On this night Counselor Jose was on medication duty, Jose a popular Counselor within the support house usually engages in some sort of small talk with various residents. The small talk is something that is done outside the confines of formal counseling. It is something that is done, based on the strength of a person to person relationship rather than Counselor to resident (patient). The resident opens up and volunteers more pertinent information as to what is going on in their life’s experience rather then it being coaxed out during a therapy session.
In this instance, Ann, one of the few white female house residents, in their late twenties, came down to get her meds. She dolled herself up; wearing makeup, had her hair done, and was wearing semi-revealing clothes. She had a joyous look on her face.
Jose said, ‘you’re glowing,” Ann responded, “am I;” Jose said, “yes, what’s going on?” Ann, said, “I have a new boyfriend; his name is Justice, and he is a big black man, just like you; we’ve been seeing each other for a couple of weeks, and now we’ve started to have sex. It’s been a while since I’ve had sex with anyone.” Jose, said, “oh, that’s nice, I didn’t think that you’d be interested in dating black guys.” Ann responded, “who knows the type of person who you will be attracted too, until they come along; maybe one day I’ll introduce you to him.” Jose said, “before you leave, take some condoms, you don’t need any accidents happening.”
Jose has mixed feelings about Ann’s recent development, because the mentally ill have a track record of short-term relationships. Very few people are willing to put up with the stress and aggravation that comes with being involved with someone whose behavior is dependent on medication.
At the same token, a good relationship can be a buffer to depression. Ann recently had a bout of depression, and she had to spend a couple of days in the psych ward because of suicide ideation. Extra medication has helped her get out of the depressed state. But Ann expressed that the side effect of the medication was making her feel horny.
It is ironic, that when Jose dispenses the extra medication to Ann, he can see out of the corner of his eye that Ann plays with herself. When Ann see that Jose is turning around, she quickly removes her hand from under her short skirt. After ingesting the extra medication, she then goes back to her room and masturbates. Jose hopes that she does not fall into the cesspool of being sexual exploited by the support house male residents.
Jose’s thought’s is now that Ann is sexually active, it will do her a measure of good for the interim. This just validates that the early treatment for depression had some merit.
Back in the early days of psychotherapy the treatment for depression was to induce the patient into having an orgasm. Back in those days, the condition was called “hysteria.” It is interesting that the condition was first described by the ancient Greeks, and that it was purported that the condition only effects women. Even back then, it was believed that the condition was developed because the woman was not sexually active. The Greek solution was to get those women to engage in regular sex. A pelvic massage was also a suggested course of treatment. The massage was done until the woman experienced an orgasm.
Flash forward to the late nineteenth century, early twentieth century, when psychotherapy was in its developing stages. The Therapists brought back that ancient treatment of pelvic massages; The vibrator was invented to allow the Therapist to massage the woman’s clitoris; this induced orgasm more quickly without the therapist having to exhaust their hand and wrists.
Today, depression is treated through a combination of medication, and psychotherapy to get the patient to make fundamental lifestyle changes, and changes in the depressed person’s attitude and outlook on life. There is also the treatment of electroshock therapy (ECT).
Inasmuch that ECT is a barbaric procedure as practice during the early twentieth century; ECT as practice in the twenty first century is different. The difference being that the patient is under anesthesia when it is done. Under anesthesia, the patient does not experience convulsions, and there is no need to hold the patient down.
ECT is one of the fastest ways to relieve depression and suicide ideation. However, for some people the relief may be temporary, and the depression returns.
For Ann, while she is in her newfound relationship, and becoming sexually active again, hopefully she can enjoy life a little; that is until her medication needs to be readjusted.
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