Acquainted with the Night: A Parent's Quest to Understand by Paul Raeburn

By Paul Raeburn

[b]In the culture of Kay Redfield Jamison’s An Unquiet Mind, Acquainted with the Night is a strong memoir of 1 man’s fight to house the adolescent melancholy and bipolar ailment of his son and his daughter.
Seven years in the past Paul Raeburn’s son, Alex, 11, used to be admitted to a psychiatric health center after leaving his fifth-grade school room in an inexplicable rage. He was once hospitalized 3 times over the subsequent 3 years till he used to be ultimately clinically determined through a psychiatrist as anyone showing a straight forward case of bipolar illness. This ended a painful interval of misdiagnosis and irrelevant drug treatment. Then Raeburn’s more youthful daughter, Alicia, twelve, used to be clinically determined as struggling with melancholy after episodes of self-mutilation and suicidal options. She too used to be again and again admitted to psychiatric hospitals. All in this bad, painful time, Raeburn’s marriage used to be disintegrating, and he needed to ask what he and his spouse may need performed, unwittingly, to give a contribution to their children’s psychological ailment. And so, actually to save lots of his children’s lives, he used all of the assets to be had to him as a technological know-how reporter and author to coach himself on their illnesses and a few of the medications and treatments to be had to assist them go back from a land of internal torment.

In Paul Raeburn’s expert fingers, this memoir of a kinfolk bothered with the ache of melancholy and mania turns into a cathartic tale that any reader can percentage, whilst mom and dad unfortunate sufficient to be in the same place will locate it of immeasurable sensible worth of their personal struggles with the kid psychiatry institution.

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DIFFICULTIES IN ENGAGEMENT As described earlier, adhering to certain principles can ease the process of engagement. However, some clients are clearly harder to engage than others. One group of referrals comes from secondary services, which may perceive that the individual requires further monitoring or intervention, although this may not be something the client wants to consider. It is with this group (those who are not themselves directly seeking help) that additional engagement strategies can be required.

The importance of engagement is emphasised throughout this chapter and several strategies for overcoming difficulties with this process have been suggested. These include practical suggestions such as the location and timing of therapy sessions and also strategies which can be explored in session to examine beliefs that may inhibit engagement. Some beliefs may be based on clients’ own direct experience of services as many services have a range of quite intrusive interventions. However, their beliefs could be as a result of media perceptions of ‘madness’ and the portrayal of what this entails.

This will also aid socialisation to the cognitive model. QUESTIONS TO HELP ASSESS COGNITIVE COMPONENTS INCLUDE: r What was going through your mind at the time? r What was the first thing that you thought? r Did anything trigger the way you were feeling? r Did you have an image of the event in your mind? What did it look like? These questions can be particularly helpful when used in conjunction with affect shifts or real-life situations. 48 THEORY, ASSESSMENT AND FORMULATION The model suggests that intrusions are often interpreted in a manner that can increase the distress associated with them or their frequency.

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