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PTSD & CPTSD
Dysregulation
Chronic PTSD
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<blockquote data-quote="Friday" data-source="post: 1696954" data-attributes="member: 27208"><p>It’s actually very very normal for clients to FIRST have to learn tools to manage their symptoms (grounding, emotional monitoring and regulation, etc.) BEFORE doing trauma processing. Very very few people walk in ready to process trauma. </p><p></p><p>In point of fact? Most of the specialised inpatient trauma units don’t touch your trauma with a 10’ pole. They’re all about stabilization. Teaching skills, finding meds that help if necessary/useful, dealing with the very immediate problems of today, before one learns to deal with the problems of yesterday with a 1:1 therapist. </p><p></p><p>I fought against the stabilize BEFORE treating trauma for a very long time... well, a few years, in any event... in my case getting stable was the other way ‘round. Skills & tools in spades. I knew what I need to do. I was even good at it. But? I’d already lost everything, so the whole having home/ job or other income/ relationships & any meds relatively consistent for 6+ months/ etc. simply wasn’t something I could get a handle on. So my stressors were through the roof, which meant my symptoms were through the roof. Which meant my life kept going from bad to worse. And no amount of emotional monitoring & regulation is going to fix that. Like sticking your finger in a river hoping to stop it flowing. Very much one of those Catch22 things. I can’t do this, if I can’t do that. But I can’t do that, if I can’t do this. Brick wall. Bang head. </p><p></p><p>Also, a fairly normal state of affairs.</p></blockquote><p></p>
[QUOTE="Friday, post: 1696954, member: 27208"] It’s actually very very normal for clients to FIRST have to learn tools to manage their symptoms (grounding, emotional monitoring and regulation, etc.) BEFORE doing trauma processing. Very very few people walk in ready to process trauma. In point of fact? Most of the specialised inpatient trauma units don’t touch your trauma with a 10’ pole. They’re all about stabilization. Teaching skills, finding meds that help if necessary/useful, dealing with the very immediate problems of today, before one learns to deal with the problems of yesterday with a 1:1 therapist. I fought against the stabilize BEFORE treating trauma for a very long time... well, a few years, in any event... in my case getting stable was the other way ‘round. Skills & tools in spades. I knew what I need to do. I was even good at it. But? I’d already lost everything, so the whole having home/ job or other income/ relationships & any meds relatively consistent for 6+ months/ etc. simply wasn’t something I could get a handle on. So my stressors were through the roof, which meant my symptoms were through the roof. Which meant my life kept going from bad to worse. And no amount of emotional monitoring & regulation is going to fix that. Like sticking your finger in a river hoping to stop it flowing. Very much one of those Catch22 things. I can’t do this, if I can’t do that. But I can’t do that, if I can’t do this. Brick wall. Bang head. Also, a fairly normal state of affairs. [/QUOTE]
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