The relationship between “Inner work” and Symptom Management

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Why have things happened the way they have in my life? The mental health diagnoses I was labeled with during the course of treatment created major havoc in my life.

First, medication has played a major part in regulating my mood and thoughts over large spans of time. To regulate my mood even further, more inner work needs to be done. Understanding inner conflicts in my psyche opened up opportunities for me to experience a higher quality of life during the past year.


The resolution of inner conflicts has a direct impact on how my life has unfolded. There have been times I could have been labeled as “manic” or “agitated” improperly and without real justification. These are just temperaments, though. They were rooted in temporary issues and were partly due to uncomfortable living conditions.

I think that mental health service providers have a lot to gain from having empathy towards the living conditions of patients…


Therapists and psychiatrists should not judge a person’s behaviors. Judging only interferes with the person needing help does not get the right help, and defers progress towards stability. I often know people cannot speak up for themselves or themselves in the midst of a crisis.


It is a tough question of how much responsibility is owed to the patient or consumer and how much is owed to the doctor or social worker. This is tough territory to navigate, and I think requires some compromise between individuals.


Influencing personal development with an encouraging attitude. Treatment providers often help prevent major crises or issues flaring up further.

One thing is for sure, patients surrounded by demeaning and discouraging counselors will see less positive developments than those who is surrounded by encouraging counselors…I have seen this myself personally to be true during the course of my treatment when observing other people in similar care.

Some people diagnosed with mental illness are, despite what some people think, autonomous Autonomy is a learned behavior. As a result, psychiatrists, nurses, and social workers can positively or adversely affect the course of someone’s treatment purely by their attitudes.

Ultimately, I think it is important to find a healthy balance between symptom management and person-centered treatment.

The reality of any given case is always broader than what it first appears.

Discretion on an individual basis is critical when it comes to making prudent choices during the course of managing the self or others.

I suppose, in the end, the question of why life turned out the way it did for someone can never fully be answered in hindsight.

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Dave Meyers
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Empowering Recovery: Max E. Guttman’s Journey in Mental Health Advocacy

Max E. Guttman, owner of Mindful Living in NYC, is a Licensed Clinical Social Worker and advocate specializing in psychosis and schizoaffective disorders. Drawing from his lived experience with schizophrenia, he provides authentic, empathetic care, emphasizing humility and real progress in recovery.
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