.F. SkinnerBehaviorismBrainless, Then MindlessChoosing the Right Mental Health TherapistCognitive TherapyCommon and Mature Defenses, and BeyondConsidering the ConsequencesDBT is Too Complicated: A Common Misconception about Dialectical Behavior TherapyDialectical Behavior Therapy (DBT)Dialectical Behavior Therapy for Self InjuryEmotions Myths: What Do You Believe About Your Emotions?Empathy and Therapeutic RapportEye Movement Desensitisation and Reprocessing (EMDR)Falling In Love with the Therapist: Erotic Transference and PsychotherapyGestalt TherapyGetting Rid of Painful ThoughtsHealing, Is It Just a Matter of Medication? Helping People to Mature: Robert Kegan and Psychotherapy (Commentary on 'In Over Our Heads')Humanistic PsychologyList of PsychotherapiesMany Voices; One SelfMental Health and the Legacy of Sigmund FreudMindfulness Skills in Dialectical Behavior TherapyMuddling ThroughObject Relations Theory 101: All the World's a StageOperating the Creature You InhabitOrdinary TrancePerson Centered PsychotherapyPsychiatric Restraints: Physical and FigurativePsychoanalysisPsychodynamic Group PsychotherapyPsychodynamic PsychotherapyPsychotherapy and Pseudoscience: Five Indicators of Dubious TreatmentsRational Emotive Behavior Therapy (REBT)Research on Self-Help/Mutual Aid GroupsSalience and SuggestionShameShould Psychotherapy Embrace the Arts?Sigmund FreudSuggestionSwiss Psychiatrist Fights Fear with LSDThe "Fallen" Realities of Human NatureThe Gross Distortion of "Scientifically Validated" Mental Health CareTimeline of PsychotherapyTruth, Effectiveness, and Mental Health: Part OneTruth, Effectiveness, and Mental Health: Part TwoVirtue and ChangeWill and the Competitors for Your AttentionWise Counsel Interview Podcast: Myrna Weissman, Ph.D. on Interpersonal PsychotherapyWise Counsel Interview Transcript: An Interview with Alan Rappoport, Ph.D. on Control-Mastery TheoryWise Counsel Interview Transcript: An Interview with Annie Fahy, MSW on Motivational Interviewing Wise Counsel Interview Transcript: An Interview with Becky LaFountain, Ph.D. on Adlerian Psychology and PsychotherapyWise Counsel Interview Transcript: An Interview with Dr. Jürgen Kriz on Self-Actualization and Person Centered PsychotherapyWise Counsel Interview Transcript: An Interview with Fern Cohen, Ph.D. on whether Psychoanalysis is DeadWise Counsel Interview Transcript: An Interview with Francine Shapiro, Ph.D. on Eye Movement Desensitization and Reprocessing (EMDR) TherapyWise Counsel Interview Transcript: An Interview with Jeffrey Young Ph.D. on Schema TherapyWise Counsel Interview Transcript: An Interview with John Clarkin, Ph.D. on Transference-Focused TherapyWise Counsel Interview Transcript: An Interview with Jonathan Engel, Ph.D. on the History of American Psychotherapy - Part 1Wise Counsel Interview Transcript: An Interview with Jonathan Engel, Ph.D. on the History of American Psychotherapy - Part 2Wise Counsel Interview Transcript: An Interview with Laris Macpherson on the Therapy Client's ExperienceWise Counsel Interview Transcript: An Interview with Marsha Linehan, Ph.D. on Dialectical Behavior TherapyWise Counsel Interview Transcript: An Interview with Natalie Rogers, Ph.D. on Expressive Arts TherapyWise Counsel Interview Transcript: An Interview with Otto Kernberg, MD on Transference Focused Therapy Wise Counsel Interview Transcript: An Interview with Raul Moncayo, Ph.D. on Lacanian PsychoanalysisWise Counsel Interview Transcript: An Interview with Richard Shulman, Ph.D. on Volunteers in PsychotherapyWise Counsel Interview Transcript: An Interview with Shinzen Young on Mindfulness MeditationWise Counsel Interview Transcript: An Interview with Steven Hayes, PhD on Acceptance and Commitment Therapy Latest NewsQuestions and AnswersLinksBook Reviews101 Healing Stories101 Things I Wish I'd Known When I Started Using HypnosisA Primer for Beginning PsychotherapyA Therapist's Guide to Understanding Common Medical ProblemsACT With LoveAssessment and Treatment of Childhood Problems, Second EditionBad TherapyBefore ForgivingBeing a Brain-Wise TherapistBiofeedback for the BrainBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBreaking ApartBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheChoosing an Online TherapistClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCompassion and Healing in Medicine and SocietyConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingCouch FictionCounseling with Choice TheoryCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDecoding the Ethics CodeDepression 101Depression in ContextDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing ItE-TherapyEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveEssays on Philosophical CounselingEthics in Psychotherapy and CounselingEveryday Mind ReadingExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFlourishingFlying ColorsHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHealing the Soul in