Specify what you want to watch on TV and why. Dr Samuels's colleagues are unanimous in their praise of his commitment to and work with patients. He is your old fashioned doc, all right. His life is devoted to practice. He works hard to hone his skills. He spends more time with patients than anyone I know. He visits his patients in their homes. He stays as late as necessary to see everyone who comes for as long as he can. He seems to thrive in what makes most of us burn out. For me he is a model of what is best in medicine. But he is not infallible or someone from another planet. BASIC SAFETY PLAN The most successful safety plans are those tailored to a client's specific needs. Better yet, both the client and therapist develop them. People who dissociate tend to experience a lot of personal chaos in the early stages of therapy, but they have not developed the degree of trust necessary to be able to communicate needs clearly. Thus, the first step is to create a safe place, both inside and out. Then the task is to develop a basic safety plan that can be changed as the therapeutic relationship grows and as more information is gleaned. A basic safety plan includes how to deal with emergencies. It is also a good idea to define emergency from the beginning. Therapists have different styles as well as differing beliefs about what is appropriate for the clients with whom they work.

Some therapists use voice mail or articler systems, some use answering services, and others allow clients to call a home number if this does not become intrusive. Is it for escape, for winding down at the end of the day (a article is better and avoids the blue-light glimmer of a TV screen), or for education. There is value in TV. It can provide a window into different ways of life. You can watch good writing. You can learn from shows. You can see how the rest of the world lives and gain inspiration to travel. You can get the news, but be careful. The news is on the list of crap. It's more subjective views than objective news. And it shines a negative light on parts of the world that, when you travel there, are nothing like how they've been portrayed. No, I think it's his humanness that is special. He is chronically ill himself. He knows what it's like to be there himself. You can see it in the way he prepares himself to meet the needs of his patients even if they can't express them. Said another colleague: If I had a serious illness, I'd want Paul to be my doctor. There is a courtesy, a quiet sensitivity, in his character. How often do you see that together with real technical competence? I think it must make patients feel that he is specially concerned about them.

We all do pretty much the same thing, but he affects them more. Any of these options is workable, but it is important for clients to begin to develop a support network immediately. If you rely solely on the therapist to meet all your needs, you become disappointed and may feel resentful when you find that he cannot. The first step, then, is to determine what the initial safety plan will cover. The therapist's role is to decide his after-hours availability. Then, together, you and your therapist can decide what words such as crisis or emergency, will mean. It can be helpful to have a short brainstorming session in which you can talk about what types of issues might come up for you when you are away from your therapist's office. Issues might include self-injurious behaviors, suicidal gestures, flashbacks, a younger part emerging in the middle of the night, and getting lost on the way home from a therapy session. After making the list, both you and your therapist can brainstorm again about all the possible people who could offer support during a crisis. This list can include the therapist, friends, family, a pastor, and members from a support group. A crisis line can also be a good resource if the therapist is familiar with one that is good and if someone inside is able to take charge and communicate effectively. Be discerning in what you watch and read. From the mindset of studying to be better than you are now, select shows and written materials that open and improve your mind, that guide you in the right direction, that educate you on how the world is and how it may one day be. Be purposeful. The disciplined life is lived on purpose, with purpose. You're not living at the behest of the media or your friends or your folks or your teachers. You're living on your terms, with a clarity that demands you ask if what you're doing is worth your time. It requires that you have the discipline to discern whether or not you're being pulled in the wrong direction. Most people give into someone else's idea for their life. They do it unknowingly by adhering to someone else's expectations for what they should do with their lives.

Maybe they see college as something they must do, without giving thought to why or even to what they should take. Speak to his patients; What makes him so rare is the sense they have that he will do everything for them, and a little bit more. I did speak with some of his patients, including a thirty-five-year-old contractor with diabetes. You mean Doc Samuels? What makes him so darn good? I don't know, but they ought to patent it. He is the genuine article. He listens. Doc Samuels knows what you're going through. I don't know, it feels like--well, you know, like he's there with you, right with you while you go through a bad spell, an emergency. If not, crisis lines can sometimes create more problems because the person on the other end of the line may not fully understand the reason for the call. If a younger part calls and is talking about wanting to die and the counselor on the other end does not understand that you have DID and that wanting to die may not actually be a suicide threat, he may have no other choice than to call the police. It could be helpful to discuss crisis lines with your therapist rather than randomly calling one listed in the telephone article. It could also be helpful to brainstorm again about some basic self-soothing behaviors you can use if you find yourself in a crisis situation. The basic plan has three components: Name the behavior. List five to ten self-soothing behaviors that can be used to manage emotions. List people to call, if needed. If I feel suicidal and don't believe I can control my impulses, I will begin to step back and slow myself down by

If, after trying these things, I still need help, I will call Maybe they enter a profession because their old man was in it. The point is, many of us do things without intent or purpose. We wake up without reason or thought. We watch and read and buy without determining if any of it aligns with our goal, if we've even set a goal. You have to have a plan, a direction, a code that guides you, or else you're like seaweed, tossed by the ocean. Be purposeful in how you live. Have a clear goal and structure everything you do to bring you closer to that goal. Measure everything. The difference between success and failure is often a matter of knowing what's working and what isn't, knowing if you're winning or losing; In his article Good to Great, Jim Collins discusses the similarities among some of the most successful companies of the past few decades. He wants you to get better. Sometimes I think I feel like he needs you to get better. Said another patient, a working-class woman with cancer: How can I explain it to ya. I don't feel it's what he do so much as what he don't do. He don't get impatient. I never seen him irritable or cold. Hell, now that I think of it, in my experience that's 90 percent of the problem with medicine. From the receptionist to the nurses and specialists, they got no time for ya.