When my counselor asked me if I would respond to a friend the way I responded to myself, it really helped me realize that I was treating myself unfairly. I considered myself a critical thinker, but I guess it took hearing it from a professional to really challenge my way of thinking.

@grannysweet

4 жыл бұрын

Ditto here. Self talk, would i keep a friend who talked to me the way i talked to me? Wow. I cried because i knew I'd be free. Took 2 years but i lovingly got rid of everyone who fed those ideas of worthlessness. Life is harder but happier. Your thumbnail is cute, cute.

@kevinhornbuckle

4 жыл бұрын

[autogenic narcissistic injury]

@mmadan1611

4 жыл бұрын

Yeah, I first heard the "treat yourself like a friend you actually really care about" from Dr. Jordan Peterson. As obvious as that wisdom is in hindsight, it was a game changer when I first heard it. Many people grow up coddled and entitled, but there are also many that have are starved for attention and yet never feel they deserve it when they get it. The way a child is raised inevitably impacts how they see and take on the world. I am a critical thinker as well. Everyone is human though. We get caught up in life. Lessons come at different times for everyone. Like any skill (although slightly more ironic), 'critical thinking' aimed poorly does little good. It's always exciting when a critical thinker learns of a huge blind spot. Whether it's _also_ refreshing, devastating, or somehow both depends on the nature of the blind spot. That said, perceived truth should _at minimum_ consistently add a silver lining over perceived error or uncertainty. Cheers.

@kevinhornbuckle

4 жыл бұрын

MMA Dan Very well said.

@andreasleonlandgren3092

4 жыл бұрын

Beth Perry great point.

Reminds me of going to an amusement park with my son. He was tall enough to ride most rides, but scared. One ride he really liked, so I let him ride it over and over without me (I didn't fit very comfortably). After an hour, I said it was time for us to go ride something that I wanted to ride. We rode something that he was afraid of, but he enjoyed it and wanted to ride it again. "Wait a minute," I said. "You were afraid, but you rode it anyway, and discovered you liked it. Let's go ride everything else you are afraid of!" That logic worked. We rode everything.

I'm 49. I was diagnosed with fibromyalgia back in 2016. I have cognitive issues because of the illness, and I have been moderately depressed since I was a child, but never suicidal. Eileen's case gives me hope that, as I age and as my condition worsens, I can avoid slipping into a deeper depression. Thank you, as always, for another interesting and educational video!

@mikicalic9651

4 жыл бұрын

i m 49. I symphathize with you . not for your health issues but for your age

@itsjeninMass

4 жыл бұрын

Thanks. My age doesn't bother me. Having a chronic illness is 99% of my problem. Lol!

@mikicalic9651

4 жыл бұрын

Having 49 years is 99% of my problem. Good luck with your health issues

@itsjeninMass

4 жыл бұрын

Lol!

@yes0r787

3 жыл бұрын

Enjoy your years and days of life it is all you have.

In terms of Eileen, medications aside, I think her epiphany could be attributed to a realization and correction of cognitive dissonance; and an emphasis on rational thought. Moving away from emotional, baseless negative narratives of oneself is powerful. I think it allows us to create some new neural pathways and a new perspective that allows us to change the way we view ourselves and the world around us. Excellent case study and food for thought. Thanks Dr. Grande!

It's kind of nice hearing one with a happy ending! I'm generally suspicious of sudden gains, so I'm glad to hear there's some evidence supporting their longevity.

Yeah, it took about five years for me to be referred to a psychotherapist, and another one to find my current therapist, who I trust and with whose support I've made real sustained progress. Still blows my mind that all those healthcare professionals simply didn't think to do BOTH? Because as far as I can see, in cases beyond a certain level of severity, this is how healthcare and treatment and recovery WORKS??? ... the mind still boggles. I enjoyed this video a lot, and used the "would you be like this to a friend" mindset myself to turn things round, too. It's fascinating to think of replicating these "aha" moments... I'm planning to study counseling myself soon :) Thanks for your videos, Dr. Grande!

Yes, I did find this case study on Sudden Gains to be interesting. Thank you, Dr Grande :)

I love how you call them clients and not patients, it perfectly sums up my experience with therapists/ psychiatrists

Hi Dr. Grande. This is now my favorite video that you've done. I've had episodes of depression since childhood. A couple of years ago I finally found a very skilled therapist who led me to that dramatic moment where I suddenly was able to see previous trauma in a totally new perspective. I don't know if she was skeptical that it would last but when I brought up the idea of stopping therapy, she suggested we taper the frequency down & see how it goes, which we did over several months. Like Ilene, I am now able to evaluate past events & traumas differently and apply what I learned to new situations. After years of struggling & wanting desperately to find a way to forgiveness & not knowing how, it finally is a reality and I have peace. Also, like Ilene, I am on medication & have been told I would need it the rest of my life. That's ok. I'm happy, at peace, and eternally grateful for finding a wonderful counselor. ❤️

Insightful video. 👏👏👏 Thank you so much for sharing Dr Grande. It’s kinda like helping the person learn self-empathy by reflecting on compassion they have for those they love.

