What about philanthropist

They are not rapists they are ropists.

"I am not my feelings and have control of my actions beyond them" is nothing like disassociating

And happiness is just your brain misrepresenting misery.

It's also that what you want out of the friend is not for them to run away or apologize profusely, it's to own up, apologize, and try to be better next time

How you would treat a child, how your childhood self should have been treated not how you were treated as a kid. If a kid came up to you with your problems what would you say?

Take the criticism for example. Would you not tell the kid some along the lines of "that sucks, bud. Its not really your fault. I've been there and made it through, you can too."

I had the same issue, and eventually realized we have resources specifically for learning this: I started reading parenting books.

I would recommend "Unconditional Parenting" by Alfie Kohn as a starting point.

Imagine OOP

Ever since I played Control I only read that as Object Of Power

I don’t think your therapists necessarily meant it in an insulting way.

… with how defensive about Israel she was…

Oh. Yeah, time for a new therapist, then. Can’t expect healthcare professionals to share all of your political beliefs, but not simping for genocidal ethnostates is a pretty low bar.

Should have known something was up with how defensive about Israel she was…

Holy shit, your therapist should not be debating politics with you! That's right up there with your therapist trying to convert you to their religion or praying with you. That's a line that shouldn't be crossed.

I don't the only that's necessarily what your therapist was getting at.

I'm not defending her stance on Israel btw. Also her stance on Israel might imply religious beliefs and that's a whole other conversation.

However, I disagree with the commenter that said self-awareness is a good thing.

If you want to go through life empowering others, avoiding doing any harm of any kind, and leaving the world somehow better for your existence, then yes self awareness is a good thing.

However, if you want to be happy, satisfied, and go through life being comfortable and not require therapy, then self awareness is most definitely not a good thing.

That is to say, self awareness is highly correlated with anxiety and depression.

I can't handle the idea of paying someone like that even a single time, I'd feel so ripped off and violated.

I feel that's kind of getting into gate-keeping territory. Self-awareness imo just requires a person to be aware of themself, and whether that person is self-critical or self-appreciating is a different analysis of that awareness.

a horrifying amount of what determines the quality of any treatment for anything is just finding a person whose #1 priority is trying to make you feel better, rather than make money or just get through patients ASAP

Meta analysis is actually the best class of scientific evidence. A meta analysis looks at the totality of research on the subject. Because any single study can yield different results, scientists need to do many studies. Certainty in science comes from replication. If repeated studies show the same results, those results become more certain. If a new meta analysis confirms the result of an old meta analysis, it shows the results are likely to be accurate.

The new meta analysis included newer research. That conclusion is saying that the newer studies match the results of the old ones. That's how science works. Nothing can be certain unless its replicable. Most science is like this. Papers are written by scientists for other scientists. Meta analysis from every field are exactly like this.

But any study like these looking for the general case. This analysis is making limited claims with strong certainty. This study is saying that, with a great deal of certainty, CBT has a small to medium effect on most people, but not all of those who get it.

There are many problems in medicine. You have encountered many of them.

Its clear CBT didn't work for you, but that in no way means that the science is wrong, or that meta analysis, as a concept, are bad science.

The drugs that you are taking were studied in exactly the same way. There are analycies and meta analycies on their effects that will sound just as pointlessly reduntant as the one you looked at. That is the process.

How about this?

Method: Thirty-four CBTp trials with data in the public domain were used as source data for a meta-analysis and investigation of the effects of trial methodology using the Clinical Trial Assessment Measure (CTAM).

Results: There were overall beneficial effects for the target symptom (33 studies; effect size = 0.400 [95% confidence interval [CI] = 0.252, 0.548]) as well as significant effects for positive symptoms (32 studies), negative symptoms (23 studies), functioning (15 studies), mood (13 studies), and social anxiety (2 studies) with effects ranging from 0.35 to 0.44. However, there was no effect on hopelessness. Improvements in one domain were correlated with improvements in others. Trials in which raters were aware of group allocation had an inflated effect size of approximately 50%-100%. But rigorous CBTp studies showed benefit (estimated effect size = 0.223; 95% CI = 0.017, 0.428) although the lower end of the CI should be noted. Secondary outcomes (eg, negative symptoms) were also affected such that in the group of methodologically adequate studies the effect sizes were not significant.

This is the “Wykes and colleagues (2008)” cited in the first sentence. The only reason your example paragraph sounds like that is because everything it wants to say has indeed already been written.

Sadly this is all medicine, I lost so much faith in it as soon as it wasn't "extremely obvious problem with extremely obvious solution." For the brain, it's a much worse situation because we understand it so little. It turns into "throw random ideas at it and hope one works" and a lot of people are just lonely or needed lifestyle changes so it "works" for them :/

I agree with a lot of what you say, especially being forced into an "evidence" based system, I was like, who's evidence? Because I can surface studies that show things you don't support work, but anyway.

Ive gotten help from a talk therapist, she saved my life, but according to the healthcare system where I live now, there's no evidence it helps and I can go fuck myself.

omg thanks for pointing that out