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Five Years Of Therapy...Finally A PTSD Diagnosis

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sisterinsurvival

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As I was running around the internet in search of links between delayed-onset PTSD and CSA, I stumbled across your community and thought that it might be helpful at this juncture in my journey to who-knows-where.

I started typing just now to share my story, but I suppose this isn't the time nor the place, so I will say that I have been active on CSA/SA survivor boards since 2007, but this is my first time as a member of a PTSD forum.

I diagnosed myself with PTSD...possibly complex...during graduate work about 4 years ago. At that time I was working solely with a Christian counselor who was very much aware of PTSD, but not equipped to handle what I was going through, though in my immediate area, he is probably better able to care for me than most others due to his own experiences. Awhile ago, I sought out and found a trauma therapist some distant from home. He specializes in combat-related issues much more than abuse and has refused to label me as a PTSD case deferring instead to the good old 309.28~adjustment disorder with mixed anxiety and depressed mood gone chronic by this point. While I have made the fifty-mile or so drive for a couple of years now, we have made little progress.

Over the last few months, I have found that I am cycling through a more difficult period and have been having some breakthrough anxiety and anger that my minimal med routine isn't managing. On my trauma therapist's (I hate that word...have you ever looked at what else it spells...the rapist!) recommendation, I was able to get a spur-of-the-moment appointment with a new psychiatrist who recently joined his practice.

I was so skiddish after my last encounter with a shrink that I was afraid to see her, but gratefully, she doesn't seem to be like the others. She is also a therapist which is what I think makes the difference. After giving her my life in a nutshell and without saying a word about it, her immediate diagnosis was PTSD.

For the time being, she is wanting to ease me off the Klonopin I have taken for a little over a year and onto Buspar which is non-addictive anxiolytic. I will take both of them for a time and gradually try to stop the Klonopin. Seeing as how I am taking the lowest dose possible, I guess that means that I will take one every other day once I begin to cut it out. When I didn't get my prescription refilled in the Feb/March(?), withdrawals were not good. From what reading I have done, Buspar doesn't receive the rave reviews of the benzos. I hope that it will work. I took the first one about 3 1/2 hours ago, and my palms are already sweaty...yuck! My guess is that I want be able to take it after this has begun. It has some effect on serotonin, and every time I have taken anything that impacts it, I have had to discontinue the prescription.

While, after all of these years, having someone finally acknowledge and diagnose PTSD seems like a victory of sorts, it has shaken my anxiety a bit. Before, I was guessing and no one was in consensus with me. Now that I have someone that has agreed with my thoughts, I am afraid. I remember the first night I found the DSM-IV criteria for PTSD. I was doing research for a paper I was writing and happened upon it. As I sat there reading what was on my screen, I had this eery feeling come over me. It was as if someone had crawled into the inner-recesses of my mind, found the secret places, and written down what my inner-life was and has been like for years. I was more than unnerved...as I am now.

I don't know what to do to manage me at this point. I have three counseling relationships...which is probably two too many. My trauma therapist has proven the least effect though he was there when I was dealing with major transference issues that centered around my first counselor whom I still see but on a much less frequent basis. He has been my rock for years, and he is still the one that I run too when I am completely overwhelmed with anxiety...and then there is the new one...the psychiatrist/psychoanalyst. She gives me hope, in a sense, because she has at least recognized what I have been struggling with. She has recommended that I stop seeing my counselor at all though which isn't sitting well with me. I am terrified to face life on this planet without knowing that he is a viable part of my support system. I understand her reasoning. I became way to attached to him...complex PTSD and the need for rescuer...and he has been willing to take on that role. If it were not for his support and dedication to seeing me along my road to recovery, I honestly do not think I would have made it through some of the most difficult struggles of my life.

I am so confused with all of this which is making for internal chaos...not a good emotional state for anyone...let alone someone with PTSD.

Uh...I said I wasn't going to share my story, but I guess I needed to...at least the present day parts of it. The back story I will get to later...

If you have read this far, know that I wish you well in your recovery,
Your Sister in Survival,
Lynn
 
Welcome to the forum. I am glad you feel like you have finally gotten a diagnosis that makes sense and medical prescriptions that address your problems safely.

