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: 2543
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

MS - 211

Customer Question

can fear of life be unlearned? is there a special therapy that will help people with anxiety that is causing debilitating fear be overcome?
Submitted: 2 years ago.
Category: Mental Health
Expert:  Norman M. replied 2 years ago.

NormanM :

Hello, I'm Norman. Are you ready to chat?


 

Customer :

Hi


 

Customer :

ok


 

NormanM :

Hi - what have you tried so far?


 

Customer :

some medication prozac and i did talk with a dr


 

NormanM :

Right - are you still taking Prozac?


 

Customer :

after a while of some relief i began to feel fearful again and my dr thought to have me stop taking it so im not no


 

NormanM :

I really think that you need to talk to your Doc again. However, medication alone is not a complete answer. Most often medication combined with psychotherapy produces a much better result.


 

NormanM :

 


 

NormanM :

Are you familiar with the the concept of Cognitive Behavioral Therapy?


 

Customer :

i have heard of it i just dont know how it can help. my daily life is just so uncomfortable i often think theres only one way to stop the suffering and i know it sounds horrible but why suffer and those around me to suffer as well?


 

NormanM :

The fact is that it is THE best way of dealing with issues like yours. Now I have a handout that I give to my patients to introduce them to the concept. Would you like me to post it on here for you?


 

NormanM :

 


 

Customer :

ok


 

NormanM :

I'll do that for you, but your last reply suggests to me that you may well be suffering from depression as well as anxiety, so I shall factor that in.


 

NormanM :

You need to be sure that your Doc is aware of this very low mood, and let's be honest, suicidal thinking so that he can treat you properly. Anyway - here goes with the handout


 

NormanM :

Take your time, have a read, then tell me what you think.


 

NormanM :

Part of the problem is that you may be suffering from mixed anxiety and depression - depression is causing you to feel bad, and the other part is that your negative thinking about your life situation is just adding to that.


Both these things can be dealt with by a combination of proper medication and 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.


The first thing you need to do is to see your Doctor – he will give you a full diagnosis and if appropriate, start your on a suitable anti-depressant medication. He will also want to rule out any physical cause of what you is experiencing.


Depression is seen as a chemical imbalance in the brain, just as diabetes is a chemical imbalance in the body. Diabetics take medication to stay well, why shouldn’t you?


Don’t be afraid of taking medication – it could really help turn your whole life around


Two important issues about this - when you is on medication, you must take it at the correct dose and as prescribed. It is no use missing doses or messing around with the dose.


Secondly, you should know that anti-depressants can take up to 8 weeks from the start of therapy before they begin to show beneficial effects, so it's no use quitting after two weeks.


I mentioned 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.


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


If you cannot afford to see a therapist, there are good free CBT based self-help resources here:


http://www.getselfhelp.co.uk/cbtstep1.htm


Make the first step NOW – get an appointment with your Doc, and you can start to get better.


You’ll also find some very good help here:


http://www.depression.com/


 

Customer :

is there such a thing as a


special therapist focused on sensitive people

NormanM :

I think that you will find that any therapist who is properly trained and licensed is completey and totally aware of the sensitivities of their clients. After all they come to see us when they are confused, lost vulnerable and afraid. So please do not be worried on that score.


 

NormanM :

 


 

Customer :

ty


 

NormanM :

When you do look for a CBT therapist in your area, make sure that you 'interview' at least three of the on the phone, and go with the one you


d

Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2543
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Norman M. and other Mental Health Specialists are ready to help you

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