I had a life changing moment. I've had my good years and bad, but even in my good years something was missing inside. I had some really bad things happen last year with a covert narcissist. I was reading a book that said we are all born with value, and it hit me like a ton a bricks and changed me. Deep down I never believed I had value, that I was just born with it and didn't have to earn it by pleasing people and managing their toxicity by making them happy. This was my changing moment. I do wonder...what made it sink in this particular time. It couldn't be the first time I heard it so was it presented in the right way or just the right time? I will say too that in the same book, the question was asked would you treat a stranger as bad as you treat yourself? This was a thought I keep with me now. I never looked at it in that perspective. I went through about 10 books during this time btw, so was it my suddenly being open to learn or the presentation? Very interesting subject.

@babykrul

3 жыл бұрын

Wow that’s awesome! Happy for you and the progress you made! The way you describe that book got me wondering what book this would be. It sounds like a good book. Do you perhaps still know the title of the book? Don’t worry if you don’t know anymore, it’s just that it sounds very interesting haha :D

Thank you Dr. Grande. The case studies you are doing are always interesting videos. Have a good weekend doc 😃🇳🇱

These videos often illuminate and give me the language to describe hard-to-pinpoint aspects of my own thinking. Thanks for paying forward Eileen’s sudden gains, Dr. Grande!:)

Loved this session. Shows how the right words, when able to be absorbed far out of a toxic situation, that you can rise above it at a higher awareness than you ever had. Fear not the verbal venom, you can "rise above this doubt". Partially plagiarized from Seether -" Rise above this."

@andreasleonlandgren3092

4 жыл бұрын

Brad McEwen Yeah its powerful. Flying over it like an eagle.

This was an interesting case. Glad that it worked out for the patient.

That's great! I'm happy for "Eileen!"💪🏽💪🏽

I don't know if this is the same thing, but I had what I think was a "sudden gain" when I decided to see a therapist. Due to life stressors (and me being me) I had a serious uptick in anxiety and depression. After my first therapy session I felt remarkably better. I think a big part of it was the session, some stress relieving tools, and knowing that I had someone I could contact anytime through email, or the behavioral health-line which is staffed 24 hours. I have continued doing the work necessary to stay on top of things, but I must say, I felt better that day, and have maintained it for months now. I credit this with helping me to get through the semester. :)

@Ilovetruecrime545

4 жыл бұрын

Kari Johnson this was my experience.. once I got help I immediately felt better

@mmadan1611

4 жыл бұрын

Great point Kari! I'd say that was a Sudden Gain. Stigma keeps SO many people from seeking help earlier or even seeking help at all. That may not have been the case for you. It certainly was for me. Not that I didn't respect the mental health fields - more that I was disappointed in myself for getting weak enough to need help in the first place. A person says... _"I saw my family doc today"_ = Little to no stigma _"I saw my therapist today"_ = Welcome to the _all you can eat_ stigma buffet - endless sides of bigotry, discrimination deserts, and much much more ;) In all seriousness though, glad to hear you're doing much better :)

Fascinating case study! I am watching this for the second time and I enjoyed the analysis all over again. Thank you Dr. Grande:)

amazing. Thank-you and Merry Christmas Dr. Grande.🎄🎅

My “aha’s” aren’t always huge- but I get “manageable memories.” In the past I wouldn’t try to validate them as the fear attached was too overwhelming. So I felt better doubting their truth and slipping back to depression.

My GP combined a return to antidepressants with CBT 6 years ago and the combination was a significant success. CBT worked for me as it was underpinned by an understanding of the shadow (I was a trained bereavement counsellor). But recently Dr Grande and his fellow contributors on narcissism have also had a seismic effect on my understanding of my family’s dynamics that has been key to unlocking a residue of depression - that has since enabled me to start winding down on an 11 year dependency on antidepressant treatment. I get the whole picture now - and with my 65th birthday only a few months away I am feeling so much better. And I sense this is fully grounded. I cannot yet fully express my gratitude, but it is my intention to do so with my own KZread presentations when my physical strength has returned. You guys have been mentors and guardian angels.

I really like how you bring up the issue of critical thinking and analytical thinking which many people do not seem to employ. Having so much information fed to us or easy to find seems to make people less likely to think critically these days. I also like the concept of usefulness in a general sense or in relation to others. That said we are very social creatures and I wonder if the fact Eileen's therapist showed a genuine interest in Eileen's life may have also factored into her recovery? Even though we can more easily connect with others with new technology people are feeling less and less connected in any genuine way with anyone. Technology makes it easier for people to avoid meaningful relationships with family and friends and remain more detached with shallow relationships with others. Critical thinking is great but without any real connections it will only help so much. This was a nice video and I understand the overall point.

