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Dr. K
Dr. K, Psychiatrist
Category: Mental Health
Satisfied Customers: 358
Experience:  15 years clinical experience in all areas of psychiatry. Holistic and practical approach.
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Cutter w/ severe depression. Probably need to go to hospital.

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Cutter w/ severe depression. Probably need to go to hospital. How can I find an in-patient program that is a bit better than my last stay - e.g. better bed, food, therapy. . . the stay can add to my problems so what is a better option?
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr. K replied 5 years ago.
Cuttin, depression, and feeling empty inside can be signs of borderline personality disorder, for which the best treatment is long term psychotherapy. You may want to review this link:

http://www.mayoclinic.com/health/borderline-personality-disorder/DS00442

You can also search for self-help books on borderline: 1) Don't Let Your Emotions Run Your Life (New Harbinger Self-Help Workbook) by Scott E. Spradlin, 2) The Borderline Personality Disorder Survival Guide by Alex Chapman, 3) The Buddha & The Borderline: My Recovery from Borderline Personality Disorder Through Dialectical Behavior Therapy, Buddhism, & Online Dating by Kiera Van Gelder, 4) Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, & Distress Tolerance by Matthew McKay, and 5) Skills Training Manual for Treating Borderline Personality Disorder
Marsha M. Linehan (all available at local libraries, bookstores, or amazon.com...and a cheap but effective healing tool).

DBT (dialectical behavior therapy) in both individual & group settings can be a very powerful treatment for this condition.

Depression is best treated holistically. Medications can be helpful for some people. I also recommend 1) psychotherapy with a live therapist, and 2) learning some formal relaxation therapy.

Also, a minimum trial of psychotherapy is weekly for 6 months. Many people continue to benefit from even longer term therapy. If therapy doesn't feel like it's helping as you go through it, the solution is to tell your therapist about it. Either 1) you figure out some goals and the therapist can adjust style to help you accomplish them, or 2) you may realize the therapist isn't a good fit & he or she can help you find someone else.

The last 2 treatments I mentioned are proven by sophisticated studies using brain scans (CT, MRI, EEG, pet scans) to improve brain function.

Also, by formal relaxation therapy I mean yoga, meditation, or similar methods. Having relaxing hobbies is also important, but not quite the same as formal relaxation therapy.

And remember you can't separate emotional health from physical health, so exercise & nutrition are vital.

There are also several self-help books you can read which can help including: 1) The Seven Spiritual Laws of Success by Deepak Chopra, 2) The Feeling Good Handbook by David D. Burns; 3) The Relaxation & Stress Reduction Workbook (New Harbinger Self-Help Workbook) by XXXXX XXXXX, & 4) "The Depression Workbook: A Guide for Living with Depression and Manic Depression" by Mary Ellen Copeland and Matthew McKay.

I hope this helps. Let me know if you need more feedback. Good luck & take care.
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