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When I worked in the clinic, to see me asked the woman 30 years old complaining of fear of closed spaces. She directly said from the doorway that came to me on the recommendation of friends to get away from this fear that haunts her, long as she can remember. I invited her to sit down to figure out the details.

She told about not being able to ride the Elevator, avoid tunnels, underpasses, subways, in the backseat of the car feels uncomfortable, Even when sitting on the toilet, then opens the door, that was not so scary. In General, is afraid of everything that has a hint of the enclosed space. Because of all this, she became irritable, restless and short-tempered, because he was unable to lead a normal full life.

At the moment she lives with her husband abroad, is not working. Before for help to psychologists and psychotherapists are not addressed. Came home to a small home for a few months till summer and decided to take the opportunity, since the doctors recommend.



after Talking for a while about her symptoms, we agreed that she really claustrophobic. I figured that before my vacation a month, so I decided to offer her the option of psychotherapy.Then told that in the treatment of claustrophobia there are three main areas which I can offer.

Psihofarmakoterapia.

it's simple. I'll prescribe a drug that should be taken daily for 6 months or more. On the background of the drug reduced the level of daily stress and in situations that used to cause intense fear, the person will feel better and lighter. After some time, you can overcome your fear, and quality of life will improve. But there are negative sides. The drug may not produce the desired effect, then you have to pick up other drugs and combine them with each other, and all the time... But even if the drug prove effective, there is a risk of side effects and a high probability that after the course of medication the symptoms will return.

In the face I mainly use the hypnosis, NLP and cognitive-behavioral therapy. In this case, was proposed by hypnosis (indirectly I understand that the patient vysokopitatelny), as it will help to solve the problem quickly enough. This will take about 5-6 meetings that will last for an hour. The first two weeks – 2 times a week, and the third and fourth week – 1 time (to make it before the holiday). We will work out the root cause of the disorder, and after the first sessions you will get the result.

the Combination of pharmacotherapy and psychotherapy.

It is a combination of medication and psychotherapy. Drugs will allow you to quickly remove unnecessary anxiety and will give the opportunity to conduct psychotherapy. In this case you can use the drugs short course and with a smaller list of side effects. But the main focus will be on psychotherapy.

the Patient started to ask questions in each area: what medication and why these, what is their effectiveness, what side effects. I faithfully answered. Then came the questions about psychotherapy: what is the hypnosis how he can help me, do worse. I talked about basic fears and myths about hypnosis, gave examples of the 5 cases that have asked me about claustrophobia.

the Client something hesitated. Started to ask questions at all out of place.

I said that because she appealed to the state institution, the psychotherapy will be free. Where she lives, it would take about$ 1,000 for work with hypnosis. Plus she has nothing to lose. There is free time, there are no side effects, no money require. And if you suddenly will have no effect, you can always try something different or to prescribe pills.

you got

Okay. Here's my phone number. Call.

She returned 30 minutes later with my mom. With the main question: "how can hypnosis help?". I re-told about the mechanisms of occurrence of phobic disorders and about what the principle of working with them. But the mother said,

- give us a better tablet... the Truth, Missy?!

- Yes, mother!

I wrote a prescription. Explained the regimen. More we had not seen.

I have long thought on this situation. Maybe I was not convincing enough argument or not have demonstrated role-playing the position adequately, or something else. Maybe so, but it is those questions that has to work every specialist.

unlike a private reception at the clinic you can't abandon a patient who asked for help. If you come, you must help. But if the patient is resisting for some reason? I can't force to inflict good.

If a person wants to achieve the desired changes, it is necessary to remember three things:

  • he must be willing to change;
  • know how to do it;
  • to give yourself a chance to change.

When a client calls with a problem, it is the responsibility of the specialist is item No. 2. The expert knows how to do it... the Client does not know, and therefore drawn. But if the client somewhere in the depths of his soul does not want change, or doesn't give herself a chance to change, then all work will be sabotaged.

Baryshev Artem
2018-03-27
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