The pivotal question asked of Eileen reminded me of a similar situation with my mother some years ago. She was suffering from vascular dementia but had also been admitted to hospital for psychiatric care; to my regret, she was not offered cognitive behavioural therapy, though I requested it. My mother was an outgoing caring person and, wishing to contribute helpfully to life on the ward, she had been preparing and serving requested beverages to patients. After making an error with one of the beverages, she was discovered deliberately scalding herself as self-punishment. When I visited her, she made many self-denigrating, self-attacking remarks, as if no punishment could be too great. Previously I had often noticed a degree of fiercely-protected pride seeming to accompany such self-attack, as if running herself down enabled some alternative source of esteem, as in, “At least I can be proud of my merciless self-deploring…and don’t you DARE try taking it away from me!” …Were I to approach the matter by reassuring words that she was not the ‘worst person on the planet’, I would meet a haughty, hostile reaction that could be described as, “Who the hell are YOU to tell me that I am not as bad as I say I am!?” So, putting on my best wide-eyed ingenuous expression, I asked her, “So, do you think that other people here who make mistakes should pour boiling water on themselves, or punish themselves in some way?” I knew the answer, based on her altruistic values, would be “No”, but I think that, had I not acted convincingly like I really did not know what her answer would be, mere ‘rhetoric’ would not have led to her reflecting on the question and realising that she was applying different rules to herself. (I found it actually quite stressful to put on such a pretence, wondering if she would catch on!) Her situation at the hospital seemed to improve after that and I don’t recall hearing such relish in self-attack afterward, though I never heard whether my question had anything to do with it.

@yes0r787

3 жыл бұрын

Thanks for sharing your success strategy.

I had sudden gains. I went to a depression group and was floored by how incredibly sick they were. I shared my story of child abuse and a couple participants were defending my abuser because she was placed in psychiatric care.... I left that group and was so grateful for my healthy outlook by comparison that I recommited to my healing journey...

its one thing to logically acknowledge that the beliefs you have about yourself arent accurate or true to your values, its another thing to feel that you have value or really feel it in your heart. at least for me.

@shaggyalonso

4 жыл бұрын

I'm the same, and it's the the elephant in the room when it comes to CT/CBT'S efficacy. A few years ago I dropped out of a Masters degree at Uni, feeling not only like a failure, but completely paranoid about my level of intelligence, given how badly I struggled with my course. I went through some CBT and a couple of different counsellors/therapists - where a similar approach to this video was taken, I'd to list the things that challenged my beliefs (though of course not the things that backed them up, which seems like it's teaching you to pick and choose what's real). I spent some months continuing with the therapy, being completely miserable and actually suicidal after then quitting a job which I wasn't suited to (but attributed the failure to my lack of intelligence). I had become obsessed with the concept of IQ, and disturbed by the scientific data pointing to how significant it is, and accurate a predictor of life outcomes. I took the initiative to get my IQ tested officially, and the result of it obliterated my worries in the space of the few minutes it took me to read through the psychologist's report. I'm sure the majority of people I could ask on whether or not getting it tested would be a good idea, would have told me not to, and to believe in myself and stop underestimating myself etc etc, and I'm sure if I'd heeded that advice, I'd have carried a deep insecurity about it for the rest of my life. Yet the physical proof of my worries being misplaced completely eradicated the problem, with immediate effect. That was 3 years ago and I've not thought about it since. I'm aware enough to see how badly I'd have taken it if I scored poorly in the test. But therein lies the connundrum, sometimes the truth hurts, I was just fortunate on this occasion that the truth was actually good news.

Thank you Dr.Grande . Hope your weekend is great!🎄🎁😉

As person for whom medication has helped enormously, I could identify with the sudden clicking of logic and sense that is so hard to reach when under the blanket of symptoms of depression and anxiety. Medication is a life-saver, and it is sad that such basic meds as Prozac have gotten a bad name via bad information. It's one of the safest drugs out there, and it literally saves lives.

One similar experience happened for me as it did for the person in this case study. One day i looked at why i hated myself through my early life and i noticed that I've never been a friend to myself, i never took my own side, i didn't treat myself as a friend or took the time to see myself as a person who should care for themselves as a person who hurts, why not? That was a huge moment of realization as well for me, something changed in a large way. I've had a few of these happen.

