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Hello there,
I have a Client with a very deep depression, she is on the maximum dodis of anti depressiva medication. But I need some help because I found the problem but I encounter a problem doing the therapy.
When I bring her to hypnosis, she is really in a state of somnambulisme, I ask her to go to a situation where she got the feeling and ask her to make that feeling stronger, when she makes it stronger and I see it that she is on the limit of handling that feeling, I ask her to follow that feeling to the first time in her life she got that feeling, she go to 19 years old and begin immediatly to speak about her father ( in the intake she said that the relation with her father were ok) there she say that her father alway tells that she can't do anytything and that she is nothing, she will never do anything in her life etc etc.... I tried again to go backwards but she stays on her 19 years old moment, so I do the chair therapy with her and father, after much emtions and fear, she begins to tell what she always want to tell, why did you do that and much more, when she finished I "tits" my fingers on her forehead and say "BE YOUR FATHER" and there the problem begins, she cried "NO, THAT'S NOT POSSIBLE, I CAN'T BE MY FATHER" a told her to go out of this image and calmed her.....
What can I do more, do I first have to do other things before? I did very much chair therapies in the last 6 months but I never encounter this problem.....
Can someone help me in this case?
thank you and best regards,
Dominique
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Hi Dominique-
I respect your intentions, as I'm sure others do as well.
I want to strongly encourage you to re-evaluate your position on the psychologists. If she has already told you she has made an attempt to end her life those medications may be the cause of the problem or the solution that has kept her alive. There is no way for you to know which is true. It's not up to you to decide if they have worked because you don't know what the psychologist was doing with them. We also don't know which medications they have tried, and that doesn't mean every psych she could possibly see would do what the people in the past have done. Now is not the time for you to remove her options.
If she has told you she has attempted suicide then she needs to work with someone who already has the answer and experience in this area. Our job is to help people, and the best help you can do is to help this woman find a hypnotist, psychologist, counselor, or something that has seen this kind of thing before and can help her.
I know you want to help her, and I can tell you are sincere in that desire. The right thing to do here is to refer her to someone else that SHE can trust. This woman should be under the care of someone who can help her and her husband. It takes a great practitioner to ignore their ego and to be honest about what they can and can't do.
If she were my client I would refer her out. I would make sure she was seeing someone with a history of working with suicidally depressed people. I recommend you help her find someone as soon as possible. In the meantime, only work with her in positive, encouraging, happy directions. No regressions, no enhancing tough emotions, no facing fears or dragging things up. Keep it light and happy until you can hand her off to someone with more experience.
Please understand this is in no way a reflection of you or what I think about you or your skills as a practitioner. I would give this advice to 99% of hypnotists out there. This is not the time for you to learn. Referring her to someone with the proper experience is the best thing you can do for her.
Respectfully,
Scott
Kevin,
i don not have any choices because all I tried to do has failed.
NO!!!
Dominique, ALL THAT HAS BEEN TRIED (by you and everyone else) HAS BEEN A SUCCESS BECAUSE SHE IS STILL ALIVE!
Please, please listen to Scott and refer this poor woman somewhere else. It is no reflection on you, but based on what you've said, you honestly do not understand what you're dealing with here.
Metaphor: You're trying to teach her Argentine Tango when she can't even walk because both her legs are broken and in danger of being amputated!! First, keep her alive long enough for her legs to heal. Then, help her learn to stand up. Then learn to walk again, and then run. THEN teach her how to dance. Talk about tango in the mean time, of course, so she has something to look forward to, but first you have to focus on keeping her alive and whole! (I hope this metaphor makes sense in Dutch.)
And unfortunately, you may not be the person best equipped to do that for her. It takes a strong and confident man to admit that, if it's true. I just hope that you don't end up looking back, after a tragedy, and realizing that you made your ego more important than someone's life.
No one here is trying to beat you up. We just want success for both you and your client, and in this case, success may mean stepping away.
Dominique Vankrunkelsven said:Kevin,
i don not have any choices because all I tried to do has failed.
Dominique....
Nearly every responder has rightly pointed out the professional responsibility we all have to stay within our "scope of practice." That is very valuable advice which you are heeding and which all those growing in the art of hypnotism will benefit.
