Recent research tells about how anxiety, depression, etc. impacts the brain. This research also talks about how the prefrontal cortex, the amygdala, etc. can work together to reduce the symptoms with psychotherapy. CBT is part of the process to rewire the anxious brain, but mindfulness is another part of the process. At the same time, if you have complex trauma- anxiety, depression, low self-etc. is a part of one's life, so that must be dealt with to reduce anxiety, depression, etc.
DBT is very good with regulating emotions and CBT is good at reducing negative thoughts. ACT is more accepts of your struggle. If you don't mind sharing what's the reason none of the techniques work.
Thanks, Shell. I don't suppose you have any links to that research do you?? I didn't say none of the techniques worked. No, not at all. I've picked up a lot of good skills and ways of approaching some of my struggles with anxiety. When I was in CBT therapy, I was already experiencing some pretty bad side effects from the medication I was on, I just didn't know it was the medication. CBT was not effective for that reason but neither myself or my therapists knew it could be due to the medication. And some of my experience with how CBT worked, was that "refractory" or treatment resistant cases meant that the client wasn't doing the work. I was doing the work and was frustrated by how the approach is setup like this (success/failure is up to client). You have to have a good therapist, one you can trust, who's knowledgeable and who is skilled at implementing it and that you connect with. That's a tall order and quite unrealistic for most people and it takes time to find someone good.
None of the CBT efficacy/effectiveness research, to my knowledge, controls for type of medication and that's something so many people are on nowadays. If I ever go back to therapy, I would want to do it with someone knowledgeable about the medication I was on before and got off of.
I'm sure I have some of the above you mentioned including the things that are a part of one's life like low self-esteem. It's changing a bit because of all this work I'm doing on myself though the binges do not help. I use to think I was abnormal but looking back, I realize I was pretty "normal" (ha, whatever that means). Now, after having gone through that ordeal with the medication, well, I think I'm actually traumatized from it too.
I am learning to meditate more now and I'm challenging myself through exposure, increasing it a little at a time. I get some of the concepts and try to implement them on my own. Not sure I'll find a good therapist ever and I'm not inclined to spend a lot of time with someone who's not knowledgeable enough or can't challenge me in the right ways. Until then, I'm exploring a lot of self-help avenues.
What is your work with anxiety and depression, Shell?