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Exposure Therapy Has Increased Symptoms

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He wants me to try EMDR and there's a person where I go for counseling that's trained to do it and specializes in trauma.
Yep... EMDR is very good at helping to process the emotional aspects. All you need after EMDR is some further exposure therapy to get back into practical aspects, remove any residual fear, etc... and then learn techniques to control your present stressor input.
 
I had my 4th EMDR session yesterday. I see my T once a week for one and a half hours. We do about 70 minutes of EMDR and the rest grounding.

It is v tough. T won't move on until he is happy I am comfortable with the memory (I don't think comfortable is the word but it will do). He gets me to focus on waking up, what I am feeling, getting out of the car and sitting in a chair and how I am feeling again. It was v intense and I stopped. He then tried a different method where I was looking at the scene through a TV, this brought my panic levels down, we did the TV 3 more times. T wanted to do TV again but I pushed to do it from my view again. So pleased I did, it was hard but my panic levels were lower and I got through without stopping.

(((Heather))), hang in sweetheart. As Anthony said, talk to your T, maybe try another therapy, but do it at your pace.

Love
KP
 
I had unwittingly stepped into "exposure therapy" with catastrophic results. All because 1. I was not prepared, 2. I was not properly informed, 3. I was not with a professional properly trained individual, and 4. I did not have proper follow-up. The end result?

........not good, not good at all. Extreme loss of weight, night terrors, agoraphobia, social phobia, regression, eventual hospitalization and PTSD flashbacks. It was a very disappointing setback for me personally. I had to go on short and long-term Disability and due to the inability to of resources I was unable to find proper treatment I eventually ended up struggling with this whole aversion. concept.

However, I do have a whole new outlook on it today. At the time it was a completely different view point. It was having my counselor cutting the rope of the tether that held to me and the safety net above the freeze sea, all the while reassuring me there was no sea below me. Down I went in into the jaws of a bunch of bloodthirsty sharks with the mother of a the mate of the mate of the hungriest of em all, the wife of a pedophile. She was not suppose to be there, on a campus I haven't I had dared foot on without severe shakes for decades, with someone I trusted who swore she would be there for me, and after 6 yrs, I truly believed her, after all I had 'grown so much, accomplished so much, right??

Oh but here she was, loving the lime light of all the fawning the doctorate students, squeezing each and every gory detail out of this untreated sick woman who threw not only her children to this dog of a husband of her's but her grandchildren, but her disabled niece!! And to avoid responsibility went to the hospital to have unnecessary surgeries. I was stuck in that tiny room, sitting 5 inches away from her, the wind out of my sails. The words sucked from my lips.

As she dabbed her eyes for sympathy, I looked toward my counselor pleading with her to get me the hell out of the room, to save me, but she just looked past me. I was her atrophy. The 'Winner'. I was sick. I had started out the night with a somewhat righteous speech about their as up and coming psyche professionals, the responsibility to always put the client's needs first, always make sure the client is best served prior to your own and what an awesome responsibility it is. Stating that my father had let his own ego get in the way and got heady with the power of it all and used his knowledge for his own rewards thus tearing children and adults apart for his own means. Every student turned another ear except 1, one young lady asked questions, she seemed to get it. One out 25 was better than none. When the pedophile's wife spoke they were like wild dogs on a bloody piece of meat, couldn't get enough. It was nauseating. I was frozen to my chair.

Suddenly my counselor wanted me to recount just how great my life was now, I couldn't speak. She and everyone else just looked at me, she wouldn't save me. I just sat there, in a panic. She called the class at an end. That woman next to me grabbed me and had the nerve to walk me to the parking lot, giving me a pep talk. I had worked for years and years on the damage my father had done to me and she had only been in therapy one month and she was telling me 'we' would be fine. I would NEVER BE FINE!!!!!! I couldn't talk and when she tried to hug me I was so outside myself I have no idea where I was. My counselor didn't call me that night or the next day. SHE LEFT ME HANGING AFTER 6 YEARS!! I had trusted her. We had done years of treatment, gone through so much. I had done EMDR with her, gone through my very brutal divorce, couples' counseling and she knew my ex, I had really liked her. I was deeply and confused by all of this and furious!!

