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Treatment for behavior therapy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   hi may i know who is there ?
Doctor :   Hi Dr XXX here.
User :   male female
Doctor :   How may i help you?
Doctor :   male here
Doctor :   please proceed with your query
User :   i have few prob;ems
Doctor :   sure go ahead
User :   my husband is depressed and gets scared ?
Doctor :   may i know his age ?
User :   36
Doctor :   since when he is having this problem ?
User :   two years
Doctor :   have you sought any intervention ?
User :   sorry ??
Doctor :   taken any medications ?
User :   no
Doctor :   so tell me the present problems you are facing
User :   he is okk but if you tell him drive or go laone some where he gets scared and says he can not
Doctor :   was he like that from the beginning ?
User :   with his brother he is alright other wise with others he is scared
User :   no
User :   and one of his friend he is okk
Doctor :   what does he says ?
User :   says nothing but he gets scared
User :   even with me
Doctor :   so you mean he will not go to a lonely place with you
User :   like ?
Doctor :   what is he scared of
Doctor :   ?
Doctor :   what is his fear ?
Doctor :   what does he says ?
User :   that he will die
User :   or something bad will happen if he will do
Doctor :   and this is affecting his daily life ?
User :   no not in office
Doctor :   so only at home he is like that
User :   he is okk but if u tell him to walk for a mile or go alone a bit far away from home he will not
Doctor :   so is that the only problem with him ?
User :   what you wanna ask ?
Doctor :   i want to know if his fear is the only problem?
User :   yes he gets constipation cos of this and he is not with me like as he was
User :   and gas
Doctor :   i know you are concerned and there is help which he can take to over come his fears with a help of support from people around him
User :   how
Doctor :   there is a procedure that is known as desensitization
User :   what is this ?
Doctor :   The first step in overcoming fear is recognizing and identifying what fear is and its origin.
User :   he is not with me like as he was
Doctor :   how is he different ?
Doctor :   any behavior changes ?
User :   umm
User :   no
Doctor :   Systematic desensitization is a type of behavioral therapy used in the field of psychology to help effectively overcome phobias and other anxiety disorders.
User :   no behavior changes
Doctor :   To begin the process of systematic desensitization, one must first be taught relaxation skills in order to extinguish fear and anxiety responses to specific phobias. Once the individual has been taught these skills, he or she must use them to react towards and overcome situations in an established hierarchy of fears. The goal of this process is that an individual will learn to cope and overcome the fear in each step of the hierarchy, which will lead to overcoming the last step of the fear in the hierarchy. Systematic desensitization is sometimes called graduated exposure therapy.
User :   why is he afraid of me
Doctor :   so since past 2 years he has become afraid of you ?
Doctor :   before that was he fine ?
User :   yes
User :   he gets scared with me in love making if i and him alone
Doctor :   ok well you see he need to be taken to a counselor, who will help him to understand his fears
User :   ok
Doctor :   does he knows he has a problem ?
User :   yes
User :   but he is only comfortable when with his one friend he had many friends but now dont meet them
Doctor :   so he has a social withdraw too
User :   when he is with him he is alright no matter what you tell him to do
User :   yes
Doctor :   well he need to be evaluated by a counselor, then only it can be found why is he behaving like that
User :   ok
Doctor :   i know you are looking for a solution but unless we don't talk to the patient itself there is nothing much we can do about it
User :   he is sleeping now
Doctor :   its called as behavior therapy and it can be cures
Doctor :   cured **
User :   he is okk in normal routine but not satifactory in physical
Doctor :   so dont lose hope
Doctor :   is he unable to make proper love to you ?
User :   yes
User :   last twoyears
Doctor :   any physical problem like no erection ?
User :   no
User :   gets scared
User :   once he tries it when he is feeling normal andthat is when he is with his friend
Doctor :   ok
Doctor :   so in past 2 years you have not had any physical relationship ?
User :   we had few times now in last three months
User :   but i dont like as he needs him around to be normal
Doctor :   i can understand and its not right also
Doctor :   that will make you uncomfortable
User :   but we had it :P
Doctor :   well he does needs therapy for it
User :   ??
Doctor :   you need to go to a psychiatrist
User :   he is not willing to see a doc
Doctor :   well he has to , you have to convince him
User :   ok
User :   should i be with him if he needs me as he wants
Doctor :   like ?
Doctor :   during love making ?
User :   yes
Doctor :   its your personal choice
User :   whats your opinion he is normal
Doctor :   no he is not
Doctor :   he need help from a doc
Doctor :   hello
User :   what i should i do ?
Doctor :   what does he do for a living ?
User :   bussiness
Doctor :   cant you tell his friend to convince him
User :   for
Doctor :   what does his friend feels?
Doctor :   about his behavior?
