In the haste with which I sometimes – and unfortunately – respond to statements I see on this forum, I sometimes forget my observations of the similarities – and differences – between
- substance-abusing sz pts and substance abusers in general,
- manic (often co-morbidly bipolar) sz pts and manics in general, and
- learned helpless sz pts and learned helpless depression / anxiety pts in general.
In many respects, these three groupings of pts act very similarly and often for very similar reasons. But sz is an extreme form of such reactions to childhood insults owing to more severe genetic deficits. The “typical” sz pt (and especially those for whom the medications work poorly or induce severe sfx) has a very good reason – in his or her mind – to be trapped in dysfunctional beliefs, learned helpless and treatment resistant.
I have tried a number of approaches here to see if one can break through their understandable ego defenses to show them that there are many things they can do to improve the quality of their lives. Some of them are bound to induce a lot of push-back, especially in those who were severely invalidated, neglected, rejected, abandoned, abused and otherwise mistreated by their families, by a culture that doesn’t want to see or hear about sz, and by the mental health “industry.”