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General Advice On Accompanying My Partner To Therapy

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Everhopeful

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I would appreciate any insight and advice please. My husband (suffering from Complex PTSD as a result of horrific childhood abuse; Bipolar Mood Disorder and / or Borderline Personality Disorder) and I have had a really rough 9 months of marriage. Our friendship and feelings for each other are strong, but things have been turbulent to say the least. We are fortunate to have access to fairly good medical care, and he has been under psychiatric supervision and has been to see two therapists in this time. He did not gel with either of the two therapists, unfortunately.

The thing is, I was the one who instigated his first attempt at therapy, when he was just in a sudden total state of decompensation and regression. He would keep himself locked in a dark room for days, with suicidal ideation, cutting himself, etc. The person was a pastoral therapist, and it ended up going pear-shaped, as the therapy was meant for my husband to address some burning issues that he had revealed to me (never spoken to anyone about it ever before). The big issue was the incest with his (now deceased) abusive mother. It was a hot potato which I obviously subconsciously felt that I could not carry on my own, and I probably was crying out for help with this, more than my husband was.

This therapy sadly ended up turning into the run of the mill "couples conflict mediation therapy" which irritated the living daylight out of me for obvious reasons (Rome is burning, stop fiddling!!). The therapist then seemed to turn upon me, and I seemed to be viewed in the light of a totally manipulative woman, who was actually labelling my husband as being mentally ill, when in fact perhaps I have more issues than him!

Then after this therapy went south, my husband had a breakdown of sorts, and was admitted for a short-term intervention at a psychiatric hospital, where they seemed to think he was suffering from Bipolar Mood Disorder and medicated him accordingly and he started going to a psychodynamic orientated clinical psychologist for "trauma therapy". Unfortunately, in hindsight, this seemed to open up the trauma floodgates in my husband and he seemed to get even worse. He seemed to be emotionally flooded, had terrible nightmares and flashbacks, seemed to hear voices and have delusioned thoughts at times of severe psychological distress.

This was also when he started self-medicating on big doses of tranquilisers every day just to get through the week until his next once weekly session with the psychologist.

Eventually, he just did not go back to this psychologist, as he just felt that he was being ripped open every time, but there was no sense of containment at all.

Now, after many rollercoaster months and much effort on both my husband and on my own part to seek healing and a positive way forward for both of us (me acknowledging and addressing my own issues too!), we have been referred to a new clinical psychologist who is more Cognitive Behavioural based and also deals with trauma, mood disorders, ptsd, personality disorders.

This seems like a big step forward, as my husband keeps on insisting that he does not just want to dwell and rehash his traumatic childhood all the time. He feels that his great lack in life is that at the age of 36, he has a lack of lifeskills. He is keen to work on his past in the context of learning essential coping skills as per CBT and Dialectical Behaviour Therapy. He acknowledges that he possibly suffers more from Borderline Personality Disorder than an inherent Mood DIsorder, possibly both.

As we have done from the start of our relationship, we have gone to his first appointments together. He feels that he benefits from the back up I can provide for him as he often does not feel very clear-headed and he forgets to mention certain things. I try very hard to hold myself back and not put words in anyone's mouth, but just to be there as a support.

Now, after the first appointment with the new psychologist, who will now see my husband once a week for the next six weeks, as a start, and work through CBT/DBT skills with him, my husband has asked if I will accompany him to each and every session...

I am not sure if it would be advisable to do so? On the one hand, I would love to be a support and also perhaps benefit from the skills training exercises. It would also help me deal with the fallout from his trauma and the manifestations of BPD (I don't think he is very extreme like some cases I have read about, but he definitely manifests all the behaviours, etc of a Discouraged subtype BPD).

On the other hand, this therapy is his private time with a therapist and perhaps it would hold him back sometimes from having me present? I don't want to impose on anything or anyone. I am still feeling very stirred up from the whole pastoral therapy story, how I seemed to morph from caring supporter to evil, scheming wife!

Any thoughts would be very appreciated.
 
