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A little discussed effect of therapy: it changes personality (2017)

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Re: A little discussed effect of therapy: it changes personality (2017)

#101

Earlier quoted context omitted.

Do you think it was necessary to go through this process with a therapist, or could a less expensive alternative have had the same effect?

The evidence is fairly clear - reading self-help books or using an internet-based CBT programme is similarly effective to in-person psychotherapy. That doesn't mean that these approaches will be effective for you, but they're viable treatment options that are vastly more accessible. I'd still suggest trying in-person therapy if it's available to you, but don't be disheartened if that isn't an option - there's no evid…

> reading self-help books…is similarly effective to in-person psychotherapy

That was not the outcome of the CPR paper, and even the authors' statement in the abstract is considerably more hedged than you imply here.

iCBT and bibliotherapy have both demonstrated the greatest efficact in subclinical or extremely high functioning populations; their utility in more severe cases or those where there are comorbid psychiatric or bio-social issues is less clear.

I absolutely believe in using telehealth to broaden access to behavioural health services and think they're an excellent first line treatment, but stating there's nothing to suggest that they're a fungible good with equivalent value to human-delivered psychotherapy risks dissuading people who're already struggling and fail to improve with self-guided resources from seeking out more comprehensive services.

Re: A little discussed effect of therapy: it changes personality (2017)

#103
post #45
post #38

Earlier quoted context omitted.

Thank you for sharing. Sincerely curious what you mean by "A bit of money". I'm lucky that I didn't have to have therapy. My guess is unless your insurance/job covers mental health, it's at least $50/hour (closer to $100 or $150 if in a major city). Surely not much for the possible benefits (and on a developer salary), but I'm wondering how expensive such services are.

> closer to $100 or $150 if in a major city If therapy is just talking, surely there must be options for cheaply video chatting a therapist in a state with lower cost of living?

There are some companies trying to do teletherapy (eg BetterHelp), but video conferencing is a poor substitute for meeting in person, especially when a therapy session may often have the client crying, or panicking, or emotionally reacting very strongly. "Just talking" trivializes the contents of the conversation as well as the psychologist's role in the healing process.

Re: A little discussed effect of therapy: it changes personality (2017)

#104
post #38

Earlier quoted context omitted.

Thank you for sharing. Sincerely curious what you mean by "A bit of money". I'm lucky that I didn't have to have therapy. My guess is unless your insurance/job covers mental health, it's at least $50/hour (closer to $100 or $150 if in a major city). Surely not much for the possible benefits (and on a developer salary), but I'm wondering how expensive such services are.

European perspective incoming: Every resident of Switzerland has to have obligatory health insurance. Therapy is part of the basic package that every insurance provider has to cover (for up to N sessions per year). The patient has to pay a cover of 10% of the cost on top. This shifts the cost of therapy from $150/hr to $15/hr + basic health insurance premiums (<$500/mo). Note that this is general health insurance, so…

I notice this trend of not covering dentistry through many countries. I think the issue is that a lot of dentistry work tends to be aesthetic and because of that it's hard to draw the lines on what should be covered.

Re: A little discussed effect of therapy: it changes personality (2017)

#105
post #45

Earlier quoted context omitted.

> closer to $100 or $150 if in a major city If therapy is just talking, surely there must be options for cheaply video chatting a therapist in a state with lower cost of living?

There are some companies trying to do teletherapy (eg BetterHelp), but video conferencing is a poor substitute for meeting in person, especially when a therapy session may often have the client crying, or panicking, or emotionally reacting very strongly. "Just talking" trivializes the contents of the conversation as well as the psychologist's role in the healing process.

Also body language and eye contact (or lack of it) is a very important part of the session which cannot be recreated online.

Re: A little discussed effect of therapy: it changes personality (2017)

#106
post #104

Earlier quoted context omitted.

European perspective incoming: Every resident of Switzerland has to have obligatory health insurance. Therapy is part of the basic package that every insurance provider has to cover (for up to N sessions per year). The patient has to pay a cover of 10% of the cost on top. This shifts the cost of therapy from $150/hr to $15/hr + basic health insurance premiums (<$500/mo). Note that this is general health insurance, so…

I notice this trend of not covering dentistry through many countries. I think the issue is that a lot of dentistry work tends to be aesthetic and because of that it's hard to draw the lines on what should be covered.

> a lot of dentistry work tends to be aesthetic

Is this true? This is so far from my experience I'm actually curious what the numbers are. If you have a study on this, I'd love to read it.

Re: A little discussed effect of therapy: it changes personality (2017)

#107
post #104

Earlier quoted context omitted.

I notice this trend of not covering dentistry through many countries. I think the issue is that a lot of dentistry work tends to be aesthetic and because of that it's hard to draw the lines on what should be covered.

> a lot of dentistry work tends to be aesthetic Is this true? This is so far from my experience I'm actually curious what the numbers are. If you have a study on this, I'd love to read it.

Just a guess from my personal experience. Might probably be wrong.

Re: A little discussed effect of therapy: it changes personality (2017)

#108
post #75

Earlier quoted context omitted.

AFOAF = A friend of a friend? That's a rather obscure acronym.

Is that not code, for me?

Its literally just to protect privacy of someone close, nothing more. Shouldn't be interesting anyways but you never know how far doxxers will go.

Re: A little discussed effect of therapy: it changes personality (2017)

#109
post #35

Earlier quoted context omitted.

>> I met thousands of people. And, frankly, in the aftermath, the experience completely converted from an extrovert into an introvert. That's interesting. Could you please share more ?

I'm still trying to understand it myself. There's definitely the bits about socializing being taxing (introvert) or energizing (extrovert). Maybe that's just aging and slowing down. But a huge component is becoming very transactional, jealously guarding my time and attention (both rapidly diminishing resources). Having become best friends with 100s of people and then becoming yesterday's news after my defeat, my calc…

this is super interesting, I had similar experiences. Except I am still happier having loved and lost.

Can I ask how old you are?

Re: A little discussed effect of therapy: it changes personality (2017)

#110
post #93
post #84

my depression went away after changing my diet. a ton of neurotransmitters are made in the colon and intestines. Don't stop looking for things that might improve the condition, you will know when you find something that works.

What changes did you make?

Went keto, depression went away within a week. Switch to carnivore for financial reasons, anxiety went away.
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