Very helpful. Helping me identify my issues and ensure they get addressed and not worry about the stigma. Demand the care I need and not be underestimated

I had this epiphany years ago when I was 17 years old. I had struggled with panick attacks and anxiety for several years. Medications and treatment didn't help and I felt lost. But then one night before bed I looked at my medications and got one thought out of no where... I just felt peace. And keep in mind just seconds before I felt anxious and afraid, but in a split of a second I just realized that I was trying to hinder my anxiety forcefully and deny it as real..that it exists inside me. So I threw the pill out the window and was "cured" for 5 years until I got a relapse where I was admitted to a psychiatric treatment center for 3 months.. then I understood again that I didn't need to fight the unstoppable. Death, I had always been afraid of it and hated that I was born to die. But now I am happy, I love life again. I'm not afraid except the occasional frights that come through. But I have the capability to deflect it and distract myself now. And I'll keep working with myself. I'm wondering about studying psykology as a profession where I can use my experiences to help others. I have the understanding of how it works in some way or another. I understand noe that real help is only accessible from within yourself and no therapy can cure that or medications. People can only help you to find out what you could look for, but only you yourself can find it. What it is is only known and found out by yourself in the end.

Dr Grande you are endlessly fascinating.

This is hopeful. Thank You for sharing 🥰Hope feels good. After all I’ve been through That moment is the moment further reinforcement to learn to stay on top of it. Its gotta become a habit. ThankYou ThankYou DrGrande 🤓

I experienced significant gains from studying philosophy and science on my own, I've experienced many moments of realization, moments of profound clarity - I started studying on my own after i had therapy. My encounter with a therapist sparked a huge interested in learning, it caused me to want that knowledge for myself. It's why i'm here right now :)

Excellent video. As usual, Dr. Grande. This certainly reflects my experience as a one time sufferer of depression, and panic attacks. Self-insight is what I gained by working with the "Attacking Anxiety & Depression" home study program. Freeing me of anti-anxiety, antidepressants, and other kinds of meds. Except when I had a breakthrough, it actually stuck. Because the cd format of the program makes repetition easy. Along with its insistence on journaling. These two things combined is what made it so effective. Journaling and repetition. After all, what good is an insight, if you don't remember it well enough, let alone repeat it as needed? Writing things down helped lodge my little epiphanies in my noggin. While I am tempted to go on at length about how amazing the program is, I just want to give you extra thumbs up for this video: 👍👍👍👍 And add that the "Attacking Anxiety & Depression" program, is not only easy and effective to work with alone, it is even more effective when patient and therapist work with it together. What do you think? Have you heard of the program? I think the world of it.

When you say it's the client that usual makes the sudden change. I do twelve step work with a sponsor who also happens to be a mental health counselor. After going through the steps it's really hard to find a counselor who feels they can help me. However, I know my awareness comes from my step work and they don't have to do very much digging. They often don't know where to go from there. I have learned to tell a new therapist where I'm at in the moment as well as telling them areas on which I expect to get better. After that i just allow them to lead by answering every question as simplistic as possible. Step work has giving me a humble awareness of who I am I need a therapist who can help me manage my emotions. Bipolar disorder can put me in a lethargy fantasy state dependant on how stressed I am or how bored I am. I often done myself in mania or depression and really need someone to point out self deception. My intelligence makes me think I can reason out it and perception because off. I need therapist who can help me with my cognition.

Thank you Dr Grande for your videos, you have helped me make a lot of insights!

I miss this type of content Dr Grande

Another cool case study! Never heard of sudden gains.

As always right on the truth of the matter. Blessings on your holiday season. Thank you for all your hard work. Stay safe. Be well. 😎👍🐶

Nice outcome. Thank you!

I can relate to Eileen. I’ve been feeling depressed and useless lately.

Dr. Grande I am sure as a father from a younger generation of fathers who sometimes get up at night to feed babies too you could agree with me when saying that plenty of time to catch up on sleep and rest starting all of a sudden and then over a few months too no matter how many people are telling someone they are useless it would still enable a mom to regain cognitive gains enough to gain benefit from listening to counselling like you are describing.

I did find it interesting, i loved it. I will need to watch this a few times because my concentration is shockingly bad.

I spent 5 years in therapy no sudden gains just bloody hard work.

Doctor, Thank you for this talk. I agree what you said at the end, I would not change something that was working. My thoughts were, what is the medicines this woman was on and what was the medicine she was on when her depression broke ? I believe this depression is genetic. I can not wait for the day that more money is put into finding the gene that causes it, so they can work on curing it. I had it as a teen but did not know what it was. When I became pre menopausel , i crashed into a big black hopeless dark pit . I had no idea why or what happened to me, but I knew I was not feeling like a normal person. I was told it was depression and that I had most likely had it all of my life but when my hormones started changing I could no longer tread water I was drowning. For the first time in my life, I went on a anti depressant. It was a mirical in my life, for what it did for me for the next 11 years. After 11 years it stopped working. Living with depression every day is not a curse I would wish on any one. Yes, there were times in therapy, that light bulbs go on and you feel better in that session, but when you get home, it wears right off. I know from my experience, Depression is not always because you feel bad about your self or don't like your self, it just is with some of us. I had a family member that had the same problem. and they did over 30 ECT treatments on her, and now she has severe memory problems. I am going to look into the ECT treatment that is done with magnets, they claim it does not damage your brain ??? No meds work. That is why I wonder what meds this woman took. Depression hit , our next generation in my family :( I have a big chunk of my heart gone, for the two family members that are gone way to young. I hope and pray they find a way to help people in the future that are med resistant. No one asks for this horrible illness Thank you doctor