the Age of the BrainHeinz KohutHow to Give Her Absolute PleasureHow to Go to TherapyIf Only I Had KnownIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt’s Your HourLearning from Our MistakesLetters to a Young TherapistLove's ExecutionerMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessOf Mice and MetaphorsOf Two MindsOn the CouchOne Nation Under TherapyOur Inner WorldOvercoming Destructive Beliefs, Feelings, and BehaviorsPhilosophical CounselingPhilosophical MidwiferyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePlato, Not Prozac!Psychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy As PraxisPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRecovery OptionsRent Two Films and Let's Talk in the MorningSaving the Modern SoulSecond-order Change in PsychotherapySelf MattersSelf-Determination Theory in the ClinicSexual Orientation and Psychodynamic PsychotherapyStrangers to OurselvesTaking America Off DrugsTales of PsychotherapyThe Art of HypnosisThe Case Formulation Approach to Cognitive-Behavior TherapyThe Crucible of ExperienceThe Education of Mrs. BemisThe Fall Of An IconThe Gift of TherapyThe Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New PsychoanalysisThe Philosopher's Autobiography The Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Talking CureThe Therapist's Guide to Psychopharmacology, Revised EditionThe UnsayableThe Wing of MadnessTheory and Practice of Brief TherapyTherapyTheraScribe 4.0Toward a Psychology of AwakeningTracking Mental Health OutcomesTreating Attachment DisordersWhat the Buddha FeltWhat Works for Whom? Second EditionWhy Psychoanalysis? |
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Alternatives For Anxiety TreatmentThu, Apr 1st 2004I am diagnosed with anxiety disorder NOS, and I know I identify most with generalized anxiety, social anxiety, and OCD kinds of symptoms. I am in therapy once a week and I see a psychiatrist once a month. I have been actively pursuing treatment for about a year now. I also work full-time and go to graduate school 2/3-time. My concern is really hard to put a finger on, because of course I have a lot of worries. I guess what concerns me most is that I have suffered from this all my life, and it has become increasingly worse over the years despite getting help. None of the 6 or so meds I've tried so far help, in fact I suffered serious weight gain from one of them and am *still* fighting that 40lb+ battle. My problem is that I am pretty sure that living my life like this will probably send me into an early grave. While I do get panic attacks, I don't have a *fear* of dying, but I am very well-read and fully aware that chronic stress, lack of sleep, chronic illness like sinus infections and bronchitis, blood pressure elevations, migraine headaches, menstrual problems, reflux, palpitations, vomiting, and chronic muscle and joint pain simply aren't good things - both from a current and more importantly a long-term health perspective. I am desperate for some relief from this. It doesn't seem like I derive any benefit from meds (Xanax helped to take the edge off but I dare not take it long-term... I'm currently on BuSpar, which is pretty ineffectual). Therapy is incredibly slow-going (not to mention my therapist is leaving in a few months and I will need to start over with someone new soon). You have to believe me when I say I do everything within my power to try to create a more gentle way of life for myself. And yet I feel completely AFFLICTED by this disease, and of course the lack of control over feeling better makes me feel even more crazy! My health suffers, my work suffers, my school suffers, my relationships with others suffers... and I just can't seem to find relief soon enough. I'm generally a very happy person who happens to have severe anxiety, and I'm desperate to feel like the person I know I am on the inside. Do you have any thoughts about what other approaches I can take? I just thought of some other stuff you should know. I grew up with an emotionally unavailable (she suffers from depression) mother and a workaholic father, both of whom I am estranged from. I also have an IQ of about 135 and apparently things like CBT are pretty much ineffective in the "gifted" population, or so I've been told. THE ANSWER TO THIS QUESTION WILL NOT BE DISPLAYED UNTIL YOU HAVE INDICATED YOUR AGREEMENT WITH THE DISCLAIMER PRINTED JUST BELOW. CLICK THE 'I AGREE' BUTTON TO AGREE TO THESE TERMS AND SEE THE RESPONSE.
- Dr. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
- Dr. Dombeck intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
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- No correspondence takes place.
- No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Dombeck to people submitting questions.
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- Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.
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