How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Norman M. Your Own Question

Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2562
Experience:  ADHP(NC), DEHP(NC), ECP, UKCP Registered.
14727623
Type Your Mental Health Question Here...
Norman M. is online now
A new question is answered every 9 seconds

I live alone in a cabin, and a shop, 10 miles out of town in

Customer Question

I live alone in a cabin, and a shop, 10 miles out of town in oregon. I'm 44 and have a lot of pain issues from things such as a compound femur, tree climbing, broken clavicle, my choice of women,stuff adds up. I'm very antisocial. I've been getting almost psychotic in my shop.
I take mirtazapine, that helps some.
Submitted: 4 years ago.
Category: Mental Health
Expert:  Norman M. replied 4 years ago.
HelloCustomer- thanks for visiting JA.

I think the first thing to do is get your pain control properly in order. See your doctor and agree with him a treatment regime (medication, exercise, physiotherapy etc) which will give you a better quality of life in that area.

I see from your post that you feel you are becoming anti-social - often in these situations, this leads to a cycle of more and more isolation, less and less good social contact which inturn leads on to more self-isolating behavior.

I'm sure this can be changed, however, and I’m going to suggest that you would benefit greatly from a course of Cognitive Behavioral Therapy. It is a form of therapy that addresses problems in a direct and targeted way and is brief compared with most other therapies.

CBT is based on the fact that what we think in any given situation generates beliefs about, and reactions to that situation, and also cause the behaviour and feelings which flow from those beliefs and reactions.

These ‘automatic thoughts’ are so fast that generally, we are unaware that we have even had them. We call them ANTS (automatic negative thoughts) for short.

In your case, will help you to revaluate your social situation, and start to move forward into a more comfortable lifestyle.


If the pattern of thinking we use, or our beliefs about our situation are even slightly distorted,

the resulting emotions and actions that flow from them can be extremely negative and unhelpful. The object of CBT is to identify these ‘automatic thoughts’ then to re-adjust our thoughts and beliefs so that they are entirely realistic and correspond to the realities of our lives, and that therefore, the resulting emotions, feelings and actions we have will be more useful and helpful.

Cognitive therapists do not usually interpret or seek for unconscious motivations but bring cognitions and beliefs into the current focus of attention and through guided discovery encourage clients to gently re-evaluate their thinking.

Therapy is not seen as something “done to” the client. CBT is not about trying to prove a client wrong and the therapist right, or getting into unhelpful debates. Through collaboration, questioning and re-evaluating their views, clients come to see for themselves that there are alternatives and that they can change.

Clients try things out in between therapy sessions, putting what has been learned into practice, learning how therapy translates into real life improvement.

Please visit this website for much more detailed information on CBT:

http://www.rcpsych.ac.uk/mentalhealthinfoforall/treatments/cbt.aspx

Best regards,

NormanM

Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2562
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Norman M. and 2 other Mental Health Specialists are ready to help you
Customer: replied 4 years ago.
Well, you are right that I need to deal with one thing at a time. The catch-22 of anxiety disorder, kinda keeps me out of the docs office. And that I've known him for years, I built a 5 bay log carport for him a few years ago.
So ya see, over 20 years in the community, and life is full of sticky details. I do my own contracts, no insurance, but he charges me $28 a visit. I havnt told him about the shoulder, last physical thing was drop foot for three months last year from the work I do.Turned out to be perneal nerve damage, but being down that long really reminded me that my body isnt getting younger.
I think when I emailed him for head meds, and saw him, it was awkward to visit around the fact that my cheese has slid off my cracker a bit. Maybe more than a bit
The pit I feel like I'm in is more a lack of wanting to do anything else. You know the saying, be careful of what you want. I've roamed far, and covered a lot of ground doing my work, and have the homestead I always envisioned.
My biology work (molluscs), and construction leave me winters here, if I watch my acorns.My sleep is ok if I take a klonopin, havnt yet, probably be up till I do.
Part of my thing is also issues with the medical establishment. See, I was hit by a station wagon, and then in traction with a compound femur at 12, and dont like the medical setting much. Nor opiates. I left home on a bicycle at 17, broke my shoulder in the woods, never set it. Lots of injuries treeplanting and climbing, long list.
No doc till last year. Then that foot drop thing, and Jim thought it was a spine injury, L5'...MRIs, neurologist, just to tell me I've been on my knees too much. 12 years looking for snails now. That alone is enough to drive anyone bonkers. I found 2 target snails all last year.
Luckly, when I started my business in 95 I became the pres. of the corp, but also an employee, so comp covered the foot drop thing, but I dont think I could claim mental duress for crawling around, looking under rocks and sticks in the woods alone all day.
Which brings us to where to go from here.
My relationship with Jim, I could go see Kathy, the other doc, or the clinic, but that also involves circles of people here.
And then there's the pain issue. I dont even know what to guage my pain against. I'll tell you, when I bought firewood for the first time in my life last year, I sure felt small buying it from don, he's 87 years old, a WW2 vet. Tough old guy, nice as can be. I'm 44 and dont feel up to cutting my wood? What a whimp.There's some millworkers, and old loggers around here that hurt more than I, thats for sure.
Then, maybe it's something else. The remeron has helped a lot, but I've been spinning out of control in the shop, not good around lathes, milling machines, and big saws. The spells last around 2 hours,usually just after noon, food helps, then I feel sort of ok.
I've told my story to a few people, and they agree I've been through a lot, and I some of them go like this. Inbetween the 5 year bicycle ride, and becoming a woodsworker I lived with a family for a few years, and had a variety of entanglements in the little community out of town. I bought this place from my neighbor chuck, who got me my first woodswork job in 87, and we worked together for years.I was with Na back then, she's his partner now.
It dosnt hurt to have an ER nurse for a neighbor out here, but lots of stuff there, she dropped some stuff from chuck on my step yesturday, we dont talk much after I came apart last winter. Every direction I turn here, there's some connection. And most people want to see me, it's my head that has gone where it has, people think I dont want to see them. Well, actually, I sortof dont...
Well, if you got through all that, maybe you have some ideas of how I should procede, go to doc jim, hat in hand, or do what everyone is telling me to do, and get a puppy.
Oh, yea. I shot my old buddy in the head, and buried him close. I should have had a vet put him down. That was hard. That was a hard thing to do.
Thanks for your thoughts, Russell
Expert:  Norman M. replied 4 years ago.
OK Russell - you wre kind to your old buddy, and I'll bet he had fith that you would do the right thing for him when the time came. And you did.

Go 'Cap in hand' to the Doc? No - just go to the Doc. You fix wood - he fixes fols, and that's his job - that's all it is.

Get a puppy too - get two! Everybody needs a pal, just as you do.

But - get that therapy as well, and get a whole new world with it.

My very best wishes,

NormanM. - Oh and thanks for the acceptance too!

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Norman M.
Norman M.
Partner in private practice
2245 Satisfied Customers
ADHP(NC), DEHP(NC), ECP, UKCP Registered.