@maidenmarian1

4 жыл бұрын

Are you sure there is NO MEDICATION that can help you now? I was on Zoloft for over 20 years. It stopped working. They then tried me on something that raised dopamine. That ine made me nervous. So it rsisef anxiety. So then now we replaced Zoloft with Lexipro. But I still needed more, so we added Nuvigil. It taises Dopamine. It works very well. It makes me rather long- winded. I tell people to say they are busy when ever they are.

Happy Christmas from Ireland

Another point of view…every symptom described in this case study is descriptive of thyroid disease, which is often unrecognized, and under diagnosed, especially in women. Women with thyroid disease are often put on a behavioral course, rather than the appropriate thyroid supplementation medication. Additionally, there is a strong bias in medicine against women with thyroid disease. Some view a desire for supplementation as a desire for weight loss control. Thank you for your very interesting and informative broadcasts.

14:17 A step forward of this level is best left to consolidate, even for some years, before trying to take an even bigger step. While it might be tempting for the therapist to again move forward quickly, the patient may startle, as their ego isn't used to these new heights and there is likely, or almost certain to be a few down days where they are tempted to revert. Better to wait until the patient hits an another obstacle that they feel the need to take advice on, and build on past successes with a carefully crafted new success - all based on the immense skills of the therapist, of course. Big ups to the therapist, whoever they are. Wise moves indeed.

Wow, encouraging case study 🙏😀✌

IMO, a very valuable and helpful post

While I have had sudden gains, they have not been in counseling (I have been to counseling though and found it helpful). Throughout my life, I have had several moments in my life that were more along the lines of an epiphany; these resulted in sognificant reductions in depression nd social anxiety. These epiphanies were the result of my own study of psychology, philosophy, and science in general. At 34, I feel like my concept of self has been radically altered. The 15 year old version of me seems like an irrational, hyper emotional stranger...

Really good

I think everyone could benefit from counseling because it helps to have someone to bounce ideas off of and help you to think about things in a way you hadn't thought of them before. My first degree was actually in psychology because I found it incredibly useful and interesting to learn the various ways to get people to think about things in a different light. I have all kinds of mental health issues so obviously therapy is pretty useful to me personally too and, even though I know some of the techniques, it's useful to have someone else there to help me with it because anyone can still get stuck in a mental rut no matter how many techniques they may have studied to help other people out of those ruts. I struggled a lot with medications and psychiatrists because, for one, there are too many psychiatrists who are total jerks. I could have gotten past that but I had some pretty serious allergic and other sorts of bad reactions to quite a few different drugs and it made me increasingly leery of them. Interestingly enough, I actually had an endocrinologist that I was seeing for a genetic disorder who brought in a pharmacologist who worked with her and he was able to find a drug that I not only wasn't allergic to (he did this based on all the ones I told him about reacting to before) and it actually made me feel better, although not completely removing sad emotions from me, which actually doesn't feel as good as it sounds. I was pretty much at the point before then of just having to deal with being so depressed that it was crippling because the medicines made things worse, except for the Ritalin I was once given for ADHD, but I kept having to have the dose increased so that wasn't good because I got to the point where the maximum dose wasn't working anymore. I don't know why it helped my depression. Anyway, now I still get depressed pretty often, but it's not the bottomless pit that it was before so that's just easier to manage even though it does disable me. Counseling helps, even if all I feel like happened is that someone was finally on my side instead of finding endless ways to tell me I'm not good enough, as if a depressed person can't find those kinds of things on their own. In any case, I think all people should be in counseling, at least all people who are willing because it also doesn't help to force people into things. I don't think anyone should be getting pharmaceuticals for their mental health struggles without therapy because, even if the drugs completely solve the problem, which I've never seen in anyone I know who takes them, the stigma of having to take those medicines alone can cause a person distress. Of course, like with finding a drug that actually works for you, you have to find a counselor with whom you can work effectively and I actually think that might be harder because it's less obvious when a counselor isn't right for you than it is when you have a massive allergic reaction to a drug or it makes you feel worse. Probably a lot of people don't want to make the counselor feel bad either because it's not that they're a bad counselor, they just aren't right for the issues you are facing but it's really hard to figure that out and hard to officially end therapy with that person and look for someone else. That kind of thing should probably also be done with regular doctors too but that's even harder because they usually assume you are looking for some drug or something when sometimes you just don't click with a doctor and it has nothing to do with how good a doctor they are.

