These situations are so confusing, tragic and possibly lethal. Yes, the mother and daughter should waste no time in leaving to be somewhere that they can be safe from him. As he is a threat to them, he can be involuntarily committed. In this instance wherein the danger is clear and present, the police should be contacted to that they may safely transport him to the nearest emergency room where he can begin to receive the help he and his family so urgently need. Good luck to them in both the near and long term.
1st off, there are not many psychiatrists who actual engage in psychotherapy as they are pushed ever more into doing medication management. Clinical social workers provide the most therapy services in the US and many psychologists specialize in psychotherapy. Almost everyone you think about working with will be well trained and have the proper licenses, though you wan to check that. The real question is, are you comfortable with therapist you meet with. That can start be assessed in the initial phone call and the following initial appointment. Remember, a perfectly good therapist may be someone with whom you personally don’t connect with. It’s neither blamed on your or the therapist, it’s just a matter of fit. That should be your key point in deciding on whom to work with. Good luck.
I endorse family therapy for this. The patient with the diagnosis of bipolar disorder may also be in individual therapy. I suggest family therapy to work on issues, patterns and triangles that may contribute to the identified patient’s—here, the one with the diagnosis—symptoms. Family therapy can help the entire family confronting a member with a serious mental disorder. The impact of this disorder will reverberate throughout the family and that will create feedback for the identified patient(IP). As that patient begins to free her or himself from the role of the family’s IP s/he may well find the bipolar symptoms backing off.
I’m afraid we can’t be of any assistance as we need more information beyond your question. It might help if you were a bit more specific about what may be troubling to you?
Good question without a really good answer.
There are some therapists who say they can discern an attachment style relatively quickly even within the initial appointment. I have no reason to doubt this, but it runs counter to my more cautious stance on diagnosis & prognosis.
The research into attachment has spawned a number of good therapeutic interventions, or in my mind, enhanced ways of connecting with people who for whatever reason display problematic attachment styles and behavior.
I say I’m cautious about this as, in my experience, a quick assessment or diagnosis is held prey to counter-transference in the therapist. The quicker the diagnosis the more likely it’s colored by the therapist’s unconscious attachment styles that are then easily seen, through projection, in one or another patient.
I find that if I take more time to experience the relationship with a new patient the more sanguine I am regarding diagnosis and prognosis as I have allowed more data, so to speak, to accumulate to support my diagnostic thinking.
In closing, I’d like to point out that there are some gifted therapists in identifying and communicating attachment styles. These are time savers for sure and may allow them to move more quickly into treatment. & in our insurance dominated professions, speed and accuracy of diagnosis is held in high esteem.
However, as I’ve laid out above, this also has it’s down side in misconstruing the more delicate distinctions among attachment styles that then show the path to treatment and resolution of the patient’s problems.
Briefly stated, we humans are a complex lot that often requires slowed down approach that allows someone’s attachment difficulties to present them to and inside the therapist.
Anyone can ask any kind of question or question on the website Quora. You can ask for answers anonymously or by using your name. You can ask a question posed to anyone who reads it and asks for an answer. Readers can follow those who answer or pose questions and you can also ask a question of a specific person. You can also “follow” anyone you find interesting. I primarily answer questions about psychopathology, therapy and on writing. I’ve just recently started posting both the questions and my answers. There are a variety of questions and many are intriguing.
The short answer is yes. However, it depends on the nature of the goals and how much each might take of your personal resources. Experimentation is a good approach to learning what your capacity for multi-tasking is. Again, it will vary according to the complexity and difficulty of each goal.
Your question, though intriguing is impossible to answer in a definitive way. There are some people who, like you, from time to time have difficulty distinguishing between the two. If it happens everyday and interferes with any part of the person’s life it might well be considered a psychotic process. The key is: How much does this confusion affect your life. If this is considered by you a minor nuisance to living I wouldn’t worry about it. If it happens all the time and interferes in any area of you life I’d talk to my physician to explain what is happening and asking him/her for a referral to someone who’s done this kind of work in the past.
Just kidding. I don’t know of a word that would be defined by what you write in your question. All I can say is that those worries are rather pointless as well as trivial. It may be that people who worry in that way may be displacing far more meaningful and frightening worries on to the trivial in the hope of keep real anxiety at bay.
It’s easy for someone like me to be glib in response to your anguish. I’ll try not to do that with telling you that you should love yourself, that you’re the most important person to believe in yourself. No. Those things may be true, but how to get there is the universal rub.
I would suggest that you get hold—easily available on Amazon Books—of Mark Williams & Danny Penman’s book; Mindfulness: An 8-week plan for Finding Peace in a Frantic World. It’s a Rodale publication.
I suggest this as this is a quite easy to learn form of meditation that research has shown done some wonders with all kinds of human frailties and dilemmas such as yours. It’s a great way to see not only what you think, but also how what you think an fantasize about affects how you perceive yourself. Give it a shot. I’ve recommended this to many of my patients and all report very good results about the things with which they struggle.
I’m assuming—I hope not wrongfully— that you are a young person. I’m likely quite a bit older and more experienced which leads me to the following which you’ve no doubt heard before causing your eyes to roll back in your head; but stay with me with an open mind: These things, they ways we find ourselves so wanting and defective as a young person change as you get progressively older. You get to the point that you not only accept yourself, you may even find pride in who and what you are. Believe me, it comes, and I must say, quicker than you know. I know, my friends I have gone through it. Seems to be part of the evolutionary human condition.