I made an appt to see her, a final appt, to confront her. She said I looked good, I told her I always look good when I am doing my worst. I confronted her on leaving me hanging. I asked her why she did not stop the that woman from coming to the presentation. Why she told me that it was for survivors of abuse only. She told me at the last minute she found out this woman was coming at the last min. I told her she had could have given me the choice to stay or not, she did not. Regardless, she did nothing to stop this sick woman or sick questions from getting completely off point of verbal voyeurim. That was not what I agreed to. That these students could go to any prison to get the goods on that. I was mislead. I had never progressed to that point nor had said I had. After the excuses she apologized. Apolgized!!!

She offered as many sessions as it took to work through this issue with me, I declined and threw my copay on the floor on my way out. Dramatic, yes, but point made. I needed a professional and I didn't trust her word anymore, nor did I trust myself.

I thought I was in a place I was not. Double-edged sword. I turned it on me. Typical.

My stuff, excuse me. Exposure therapy, yes, I see it can work but not without someone trustworthy and not without a plan and follow-up. I feel for you Heather. Do I get the bad of it , yeah! do I get the benefits, yes!

Hugs,
Raining
 
EMDR is not exposure therapy... just to squash any of those thoughts for anyone. EMDR is trauma therapy, equivalent of CBT.
 
Dear Heather,

in my experience as someone who helps other sufferers via email and who studies mental disorders I think that Exposure Therapy works in almost all cases but it is difficult to find a therapist who does the procedures correctly. It is a very gradual and slow process. It is important to take it easy.

I feel that you may become too anxious over the outcome of each session. There is going to be pain there because you are going back to the trauma even if this is not the real trauma but a kind of photo or mini movie of it.

It has a lot to do with your attitude. If you go into the exposure therapy program with an open mind and a will to give it a fair go then it will work. As far as I can tell you go in without much hope that it may work and full of anxiety thinking about how you are going to be unwell for days or weeks ahead. I do not really think that it is all the exposure therapy that causes the anxiety. It has a lot to do with how you have gone into all this.

It also helps to have some prior knowledge. And may I add that alcohol, drugs, stimulants and eating junk food does not help much. As well as Exposure Therapy there is need to help yourself in all other ways as well. Kind of a holistic approach.

The situation is complex. But my advice to you is: discuss the matter with your therapist and try to take things slowly. Start from scratch and this time try not to get anxious about it. What Anthony told you is correct. Take his advice.

I look forward to having many conversations with you nice people. I am an Italian migrant and English is a second language to me. But I hope that you understand me OK Thanks
 
The thread got a bit confusing. To clarify, Exposure Therapy is a method to lesson the panic reactions gradually over time, right? And what some people talked about, like seeing their abuser or those who are connected somehow to the abuse by accident, which brought on severe and disabiling responses, is not anything like it but an unfortunate sort of retraumatization?
Thanks, Muse
 
Correct... exposure therapy is not about facing your abuser... whilst that could be done, and has been by some who chose to do such, it would not be advised by a third party typically, only something you could ever want to do, as you feel you must in order to heal. For most, that would be re-traumatizing. For some who choose that path, it can be invigorating. Some have done this and then been actually abused again.

Exposure therapy isn't just about lessening panic reactions, but more about lessening anxiety due to irrational fear based beliefs. Some fear is rational and justified, most is not.

If someone was putting things in your mailbox to explode, as an example, then a realistic fear would be of going near your mailbox if the person was not caught. If that was expected to be kids though, then exposure therapy would be used to recollect your mail again. If there was a reason that someone may be out to harm you, then its not an irrational fear, but a realistic fear that should be used to not do x, but not stop you from doing anything outside of the rational fear spectrum.

Traumatic experiences in the past however are different from our closer present tense, and thus often are irrational based, thus exposure therapy is used. Going to work every day is exposure therapy for the most part... in that when someone gets injured at work, they build an irrational fear from anxiety that they will lose their job, people won't know them or like them because they got hurt, etc etc... and this is why most nations nowadays encourage employers to get people back to work as quickly as possible, use things like tapered return to work programs, to quickly assist in breaking down and removing those irrational anxieties. In limited cases, some may get reinforced as an employer sacks a person due to injury, though we all know that is against the law in most countries, so the boss is being a twit under such circumstances... though the employee would have their fear reinforced, which would take even more work to change back towards the reality being, the boss is wrong and breaking the law.
 
Anthony,

Thank you for clarifying further the issues surrounding Exposure Therapy and theory. I like how you mentioned that some people choose to, at some point, turn and face their abuser or the fear-based issue. Some find relief and others are retraumatized. So there is risks and benefits, likely depending on the situation.

