There seems to be a lot of
confusion between what a psychiatrist does and what a counselor does. People
have heard, seen or read horror stories about mental wards where people are
kept and medicated against their will. This can happen in psychiatry and there
are still places where the patient is loaded with anti-psychotics. A lot of
people tend to wait with seeking help until they have reached the edge of the
cliff. When nothing else is left they begin to contemplate talking to their
doctor, the doctor at his or her turn will than prescribe medication.
Electro-convulsive therapy
Electro-convulsive therapy is
still used and although patients give their consent, they are often in state of
mind that disables them from making a rational decision. In a confused state
many people give consent to something they don’t fully comprehend. Patients
give consent to treatment that is not of half explained to them.
The use of electricity to treat mental
illness started out as an experiment in the 1930s.
ECT involves an electrical current being passed through the brain via electrodes
joined to the scalp. The resulting seizure can have significant beneficial
effects, according to consultant psychiatrists. However, many mental health
campaigners say the forced use of ECT is a human rights abuse and is the source
of long-lasting side-effects such as memory loss. A patient must consent to the
treatment but if they decide against it that decision can be overridden if two psychiatrists
believe it’s in the patient’s best interest.
Working in a nursing home in the
early “noughties” there was an older
lady who presented herself with severe anxiety. I spend many hours talking
to her and above all keeping her company. She complained of feeling lonely but
couldn’t join the other residents in the big living room, her anxiety wouldn’t
let her. Her fear was so deeply rooted that she barely able to leave her room.
If it wasn’t for the staff bringing her down to the dining room she would have
stayed in her room 24/7. One day she revealed to me that she had received electric
shocks in a mental hospital. Instead of making her feel better the treatment became her worst nightmare. Although it was
decades ago she’d had the ETC it followed her everywhere in her daily life.
Ever since the ETC she had become extremely frightened and even paranoid.
In the year 2016 I asked myself whether this type of treatment is still
used.in Ireland. According to an article in
TheJournal.ie electroshock was
still used in 2014 despite promises to make changes in the legislation for not
consenting patients by the Minister of State for Disability, Equality, Mental
Health and Older People, Kathleen Lynch:
Long waiting lists
In the case of a person waiting too long to seek help for their mental
health issues things can rapidly escalate. With the waiting lists long it is
understandable that people become desperate and make an unfortunate choice like
suicide. I have heard of stories of people being turned away from the A&E for
being in the “wrong” department, while they were having a crisis. In
England
Nick Clegg a British Liberal
Democrats politician will announce the plans to offer patients counseling
within weeks of seeing their GP in a pledge to "end the injustice" of
long waits for those with mental illness. Under the targets, to be introduced
in April 2016, most of those referred by doctors for “talking therapies” should
start treatment within six weeks, ministers will say. The maximum waiting time
will be 18 weeks – the same as for those waiting for treatment for physical
problems, such as hip and knee surgery.
Six weeks on a waiting list is still six weeks too long. And this is when
things go as promised it is not a guarantee. I have been on a waiting list for
physio-therapy since September 2015. This week (the 23
rd of February
2016) I received a letter that my appointment was scheduled for the 9
th
of March. This is a waiting time of five months. I suffered from sciatica as a
result from a tilted pelvis. When the pain became unbearable I took measures in
my own hands and booked two private sessions with a local physiotherapist.
Further on I put it upon myself to see a chiropractor as the symptoms didn’t
get better. I could have waited all this time to get the free treatment but I
was in so much pain that it began to affect my mental health. Chronic pain can
make a person depressed as well.
There are times you have to take measures in your own hands and stop waiting
for help to knock on your door. When your health and sanity is at stake it is
time to invest in yourself and forget about the finances. Even if you don’t
have much money a few sessions with a therapist could make a big difference. In
a few sessions you could already see your situation in a different perspective
and it could give you the energy and stamina you need while you on a waiting
list for
free counseling.
In Ireland the waiting list are much longer than in Britain. For some
mysterious reasons fully trained counselors and psychologist are not good
enough to work with children, adolescents or adults.
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Emotional pain is worse than physical
Now you might say emotional pain is not the same as physical and I totally
agree with you. Severe depression and or anxiety weighs heavier on a person’s
shoulder than physical pain. When we have a broken arm other people can relate
to this and they can see we have an injury. We are wearing a cast and people
around us show empathy. However a mental illness is often a hidden ailment.
While the level of suffering is much higher with a mental illness many people
still choice not to seek help. The fear of social stigma is one of the reasons
why a person might fail to visit a counselor or therapist. Somehow the fear of
what others will think of them when they enter therapy. Mis-perceptions about
being labelled as awkward, weak, insecure, unsociable and even mad can prevent
a person from seeking treatment. Add on top of this the horror stories they have
hear about mental hospitals and we have a recipe for disaster.
So what is than the difference
between the two?
Here we have arrived at the question I stated as the title of this article:
what is the difference between getting treatment in a mental hospital and
getting counseling in a private practice? In a psychiatric hospital a person
will be medicated and is kept on a ward. The person will have little or no say
in the treatment he or she receives. They will be totally in the “care” of the
staff of the hospital often their rights are non- existent and overruled.
On the other hand when a person makes an appointment with a private
counselor he/she will be a client and have rights. He/she will be treated as a
human being and all conversation will be confidential. The client is in control,
(this is the way it should be). It is the client’s choice what to disclose to
the counselor/psychologist. Later during a job interview the client is not
obliged to disclose he/she or has received therapy.
During counseling or psychotherapy (which is
the same) you explore healthier ways of managing the issues that hunt you. This
includes the feelings which are associated with them. You graduate as a matter
of speech with an array of coping skills that will last you for the rest of
your life. These are valuable life skills you can use in many real life
situations.
Although it might seem an easy and quick fix to take
anti-depressants or any
other mental health drugs, it can have negative effects on a person. It could
take up to two to eight weeks for a person to notice an improvement in their
situation. Besides this there are always
side effects. They can cause: hearth
problems, Serotonin syndrome, anxiety, suicidal thoughts, hallucinations,
depression, delusions, sexual dysfunction, involuntary muscle twitching and
others.
Talking therapy is by far the least dangerous treatment a person with mental
health issues can get. The thought that some is listening to him/her for the
first time can already work positive. After only one session a person can
already feel relieved and therefor have the strength and courage to improve their quality
of life.
A therapist can help you explore healthy option of dealing with your past and
current issues. They teach you coping skills that you can use in different
areas of your life, even years after the therapy is finished. They have an
ethical responsibility not to share your information with anyone else. If you
dare to make the step you're on your way to be one day free from the ghosts that
hunt you.