• We are a multilingual website again. Read the notice about this.
  • Understand AI use at MyPTSD: all AI use is explained in our AI help page. AI use is by choice here. It exists if you want it, but does nothing unless you choose to use it.

Distractibility and sensitivity in therapy

Status
Not open for further replies.

Scarlet13

Platinum Member
Hi All,

I am posting this to talk about my distractibility and sensitivity in therapy.

So, I have CPTSD and ADHD. I have tried meds, can't take them.

In therapy I have already talked to my T about not just letting me ramble on and on, cause I will. At first she thought that I needed to "get it all out." But then I told her it was an ADHD thing and it actually feels good to be interrupted (in a validating way) and then guided into a focused session.
So, she adjusted and it has been great.
I place a large focus on my PTSD symptoms because that is what I get therapy for.

I cannot afford an ADHD coach in addition to my trauma T. I realize I need to give some attention to ADHD effects and manage them especially in my therapy work.

Recently, I noticed major distractibility and hypersensitivity in therapy.
My T was clearing her throat over and over and this was the only thing I could focus on (distraction and then hyper focus).
I mentioned it in a way I thought was subtle by asking if she needed water. She kind of got offended and said, "you dont need to take care of me." This lead to me disassociating because I could tell I had upset her and then the whole session was disconnected.

I am just now becoming aware of this and that it is my ADHD in action in therapy.
There have been multiple other times like this.

Her phone will go off on vibrate. She has to keep it set to vibrate as she uses it to buzz people in from downstairs.
One time she had a mint and that is all I could notice.

She has thought this was like a "perceived invalidation thing" and it kinda is, but I really just get hijacked by the external noise or action and then I feel anxiety.

Here is what I think:
"She keeps clearing her throat. Is she going to do that for the whole session? It is really distracting me. Why am I bothered? It is not even that loud. I hate myself. I cannot say anything. That will be rude. I don't want to waste my session."

I am very much like the dog in Up (squirrel!) except rather than happy it causes anxiety because I want to focus in therapy.

So, when the distraction comes from her it is socially awkward to bring it up, tricky to make it sound nice and not like I am a jerk.
I am really crossing my fingers that making her aware that this is just my ADDness and that I don't expect her to stop being human and walk on egg shells around me, will make this easier to handle. Maybe I could point distractibility out when it happens and we can move on, I don't know.

I will often be distracted by noises in the environment like outside the window or if a light is too bright and she is really accommodating about this because these things can be easily adjusted.

I am a teacher and one time a girl with ADHD requested that I not ever walk by her while she is working. I understood this completely.
I told my student that I physically cannot avoid walking by her, but that I can give her more space and maybe she could get head phones while doing her work.

I am trying to figure out strategies for me to use with distractibility and hyper sensitivity in therapy. Maybe all I can do is recognize it and tolerate it.
I also struggle with keen awareness of my environment (hypervigilience). So this can add to it.

Can anybody relate?
 
I can 1000% relate to this. I’d love to tell you that I’ve got advice, but I really don’t. You probably already know that a lot of ADHD and PTSD symptoms overlap. My therapist and I have talked a lot about that. I get overwhelmed easily by noises and there’s a train that goes behind her office and it makes me come unhinged every time. After that everything seems so loud (like her moving in her chair even seems loud) and I can’t focus on anything. It’s awkward, but talk to her about it. Or you can do what I did and finally get so overwhelmed that you just kind word vomit/shout “stop f*cking moving!”
 
Yes, but that is so awkward.
Like am I supposed to say to my T, " Stop clearing your throat!" Because she cannot help it.
It just takes over my brain and its all I can think about.
I think the issue is the anxiety that happens because I want to stay in the groove of therapy.
I am hoping that talking about it will help because I have not identified this particular symptom yet.
I need to observe my distractibility more and see how long it lasts and when it passes.
 
Oh it’s incredibly awkward. All of the options end up being awkward. I’d try to bring it up at a time that you’re not hyper focused on it. Like at the beginning of a session say something about what distracted you the session before. So maybe it won’t feel to you like you’re picking at her since it’s not something that’s actively going on? I know I can’t just ask my T not to move at all for an entire hour, so I’ll bring it up later on when I’m not worried about it.
 
