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I am a psychologist with ptsd

  • Post starter Post starter Papif
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Oh for the love of Mike. There are something like 3 professions where people's brains fall out of their heads, when members mention working them :facepalm: Being a therapist is one. People with PTSD can have problems at work, parenting, in relationships. That hardly means someone with PTSD shouldn't work, have kids, or be in relationships! At least as a psychologist you aren't severing an artery or crashing planes because you zone out for a minute. (Neither of those 2 are professions people lose their shit over, by the by.)

IMO? Forewarned is forearmed. You already know you disassociate around certain kinds of trauma, & that no matter what population you choose to work with? You'll probably bump into it from time to time. So make an action plan for it. That's assuming you even need it, after trauma processing. You very well may not, but I'm a fan of redundancies.
 
And actually, the fact that you dissociated when a client was talking about a suicide attempt makes it even worse!

A...

I too have been suicidal, I know what it feels like and I can completely understand how that would feel for a client. I wouldn't want that as a client either. I told my supervisor about what happened and I have spoken with my psychologist. Perhaps taking a break from it for a while could be worth considering. I do not want to do any harm to anybody and I do not want to dissociate with a client. I only want to help people. However from everyone's comments I didn't realize how much damage I could be doing on the other side. I actually feel awful. I'm not sure how to go forward. I've spent 8 years of my life studying to be a psychologist only to get this far to come up against this.
 
Yes I am currently being supervised, however I do not want to disclose my personal history to my supervisor

I have a supervisor who is aware of the situation
What part of the situation is your supervisor aware of? I really think you need to be completely honest with them about it.

As you've realised yourself, you can't always predict if a client who presents with one issue initially isn't going to open up to you about other things as therapy progresses.

Is taking some time out to continue with your own trauma processing an option? Then see where you're at after that.
 
Oh for the love of Mike. There are something like 3 professions where people's brains fall out of their heads, when member...

Really?

I think you fail to understand the issue.

I hope you're never suicidal and go to a therapist only to have them check out on you!

I'm personally struggling with finding a therapist while suicidal so yes, I do have a different perspective on things!

I never said that the OP should give up for good so maybe it would be a good idea to slow down, read, and comprehend what is being said.

PTSD prevents people from doing many jobs. I can't believe the responses that pretty much say "dissociating in front of a suicidal client is ok"

Nope! Get your ducks in a row and THEN go out and save the world. Put on that oxygen mask first because you can't save anyone else if you can't even breathe yourself!
 
I too have been suicidal, I know what it feels like and I can completely understand how that would feel for a client. I...
Don't give up. Maybe read this thread to your psychologist? Maybe he/she can help you make a plan that is win/win? There has got to be a way to make it work!
 
What part of the situation is your supervisor aware of? I really think you need to be completely honest with them a...

My supervisor knows that I do not feel comfortable working with clients with sexual trauma as I find it triggering. She does not know that I was raped. I have only just spoken about what happened to my psychologist. I feel so ashamed when I talk about it. Especially if it was to a supervisor. It seems as though it's something I must do though. I just feel like a fraud.
 
Support comes in many flavors. I stand by my original comments as it is indeed wrong on many levels to be taking on cl...

I have no intention of using clients as guinea pigs. I went into this profession to assist other people. I appreciate your comments to help me to recognize how serious this is. How does one know when they are ready to return to work after trauma processing?

I am just feeling very overwhelmed as I guess I had tried to play the situation down and pretend that I could do it and everything was fine.

I think people are trying to support you, by helping you realize the seriousness of your post. Yes. You can make a grea...
Thank you. As I mentioned, I think I have been trying to hold it together for a really long time and everything is beginning to fall a part at the seams. I never had intentions to harm anyone or make anyone's situation worse. I know it would truly be awful to go to a therapist to only have them dissociate on you. I just feel very lost at the moment. Part of me wants to give up entirely. Is it even possible to be a therapist if you have PTSD?
 
If the lady psychologist that first caught onto my PTSD symptoms didn't suffer from it herself as the result of rape as s...

That is reassuring to hear that her experienced helped you in some way. That gives me a glimmer of hope that I will get through this and perhaps be able to help someone.
 
You will be most useful to your rape clients after you have healed because you can tell them:
YES, I DO understand. I've been there.
YES, it's ok to feel that way.
YES, you will heal.
 
I'm a therapist, I routinely work with trauma and I have complex PTSD. It's entirely possible to do this job with PTSD but there are things that you need to have in place to keep yourself safe and fit to practice.

1. Good supervision - by that I mean with someone who you trust to be completely open with about everything. If your current supervisor isn't that person then get a new one that is. Good supervision is a process that focuses on you in your work with clients, that helps you identify what's happening for you and how that influences your work with clients. Your supervisor needs to know about you dissociating in session to help you work out triggers and see if you have other triggers you don't know about. They'll also help you identify what you should do if that happens and may suggest you take a break from practice to resolve it. A good supervisor won't recommend you stop practice unless it's really not safe - in which case ethically you'd want to stop for a while anyway.

2. Good therapy. You've been training and seeing a psychologist for 8 years and only now are looking at your own trauma? What have you been doing up until now. I'd suggest you force yourself to be as open and vulnerable in therapy as possible, let her really press your buttons and see where it takes you. Consider a new therapist - depending on where you're training a clinical psychologist may not be your best bet as a therapist. Moderate your client work while you deal with your own process.

3. Recognise that you need a strong professional peer group who know you well enough to know when you're struggling, and listen to them even if you think you're ok - they'll see things in you that you don't.

4. Practice good self care at all times, have fun, exercise, socialise, rest, eat well - look after yourself properly. It'll help you deal with the rigours of the job.

5. Learn from your clients, let them matter to you, don't emotionally distance or disengage to keep yourself safe. If you find yourself doing that get back to therapy, take it to supervision, pull back on your client load. If it's still too hard to emotionally engage you may need to consider different work. People who are struggling deserve someone who cares and sees them as an individual rather than as a set of symptoms to be cured - I'm not saying you do this but if you keep dissociating in session the temptation will be there to half listen to keep yourself present.

You're still in training, use the time to get a grip on this - you'll never be more supported than you are now and your tutors, supervisor, therapist will want you to do well. I remember being terrified that I was too "damaged" to help others and really struggled to tell about what is quite an extensive trauma history. Instead of suggesting I quit, my "team" helped me make my experience something I could use productively in the support of others and helped me learn what safe practice would look like for me.

You're asking your clients to come to you and be completely open and honest about things they find hard, shameful and traumatising. You need to be able to do the same both to heal from your own experience and so that you know what it's truly like on the other side - which will give you compassion, patience, care and respect for your clients.

Good luck with the rest of your training.
 
I just want to echo these comments that your trauma experiences are going to make you an excellent psychologist. My life was saved by a therapy oriented psychiatrist. She told me one time that she got into psychiatry and therapy because she had in the past struggled with depression and sought help from a therapist She told me this for my benefit and has always had very clear boundaries. I loved her and she healed me at a very dark time when I was in severe withdrawal from an SSRI. I can tell you from experience how many therapists treat you as a collection of disorders and subtly make you feel less than them. It is the doctors that have suffered themselves, I feel make the best therapists because they have been there and can be compassionate and see their patients as humans. Don't give up, with hard work on your own stuff you can be an amazing doctor.
 
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