My wife has been in counseling more or less since junior high, though much of the early years was with school guidance counselors. She's been seeing her current T for 4 years and has had a steadily spirallying decline in functional ability culminating in a bout of sleep deprivation paranoia around Valentine's Day. In inquiring about her treatment plan previously, I'd always gotten vauge answers and an insistence that I just needed to be patient, and that since I was a professional and was "emotionally invested" that I was outof line to press for changes in approach when it was obvious that what had been tried so far was not improving things any.
In a session I attended with her the day after her crash, I was essentially told I needed to stay out of things and let my wife work through the dreams/memories that had been steadily eroding her functionality.
Since then I've done a lot more research and found the APA guidelines on treating depression, and couldn't miss that the treatment plan needed to be reevaluated every 4-8 weeks after a major episode with changes in tack each time until remission from symptoms was attained. Well, my wife is still generally non-functional, and when I asked about her session, she's still just talking about the memories/dreams - the exact same thing that's been happening for months to years.
Additioanlly, it appears that her T never talked with her about strategies on getting better sleep despite that beign along term problem. In fact, her T backed her up in objecting to steady bedtime in a schedule she and I were trying to work out in marriage counseling.
Anyone have insight on how to proceed?
(She is seeing a psychologist once a month since the episode, and he is adjusting meds each time looking for improvement, so I'm satisfied with her care there, but my steadily growing concerns about her T have reached the point where I think her T might actually be aggrivating the situation and certainly isn't working to try different approaches as recommended.
