In psychiatry and psychotherapy there are unwritten "rule of thirds". This rule applies to a greater extent neurosis that are not the result of other more severe mental disorders in the same patient.

for Example, you may be a neurotic depression, which is caused by some psychological trauma. Maybe the depression that accompanies the course of schizophrenia, or depression after a stroke or heart attack. Or may begin anxiety disorder with panic attacks after experiencing stress. And there may be subsequent anxiety disorder the same panic attacks when there is a malfunction of the thyroid gland (thyrotoxicosis, hypothyroidism), or when age-related changes in the brain (vascular dementia or organic).

So, the rule of thirds works for neurosis, and goes something like this:

— 1/3 of patients recover fully in conducting qualitative psychotherapy, either with drug treatment or with a combination of psychotherapy and medication;

— 1/3 of patients gain significant improvement in their condition, and then the patient is able to cope with his condition independently;

— 1/3 of the patients not recovering and not getting any improvement in condition;

it is Clear that in the case of organic mental disorders, endocrine, traumatic, intoxication of nature work the other laws of development and treatment of the disease.

the Psychologist faces in his receiving mainly with neurotic patients /clients. I often use the help of doctors with the purpose of easy medical treatment or procedures of physiotherapy. These measures help to quickly alleviate the symptoms, and the patient faster and more comfortably enter into the process of effective psychotherapy. However, despite all efforts, some patients never get rid of their neuroses. An experienced psychologist or therapist already at the first appointment can detect with high precision the probability of recovery of the individual patient.

I Wonder why some patients are not cured? What is stopping them to get rid of the difficulties, which actually led them to a psychologist? Why wants to be treated, but makes no effort to his recovery? Why he really is not motivated to recover?

One of the main reasons rental installation associated with the disease. The rental setup is the benefits that man receives from his state. In-depth analysis of the clinical picture is that rooting at the moment for that person is more profitable than to be healthy. And many "sick" for months, and even years.

for Example, panic attacks because of his bright paintings are very well attract the attention of others: husband, wife, relatives, doctors. Especially when other ways to draw this attention to himself could not. If the family suddenly sounded the theme of divorce, then suddenly started panic attacks keep the second half from rash decisions and actions. After all, the social setting in the society reads: "the Sick do not throw! If a person is ill, he should be pitied and treated!"In addition, the disease causes people to sympathize with a patient, to protect him from his work, free from intimate and other duties not afford to make important decisions that "sick" had to take the day before, being healthy. Often "disease" is intended to punish the relatives for some prigresheniya. After all, the husband, the wife or mother-in-law beginning to run on doctors, to be nervous, do not sleep at night together with "sick". Or mother-in-law starts to feel guilty due to illness of daughter-in-law (because my sister-in-law always find a reason for anything to "punish" the mother-in-law).

These mechanisms are included in the mind unconsciously. Man deliberately forms the neurosis. The unconscious works faster than people consciously realize what was happening. Sometimes the neurosis becomes the only survival tool in society, preserve the integrity of the individual, obtaining the necessary emotional investment, care, pity. If a person gets rid of this neurosis, he loses all benefits from it. Therefore, the psyche clings the symptoms, not wanting to part with them. And it turns out that today an unconscious decision to "hurt" wins a decision "to be healthy". This mechanism works in the formation of some somatic diseases. In this case we are talking about psychosomatics.

When working with nervousness is always very important to clarify all the possible benefits that a person receives from the disease. It is 50% of success on the road to recovery. The second 50% is achieved through the development of substitutes to derive these benefits. Ie the benefits should be studied. If the person finds other ways of obtaining the benefits (what he lacks) and not using the disease, the symptoms disappear and the patient recovers. On the development of these other ways of obtaining the desired and directed psychotherapeutic work.

sincerely,
practical psychologist in Simferopol, hypnotherapist
Kashin Alexander V.