User :   what a man can feel ?
Doctor :   but its not normal to have a intimate relationship with a person with someone else too there
Doctor :   so when you do make love his friend is also there ?
User :   i know but what to do i
Doctor :   he just stands there ?
User :   i had thrice like that
Doctor :   and he was just standing in the room ?
User :   two times sitting
Doctor :   but not a part of it ?
User :   once tried last time
Doctor :   and your husband was ok with it ?
User :   when he touched me he was ok
User :   i guess he didnt noticed also clearly
Doctor :   i dont think your husband friend is doing the right thing
User :   yes
Doctor :   he is encouraging his behavior
User :   but he did
Doctor :   by being a part of it
Doctor :   and its completely not right for you to undergo this
User :   but dont know what happened to me that time
Doctor :   i can understand your situation
Doctor :   its not your fault
User :   then ?
Doctor :   i dont think your husband friend will tell your husband to change
User :   why ?
Doctor :   have you spoken to him about it ?
User :   yes
Doctor :   what did he say?
User :   he said he will help me
Doctor :   and has he ?
User :   i talked to him at first time we did
User :   he said like that ..
User :   that was after 1 nd half year
Doctor :   ok
User :   tomorrow is weekend wht should i do ?
Doctor :   so on weekends you do it ?
Doctor :   making love ?
User :   no we did it three time in last four months
User :   tomorrow his friend willbe here
User :   thats why asking ?
Doctor :   ok now listen properly ,
Doctor :   you need to talk to his friend alone and you have to tell him that the behavior of your husband is NOT normal and he should not encourage it. he should not agree to be in the same room
Doctor :   tell him to stand outside and try to talk to your husband that he is right there
User :   but what he again do something if i meet him alone
Doctor :   just meet at a place
Doctor :   not complete alone
Doctor :   and tell him you are not agreeing to this
User :   he is not that good
User :   i can judge
Doctor :   yes from your talks i too see the same as he himself made him a part of it
Doctor :   then you have to make it stop yourself.
User :   may be i guess too as he tried last time and the way he stares
Doctor :   just say no
User :   i was saying no last one year but later i did :!
Doctor :   you have to be firm
Doctor :   were you comfortable later ?
User :   when ?
Doctor :   you said later you agreed
Doctor :   why is that so?
User :   i needed too aswell :)
User :   its been a year
Doctor :   i can understand it
User :   at that time i didnt control myself
User :   to be straight forward his friend is not good in this means
Doctor :   you talk to your husband and say that you will only don it if you are alone
Doctor :   do**
User :   i did many times
Doctor :   and he does not agree
Doctor :   ?
User :   no
User :   he is not comfortable then
Doctor :   what do you feel in your mind ?
User :   ???
Doctor :   what are your views ?
User :   now it happened everything
User :   so when im out of controls i think its okk
Doctor :   i see
Doctor :   how long have you been married ?
User :   three years
Doctor :   ok
Doctor :   well now you really have to take your husband to a psychiatrist
User :   ill try my level best
Doctor :   thats your only option
Doctor :   i know what you are going thru is tough
User :   have to do it again tommorow no other way this means !?
Doctor :   you have to say a firm no now
User :   i hope i can
User :   but im stuck now
Doctor :   and then talk and say you need to see a doc
Doctor :   you have to be strong
Doctor :   how old are you ?
User :   im 24
User :   im puting on weight aswell
User :   how can i stop and maintain my body shape
Doctor :   you need to diet and exercise
User :   why im gaining
User :   i dont eat much
Doctor :   stress
Doctor :   its a the main cause
User :   why stress is making me fat likethat :)
User :   ?
Doctor :   it slows your body metabolism
User :   so why not all my body is getting fat ?
Doctor :   where are you gaining weight ?
User :   arms chest and down
Doctor :   ok
Doctor :   well you can exercise and tone your body
User :   my mesauremnts changed alot in last six months
User :   ?
Doctor :   you can do target training
Doctor :   you need target to specific areas
User :   is this normal ?
User :   how ?
User :   what should be my average ?normal .
Doctor :   tell me your weight and height ?
User :   im 62
User :   5.3
User :   ?
Doctor :   you are in normal range
User :   but im very healthy
Doctor :   its ok
Doctor :   you can always tone your body
Doctor :   with exercise
User :   i dont like it myself to gain from there
Doctor :   i can understand
User :   it should be normal ?
Doctor :   just dont worry
User :   do you think its normal
Doctor :   yes it is
User :   but i dont
User :   wana reduce specially the hipps ..
Doctor :   you need to jog and do cardio exercise
User :   ok
User :   doctor what should i do about my husb and his friend
Doctor :   you need to convince him to see a doc
Doctor :   thats the only option
User :   ok and his friend
User :   ?
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