That is, by definition, acute withdrawal. Even an alcohol hangover would be considered acute withdrawal, although probably mild at most.
As stated above, one does not need to be physically addicted- beside the point though, you have just admitted to using other drugs still which makes it nearly impossible(and potentially unethical) to make any sort of diagnosis as the signs/symptoms of both disorders are often indistinguishable.
It seems to be largely, if not entirely about that... your definitiveness here seems to agree as well., imo.
Probably not, but he may not be licensed or qualified to do so. I'm not here to defend the man, but you are making many attacks against what I understand to be industry standard.
Detoxing, whether medical or not, someone who has co-occurring disorders could potentially require medical staff/doctor. Not saying medical detox, but did he make any referrals to you?
Maybe he was really admitting his incompetence, or that you're in need of help greater than he could provide. If that's what he was saying, I don't see that as unethical, as most disorders occur on a spectrum and treating multiple severe disorders would present a much greater challenge than one severe and one mild disorder.
We don't, but you are also being extremely defensive and not being willing to admit any wrong or see any one else's perspective. NOt trying to be rude here, just something I try to remind myself is that when I start wondering if it's everyone else if there isn't something I'm missing that other's have caught on to.
So this takes us back to that start, where you were denying that your drug use had any bearing on his willingness to work with you.
If you've seen other therapist who are not qualified to treat substance use disorders, they either were unaware, or did you a disservice by not making a referral.
It seems he was trying to tell you as gently as possible that you've apparently grown hostile, or at the least cynical towards him and all that he has to say. He is saying that you need help, but he can't be the one to help you because of the relationship issue- how can he help if you doubt his credibility and can't get along? When he says another therapist who is good with addiction, he means not more of the one's like you've had in the past who either did you a disservice or were themselves unethical/incompetent.
He is saying he thinks your drug problem and mental health issues are serious, that he believes you need help for both, but that because of the failure of you two to get along, he will be unable to help you- therefor you should find someone who is qualified who you also get along with.
Again, I think you and/or the therapist will be doing you a disservice to do this... It is honestly like finding a doctor that will treat your migraine without concern of what may be causing it or making it worse.
Best of luck, I meant no disrespect despite my honesty.
Ok, I'm not good at the multi-quote stuff, so let me be as honest and clear as possible:
First off, I need no diagnosis. I know what they are and have for years. They are generally: Generalized Anxiety Disorder, OCD, Depression, some social anxiety, Non Verbal Learning Disability, substance use.
When I said "it's not about any of that" I mean physically detoxing, and while I can get with you on the very strict technicalities of it, truth is, that's nit-picking IMO if we are going to consider things which take less than a weak to withdraw from as "detoxing" and the guy knew about no substance use other than dexadrine and alcohol and I had told him I had already quit the dexadrine, which I had in fact already done.
You're saying that my "defensiveness" proves I am wrong about what I am saying is pretty much the problem here with what a lot of you are saying: it's like, if you admit you have a problem you have a problem (with anything, not just drugs) and if you don't admit you have a problem then you are in denial, so you you still have a problem LOL.
How can anyone win with that kind of logic??
And
I never denied having all these problems, I was honest with him about all of them to a T and he refused to help me.
So I am not in denial that I feel that what this man did was not proper protocal, and again, my mother who is a psychoanalyst actually agrees with me that he seemed incompetent, and she's been in the mental health field for over 30 years.
Also, where did you get the idea that "I had grown hostile" towards him?
Is that because I may seem a bit "hostile" now?
If so, I apologize, as I am kind of pissed at this guy, but I was NEVER hostile towards him in the least.
I'd even apologize to him at various times asking him if anything I'd said had been "rude" and he'd laugh and shake his head go "No no!!" like saying "come on you know you haven't said anything wrong!"
So he didn't feel that way.
The only thing I ever got annoyed with him about was at the VERY end when he said "and you won't say you will quit all drugs forever" and I said "well I don't feel I can honestly say "FOREVER" right now but I'll say I will go as long as I can, so why do I have to say "forever"??