Thank you very much.

I actually feel better today than I have in months. I'm not in counseling and my situation from the days before has not changed. I'm glad I didn't pay thousands of dollars for this.

Dr. Grande, would it not be prudent to include a nutritional whole food diet and outdoor exercise into the conversation? The only thing I ever seem to hear loud, clear and often is drug treatment. The benefits of sunshine and exposure to fresh air and nature is so important! It has been amazing in my own life helping me cope with dark times.

What an interesting subject to address and with your typical balanced approach.. Thankyou Dr. Grande. Yes, and a boldfaced example of touting oneself as the master of sudden change/transformation, particularly in one session, is a British therapist many of us have seen on Mind Valley channel.She is quite prolific with the videos and seminars, however she rather lost me with her repeated claims.

So many factors go into these breakthrough moments. I'm not sure why (modern, Western) practitioners insist on deciphering/arriving at/inventing (?) one cause for them...? Very artificial. It has seemed to me (from both a professional and a client perspective) that these leaps are facilitated by combinations of... clinical skill with both establishing rapport and maintaining boundaries, client investment in forward movement and capacity for insight, strong & healthy enough attachment (on both sides!) for reciprocity, and often meds to clear a sometimes cluttered chemical pathway so that all these can be effective! (Thanks be to God for His indescribable gift/s, eh?) Thanks to you, Dr. G, for bringing some of them to us -- Merry Christmas, and blessings in 2020! ☃️🎅🤶🙏

@mmadan1611

4 жыл бұрын

It's part of the human condition to be curious. We obsess to _explain_ so we can obsess to _control._ Case studies are shared, in part, so practitioners can have _Meta-Sudden Gains_ (insight) which they can then purposefully apply (control) to the benefit of...lets just say _everyone._ Even the small degree of professional self-reflection a practitioner will inevitably undergo while reading a case study is likely to advance the cause on average over time. Case studies are mostly engines of creativity and motivation in my view. Generally, they spawn discussion around hope and hypotheses. Rational people already know case studies are impossibly complex. They are often the _first words_ in a causal link, just not the _final word._ And, I often think the "notion" of a _single cause_ is a matter of resolution. For example, leading a balanced life (one thing) versus zooming in and listing all the factors that go into maintaining a balanced life (one thousand things). Cheers.

@tuck-brainwks-eutent-hidva1098

4 жыл бұрын

@@mmadan1611 Hmmm....Interesting thoughts! Worthy of further reflection in themselves.... 😉

@andreasleonlandgren3092

4 жыл бұрын

TUCK - Hidden Values well said.

@andreasleonlandgren3092

4 жыл бұрын

MMA Dan well put.

Surprise this Christmas 🎅 someone in being able to support Dr. Grande on Patreon for a while, to see also his bonus videos. A membership can be cancelled at any time. www.patreon.com/drgrande

Excellent ❤️

We really need to talk. I am a fascinating case study with a syndrome no one else on the planet has and many critical sessions which have stuck and changed my life forever.

Very, very intresting

Hi !! love what you do here! I would love a more informative view studying Luka Magnotta, I have a feeling a lot of people are going to have questions and assumptions after the new netflic documentary. I'm already getting so many questions from friends and would like something to refer them to since I can only give an opinionated stance rather than an informed one.

I have needed to start CBT for Major Depressive Disorder while I will still continue the two antidepressants.

I am far more impressed in this case with what was said in the counselling sessions than medication when it comes to results for Eileen because in disfunctional family systems when otehr family members know a professional is involved on a week by week basis sometimes the person or persons not being treated who have the most problematic behavior in the home before treatment of the patient started then they become on their best behavior in comparison to before ognitive therapy course of treatment started. In counselling or during home care when clients are being expected to or who are expecting to give what would be in other kinds of situation too much information on a week to week basis during for example the client's mid life journey it is probable not wise for a counselor orna home care worker to get that worried about the client's progress in between appointments when a client cancels an appointment or allow themselves to get too elated after an in comparison more pleasant counselling session with that client because that would not be a good way for any counselor to be practising good self care. If that advice to mental health professionals caring for outpatients s not being followed then it becomes way too tempting for everyone in a busy schedule like for example a front line mental health nurse who is running here and there with their car visitng patients in their homes in addition maybe to wlefare checks being done in some homes too then what with all the numbers of experts involved there is a grave danger that way too much credit for substantial gains in their client health will be given to the pharmacology that is being offered to them while turning a blind eye to the deleterious effects on client health that are occuring at the same time while the client like for example maybe what lady Diana herself did at some point after her alleged suicide attempt when she may have been telling a lie abput how medication was helping just to get everybody off her back who are refusing to see the truth about the person or persons still in their home and outside their home too with the problematic behavior which was influencing them to feel overwhelmed with depressive symptoms -- sooner.

