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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.
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Hi, I wonder if you could help, my wife gets upset and angry

Resolved Question:

Hi,

I wonder if you could help, my wife gets upset and angry for a day or 2 and then she is normal again. Whenever i ask her whats wrong, she just says nothing. But you can clearly she is angry and upset at something. We dnot fight or have arguments. Her Moods change regurlarly. I am finding it very difficult to live with her if it continues like this. I keep thinking to myself what have i done wrong? she refuses to tell me. Any tips ?
Submitted: 1 year ago.
Category: Mental Health
Expert:  Norman M. replied 1 year ago.
To help me to help you, can you give me some more in formation.

How old is she?
How long has this been going on?
Is she taking any medication - if so what and how much?
Customer: replied 1 year ago.


she is 36 years old.


This has been going on for about 6-7 months.


She isnt taking any medication, but she also has a sleeping problem. she cant sleep at night, then she goes to sleep when i leave the kids at school from about 7am to 12pm. the doctor requested her to take insulin resisitance medication but she ignored his request. she has recently tried some laser treatment to lose weight, but that is not helping. She is not obese, she is not overweight in my opinion. She doesnt like to have sex anylonger, cause she says she doesnt feel sexy, when she loses weight she will feel better. She also says she will have sex if everything in her life is happy everyday. She says that making love is a build up of being happy from the beginning of the day and must lead to having sex at night. She is a pessismist of a person. Always has negative thinking, and never positive. I havent had sex in ages and she is upset and irritated every 2nd day. I dont want a divorce as I have 2 lovely kids and I want her to be happy. I have even changed many of my ways to suit her so she doesnt get upset, but this is not helping either. I need your help .

Expert:  Norman M. replied 1 year ago.

Part of the problem is that she may be suffering from mixed anxiety and depression - depression is causing her to feel bad, and the other part is that her negative thinking about her life situation is just adding to that. If she is basically a pessimistic person, that will not be helping her either.

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 she needs to do is to see her Doctor – he will give her a full diagnosis and if appropriate, start her on a suitable anti-depressant medication. He will also want to rule out any physical cause of what she is experiencing. It is possible the she may have a hormonal imbalance which is affecting both her mood and her sexual withdrawal.

If the problem is hormonal, then that can usually be adjusted fairly easily.

However, - and I suspect that this more likely – if the problem is psychological, then she is going to need professional help to sort it out.

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 she?

She should not be afraid of taking medication – it could really help turn her whole life around

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

Secondly, she 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 she 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 her to make an appointment with her Doc, and she can start to get better.

You’ll also find some very good help here:

http://www.familyaware.org/



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.
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