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The issue with CBT is that there are populations that it is not effective for, but because it’s so easy to apply that’s what the majority of professionals are trained to (only) provide. It’s not trauma informed at all - there’s little understanding of how to treat trauma in general.

I have issues with rumination, and CBT makes it substantially worse. I have told every professional that I have worked with that I know it does not work for me, and instead of respecting that, I get stealth attempts at it or they do end up giving me the fucking worksheets.

CBT also can work like a kind of gaslighting - ie, right now I’m terrified of leaving the house because my drivers license is now invalid by state law and EO - my county’s jail has killed quite a few people and a little gay trans man like me is not going to do well. I can’t “replace” that thought with a better one. Ranking how I feel about that just makes me more freaked out.

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sp3tr4l@lemmy.zip ⁨1⁩ ⁨week⁩ ago

I have told every professional that I have worked with that I know it does not work for me, and instead of respecting that, I get stealth attempts at it or they do end up giving me the fucking worksheets.

That is some fucking horseshit right there, in a just world you’d be able to easily sue such clowns for malpractice or at least submit a complaint that would actually lead to re-training or re-certification or something for these assholes.

I’m not trying to say CBT is a perfect panacea of mental health, just that its … basically an example of the field of therapeutic psychology not even really having any real empirical validity until fairly recently.

The mental health care system is just as, if not more broken than the rest of our healthcare system.

Absolutely full of people faking or overstating their qualifications, just doing literal fraud, or what isn’t technically legal fraud, but should be considered as such.

Its a clusterfuck, designed primarily to extract money, wase time, deliver subpar treatment.

ie, right now I’m terrified of leaving the house because my drivers license is now invalid by state law and EO - my county’s jail has killed quite a few people and a little gay trans man like me is not going to do well. I can’t “replace” that thought with a better one. Ranking how I feel about that just makes me more freaked out.

I sympathize and empathize with that… I’m not gay or trans, but I’ve spent a year or so crippled and homeless, no id, no phone, all your shit stolen every month, getting assaulted every other week… I know what its like to live in constant fear.

… Your concerns are extremely real, and any decent doctor would look to identify and then alleviate the source, the cause of the problem.

I wish I had a solution for you.

… We’re gonna need to build an underground railroad to get people into at least bluer areas…

Had I the money, and properly functioning legs, I’d rent a car for a week and drive you myself.

Fuck, I dunno, you might be able to successfully apply for asylum in Canada… you might be able to make a decent case you’re a directly targeted minority by their asylum seeker guidelines.

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- andros_rex@lemmy.world ⁨1⁩ ⁨week⁩ ago
  I’m just scared all of the time. Any time I can get a leg up - I’m not protected. I can lose everything at any time.
  
  If I end up homeless I’ll kill myself. I’ve been sexually assaulted too many times with a place to live. I can’t handle it anymore.
  
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  - sp3tr4l@lemmy.zip ⁨1⁩ ⁨week⁩ ago
    I… I can only say that I know … what that’s like.
    
    I should be dead many times over.
    
    At one point, I got held hostage and beaten and starved for a week straight, barely escaped.
    
    At another point, nearly froze to death in a -30 F blizzard.
    
    I lost friends, or acquaintances at least… seen em pass on right in front of me… found their bodies a few days after they go missing.
    
    I know its even worse for girls, women and transfolk, I’ve … seen the aftermath of what … people do to them… a lot of my injuries, the scars I have now… are from trying to, and in some cases, successfully stopping people from doing horrific things, getting them out of traphouses…
    
    I don’t have a solution… only solidarity.
    
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