If you are seeing this new psychiatrist for talk therapy, it is pretty typical that she suggest you terminate with the trauma therapist. It is traditionally considered appropriate to only be seeing one therapist at a time so they are not working at cross-purposes. If you decide to terminate, you can have a session (or more) to discuss your leaving with the trauma therapist and to clarify how important he has been in your life. Leaving him does not mean pooing on the work you have done together, it just means that now you are ready for different work that he can't do with you.

If PTSD feels like the right diagnosis, I think you ought to go with the provider who will help you address that, particularly since you say the other guy has had limited effectiveness.

Again, welcome to the forum!!
 
Hi Lynn and welcome to the forum ;o)

She has recommended that I stop seeing my counselor at all though which isn't sitting well with me. I am terrified to face life on this planet without knowing that he is a viable part of my support system. I understand her reasoning. I became way to attached to him...complex PTSD and the need for rescuer...and he has been willing to take on that role. If it were not for his support and dedication to seeing me along my road to recovery, I honestly do not think I would have made it through some of the most difficult struggles of my life.

I can imagine how hard this would be for you. I have just started seeing a trauma specialist for EMDR and am still seeing my regular T that I have been going to for over a year. He is definitely my rock so I understand what you are saying. He is not a trauma specialist and was the one who suggested EMDR, but isn't certified himself, so I had to find someone who is. Neither T has suggested that I give up seeing him. In fact my regular T made quite sure to point out that our "therapeutic relationship" is a very important part of my therapy. They are planning on checking in with eachother periodically to make sure that we are all on the same page.

That is not to say that your pyschiatrist is wrong, she may see a need for you to become less dependent on your regular T. I have read about and discussed with my T the termination of therapy process. He pointed out that it is an important part of the therapy and can be done over time, basically weaning off. God that sounds like a suckling baby being weaned of the breast LOL! Termination of a relationship is always hard and involves a grieving process. A process that we have to learn to handle in a healthy way. It in itself is the final part of our therapy with our T's.

Good luck and again welcome to the forum!
 
Thank you to all who have replied.

Iam, thank you for your understanding words. I don't know that I can do what she is asking at this point. I know that I am about to go back into the dark places...if I understand what is often the course of treatment for PTSD, and without his stabilizing presence, I just am not sure I can do it. He supports in a way that many counselors do not. He is there when needed...not like so many who are not. I am still waiting for my trauma therapist to respond to the last e-mail that I sent him last week. David immediately replied and has been in touch. Not being alone in the chaos is crucial. If there is someone else out there who knows that I am in trouble or struggling it makes it more bearable.
 
One thought is that you won't be alone with your new psych, but it takes time to develop trust. It may happen faster than usual simply because of the work you have already done. At least I found I was able to open up with the trauma specialist on my first visit with her. Kind of blew me away and I attribute it to all the work Dale and I have done over the last year. I am sure the fact that she knows how to relate with trauma patients and the fact that Dale sent her his notes from over the last year along with the timeline diary I had compiled made a difference. I mean....she already had read about my childhood traumas so it's not like I was telling her anything new. Even so I am surprised the trust is developing so quickly.

I like her and I can see we are going to make rapid progress, but I can't even think about not seeing Dale too. I also thing having therapy twice a week will be helpful.

It sounds to me like David would be more than willing to collaborate with your new psych. Is that a possibility?
 
She suggested that I not seem him due to the transference issues that I have had. She is afraid that he will not be able to manage me, but he did that well enough for 3 years. I started pulling away from him when I got to attached because it scared me. Rather than face my feelings head on with him, I ran to the trauma specialist. I had an interesting session with the trauma guy this afternoon. If I get the chance, I am going to post about it a little later.

I am trying to get enough posts to get my information off the public boards. THAT scares me. I am staff on a sexual assault and abuse survivors' website and once a person is a member our posts go private. I have posted thousands of times in the Welcome forum, but having my story hanging out for the world to see, doesn't help my anxiety. While the odds of someone I know finding my info is highly unlikely, it is still unnerving. The bonified diagnosis of PTSD is making me panic enough.
 
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