My PTSD really got triggered at age 11 by culture shock when my parents took me against my will to a foreign country, and I went to bed and woke up three days later, was totally dissociated for those three days, and thought I simply woke the next morning (one night). I woudn't have known except my sister told me that she was so worried that I only came out of my room once or twice to use the bathroom and that I "was a zombie" and didn't respond when spoken to and just went back to the room.

Since this was brought on by my first foreign travel, I experienced unexpected fear levels when crossing the California/Mexico border a couple years ago when my family decided to join a team to build a house for a very needy family as part of a mission. I was able to work through the panic feeling and as a result felt really good for quite some time afterward.

I would see this as a kind of self-directed Exposure Therapy, like Anthony mentioned, that people choose to do as a means to challenge themselves to face the fears and work through the reactions, realizing that it is something that can be battled against and some victory can be gained by supplanting the irrational fears with rational positive thinking.

Is that a valid understanding on my part?

Not long afterward, a man at work began to harrass me. This was a setback or re-T for me, and all the PTSD symptoms came back into my life again. As a result, I have experienced a decline in my attitude toward work, having nightmares of my supervisor torturing me, which is, as Anthony plainly said, totally IRRATIONAL. Therefore, it is good that I sought counseling from a qualified person when this happened. But I'm still working on gaining a foothold in better feelings overall. Other than reporting the harrassment, which the man's female supervisor apparently was also reporting at the same time, (he is gone; I think they advised him to look for another job pending the investigation b/c it was not looking good for him, obviously) I have NOT reported my PTSD to my employer and am paying for the counseling out of my own medical savings. I have done some research and have not found that reporting PTSD and requesting accommodations doesn't work very often for people. Since my job requires a lot of travel, and travel is a trigger for my trauma, I feel that I must work on it myself and do the Exposure Therapy and other thearapy. I cannot say that I don't want to do my job. Besides, I want to be able to enjoy travel again, and so far I have made some progress.

Does anyone have any experience reporting PTSD to a large employer with tangible results? What kind of accommodations have been requested? I have read about the following acccommodations being recommended by professionals for their patients at work:
...all instructions being written/emailed, adding white noise or soft music, a service/support animal or person, (during stressful meetings or travel) being able to see the door and where people are entering (not having to have your back to the door) minimizing interuptions, changing phone ring tones, working from home some times, and a flexible schedule or a set schedule to help with sleep issues, among others. It really depends on minimizing triggers and allowing better concentration and lower anxiety so that work can get done.

I am really new to this. Has anyone found any working strategies that you'd like to share? At this point, I don't think it's really their business, as I am able to do my job just fine.

Muse
 
I experienced unexpected fear levels when crossing the California/Mexico border a couple years ago when my family decided to join a team to build a house for a very needy family as part of a mission. I was able to work through the panic feeling and as a result felt really good for quite some time afterward.

Yes, this is what exposure therapy actually is. Exposure therapy is not facing your abuser... exposure therapy is only the facing of emotional and situational based fears that are irrational and illogical based on statistical probability and social normalcy.

You actually completed both parts, being first you looked at the emotional aspect via imaginary measures within your mind, then you actually did the task, being you crossed the border. On doing so, you completed the process, as you stated, you then found the experience positive and rewarding. That is the confirmation, that even though anxiety was real, it was just that, anxiety, and it isn't realistic for any assumed outcome defined within your brain.

Since my job requires a lot of travel, and travel is a trigger for my trauma, I feel that I must work on it myself and do the Exposure Therapy and other thearapy. I cannot say that I don't want to do my job. Besides, I want to be able to enjoy travel again, and so far I have made some progress.

And exactly that... it is about performing the act, which you are doing, and then confirming the positive after the fact to reinforce the facts vs. your irrational beliefs.

Does anyone have any experience reporting PTSD to a large employer with tangible results? What kind of accommodations have been requested?
This is off-topic to this thread, and you should start a new thread in the appropriate employment forum asking such things... and you will find the answers in that forum as well.
 
Thank you for your reply, Anthony. I appreciate the confirmation from someone who knows from research and experience.

Muse
 
Your welcome. You use exposure therapy to then apply to your future tasks, ie. next time you do the same thing, cross the border, you may have some anxiety building up, but then you can use the facts based on your last event, to now apply and lessen / reduce the anxiety build-up. The more you do it, the more your brain becomes used to the realistic aspects of the task at the emotional level.
 
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