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Therapy: Healing Vs Tools

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watundah

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In the last few weeks, I hear many people referencing therapy as a place to learn new tools for managing life situations. I can understand how perhaps we learn ways to manage anxiety or symptoms, skills for interpersonal relationships and so on.

But for me, it feels as though the crux has been to do a deep dive to get to the core of substantial hurt that I have been carrying for decades. I don't think I can successfully focus on changes to how I can connect with others until we muck around and heal the space that these wounds hold.

Perhaps people can do both simultaneously, however, while trust remains my biggest issue, I need to work on healing vs practical application of "tools". My T has never used the word with my while my spouse's T specifically does. I see therapy as a very long endeavor ahead of me. I call it a very slow form of brain washing, but I mean that in a positive way! Unfortunately, it seems to move at a glacial pace.

I'm raising this for the sake of conversation...it's not a one path fits all situation although I sense some do see it that way. It does seem to me you have to heal before you can change behavioral patterns. I'm far from an expert on modalities and can say my treatment has been a hybrid of multiple approaches so also not necessarily inviting a debate on the best type of therapy.
 
I think I understand exactly what you mean. The use of tools can feel like getting the cart ahead of the horse.

I have been through an entire healing process many years ago but was not diagnosed with ptsd, but being an adult child of alcoholic or ACOA/co dependency. I attended group therapy and identified and worked on many of my irrational beliefs (think they called them at time). Black and white thinking or right and wrong, awfulizing, fixing for others, learning assertiveness skills, boundary issues, etc. I had the tool box and got it in my head, but not in my heart (that is how I described it at the time and do again but now with ptsd).

At that time, I had two kids under 3, and a teenager from 1st marriage that is bi-polar and borderline who was acting out and I was often target as well.
EXAMPLE: Practicing tough love was in my tool box. T shared how and why it was important, I read books about it. It made sense and I got it on an intellectual level, but my heart was resistant. Initially I had to consider much of what I did or how I acted/reacted with her. I learned to practice a healthier style of parenting, not engaging in arguements, saying no, etc. but it was so uncomfortable that my heart hurt and it did not feel good. I had to let her make mistakes and fail and keep my mouth shut and not enable her. It was not only uncomfortable, but because I learned this behavior in my family of origin, I was guilted by my sister and others. This cause and issue of meddling by others, so I had to learn to give a broken record message such as "it is really none of your concern" over and over with my T telling me that it would work when it really wasnt. Using I statements and owning my feelings rather than appearing to blame in communication. "When you do x and y, I feel very z. Reality is, when one person in family makes such changes, its often not received well, so it actually got worse before it got better.

T taught me others can't make me feel any particular way, that I am responsible for my feelings, and changing my beliefs will cause my feelings to change. Yet when I asserted myself (in past I let sisters dictate as I was youngest), I sure felt anger that I had not felt when I just went along with others trying to please them. It was easy to know parents were so dysfuntional because they were so blatent, but it was harder to admit that I had so much hurt from my sisters behavior and others that I was learning were really dysfunctional. So now I had anger toward some that I had not had before, or likely was just in denial about.

I don't know if what I am saying is making any sense or is on the track of what you are explaining. I know my T told me that I had anger, which was causing health problems, yet I was so disconnected from feeling and displaying anger that it took me a long time to get in touch with it. (Never really allowed to be angry, it was for others to be angry with me and I was the scapegoat often)

The major thing here is that I got it in my head before I could get it in my heart. I could logically see how I could be angry about past treatment, but could not easily feel it.(I feared anger) Of course there were many emotions that led to that anger, hurt, rejection, being humiliated, embarrassed, unimportant, etc. (I also played the tough role and never asked for what I needed, I didnt even know, so hard to admit hurts) I know that I had to have some distance from those that I felt so hurt by.

