My Experience with Psychotherapy – Part II

I did not see another therapist until I was in law school in New Orleans.  Until that point I never appreciated the connection between the mind and the body.  I had met my wife and asked her to marry me and she said yes.  She immediately went ahead with the planning which took me aback.  It seemed like there was a lot of pressure and looking back on it I had no way of coping.  My throat started to feel like it was closing up on me.  I started to get really bad heartburn.  I went to see the doctor in the school clinic.  He prescribed Prilosec.  It did not really work so I went to a gastroenterologist.  I remember now that he suspected my symptoms were stress related but at the time I did not understand what he told me.  I think the fact that I was in law school scared him because he continued to run tests on me.  There was a procedure where they shoved a camera down my throat.  One time I had a tube fed up my nose and down my throat.  At the end of the tube outside my body was a computer device.  It recorded something to do with my throat.  I eventually changed doctors because nothing he did helped my symptoms.  The second doctor also suggested that stress was the problem but again I did not accept that answer.  I was prescribed antibiotics but they did not work.  The doctor seemed annoyed with me. I wanted to think that the problem was physical.  He eventually referred me to a cardiologist.  The cardiologist acted like he did not know why I was there.  I gave him my story.  He agreed that the problem was stress and recommended me to see a psychiatrist.  This time I listened.

The psychiatrist was a tall, lanky, older man with a gray beard and mustache.  He looked the part of a psychiatrist.  His office was in a shotgun house.  It was dark inside and the walls were lined with tall wooden bookshelves.  One shelf had a skull on it.  He was dyslexic and wrote awkwardly with his left hand.  He assured me my issue with my throat closing up was indeed stress related.  He prescribed me a drug called Serzone which I think is a serotonin reuptake inhibitor like Prozac.  He had me sit in a recliner and talked me through meditative sessions.  I do not recall what exactly they entailed but I think they brought me to a relaxed state and then he told me when a stressful thought entered my head I should say to it “Stop!  Get out of there!”  After a few sessions the sensation started to subside after months of misery.  This was the first time I appreciated that psychological stress can cause physical problems.  It was also the first time in my life I experienced a physical problem that a regular doctor could not cure.  I believe his method was the Cognitive Behavioral approach.

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