this post was submitted on 27 Apr 2026
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[–] sad_detective_man@sopuli.xyz 19 points 15 hours ago* (last edited 14 hours ago) (1 children)

There is no joke. just a medical industry preoccupied with the quickest easiest way to get you back into the work force and no longer complaining

[–] bearboiblake@pawb.social 13 points 13 hours ago (1 children)

I think this is quite unfair, and might dissuade people from considering therapy. therapy is absolutely fantastic and changed my life - heck, it saved my life.

I guess it depends a lot on the therapist, but both of the therapists I saw were entirely concerned about what I wanted from therapy, rather than "curing" me or anything like that

[–] sad_detective_man@sopuli.xyz 7 points 13 hours ago (1 children)

you're right. not everyone has the same problems as me. I've just had a hell of a streak of doctors prescribing stoicism or stoicism disguised as other various thought gymnastics and truisms. America has a problem with this but that doesn't mean other people won't have a better go at it

[–] bearboiblake@pawb.social 5 points 13 hours ago (1 children)

I'm really sorry to hear about your negative experiences, that sounds really rough.

Doctors, in my experience, fucking suck with mental health issues. I wouldn't go to a psychiatrist or a psychologist, but rather someone who specializes in person-centered therapy/counselling.

[–] sad_detective_man@sopuli.xyz 3 points 13 hours ago (1 children)

eh I've adjusted now that I know what the game is, but thanks. that was actually the type I was going to, even some EMDR specialists. I'll probably try again when I'm no longer living in a cultural equivalent of a meat grinder

[–] bearboiblake@pawb.social 3 points 12 hours ago* (last edited 12 hours ago) (2 children)

I'm not really a fan of approaches like EMDR or CBT, I'm sure it has helped some people, but personally, I think just normal talking therapies where you discuss and explore your feelings in a validating, safe environment is the best approach, no gimmicks, no "one neat trick" bullshit, just talking through your fears, feelings, worries, without judgment.

anyways, sorry to hear that shit is bad where you are, I really hope stuff gets better for you soon <3

[–] Tiresia@slrpnk.net 2 points 6 hours ago (1 children)

EMDR works if and only if you have single points of intense trauma; when you can't talk like an adult because of how overwhelming the memory is.

If it helps to ground it outside of capitalism, it's basically the reinvention of intense spiritual cleansing rituals, as found in many cultures. Prompt someone to think about the evil thing, apply busy sensory stimulus, and make them engage with that stimulus through call and response. Guide them through, walking the line between getting lost to the evil and stalling out.

Whether justified as the work of ancestors, spirits, gods, modes of consciousness, christ, or a neurological ddos attack, people are healed by it often enough for the ritual to persist.

[–] bearboiblake@pawb.social 3 points 6 hours ago* (last edited 6 hours ago)

So, for context, I have pretty severe PTSD, on bad days I have entire hours that go missing due to dissociation and the like, and my experience with EMDR is that it is wholly inappropriate for the treatment of extremely traumatic memories, and runs a pretty heavy risk of re-traumatizing.

Re-processing traumatic memories is a great way to overcome them, but I think that it is best done with a very slow, very careful approach, at a pace set by, and comfortable to the person going through the process.

EMDR is an attempt to kinda "brute force" the process, rather than slowly peeling away the layers and making the traumatic memory accessible and bearable a little at a time and reprocessing it that way.

Just my thoughts and experiences, not a professional.

[–] sad_detective_man@sopuli.xyz 2 points 12 hours ago

thanks Blake <3 yeah CBT is dogshit for a lot of situations