psychiatrist vrs cbt

[spottitchsam]

Hi guys,I'm sorry but I am a bit thick can anyone tell me what if any is the difference between the two.I have read on many post that psychiatrist can prescribe medication is that the same has a cbt, can they prescribe as well.thankyou.xx:doh:

[flossie]

Hi Jean. CBT stands for Cognitive Behaviour Therapy. The best way to find out more is to have a look at Robin Hall's course which he is kindly offering for free to NMP members.
http://www.nomorepanic.co.uk/showthread.php?t=131664

It is about understanding what happens to the body when we experience anxiety and panic, recognising the negative thought patterns we fall into and then learning to change them into positive thinking.
I am sure someone else will be able to explain better than I can but hope this helps for now.

[little wren]

CBT stands for cognitive behavioural therapy and is usually done by a therapist, clinical psychologist or mental health nurse - none of these can prescribe medicine. They do not have the required medical background. CBT can also be done alone e.g. by following one of the CBT programmes like Robin Halls (as flossies post).
CBT basically offers an alternative way of thinking about the problem and how you respond to it. I know its hailed as a good therapy by NHS for anxiety but I think it may also be used for other things like depression.
A psychiatrist is a doctor who has had further training and specialized in mental health - and they can (and often like to) prescribe medicine for mental health problems.
Hope this helps x

[swgrl09]

Little wren is correct. Often I see people who get CBT or other forms of therapy from a therapist (who cannot prescribe) and then they see a psychiatrist for med management. The two clinicians work together to treat the person. A psychiatrist goes to medical school and just specializes in mental health.

[Edie]

A psychiatrist can prescribe medication and recommend other treatments. Your GP can also do this and many people receive perfectly good medication from their GP. However, a psychiatrist will have more expertise and is often useful if your GP doesn't seem to be able to find the right meds.

CBT is a type of therapy which seems to be highly effective. Therapy aims to help you through talking and guiding you through your feelings. Therapy can teach you long-term coping methods, whereas medication can only ease symptoms while you take them.

Occasionally you get a psychiatrist who is also trained in therapy, but this is rare as they are both specialised fileds.

For many people, a combination of medication and therapy helps best.

[spottitchsam]

Hi Jean. CBT stands for Cognitive Behaviour Therapy. The best way to find out more is to have a look at Robin Hall's course which he is kindly offering for free to NMP members.
http://www.nomorepanic.co.uk/showthread.php?t=131664

It is about understanding what happens to the body when we experience anxiety and panic, recognising the negative thought patterns we fall into and then learning to change them into positive thinking.
I am sure someone else will be able to explain better than I can but hope this helps for now.

Flossie thanks for getting back to me,I had my 1st CBT yesterday and just talking (well me doing the talking)to them for 1 hour they pin pointed that my problems were all due to my abuse over 52 years ago.can't wait to see how I get on next week.xx

---------- Post added at 22:01 ---------- Previous post was at 21:54 ----------


CBT stands for cognitive behavioural therapy and is usually done by a therapist, clinical psychologist or mental health nurse - none of these can prescribe medicine. They do not have the required medical background. CBT can also be done alone e.g. by following one of the CBT programmes like Robin Halls (as flossies post).
CBT basically offers an alternative way of thinking about the problem and how you respond to it. I know its hailed as a good therapy by NHS for anxiety but I think it may also be used for other things like depression.
A psychiatrist is a doctor who has had further training and specialized in mental health - and they can (and often like to) prescribe medicine for mental health problems.
Hope this helps x

Little wren thanks for reply,1st session with CBT yesterday went well.they certainly know their job she knew exactly what I went through.she was very nice it's just a shame that she can't take me on as she is having a baby in 7 weeks time.she said it was not fair on me if I spent 7 weeks with her and then I had to transfer to someone else for the next 5+ weeks.x

---------- Post added at 22:11 ---------- Previous post was at 22:01 ----------


Little wren is correct. Often I see people who get CBT or other forms of therapy from a therapist (who cannot prescribe) and then they see a psychiatrist for med management. The two clinicians work together to treat the person. A psychiatrist goes to medical school and just specializes in mental health.

Thanks hun,you are a gem.because of my abuse 52 years ago I lost about 5 years of my school life/learning.I was told I had a mental block,that's why I can't understand something as simple has my question,or I get confused when I ask a question and don't know how to write it down.I know what I mean but I can't describe it to people.I have know to have upset people in the past by saying something but it comes out wrong.x

[Tessar]

Flossie thanks for getting back to me,I had my 1st CBT yesterday and just talking (well me doing the talking)to them for 1 hour they pin pointed that my problems were all due to my abuse over 52 years ago.can't wait to see how I get on next week.xx

Isn't it amazing how things that happened so long ago can still impact on us all these years later. Some people cannot appreciate the impact even if it is something happening now, let alone realise how stuff happening a lifetime ago can influence us every day.

I recently spoke (for the first time ever) to my father about emotional abuse I suffered within our family. He said to me "from what I understand, you are talking about things that happened over 30 years ago". He was very dismissive, assuming that because it happened years ago that it no longer matters. leave it in the past he said. but i am dealing with it regardless, i dont need his permission to do it.
he went on to tell me I had built up my self-esteem since then. What he didn't appreciate (& never will) is that I have fought hard to retain what, of my self-esteem I can. Even though trying to change the way I think about myself isn't easy, I still feel I can do it. I CAN get there. I just have to give myself time & gradually change things. I don't need to believe the old messages anymore.