The cognitive dissonance Dr Grande describes could be useful in changing the black and white thinking we see in borderline personality disorder. The rhetorical question about how one would view a friend vs how she would see herself is also something that could be very helpful to someone I know. i hope they encounter a clinician like Dr Grande. Time will tell. I know the videos help me with treatment. and will be happy if others have similar benefits.Even when Dr Grande challenges the approach of the clinician in this case study, he does so with such class and dignity. . .

💕Thank you. I wonder how many people have a ‘sudden gain’ when they realise they have Aspergers. When there is a ‘light bulb moment’ when everything falls in to place.💕🇬🇧 (edited: A moment of insight)

I had a breaktrough like this tonight. This is so nice. That it Timed with the video. Syncronicity? Applying your value system to yourself. How can you make yourself feel and how can you useful for yourself and feel enough.

I can see a set of situations where not returning to challenging the patient would be fine. I know I was vastly more comfortable taking myself to task for things than I was recognizing positive traits or counting any attitudinal changes as positive in general, and my psych only challenges me when he knows I’m trying to make light of a situation or sidestep an issue with a joke, so even then the challenges are framed in a supportive manner. I’m only half the equation here so maybe challenges fly past my radar, I can’t be 100% cognizant another’s communication, much less intention, so it could be up in the air. Either way, some clients will be very comfortable criticizing themselves and uncomfortable building themselves up.

🦋 timing, conscious choice are part🕊🤠🎄

I think it's a matter of the client putting enough together due to having the right information at the right time, along with facil critical thinking skills. It's hardly a sudden gain at 62, and throw meds in the mix. Don't excuse your profession's lack of knowledge with 'this is how it is'. That's incompetence. It's also about what's valued. If you're raised in a family where you are not valued, you will apply those values to yourself and others. For example, what is success? If one is raised in an affluent family that only values outward success, you'll be depressed. It's that simple. I'm so grateful there are no lists in this discussion. Interesting. Re meds: if you want to do better, you've got to feel better.

@kathrinjohnson2582

4 жыл бұрын

Interesting 🤔🤔

I got this genius moment by myself, I have a lot of mental issues but I have never and probably will never recieve councelling or help, at least I see the world clearly now.

Many psychiatric doctors do not like to refer patients out bc they loose that money up the road. Cognitive reported therapy is successful (CT) as all or nothing technique. Eileen learned a better role to value herself. Yes!

I had an extreme gain with DBT with my counselor. 6 months later I slipped and my counselor blamed himself I wish he knew I didnt start back at square one. My life is still 180 from what it was. He recently resigned with no warning I wonder if its part of why im struggling rn.

If you have an "untreatable" patient/ client when cognitive therapy and/or meds are not working to any degree would you try regression therapy to get at the subconscious blocks that may be disturbing the patient? Or limbic reboot?Thanks Dr Grande!! Enjoying the case studies! 👍😍👍

@kevinhornbuckle

4 жыл бұрын

Jane Tones Is limbic reboot another term for ECT?

Dr. Grande, Is it even possible that watching this video and listening to you discuss a Sudden Gain of "Eilene" during her therapy, (9:59-11:46)... *(Specifically **10:29**-**10:33** and **10:46**-**10:53**, and again at **11:10**-**11:15**)* ... would have the same impact on someone with a very similar major depressive disorder? That is to say, could this video discussion trigger a Sudden Gain in someone perhaps similar to a flash of awakening one experiences during meditation. What was spoken at these timestamps is not new information to me, but suddenly it seemed to simply 'fit' and in a flash I've seen it as a true reflection of what I've been doing for the past 35 years. And in an instant, I feel as though all my harsh, critical, judgemental views of my self as useless have vanished.. This can't be possible. Seriously, how is it possible?? 🤔🙏🏼🙏🏼 I intend to keep this video as one to review once every 2 weeks and use it as a benchmark of sorts.. Thank you Dr. Grande. 🙏🏼

I’ve had a similar experience. I’ve been diagnosed with fibromyalgia, and I think I get varying levels of depression and anxiety because of it. Difficult times never improved until I found a medication or lifestyle change that helped decrease my pain dramatically. I find it disheartening that the majority of studies I’ve seen trying to find ways to help people with my condition focus on cognitive treatments as apposed to real medicine. At my worst, there was no way that was going to help me. I was in too much pain. The only times positive cognitive changes occurred was with physiological changes. Both are good, but let’s be honest. Someone with a broken leg isn’t going to get better with talk therapy.