I don’t know if email is an option but I’ve been able to do some communicating about this type of thing via email. My t also has her phone on vibrate on the table and it’s incredibly distracting for me. So in an email i pointed out that that sort of thing makes me lose focus. Same for her taking notes. Sometimes mine doesn’t even take out her clipboard. She just leans forward and talks/listens. But when she has her clipboard and writes, forget it. For some reason it makes the whole thing feel like a doctor’s appointment and I’m a million miles away. I’ve told her all of this in emails. It doesn’t make it all change but i know it’s inportant to point those things out when you notice them.
 
No, can't bring it up in emails because for my T that counts as therapy and she is not going to do that in an email.
I am going to observe this the next time it happens just to see what I can learn about myself.
The thing that is upsetting is she can tell something is wrong and then I tell her and then she seems offended.
But she does not know yet about this ADHD symptom, so maybe that will help.
Yes the symptoms over lap with PTSD and it sucks.
 
I mentioned it in a way I thought was subtle by asking if she needed water.
Therapy isn't the place for subtle, or vague, or "sensitive" on the part of the Client. What has stopped you telling her these things distract you? It doesn't matter tbh whether it's a symptom of ADHD, a PTSD symptom (hypervigilance takes all forms) or a form of psychological defence stopping you do the work you need, it's in the room and she needs to know.

Can you say to her that you find yourself very distracted by things in the room - I have to say I'd be telling her that her phone needs to be off, she can turn it on for the last 10 mins and let her clients know she won't be available to answer the door til then. The problem with leaving her phone on is that it'll buzz for message and email alerts and phone calls, not just the door going and I'd be highly pissed off that I didn't have her full attention.

It might also be worth thinking about where else this issue arises for you and how you usually deal with it. If you can't think of anywhere else, it's more likely to be a form of subconscious defence than a PTSD/ADHD symptom (which isn't me saying it's a purposeful thing on your part). Whatever it is, exploring it would be therapeutic in itself and your t should be willing and able to do it.

The starting point in therapy would be telling her directly what's happening for you in session.
 
Last edited:
That sounds like it really detracts from your life. I’m really into meditation, it calms the mind and lets you really take a look at it without reacting. You just notice all those things that are driving you nuts and you learn to sit with it without judgment. It’s not a short-term fix but if you can tolerate it and stick with it it will free you.
 
Therapy isn't the place for subtle, or vague, or "sensitive" on the part of the Client. What has stoppe...
What was stopping me from telling her directly,
"Um, your throat clearing is all I can notice right now in the moment."
Is a. I did not know how to bring up the issue in the moment due to the social awkwardness of it. It is like if you have a partner with bad breath. You may take sometime to figure out how to say something.
And b. I did not realize it was an ADHD reaction (which I know it is). It has been happening regularly in therapy and finally enough times that I have caught it.
I am able to now see it a lot in my life. My children can distract me even if they are simply playing. I can push the noises away a bit so I can talk to my husband. I just now noticed this. I have always had ADHD and sometimes symptoms can come forward more at times.
I get more distracted in therapy or unable to push it away and then I get nervous because I am talking about something serious and I need to focus and work hard in a limited time.
I am going to observe this next time now that I am aware to come up with some skills.
 
Yeah, so this is pretty much the only fix. I have a book I got from my doctor, ADHD and Mindfulness and I have been putting it off (cause ADHD).
I am going to check it out. I think my ADHD gets heightened in therapy. I think it will help a lot when I talk to her about it. I just have focused more on trauma symptoms in therapy and I realize now that the ADHD symptoms are there and its a magnifyer.
Using mindfulness to manage ADHD can be really tricky.
 
Status
Not open for further replies.

Donation drives

2026 Donation Goal

Goal
$1,800.00
Earned
$910.00
This donation drive ends in
0 hours, 0 minutes, 0 seconds
  50.6%

Trending content

Featured content

Back
Top Bottom