“由内而外的治愈”
An 推荐最近最火的赌博软件 psychiatrist’s mission: to help prevent suicide
安布尔·史密斯
Record numbers of suicides among young people prompted the creation of 推荐最近最火的赌博软件’s 精神科高危计划 in 2017.
“Our mission is very simply to save and transform lives,” says 罗伯特·格雷戈里，医学博士, a professor of psychiatry and behavioral sciences.
This program offers comprehensive outpatient care that includes weekly individual psychotherapy. It may also include medications, and family and group psychotherapy, if appropriate.
“这是一个为期12个月的项目, since it takes a while for transformative healing to occur, enough time for individuals to change lifelong coping patterns and ways of perceiving themselves and others,格雷戈里说. The goal is for the person to be well enough to continue their recovery without needing to be in the mental health system.
The weekly individual psychotherapy is a particular style of treatment called “dynamic deconstructive psychotherapy,格雷戈里提出的. He describes it as helping someone heal from the inside out.
“It works through a different mechanism than most psychotherapies and feels very different to the patients undergoing it as compared to previous experiences they may have had in counseling,他说.
Gregory explains that people who are suicidal have an impaired emotion processing system in the brain that renders them unable to process emotionally painful experiences through their prefrontal cortex. So more primitive subcortical areas of the brain are activated, causing them to experience a high state of arousal and distress and a sense of emptiness and disconnection.
Instead of focusing on symptoms or giving advice on how to cope with each crisis that arises, DDP helps patients practice how to connect with and process emotionally laden experiences. This helps activate and remediate the emotion processing system in the prefrontal cortex, much like the way physical therapy remediates functioning after a stroke.
“As their emotion processing system begins to strengthen and heal, symptoms of anxiety and depression markedly improve, and patients feel more connected with themselves and others, 不再被自杀的念头所困扰,格雷戈里说. “It’s a different way of thinking about treatment, but it really works.”
关于 two-thirds of the patients in the 精神科高危计划 take psychiatric medication. Gregory says medication may provide symptom relief before the effects of psychotherapy kick in. “What we have found is that the need for medications decreases over time, such that most of our patients are on fewer medications when they leave the program than when they started.”
When the program began in 2017, Gregory and one other therapist handled all of the patients. Today, a dozen staff members are dedicated to the 精神科高危计划. They’ve treated almost 600 patients between the ages of 14 and 40.
关于 half of the patients are referred to the 精神科高危计划 through emergency physicians. 自我推荐也被接受. 打电话给315-464-3117.
Higher-level regions of the brain (shown by green arrows) either atrophy or underreact to highly emotional situations; lower regions (yellow arrows) become hyperreactive -- leading to a high state of arousal and impulsive pleasure-seeking.
如何识别一个人有自杀倾向
精神病学家罗伯特·格雷戈里, MD, says a common indicator of depression is withdrawal from people and difficulty functioning at work or school.
There may be a lot of expressions of pessimism and negativity.
Be aware that many people who are struggling do not share their pain, 很多人都很擅长隐藏抑郁, 他说.
Do not be afraid to ask, “Have you been feeling depressed lately?” and “Have you been having thoughts of suicide?” If the answer is anything other than a definitive “no,格雷戈里说, please refer them to the National Suicide Prevention Lifeline, which now has a national three-digit number: 988; or to a hospital emergency room.
The 精神科高危计划 in Syracuse can be reached at 315-464-3117.
相关面试
To hear an interview with Gregory where he discusses this suicide prevention program, including how it has been expanded to include teens, 点击这里.
本文发表在 《推荐最近最火的赌博软件》杂志2023年春季号.
