From the category archives:

Therapy and Therapists


Comes the Darkness, Comes the Light

Vanessa Vega. AMACOM 2007, Hardcover, 240 pages, $3.70

Comes the Darkness, Comes the Light: A Memoir of Cutting, Healing, and Hope is a powerful new book by Vanessa Vega about her journey into therapy for self-injury and an eating disorder. The book is not for the faint of heart: In sometimes poignant and graphic detail, she describes her self-destructive behaviors and her early experiences in psychotherapy. Ultimately, it is a memoir of courage, strength, and hope.

It is a compulsion like no other, the inescapable consequence and intermingling of tension, shame, guilt, and frustration. It is a descent into a realm of darkness few can understand… yet many secretly experience. It is the disorder known as cutting…

Vanessa Vega would stop at nothing to cause – and therefore control – her own pain. When she wasn’t cutting herself, she might be slamming a hand or arm or leg against a wall. Or she might donate blood or get her iron checked – just to feel the prick of the needle. Her actions would sometimes leave her in a trance-like state, large portions of her day left only as foggy images if they weren’t blocked out completely. The need to cut called to her, even as she fought back, sometimes succeeding, often giving in to a need she herself couldn’t hope to understand…

Slowly, with the help of family, friends, therapists, and an abiding faith, Vanessa gradually and painfuly began to shake off the bonds of despair and helplessness, ultimately gaining strength, until at last she looked the demon in the eye – and stared him down.

This is one woman’s story of a life lost and then regained. Offering hope and agonizingly hard-won insight to others battling this painful disorder, it is a chilling look at the destructive power of the human mind, and an unprecedented account of the tragic results of self-mutilation. But in the end, it is a testament to the incredible power of the desire to live, and to the endless strength available to all of us – even in our darkest hour.

In addition, Vanessa’s account addresses the fear, shame, and misunderstanding that confronts many people beginning psychotherapy, and the relief and comfort that comes from learning that one is not alone in the struggle, that others have journeyed down similar roads and emerged victorious.

This is a book that should be required reading for therapists or loved ones attempting to understand why individuals self-injure and how to assist them in recovery.

self-injury, self-mutilation, eating disorders, therapy, psychotherapy

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Royal College of Psychiatrists gets it wrong again

by djbaxter July 4, 2007

Royal College of Psychiatrists Disappointed At Government’s Failure To Recognize People’s Capacity To Make Decisions For Themselves
(04 Jul 2007) The Royal College of Psychiatrists is deeply disappointed that government has failed to recognize that most people who suffer from mental illnesses are perfectly capable of making decisions for themselves, and present no threat to anyone. [...]

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The sad state of Canada’s health care system: A rant

by djbaxter May 21, 2007

This was inspired by a reaction to a post at the Psychlinks Forum about health care and mental health. At moments like this, I feel like Albert Finney screaming “I’m mad as hell and I’m not going to take it any more” out the window.
“Why are doctors in Canada always in such a rush? Do [...]

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Bad logic, bad science, and sensationalism

by djbaxter May 13, 2007

This is the kind of news release that angers me.
Brian Quinn, LCSW, PhD., Author Of A New Book On Bipolar Disorder, Discusses The Risks Of Antidepressants In Angry, Agitated Teens
It’s ill-conceived, illogical, and dangerous. It starts with the statement that “Dr. Quinn’s new book reviews the most up-to-date research on the use of antidepressants in [...]

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UK psychiatrists oppose streamlined services

by djbaxter April 28, 2007

File under “Whose Interests Are You Really Trying To Protect?” 
The Mental Health Bill Will Not Help Vulnerable Patients, Say Doctors, UK
25 Apr 2007
With the Mental Health Bill for England and Wales going through Committee stage in the House of Commons, the BMA is concerned that the proposed legislation will harm patients with mental health disorders.
Currently [...]

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“Junk medicine”: UK debates cognitive behavior therapy

by djbaxter November 4, 2006

Junk medicine: Cognitive behavioral therapy
November 04, 2006
by Phillip Hodson, The Times
Talking cure is cheap The five main mental health charities [in the UK] have announced their support for the planned expansion of NHS psychotherapy, with a broad emphasis on Cognitive Behavioral Therapy (CBT). But is CBT - a talking therapy that attempts to train your thought patterns [...]

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Promoting stigma: Dumb ideas from “experts”, Part Two

by djbaxter October 21, 2006

Recently, I commented on a painfully misguided and misinformed call to remove the term “schizophrenia” as a diagnosis on the grounds that it might be stigmatizing (see Even “experts” have really dumb ideas sometimes).
It gets worse: Now we have another so-called “expert” suggesting that schizophrenics have a “choice” as to whether or not to be schizophrenic, [...]

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