{"id":6460,"date":"2014-09-19T15:30:33","date_gmt":"2014-09-19T15:30:33","guid":{"rendered":"https:\/\/wassilizafiris.nl\/een-coachgesprek-met-een-psychiatrische-patient\/"},"modified":"2021-06-08T12:09:36","modified_gmt":"2021-06-08T12:09:36","slug":"coaching-a-person-who-is-receiving-psychiatric-care","status":"publish","type":"post","link":"https:\/\/wassilizafiris.nl\/en\/coaching-a-person-who-is-receiving-psychiatric-care\/","title":{"rendered":"Coaching a person who is receiving psychiatric care"},"content":{"rendered":"

Coaching a person who is receiving psychiatric care<\/span><\/h3>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Is that possible?<\/em><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Recently a client visited me for coaching because of her depression even though she had received psychiatric care for the last 9 years<\/span><\/span>. We started talking and she told me that she was <\/span>originally<\/span><\/span> admitted due to a serious compulsion<\/a>.<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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I somewhat knew what to expect, we had a profound talk.<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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\u201cNeurotics are experts in creating problems, psychotics in making up unreal solutions.<\/em>\u201d<\/span> \u2013 Unknown<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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She didn\u2019t have an easy life. Medicines to counteract her compulsion for blood. Medicines to counteract the side effects of these medicines. And many years of cognitive and behavioral therapies. <\/span>Up until recently this seemed <\/span><\/span>fairly<\/span><\/span> effective, until she woke up one morning, started to cry and couldn\u2019t stop any more<\/span><\/span>. She was <\/span>swiftly<\/span><\/span> diagnosed with depression. <\/span>Because if one cries all the time that seems like a logical conclusion and even quicker a pill <\/span><\/span>was found<\/span><\/span> to counteract the problem<\/span><\/span>. What struck me was the fact that the psychiatrist approached her depression as a disease. In other words her depression was like contracting cancer. <\/span>A disease without <\/span><\/span>apparent<\/span><\/span> cause and as we cannot ‘cut away\u2019 depression or treat it with chemotherapy, we need to give medicine to solve this problem<\/span><\/span>.<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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I must admit I was kind of surprised by this approach and started to ask her questions about when she woke up like this.<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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‘So when did this begin exactly?\u2019 <\/span><\/div>\n<\/div>\n
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‘One morning i <\/span>just<\/span><\/span> started to cry and couldn\u2019t stop any more.\u2019 <\/span><\/div>\n<\/div>\n
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‘Okay, I don\u2019t understand completely, you started crying <\/span>just<\/span><\/span> like that?\u2019 <\/span><\/div>\n<\/div>\n
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‘Yes I woke up, it was unstoppable.\u2019 <\/span><\/div>\n<\/div>\n
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‘Anything happened?\u2019 <\/span><\/div>\n<\/div>\n
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‘No nothing at all, I don\u2019t understand it myself.\u2019 <\/span><\/div>\n<\/div>\n
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‘What happened right before you started crying?\u2019 <\/span><\/div>\n<\/div>\n
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Silence. <\/span><\/div>\n<\/div>\n
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‘I mean right before the first tear?\u2019 <\/span><\/div>\n<\/div>\n
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\u2019Yes then I had to think about my business going bankrupt.\u2019 <\/span><\/div>\n<\/div>\n
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‘Your business?\u2019 <\/span><\/div>\n<\/div>\n
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‘Yes, I had a dog grooming business and after 6 months I had to close it because I couldn\u2019t do it. And things were <\/span>just<\/span><\/span> going so well with me after the behavioural therapy for my compulsion.\u2019 <\/span><\/div>\n<\/div>\n
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‘So you had a dog grooming business were able to function <\/span><\/span>independently<\/span><\/span> after your behavioural therapy and then you business went bankrupt?\u2019 <\/span><\/span><\/div>\n<\/div>\n
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‘Yeah and I gained an enormous amount of weight <\/span>just<\/span><\/span> when I had lost 14 kilograms.’ ’14\u2026 <\/span>just<\/span><\/span> imagine.\u2019 \u201a<\/span><\/div>\n<\/div>\n
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‘My goodness that as well, what did that mean to you?\u2019 <\/span><\/div>\n<\/div>\n
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‘Well I was disappointing my husband even more.\u2019 <\/span><\/div>\n<\/div>\n
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‘What do you mean, exactly?\u2019 <\/span><\/div>\n<\/div>\n
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‘Well we have been together for 12 years now and the last 9 of those years it has all been about me. I mean I have been unable to function for the last 9 years you see.\u2019 <\/span><\/div>\n<\/div>\n
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‘And you feel sad about that?\u2019 <\/span><\/div>\n<\/div>\n
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‘Yes.\u2019 <\/span><\/div>\n<\/div>\n
