The J0ker
New Member
- Feb 19, 2024
 
- 2
 
MH team and meds for a few years now - nothing has helped and I'm getting to the end of my rope!
	
		
			
		
		
	
			
			I actually never knew that DBT wasn't very effective for autistic people, I just knew that I never liked it and it was practically shoved down my throat at the hospital I was at. I'm autistic, so this might actually help to look at other alternatives. Even now, people are trying to get me to look into DBT, and my grandmother (who I live with) suggested today we take a 6 week course my therapist is offering on DBT crap.I have a lot more to say about how the mental health system is designed to fail us, but I'll try to keep the scope of my response limited to just me.
I was in therapy and on meds throughout my entire adolescence and gave up on all of it in 2022. I have been through 10+ different therapists, was on 5 different meds, and was hospitalized twice. None of it helped. I'm autistic, and very few therapists know how to handle that, even fewer who actually work with adults. The ones I talked to had a very surface level understanding of it, but was still guided by CBT/DBT (which are proven to be not effective or counter-effective for autistic people). You have to jump through so many hoops to even get a chance at getting help, and the chance of it being effective is considerably low.
It's painful. I wanted to get better. On some level, I still do. But I always end up back in the same place no matter what I try or who I talk to, so why even bother anymore? The statistics for mental illness and suicide don't indicate things getting better either...
Yes, this actually explains it really well! I remember trying to explain to the psychologist that, no, my anxiety doesn't revolve around 'worries'. I don't think people are staring at me, I don't believe that everyone thinks I'm useless or that they're always judging me. My anxiety isn't irrational, but it's still debilitating, and it was so hard to convince her of that for some reason.Yeah, therapy is (still) really CBT-coded and I, as someone with autism, have never found it effective. I remember that I could never really do the exercises well because my thoughts weren't irrational (with more evidence in favour of them) or there was no way of proving them wrong with objective evidence.
Even for neurotypicals, CBT is overhyped and portrayed as a cure-all, when in fact it's just not super effective for most mental disorders, including depression.
I have tried a few other 'third wave' therapies myself (from books) such as ACT, Metacognitive Therapy (MCT) and Behavioural Activation (BA). There is a lot of overlap between them, and I found these more helpful because they don't focus on the content of thoughts. More helpful is relative though, a lot of (autism related) problems can't be fixed.
I have had quite a bit of therapy; i feel some benefit whilst i am undergoing this; however this falls off a cliff when it ends. I am on medication for bi-polar; too early to say if this is effective, but i am having more frequent thoughts and intentions to end my life.Tons of therapy, tons of medication. The only good thing is that after all these years, nobody can blame me that I didn't try.