Maybe you do need to have some distance too and allow yourself the opportunity to feel the primal and raw emotions before really utilizing the tools, but you can always be collecting the tools for later use while in this process. Since your T has never mentioned this, maybe T is on same track with you. I personally think that when someone has decades of build up of emotions and then begin attempts to change and there is strong emotions such as lack of trust and for good reason, sometimes we need to begin as a child almost, like uncensored. It helped me to write. I would begin with it being off the cuff, rambling, saying it without critiquing (never with intent of sharing). The initial was a laundry list of hurt and why and even giving incidents that caused and likely sounded blaming. It was letting it out, lashing out without sharing so nobody was getting hurt, but I was getting it out and I could be unreasonable if I wanted as well.

I also discovered that while I learned what was socially acceptable as I grew older, I was still feeling the pain from that as a child, or whenever things happened. (guess it was the child that was scared, hurt, lacked trust, felt betrayed, neglected, rejected, abused, used, etc. and I was somewhat stuck there until doing it this way) Eventually my writings became more peaceful, and the events did not matter, just the feelings. Ultimately I came to see that the person involved grew up with same dysfunction and experiences and forgiving was possible. However, there was no magic trust built as they were not on a journey to heal and own their stuff. They stayed the same and thats ok.

If this is not helpful and I am not understanding, just disregard Sorry for the long post.
 
I appreciate your post and it does make sense. I understand completely. Head and heart, logic and emotion, are often such lousy dance partners. I am always in my head, and I am trying to allow things into the heart. Not easy!! I also left that tender, unprotected part in the dirt a long time ago. I think more writing in a journal, processing on a daily basis, is a good add.

I'm a fellow ACOA and did some group work as well at one time but was not emotionally prepared to deal with all it revealed. I've come a long way in that regard, so there's that!

Thanks for sharing.
 
I did cbt years ago, my first foray into therapy and yes I learned skills to help me cope with daily life. I'm grateful for this because it literally kept me functioning on a daily basis for a long time.
MMy most recent (still current) therapy is relational - doing that deep dive into very old, deeply laid hurts. It's fair to say just being in a relationship with my therapist has been torturous at times. I went back to therapy because workplace relationships lifted the lid on childhood trauma and I couldn't cope - with work, with people, with life really. This time around it's been very slow, unpicking what happened to me, its impact on me, how I see myself and others, how I understand my abuse and what it means for me in relationship with others and with myself.

It has been excruciating at times, and still is but I do see healing. Every time I set a boundary, or don't over react to something going wrong, when I allow someone to be close to me - I do see healing. It's such a slow process but I do feel it's fixing me from the inside out, letting me find a place for my trauma and changing how I am with people.

I guess this is the right thing, at the right time, with the right person.
 
People talk so much about tool building because it's in the first step of the prominent three step trauma healing process that is practiced by many professionals.

I wasn't "allowed" to work on issues because I was prone to going off the deep end------constantly.

It wasn't until I was able to ensure that I could stay stable that my therapists would let me get into the issues.

If someone is stable enough that they're not going to harm themselves or kill themselves, then skill building can indeed wait.

But for those of us in bodily harm or live/die suicidal situations, jumping into the issues without ensuring stability could end a therapists career and cost them everything if they failed to ensure the basic safety of a client and just threw them into the deep end, pushing them too far.
 
@watundah , i wish you all the best on your journey of healing.
In response to your post, all i can add is that it is so important that you first focus on self protection and self soothing. I entered T thinking i could open up and talk and then i would have some EMDR therapy and then i would be fine .... (im not saying this is your view) . I was so wrong ! Thankfully my T recognised that i was full of bravado and all we have focused on has been my self preservation so that i can deal with and survive 'pandora's box' opening (and not dissacotiate) We have done work on self soothing, meditation, grounding, mindfulness, safe place, sleep meditation to name a few.
 
So, I see I have been utilizing more tools than I recognized, such as grounding, meditation, deep breathing, safe place visualization, to prep me for stabilization when I get overwhelmed by all of the goo that is percolating to the surface. It's good to know that these resources are there although I frequently fail to call upon them when needed. It seems to take a concetrated, conscious effort to pause and call upon them prior to the amygdala hijack. Not an easy task when it happens so quickly. Does it eventually become second nature?
 
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