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‘Please explain, what is the relationship between your sorrow, disappointing your husband, your body and weight and the bankruptcy of your business right at the moment things were going so well for you?\u2019 <\/span><\/span><\/div>\n<\/div>\n
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‘Well <\/span>I feel<\/span><\/span> guilty.\u2019<\/span><\/div>\n<\/div>\n
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‘What do you mean?\u2019 <\/span><\/div>\n<\/div>\n
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‘<\/span>I feel<\/span><\/span> guilty all the time and about lots of things.\u2019<\/span><\/div>\n<\/div>\n
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‘<\/span>I might<\/span><\/span> sound a bit dumb but I don\u2019t understand what your saying, guilty?\u2019<\/span><\/div>\n<\/div>\n
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‘Yeah <\/span><\/span>I feel<\/span><\/span> guilty about the bankruptcy, being to fat, about demanding all this attention from my husband and being unable to function for all these years.\u2019 <\/span><\/span><\/div>\n<\/div>\n
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‘Well that is quite a bit, how do you feel about that?\u2019 <\/span><\/div>\n<\/div>\n
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‘Sad, very sad.\u2019 <\/span><\/div>\n<\/div>\n
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‘Sadness that sticks around all day?\u2019 <\/span><\/div>\n<\/div>\n
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‘Yes, I need to cry all day.\u2019<\/span><\/div>\n<\/div>\n
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‘What your saying right now is that depression is not your primary problem?\u2019<\/span><\/div>\n<\/div>\n
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‘What do you mean?\u2019 <\/span><\/div>\n<\/div>\n
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‘Well it sounds like you feel sad about feeling guilty, meaning that your sorrow is not your primary problem, but actually the consequence of your guilt<\/span><\/span>. And that means you are getting medicines not for the problem but the symptoms.\u2019 <\/span><\/div>\n<\/div>\n
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Silence. <\/span>Suddenly<\/span><\/span> a tremendous shift in facial expression. <\/span><\/div>\n<\/div>\n
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‘What you are saying is true actually, this is not one big sad blur I can\u2019t come out of\u2026\u2019 <\/span><\/div>\n<\/div>\n
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‘Well <\/span><\/span>probably<\/span><\/span> your sad feelings are your unique internal reaction to you feeling guilty<\/span><\/span>. How would you call your attitude, the attitude you have when you feel so sad about feeling guilty?\u2019 <\/span><\/div>\n<\/div>\n
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‘Hmm <\/span>I feel<\/span><\/span> sorry for myself.\u2019 <\/span><\/div>\n<\/div>\n
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‘Ah Self-pity, I would feel depressed too. What is the effect of self-pity on the rest of your life?\u2019 <\/span><\/div>\n<\/div>\n
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‘Well you can\u2019t see any perspective, not one opening. Things <\/span>just<\/span><\/span> turn black and you don\u2019t feel like moving forward anymore.\u2019 <\/span><\/div>\n<\/div>\n
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‘Because\u2026?\u2019 <\/span><\/div>\n<\/div>\n
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‘Because it\u2019s useless, why would you move if you can\u2019t go anywhere, if there is no point, no purpose..?\u2019 <\/span><\/div>\n<\/div>\n
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Yes that\u2019s useless and heavy.\u2019 <\/span><\/div>\n<\/div>\n
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‘Yeah as if life has no meaning, and there is so much sorrow in the world\u2026\u2019<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Interested in more? <\/span><\/h4>\n
My new book: \u2018<\/span>Happiness is depressing<\/span><\/a>\u2019 is out!<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n

Looking for help?<\/span><\/h4>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Would you like 1 on 1 coaching to help you deal with depressive thoughts and feelings? Go to the <\/span>Depression Coach page<\/span><\/a>and apply for an appointment. The results are promising. Talk to you soon!<\/span><\/div>\n<\/div>\n
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Want to learn more?<\/span><\/h4>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Do you want to learn how to work with depressed clients? <\/span>Go to the<\/span><\/span> masterclass about Depression Coaching<\/span><\/a> to learn more about the ins and of depression coaching<\/span><\/span>!<\/span><\/div>\n<\/div>\n
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\u00a0<\/span><\/div>\n<\/div>\n
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Wassili Zafiris<\/span><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Coaching a person who is receiving psychiatric care \u00a0 Is that possible? \u00a0 Recently a client visited me for coaching because of her depression even though she had received psychiatric…<\/p>\n","protected":false},"author":1,"featured_media":17436,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[80,81,82,78,83],"tags":[84,168],"class_list":["post-6460","post","type-post","status-publish","format-standard","has-post-thumbnail","category-blog-en","category-book","category-coaching-en","category-general","category-happiness","tag-coaching-en","tag-depressie-en"],"acf":[],"yoast_head":"\nCoaching a person who is receiving psychiatric care - Wassili Zafiris<\/title>\n<meta name=\"description\" content=\"Coaching a person who is receiving psychiatric care - Wassili Zafiris - Is that possible? 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