And he was like "well, you have to try" or something...
And I said "I AM willing to, I'm just not going to say that word "FOREVER", but what I'll do is take it one day at a time and try to go as long as I can."
He didn't want to hear that, then said "and you can't do it on your own" and I was telling him I LIKED HIM and he seemed like a decent guy (I don't like him anymore) and was pretty confused he wouldn't try to help me. Once again, he said "I wouldn't know where to start" because of all my issues.
And again, there was never any point where I told him "I doubted his credibility" and there was no point at which we really did not get along. We didn't know eachother well enough to know if we got along. I was thinking maybe we'd be ok. Then when he was telling me he couldn't treat me his words were "I usually only work with someone who has one major issue" and my mother agreed with me that that is NOT normal and she is usually able to help people with MULTIPLE major issues at one time.
These are all things you are reading into that didn't happen but are only now things I am saying AFTER the fact, these ideas that I was hostile towards him or that I told him I doubted his credibility.
I only saw the man FOUR times afterall....45 mins each....not much...
As far as this comment you made here:
"When he says another therapist who is good with addiction, he means not more of the one's like you've had in the past who either did you a disservice or were themselves unethical/incompetent."
Sorry but this is NOT true and you are reading into the situation. He NEVER knew much of anything about my past therapists who were FAR better than him. Why are you assuming he knew much of anything about them?
I barely mentioned past therapists. I told him I'd had a very good one for 12 years and wanted to see him again (I'd emailed him).
During the last visit I said "I want to see my old therapist" and he said "well why don't you?" and I said "because he told me has too many patients and not enough free time.
So he DID NOT tell me my old therapist was incompetent or did me a disservice.
He really meant "not me, as I just can't handle someone with all your problems right now", not really in comparison to anyone else, just not those who couldn't help with addictions.
And once again, I'm sorry but I do NOT agree that you can't have a therapist help you with your life and tell you that they think you should not use drugs but still see you, nor do I think it is unethical.
I had an AMAZING therapist for 12 years who this guy could only DREAM to be as good as, and while he DID recommend I go to N.A., and I did for a while, I started seeing him NOT because of drug issues but because of many issues I continue to have.
He helped me A LOT with them, even while I used certain drugs at times, but he did not refuse to stop seeing me because I would smoke weed and drink, which back then, were pretty much the only drugs I used.
I have no idea if he'd have stopped seeing me if I used Kratom...he knew I found Dexadrine at times and was against my using it.
I believe you have an idea that therapy is all about helping people with drug use even when that is not necessarily the case.
I am not saying I will "admit to no wrong" or "see anyone else's perspective", but I don't agree with most of the perspectives I've been given today.
I WAS in agreement before the current posts I was given today as almost everyone in the thread agreed with me that this guy was an idiot, and then you and Nuttynutskin started taking his side, and i just don't agree with you.
I can't see anything "wrong" I've done, other than yes, it's hard to help someone if they are using lots of drugs, but I'm trying NOT to do that now!
I have stopped Dexadrine and Kratom, though I don't know how long I can go, and while I've still been drinking too much I know I shouldn't be and am trying to stop for a while.
I don't want to stop ALL drugs FOREVER, but I want to go without most for as long as possible, and I'm willing to go to NA or do a 12-step too.
So why is that not good enough to be doing that AND seeing a therapist at the same time??
I am sorry, but i fail to see how it isn't, and the past therapist I had who was an amazing man was not being unethical by treating my issues regardless of any minor drug problems. Of course, back then I had fewer drug problems, but had he suddenly decided to drop me after years of therapy when more of them had arisen IMO THAT would have been a terrible thing to have done. You don't turn your back on someone like that, and I see THAT as unethical, and he continued to help me as long as he could.
The therapist we are talking about knew less than what I have revealed to you in this thread, and there was no hostility between us, and I expressed no doubt in his ability to help me to his face, until he led me to the door as I felt confused and hurt, which is still how I feel.