@Everhopeful, I think that the very fact that he asked you go to therapy with him is a great step in the right direction! If you're unsure about it not giving him total "alone time" with the doctor, what about seeing if you could sit in for part of the sessions? That why, you could be there for part of it and your husband could have his "alone time?"

That he asked you to be there means that he trusts you and great deal and wants you involved in his progress, which is fantastic, especially seeing how us PTSD-ers like to keep things to ourselves!
 
No. He needs to do this on his own. Yes, be flattered that he is open and wants you there, but again, no, as he may hold back if you are in the room (subconsciously) and you don't deserve to hear EVERYTHING if it all somehow comes out. He needs to do the hard work on his own. I've been in a trauma hospital and we were instructed that this was a solo effort in that we could not use external people or objects as crutches in our healing. He need to learn to fly on his own or he will crash and burn the minute you're not around.
 
EH,
I wouldn’t get bogged down with the details of his therapy. The main point is for him to deal with the issues of : PTSD, BP2, and BPD. I’m glad he is seeing someone who specializes in PTSD, mood disorders, and personality disorders. In my opinion, most psychiatrists are not very good therapists. I believe the two (therapy and prescribing doctor) should be separate. That’s just my 2 cents.
 
That he asked you to be there means that he trusts you and great deal and wants you involved in his progress
It could also mean that he's extremely dependent on you and feels helpless to do this on his own. I guess it COULD mean lots of things. I kind of agree with Solara. He'd be better off going on his own, even if it's hard. If the therapist is good, they will be able to help him learn to express himself and deal with this on his own. If you'd like some help dealing with your side of the equation, you should probably seek that separately. For one thing, he doesn't need to be stressing over what you're going through that way.

My ex & I went to couples therapy a few times before the divorce. She saw us each alone once, then together, then I saw her a time or 2 after he quit. There were some things she said to me alone that would have been awkward, to say the least, if my husband had been there. The same may well have been true in reverse, I have no idea.

See what his therapist says, I guess, but I think he'd be better off doing this on his own.
 
If he has asked you to go in with him, I would say go along with that (if you are sure you can cope with what you might hear) but, like @bell says, only go in for part of the session and then step out. I agree with @Solara in that you are probably too close to him and are not trained to deal with some of the things he may disclose. I also agree that he needs to learn to do this on his own. That said, if my husband had not agreed to hold my hand at some of the meetings with medical professionals I have had since I developed delayed-onset PTSD, I would not have had the courage to go at all and would be in a far worse place now.

He need to learn to fly on his own or he will crash and burn the minute you're not around.

I would have crashed and burned before getting any help if I could not have had my husband with me. I will let go of his hand and do this on my own, but not yet. A few weeks of confidence building may be all that is needed. I understand "tough love" but to withdraw support when it is desperately needed (again, only if you are sure you can offer it) seems harsh. At the very least, compromise and offer to sit outside the office.
 
You are tremendously supportive.

What are you comfortable with? If for any reason your gut response is not to go, don't go. It is great to think of him so much but I vote take care of you first.
 
would it be possible for you to initiate your own, personal therapy visits? Settle your own issues while your husband settles his? Separately first with a hope of building unity?

Just a thought.

In general, I agree with @franciemarnie. Trust your gut.
 
What are you comfortable with? If for any reason your gut response is not to go, don't go.

Agreed. Only you can decide this, @Everhopeful. But, I don't think the decision is simply whether it is best (for both of you) for you to go to the whole course of therapy with him, or have him do it alone. There are a whole range of choices in between. Travel with him, sit outside the office, take him in, stay for 5 minutes, come in at the end...

Perhaps I'm just seeking to justify my own behaviour but I would like to stress that there might be some middle ground between these two ways of looking at your partner's request:

1. Delaying healing, being "needy", becoming overly-dependent and possibly even manipulative.

2. Facilitating healing, having needs, being able to depend on/receive support, displaying trust.

I hope you are able to find something that works for you both. He is very lucky to have someone like you in his life. Take care of yourself.
 
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I would go to one and express all your concerns and let him express why he wants you there. I would be curious what the therapist's two cents would be on the issue.
 
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