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How do you know when the therapy is over?

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By *dam1971 OP   Man
over a year ago

Bedford

Another mental health thread, are we all crazy here?

After suffering with depression for ages I finally admitted it back in November and visited the GP. Various medications, eventually some counselling and just recently I’m starting to feel a bit better.

How do I know when to stop the therapy? How well is well enough?

This is separate to stopping the tablets which I’ll speak to the GP about

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By (user no longer on site)
over a year ago

Can you discuss it with your counsellor, formulate a plan?

And you don’t have to just finish, it will still be there if you want to go back to it.

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By (user no longer on site)
over a year ago

I had 6 weeks of councelling where i was taught a number of very useful coping mechanisms so that was enough for me but i have been told more sessions are available should i need them

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By (user no longer on site)
over a year ago

If you're paying privately for therapy, you have more choices than what's available via NHS or perhaps work. NHS will only have a set number of sessions. If you're worried about stopping it completely and you pay, wean yourself off. The discussion with your therapist as prior poster stated, is a good idea.

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By *tonMessCouple
over a year ago

Slough Windsor ish

In this area therapy is usually organised as course of 6, 8 or 12 weekly sessions.

Talk to your therapist.

Can they leave your case open so you can access it again instantly rather than having to be reffered by your GP again, should you need it?

My own therapy is open and will be ongoing, probably for life

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By *dam1971 OP   Man
over a year ago

Bedford

Thanks, I guess I don’t like asking a question until I’ve got a vague idea of the answer but that helps a lot.

It’s private therapy so I can keep going as long as I want or until my bank balance runs out which might be sooner

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By *ubiousOatcakeMan
over a year ago

Aberdeenshire

My therapy was up when my six unevenly spaced sessions were used up. He was willing to let me stop after the fifth.

I’d argue that it never stops, you just stop seeing that person. I still think about what I’d tell him if I was seeing him now, and what (if anything) he’d say back.

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By *ubiousOatcakeMan
over a year ago

Aberdeenshire

[Removed by poster at 01/06/18 13:32:37]

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By (user no longer on site)
over a year ago


"Thanks, I guess I don’t like asking a question until I’ve got a vague idea of the answer but that helps a lot.

It’s private therapy so I can keep going as long as I want or until my bank balance runs out which might be sooner"

Sometimes, they may lower the rate if you’ve been going a while. It might be worth telling the counsellor if it’s difficult to afford. There may be a certain stage you want to get to before ending your sessions. I’d ask the question, you’ve nothing to lose.

I hope the therapy keeps helping. x

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By (user no longer on site)
over a year ago


"Another mental health thread, are we all crazy here?

After suffering with depression for ages I finally admitted it back in November and visited the GP. Various medications, eventually some counselling and just recently I’m starting to feel a bit better.

How do I know when to stop the therapy? How well is well enough?

This is separate to stopping the tablets which I’ll speak to the GP about "

It might not be advisable to stop/ reduce dosage/ wean off tablets if you're dropping therapy first. Talk to your doctor about both.

If you're not on the basic dosage of meds, that'll be your first aim. Just note, when you experience side-effects, it'll pass just like when you first went on them.

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By *dam1971 OP   Man
over a year ago

Bedford


"Another mental health thread, are we all crazy here?

After suffering with depression for ages I finally admitted it back in November and visited the GP. Various medications, eventually some counselling and just recently I’m starting to feel a bit better.

How do I know when to stop the therapy? How well is well enough?

This is separate to stopping the tablets which I’ll speak to the GP about

It might not be advisable to stop/ reduce dosage/ wean off tablets if you're dropping therapy first. Talk to your doctor about both.

If you're not on the basic dosage of meds, that'll be your first aim. Just note, when you experience side-effects, it'll pass just like when you first went on them.

"

Spot on, thank you

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By (user no longer on site)
over a year ago


"Can you discuss it with your counsellor, formulate a plan?

And you don’t have to just finish, it will still be there if you want to go back to it.

"

I'd say you should 'leave', when you and your councillor both feel as though you can support yourself using the cognitive methods youve hopefully been taught and once both of you know you can identify the signs of depression creeping up again.

