this post was submitted on 02 Feb 2026
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I would like to help him but I don't know what to do...

His screams echo through the house due to a lower back muscle spasm that he got recently, likely due to a herniated disc in his spine or something. He's never gone through this before, I think. He's almost 26, but our family has a history of back problems (and heart problems) for whatever reason. Don't know if that could mean something.

I am a lot older than him and have never had back trouble, EVER. But how can my younger brother have such immense pain in his mid-twenties? I thought back problems only grew more acute later on, such as in your 40s or 50s? I believe we will at least have the x-ray results soon.

I live in Virginia and am wondering if there is a better place nearby to take him than just the Inova hospital around around here. He is being taken right now to the hospital nearby.

His screams trigger flashbacks and traumatic thoughts and memories in my head (doesn't help that I have misophonia). So yeah, fun, fun, fun...

Anyway, let me know what you think because I could use some suggestions.

Just want to know how I can help and what I can do.

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[–] Makan@lemmygrad.ml 1 points 22 hours ago* (last edited 22 hours ago) (2 children)

Curious.

Thanks for the comprehensive reply. Do you know any DBT therapies or techniques I can use as well?

[–] solrize@lemmy.ml 1 points 18 hours ago (1 children)

Geez if he is in that much agony he needs immediate medical attention. Save therapy for later.

[–] snek_boi@lemmy.ml 1 points 17 hours ago

Thanks for the recommendation. I agree. And so does OP’s brother or his caretakers, because OP’s brother was being taken to the hospital when OP posted.

[–] snek_boi@lemmy.ml 0 points 17 hours ago

I’d respond saying that, as with anything, the test is in the pudding and the devil’s in the details.

I think DBT can help to the extent that it leads to variation, selection, and retention of behaviors, including mental behaviors. I really like that DBT is evidence-based. I also like that it has acceptance and mindfulness components to it.

What can you do if you try DBT and you don’t see it moving your life toward where you’d like to?

One approach is to change the way you do DBT. Maybe there’s DBT therapists who focus less on following DBT rigidly, and more on using it in a pragmatic way. Maybe they use as an underlying framework something like Process-Based Therapy.

As with many things in life, it’s a matter of testing until it clicks.

As to DBT techniques or procedures, I don’t know them. I only know the DBT principles.