One of the reasons that medications and the other techniques have worked, but only to a point, is that each person's individual experience of depression is unique to them. That is why I speak of depressions (plural) rather than just depression. Sometimes the depression is more organic than psychological which is why I hope her physician team has done a full work-up on her. Sometimes anti-depressants can make it possible to work in areas that had been out of reach previously. Your use of different regressive techniques, Gestalt and Parts Therapy are all valid approaches. You may have been on to something in the regression process as she was re-experiencing the time around 19 years you instructed her to "be her father" and she said "I can't 'be my father." As you grow in your comfort with abreactions you will be able to use what the client gives you more effectively. Perhaps Milton Erickson would have said "That's right, of course you can't be your father." Then he would have said something to the effect of "but if you could be your father what would he say in this situation?" When she said that she may have been trying to guide your work with her, or her subconscious may have been blocking her. Erickson's approach to that has been called "utilizing the resistance."
Depressions are multifaceted. They have many causes and triggers. Sometimes anti-depressants, on their own, with out hypnosis or talk therapy can create other problems for clients. Sometimes issues leading to depressions must be dealt with or you will have a person who may feel good on anti-depressants, or at least better, but feel like something is wrong, nonetheless.
Depressions, like so many maladies that our clients bring to us, often have secondary gain elements that must be dealt with. Parts work has been most successful for me in addressing secondary gain. Others will tell you not to underestimate the power of secondary gain in various behaviors.
Depressions often have a biochemical element. The body produces certain hormones and neurotransmitters in response to certain activities or thought processes.
In his book "Tranceformation" Richard Bandler talks about neuro-pathways coming to be somewhat like ruts in the brain (thought processes) that can run quite deep. He suggests the development of new pathways by purposefully developing new thought patterns. That is what some of your responders were getting at when they properly suggested creating a positive mental environment. You were rightly advised to build in positive experiences as a resource on which to draw in order to offset the depressive ideation. The trouble with developing those positive resources is that it takes time, particularly with a deeply depressed person. Yet the deeply depressed person may have taken a similar amount of time and effort to develop the depressive ideas and patterns.
Perhaps you can regress her to a positive and happy time. Sometimes depressions lead to thoughts that there were no positive or happy times. You would then want her to imagine a positive or happy time. As she does that, have her imagine what it would feel like to feel good. Let her tell you what her life would be like without the depression. Perhaps you could even age-progress her in a session to a time when her depression is gone from her life. If she resists that direct an approach, then have her imagine a time when she is experiencing joy and pleasure and ask her what that is like for her, and note the Visual, Auditory and Kinestetic elements. As she lays these possibilities before you, each becomes a hypnotic suggestion or series of suggestions you can use in helping her overcome her less useful ideation.
In his work on Pain Management, Ron Eslinger guides his clients and then his readers and students away from using the word "pain" after the first session, replacing it with levels of comfort and discomfort. It would most certainly be useful to follow a similar process with depression clients, altering language patterns so that perhaps displeasure replaces depression. Of course we want to replace displeasure with pleasure, so the client can then focus on what thoughts of mind bring her pleasure.
Og Mandino wrote several important self-help books. Perhaps chief among them was "The Greatest Salesman in the World." In that book, Mandino tells readers that the only way to overcome a bad habit is to replace it with a good habit and to become a slave to that habit. (Scroll one). Depressive thinking must be replaced with useful thinking. Developing a habit of thinking useful thoughts takes repetition. It also takes inventiveness. What useful thoughts will she want to think? With what new internal representation will she want to replace the representation of herself as perpetually depressed and her world as without purpose?
As simplistic as it might sound, look for small successes and bring her focus on that. Depressive thinking is often perfectionistic. That may mean that she could do very well and training her mind toward more useful ideation, but fall short once or twice and consider herself to have failed. She failed because her focus comes back to the times she fell short while you as her helping professional want her to focus on all of the successes. Similar thought processes bring weight control clients down.
These are some simple ideas. They are not meant to sound simplistic, however. Overcoming depressions is very often a team effort. No one tool works in isolation from all others. I am sure you are working closely with her medical team. Nothing is meant to suggest that "you are wrong" in any of your approaches. These are meant simply to add to what you are already doing. You must be doing something right if she feels so drawn to working with you. At this point I do not advise referring her out as she may take that as personal rejection and further failure. If you can bring others in on the work, though, that could be beneficial. Remember, as Kathleen has said, you and your colleagues are successful because she is still alive. Milton Erickson was famous for his "Rapid Therapy." That rapidity was not rapid by 21st century standards. It can take many many sessions to get a handle on depressions. Give yourself time and grace and make sure you attend to self-care and receive the positive reinforcement you need to remain encouraged and upbeat.
© 2012 Created by Scott Sandland.