It does sound odd to focus too much on which factor contributed more since they don't seem independant at all. It could very well be synergistic where therapy opened the door and medication helped her walk through it.

lady should look into Lyme Disease

"She improved with her new philosophy that every human has intrinsic worth, including herself" -- Huh... I recently saw tons of improvement when I realized people *DON'T* actually have any intrinsic worth, including myself. Strange.

@matthoward8546

2 жыл бұрын

yes...might as well go for it because it doesn't really matter anyway.

@kaseybrown7664

2 жыл бұрын

@@matthoward8546 well, thats not how I worked it out... I dont have *intrinsic* worth. Im only worth something if I contribute, accomplish, or do something worthwhile. Im not worthy just sitting around all day doing nothing, and neither is anyone else. You act worthless, you are worthless. You make yourself a king, then you're a king. But you're not a king automatically just because you're intrinsically special. I think the intrinsic value argument put forward by Christianity and other fields of thought is just wrong.

People with ADD/ADHD sometimes get misdiagnosed with mood disorders because people with ADD/ADHD also can experience difficulty regulating emotions, besides difficulty regulating focus, motivation and time management. Unfortunately difficulty with emotion regulation was left out of the DSM for several decades. So it makes sense that ADHD medication would make a difference in mood and functioning, which in turn made her feel more positive and less useless. Together with the change in thought patterns resulted in a big change. Do you know if she kept this positive change permanently?

@flowiththego3818

3 жыл бұрын

(PS. I'm not an expert, so please correct me if I'm wrong)

Anger turned inward . Darkness visible . Styron, wallace , and buchwald all walking a beach and all depressed. Hyper self critical or expecting results that are not realistic. Self listing ones positives rather than negatives.

Comment 9: 359 views. Glad to get a clinical case study to improve cognition .... 47 likes one non. Moment of genius, I’ve had that, even today...😄🤣😄🤣🤣

Be careful if someone goes from extremely depressed to elated. It could be that the person has decided to commit suicide. It could also be a misdiagnosis. The person has bipolar, not just depression.

15:03 better for whom, though? No doubt the therapist might have had a boost to their own ego with some more progress if another success could be had, but was this prudent to attempt it in the immediate short term? Patients are in therapy for themselves, not the clinician. In this case, there was no need to "hope that they take off on their own", as the success was palpable, for all parties, but there is only one person in this equation who does need this to be permanent change, while the other might just enjoy their little moment of professional success and not have it cloud their judgement.

Dr. Grande: Gains Advert: You are overweight and unhealthy, reserve your spot now!

He's talking about gains so much that at the end of he video Todd became beafed up.

Sudden GAINZ from depression? Tell me more.

Third!

But, we all know we judge ourselves more harshlybthat we are more encouraging to friends. At least superficially. She needs to know how she feels off all neurotoxins. Sounds like she even could have had so.e mania!

Sudden gains sound like bad economics for the counselor.

she's high

first

or she just got so bored of therapy that she pretended to feel fine all of a sudden...

don’t kill yourselves,peoples .when you’re feeling like it,do something to your best,to the max,like you’ll be dead the next day or like there’s no tomorrow .in just a couple of weeks...trust me,everything’s gonna be fine😁ganba!ganba!ganbare!

@kathrinjohnson2582

4 жыл бұрын

That's good advice for ppl that think they have nothing to live for, but for ppl whom want relief or to escape from something that is the worst possible advice. I think a lot of counselors make the mistake of thinking wanting to die and not wanting to live are the same thing and can be treated the same.

@yourworstnightmareever538

4 жыл бұрын

Kathrin Johnson those who are not into death wish can maybe like just find a new hobby 😁wonderful things happens to the brain when you’re trying learn something new like learning how to fly airplanes or just designing jewelries or like my big sister who actually worked a part time job as cashier in convenience stores in dead hours of the night after office work and dinner because she can’t sleep at night she thought she might as well make something worthy about it .her insomnia got cured in like 3 months and her bank account got fatter and she met lots of different types of people from all walks of life.she said she really misses the cute guy who’s kinda not right in the head that will come buy the same stuff at the same time for like everyday and pays with coins only,patiently counting each coin from a huge paper bag onto the counter and couldn’t bothered he’s holding up a que behind him

@kathrinjohnson2582

4 жыл бұрын

@@yourworstnightmareever538 I don't know what you meant by death wish. But what you said about your sister is very interesting. Did it have any thing to do with her circadian rhythm ? I think that is so fascinating but I never hear any one talk about it. And there's not a lot of videos on circadian rhythms either

@kathrinjohnson2582

4 жыл бұрын

@Ahimsa42interesting .that's very open minded, thank you for the quote.

There is an old joke. Patient .Doc how long have I got to live? Doctor:" A few weeks." Patient:"Doctor I can't afford to pay your bill by then " Doctor: "Make it 3 months".