What I will say on the plus side is that therapy, including CBT, sorted my head out. It doesn't matter who you are, what you are or anything. With the right help you can influence how you feel about yourself and about life for the better.
it involved alot of soul searching and hard work but it was soooo worth it.
CBT is good in that it gave me a better understanding of why I was reacting to things the way I was. Post CBT I haven't allowed myself to be bullied. I am able to take a step back if I realise I have reacted out of proportion to something. Then I can think about it more realistically & it helps alot. I remain more objective.
I have been seeing a counsellor more recently. That's because I realised that when I did CBT, I hadn't been able to release all the emotions that had built up in my lifetime. It hasn't been easy to do that but again it is very worthwhile and has made the effort very worthwhile. Finally I am really chipping away at my demons. I am realising that this past stuff doesn't have to hold me back. I can be me. I have got there yet but I am getting there.
I strongly recommend CBT.
Any therapy is good because it gets things out of your system and unpicks the past.
Whatever road you decide to go down it is going to be worthwhile taking that journey.

[spottitchsam]

Hi Tessar,I don't know if is worse if you know the abuser but mine was my so called best friend's father.I won't go into details on here (in the open) because it's not nice all I will say is I was shut in their wardrobe he put his foot by the door so I could not open the door.that's why I can't get in lifts and I have to have a fan blowing on my face 24/7 every day of the year weather it's hot or cold weather I was told that's for me to realise I can feel the air.he also said MY ABUSER if I said anything to my parents they would not believe me has I was only a 8 year old child and he was a adult.and if I did tell anyone he would come and find me and kill me.has a 8 year old anybody that says that to you you would be frightened.the only good thing about this is he died about 15 years ago,a horrible death due to cancer.the worse part for me is I never got to tell my parents has the day I was going to tell them in the evening my dad was driving his car into town with my mother and he had a heart attack while driving.he was already dead when he got off the motorway but the car steered across 4lanes of traffic and ended up bonnet first down a 8 foot ditch.my mother survived and she is still alive now but is to old and weak to tell her now.this happened in 1995.I did see someone when it happened but it was to painfully for me so I only went to 3 sessions.the one thing that I was told to do was to write a letter and seal it in a envelope and put it by my dad's grave for a week then give it to my mum,which I did and she said that she would keep it safe for me in "dads" box which is where he kept all the important papers/birth/marriage certificates.to this day I don't know if it's still there and if it was ever opened.I can't say anything to mum now has as I have said she very old and not in good health and the wife of my ABUSER still lives 5 doors away and they still speak to each other.
I'm looking forward to next week and then I can get on to live my life with my lovely family.xxxx
All the best for your future health and happiness.

[Tessar]

its a hard one to answer isnt it, Whether it is worse if you know the abuser. When I hear of things such as this happening to innocent & vulnerable people, including you, it makes me feel angry. I will never understand (& really don't want to know I suppose) what drives people to do these things. It must have been a horrible experience for you. It was really unjust & I cannot begin to imagine how very difficult it must be to try & move on from. This is why I totally support you in using professional help so that you can begin to chip away at the damage of your past. I appreciate why you wouldnt wish to go into detail & I feel you are brave for sharing what you have here. It really isnt easy to think about these things, let alone share them in this way.
I have found that sharing my experiences here has helped me feel better about it all. Once I got brave enough to register, I thought it likely people would support me & show me understanding & comfort on the forum but something else good has come of me being on here. I have made some good friends & by sharing my experiences, I have met like-minded people who have been through similar experiences. I've realised how there is justification behind how I feel and I hope this will be the same for you.
It is no wonder you don't like getting in lifts & need you fan blowing. It isn't pleasant at all to have to live with something like what happened to you. I can't imagine, it must have been awful to feel so scared of what might happen. And what happened to your father just, well, I just don't know what to say. It must have been frightening for your mother and an awful blow to you. I am so sorry it happened the way it did & on a day that was going to be very important to you.
There are similarities between us. My mother is beginning to lose her memory & gets confused, her health isn't that good. When you said that your abuser died, it just hit me because of my brother who abused me also died. One of the hardest parts has been that because he was my brother, I couldn't exactly go saying what a nasty piece of work he was. When he was alive, my mother wouldn't let me talk about him. After he died, I was expected to speak about him and kindly at that. Eventually I just had to tell my parents some of what he did. I am sure they felt hurt by my disclosure but I had to make it clear I am not willing to talk about him anymore and why. I just had to do it. It's hard because I really feel I need to shout out and say how much I hated my brother, let the world know what he did. But I'm not that kind of person.
It is unbelievable that the wife of your abuser still lives 5 doors away from your mum. It must be really uncomfortable for you, very triggering. I think I can relate to that in my own way. It's so hard when I just want people to understand that my brother was the "baddie" in all this and not me. I appreciate because my brother died, they'll sympathise with my parents but so ften they seem to overlook me in all of it.
So instead I have been doing that shouting (more of a whisper actually along with tears & emotions) behind closed doors in counselling. I am not at all surprised that you struggled to deal with this before. I am hopeful that perhaps now you will be better equipped to deal with it, especially with the right help. It isn't easy but you have many friends here at NMP, including me. We can help you along the way. I really would like to be part of that for you since I have been on my own journey as well and I find it heals me when I help other people. If nothing else comes from my unhappy childhood, then let it be that I can put the experiences and how I am getting over them, to good use.
It's good that you have a lovely family, this will be helpful to you as well. Thinking of you:)

[spottitchsam]

Tessar I have sent you a email.
Thankyou.
xxxx