Knowing prevention and management methods is crucial to keeping you independant

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By (user no longer on site)
over a year ago

Talk to your therapist.

I actually had this conversation with therapist recently, she told me that we will be looking to end my councilling in the next couple of months. We have been able to put a plan and schedule together so that we can make sure that I'm ready.

Good luck fella.

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By (user no longer on site)
over a year ago

A good counsellor will help you with this (reviews etc) and ethically shouldnt keep seeing you if they feel you have come to a good "ending" and are ready to stop. Of course this is if you are paying.

Unfortunately through the NHS you may only have a set amount of sessions which can be difficult especially if you feel you're getting somewhere and it ends.

The difficulty may be in having the confidence in going alone.

Best of luck

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By (user no longer on site)
over a year ago


"...

I’d argue that it never stops, you just stop seeing that person. I still think about what I’d tell him if I was seeing him now, and what (if anything) he’d say back."

That sounds like a good idea.

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By (user no longer on site)
over a year ago

Have you looked at a course in mindfulness too . It's a wonderful thing . Being present in the moment .It's helped me so very much

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By *radleywigginsMan
over a year ago

northwest

In very general terms, 3 months after you feel entirely back to normal.

Then tailor it off, and be prepared to restart as soon as things deteriorate.

Good luck

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By (user no longer on site)
over a year ago

When you initially started therapy the therapist should have given you an intial guideline as to how many sessions you can anticipate to have.

As you near the end, they should be making you aware how many sessions you have left until the anticipated end.

It also depends a lot on the type of counsellor you are seeing too. CBT usually lasts 6/8 sessions.

Other type of counsellors see for double this initially & extended if needed. I’m a person centred counsellor & initially contract for 12 sessions with reviews periodically.

Best thing is to bring it up with your counsellor. They can explore this with you, your thoughts & feelings around it all.

Good luck with your journey

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By *dam1971 OP   Man
over a year ago

Bedford

Thanks for everyone’s replies, that’s very helpful.

For anyone who’s going through depression and sliding downwards, it is possible to feel better and I hope you do too

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By (user no longer on site)
over a year ago


"Thanks for everyone’s replies, that’s very helpful.

For anyone who’s going through depression and sliding downwards, it is possible to feel better and I hope you do too"

Hope it all keeps going well for you. Xx

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By (user no longer on site)
over a year ago

You’re probably feeling better due to the therapy. Keep going and talk to your therapist about it.

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By *dam1971 OP   Man
over a year ago

Bedford

An update, I’m feeling completely different so the therapist and I talked it over and we’re going to pause the therapy.

I did the same checklist thing as when I started and I’ve gone from “completely loopy and will probably self-harm while in the session” to bang in the middle of healthy.

I’ve got another one booked in a month to see how things are going and if things start to feel wobbly I can make an immediate appointment.

It’s honestly a life changing experience and for anyone going through depression, I hope you can find a way through it.

Thanks to all the Fab friends on here

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By (user no longer on site)
over a year ago

Brilliant! I have tons of therapy over the years and have now been told I’m on meds for life and which is fine by me as it keeps me the person I feel I really am, not the fingering wreck depression makes me.

So pleased it’s worked for you. It’s true, get the right counsellor and it’s like magic!

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By (user no longer on site)
over a year ago

Hurrah. Pleased it worked for you, the slightest wobble, go straight back. X

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By *tonMessCouple
over a year ago

Slough Windsor ish

Glad you are feeling yourself again... Takes time and patience and the self awareness to know how you are handling things and notice if things begin to slide and get help again if needed.

You cant control your mental health but you can control how you deal with your symptoms xx

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By (user no longer on site)
over a year ago


"An update, I’m feeling completely different so the therapist and I talked it over and we’re going to pause the therapy.

I did the same checklist thing as when I started and I’ve gone from “completely loopy and will probably self-harm while in the session” to bang in the middle of healthy.

I’ve got another one booked in a month to see how things are going and if things start to feel wobbly I can make an immediate appointment.

It’s honestly a life changing experience and for anyone going through depression, I hope you can find a way through it.

Thanks to all the Fab friends on here "

Great news.

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