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Dissociation In Therapy

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watundah

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I've been in therapy a few years now and I keep standing in my way by dissociating in therapy. It's worse there than anywhere. It's as though my defenses go up as soon as I walk in the door. My T has worked with me with grounding, breathing and somatic work but I can't beat it. I numb out. I'm mostly there but distanced just enough to not be present. I feel we won't get anywhere til I tackle this. We just started using a book regarding mindfulness and Im trying to be more aware.
Ideas appreciated.
 
What strikes me, is that even though you and your T are both trying to help disassociation, that you are DEMONSRATING that you don't feel safe enough, to associate. Body sensations are important signs to follow.

Be easy on yourself, and your therapist. It would be interesting to interview a few other therapists, and see if you relax more. Sometimes, our instinct senses a trait in the other person, that reminds us of a trauma, and we disassociate, even though we don't want to (practiced pacing at my rate and following what felt/ I demonstrated was safe and interesting. I had to drop any timeline, so did the therapist.

Maybe you might want to try a different approach at first, where you aren't alone, like in a group? Or work your way into therapy through less formal settings, like 12 step groups. There are non-verbal therapies, too. Mindfulness can be intense: it made me worse at first, but it go better

The other part of of therapy, is that we so 'project' who we are afraid of, to our therapist. But hopefully, it is comfortable enough to 'work through' (i.e. talk about what bothers you-if your are aware of it.). If it does remind you of something stressful, remind yourself that you get to practice being an equal authority in therapy, always voicing what works for you and not.

I have been in your situation, and I tried to stay with it. But my disassociation never got better, so I switched therapists. I found someone, whom I relaxed with, and I used skills to stay associated-like standing up, moving around the room, and tell the therapist what I wanted to do-even if it was being silent, so I could look around the office.

Therapy has a lot of trial an error in it, but it is always a learning situation of what works, or not. I never went back to my first therapist; it was 7 years later until I could finally sit in the room with someone, and not disassociate due to fear.

Good luck!
 
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Yeah, I'm the same way. For me, the anticipation of a therapy session is enough to trigger my dissociation. It's like everywhere I look, I get triggered. Or in the course of just having a conversation, the anxiety just builds up. However, my therapist says that I have made a lot of progress and he can tell I'm staying present in the here and now.

Most helpful to me has been building skills in distress tolerance and mindfulness. Yoga has also helped me stay in the moment. If I feel anxious, I try to concentrate on my breathing and keeping my head and feet in the present.

I notice that when talk is about conflict resolution, I drift off. I reckon that'll be next on my new skills list.
 
@watundah - I have the same problem - we now do all our sessions outside, walking and talking. Most of the time this really helps me stay present. If your T isn't up for going outside, I have also found us swapping chairs as soon as I start to dissiociate helps and found that talking side by side - rather than face to face helps, or just getting up and moving around. I know it's very fustrating and everytime I think I have it Sussed it comes back. But I am very lucky that my T will think out of the box with me - Its very tough to override when it's so ingrained in your survival - maybe we shouldn't be so surprised that it's a tough thing to break.
 
I dissociate all the time. He always asks me how my week has been and I go straight into disassociation. In fact I am probably disassociating as soon as I walk in. I think it gets better sometimes and I am making more eye contact but then I can't sustain it. Very frustrating.
 
I hesitate to start with a different therapist because I like her and I suspect the issues below the surface will cause this to happen regardless of who I sit with. I am reading about mindfulness. It is revealing to intentionally focus on body cues, etc., but again, a tough practice to integrate into daily life. I guess even a little every day is better than not at all.

That's exactly the word, Lizio - frustrating! I tell myself this week will be different. Somehow I have in my mind that I should be able to control this, that if I can stay focused or concentrate in session, it won't happen.. I have a good connection with my body because I'm a very physical person - hike, bike, workout - but it''s no contest for this emotional switch that gets thrown.

I am going to try some of the things mentioned here - she has a huge window in her office that I am drawn to staring out of, much like I did throughout elementary school, day after day after day. Perhaps if I turn away from this window, stand up, change seats, that will help. I also unconsciously pull my feet up off of the floor and curl up on the couch, opposite of the 'grounding' technique of feeling my feet on the floor. Of course, I'm not thinking about that when I space out.

The most difficult thing is concentrating on these tools rather than entering the stratosphere...
 
I've only ever had 1 T that caused that, and no idea how/why... But hello space cadet!!! Mission control to Friday. Heeeeelllloooooo Friday! Wake the eff up, Friday!
:confused::wacky::speechless::sleep::facepalm:

And then the next several sessions with other Ts it was a struggle to not simply check out. :brb: No, really, I'm here. :brb: AKF :peeking: :banghead:

Darnit! They broke me???

Nope. But it took awhile (and a few medicated sessions) before I decided to rejoin planet earth. Not saying your T caused it / is causing it. But mine sure did. Holy lights on and nobody home, Batman!
 
Would it be worth trying the below.
- drive past therapist office on a day you don't have therapy and notice how you feel.
- another day, walk up to your Ts door
- another day, speak to receptionist.

If you can't do all these things without some form of disassociating, then you know where to start working on it. Small steps.
 
Thanks, I'm not aware of any of these things happening. It's when the session gets going that things fog up. I've been working to overcome SA, too, and believe that may play into it as well.

I am focusing on a few things before my next session. Thanks for your input.
 
I have the same problem. I fluctuate from mildly dissociated and still able to talk (but foggy & numb) to completely checked out, vacant and absent. When I totally depart I often lose track of the conversation and have to be reminded what we were talking about. I tried mindfulness but like progressive relaxation it makes me hyper vigilant, jumpy and panicky. If you find another solution please share it!
 
That is interesting regarding hypervigilant, jumpy and panicky. I have been working hard the last few weeks on mindfulness and have found some FEAR and random sadness underneath it. It seems apparent that once we quit numbing, we are going to have to face the feelings we've been hiding/avoiding. So I think that is the next step.

I am trying to check in with my body on a regular basis rather than living in my head. When i was angry recently, I noted the tightness in my chest and the elevated heart beat. This is my starting point - catching myself when I check out and trying to reel myself back in day-to-day life.

Therapy tomorrow. We'll see if there is any improvement there. We're talking more about it so it will be an objective now.
 
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