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    WomanSavers.com Forum / ASK DR. WOMANSAVER / What would you recommend as a course of action medically?

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eris2008
  Posted: 3/28/2008 6:12 PM Subject: What would you recommend as a course of action medically?
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What type, if any, of therapy would you recommend for the following person? For someone who has been through emotional/psychological abuse as a child, was raped, is autistic, attempted suicide as a teenager, was depressed and a self injurier. Also, I don‘t know if this matters, said person is horrible about telling the truth to the therapist for she was raised to make her life seem perfect.



hopeless_dreamer
  Posted: 3/29/2008 4:59 PM Subject: What would you recommend as a course of action medically?
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There is nothing a doctor can do to someone who does not want help. Doctors cannot force therapy or drugs on someone who does not want to take them. The first step to recovery for the person you describe would be to want help. Unless the person poses a clear and present danger to herself or others, doctors cannot force the individual to do anything.

That being said, if this person did want help, she would need to find a psychiatrist and a therapist that she could be completely honest with.This person has been through a lot of torment in her life and needs help to get her life back on track. A full psychiatric workup is necessary by the psychiatrist so that appropriate medications can be prescribed (to treat the depression, etc). Additionally, psychotherapy from a professional therapist would also help a great deal. The combination of appropriate medication plus psychotherapy would be the initial starting points for her treatment. However, I again stress that these are impossible to achieve unless she wants help and is willing to be perfectly honest with her care providers. It takes a strong person to survive everything that she has sufferred through, but it takes even greater strength to talk about them and ask for help.


Dr.WomanSaverM.D.
  Posted: 3/31/2008 5:31 AM Subject: What would you recommend as a course of action medically?
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hopeless_dreamer wrote:
There is nothing a doctor can do to someone who does not want help. Doctors cannot force therapy or drugs on someone who does not want to take them. The first step to recovery for the person you describe would be to want help. Unless the person poses a clear and present danger to herself or others, doctors cannot force the individual to do anything.

That being said, if this person did want help, she would need to find a psychiatrist and a therapist that she could be completely honest with.This person has been through a lot of torment in her life and needs help to get her life back on track. A full psychiatric workup is necessary by the psychiatrist so that appropriate medications can be prescribed (to treat the depression, etc). Additionally, psychotherapy from a professional therapist would also help a great deal. The combination of appropriate medication plus psychotherapy would be the initial starting points for her treatment. However, I again stress that these are impossible to achieve unless she wants help and is willing to be perfectly honest with her care providers. It takes a strong person to survive everything that she has sufferred through, but it takes even greater strength to talk about them and ask for help.


I agree with the above, and don‘t have anything else to add, except that I wish hopelessdreamer was around to preround on my patients in real life too. :)


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