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Happy & Scared: Intensive Ptsd Program

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Femke

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After five years of doing nothing but handing out meds, my pdoc now proposed something new and good: they want to send me to a new and intensive inpatient PTSD program, in a clinic specialized in complex PTSD. It's an 8 day program (2x4days) in which they do lots of very painful things (EMDR, exposure therapy, etc), but in the end they have really good results. Of the first groups of patients, 53% is without diagnosis after treatment, 79% has significantly reduced symptoms. It's all paid for by my insurance.

I'm very happy that I can finally get real treatment for my PTSD! Very happy! And it sounds promising too!

I'm also a little scared though. I have heavy dissociation and psychotic symptoms together with the PTSD. I am a little scared that diving into the painful things will have my symptoms flare up out of control. And I'm not suring whether EMDR will work because I'm on meds (haldol, antipsychotic), so not capable of accessing my full range of emotions.

Any ideas on this?

Please wish me luck!
 
Congrats on getting more intensive healing therapies! I have had EMDR with meds, and it was/is very helpful, and NOT painful at all! It gave me hope, the minute I saw it in action with a friend. (I was allowed to "sit in" on her sessions due to her fear of male doctors or therapists. I sat completely out of sight, and did not participate at all.)

At the end of the session, I asked her therapist if I could schedule with him, and the rest is history! I have "knocked out" longstanding and stubborn symptoms and feelings!

I hope that you will look forward to the new techniques and try not to think of them as painful. I've always felt that I could and would try anything to get better! Standard stuff never really helped me, but EMDR sure did!

Blessings for your continued healing being sent your way!
AKJ
 
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I did a 5 week intensive and it was life changing!

I hope it helps you too.

Why hasn't any outpatient therapy been tried?

With the heavy dissociation, EMDR needs to be handled with extreme care, as it can make dissociation stronger and requires having a good solid tool is of coping skills. It might take a little longer than 8 days inpatient to do all the trauma work you need to do as well, but it may help jumpstart recovery.

EMDR (and most trauma therapies) can stir up symptoms for some time, so setting up some outpatient therapy for when you leave the intensive is important And will help you build even more on the good work you will be doing.
 
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Hey congratulations and admiration for your courage/willingness to step in to it.

I'm unable to answer as I have no experience with the above.
I'm in a similar boat in some ways - preparing for EMDR at PTSD unit.

Just showing support. Wishing you all the best.
 
BTW....the EMDR practitioners should "set in place" grounding techniques before intense work starts. Going in with hopes of a positive outcome really do help!:tup:
 
Thanks all of you for sharing experiences and for the encouraging words! I really am excited about it and it gives me new hope! I will ask my pdoc to arrange an outpatient psychologist for after the inpatient program. I think that's good advice. I will also ask them about grounding and coping skills before the start...

I didn't start outpatient treatment because:
- First they said they couldn't treat me for PTSD because the situation wasn't safe/stable yet (in court with psychopath ex to protect my son).
- Then I was forced (because of psychosis) to go to the one organization that has a monopoly in my place and it is not good imho. It is very bureaucratic and completely focussed on meds. They mainly want to stabilize you with meds, believe the cause of the problems doesn't really matter (said my nurse) and five years is a short term to wait for help (said the same nurse). They aren't any good at real treatments and more of a money focussed local drug pusher. Also the psychosis is what caught their attention, the PTSD they didn't really care about, because it's less visible and dangerous. Sorry for the negative opinion.

What they are starting now with "a little bit" of lobbying from me and my family is really good though!

For the people who had benefit (Angelkeeper, Justmehere): what exactly were the benefits? What did you notice? To NatBird: good luck with your therapy as well!
 
First, a little background for me....it's LONG....

I had a daughter who was born with severe brain damage, who I had institutionalized when she was about 18 months old due to constant pneumonia, ear infections, and inability to keep food or formula down. Her handicaps weren't the issue, but her constant poor health. I dreaded her dying in my care. It was the hardest decision I've ever made. By then, I was a single parent, with her older brother to care for, and I was sinking farther and farther into severe depression. During her 9 years there, she had multiple surgeries, and ended up with a permanent stomach tube. I always kept custody of her, visited as frequently as possible, and had an active part in her care.

Fast forward 9 years, and our state, Kansas, decided to close the State hospitals, and put patients into private residential homes. My daughter lasted 3 months. Her care was COMPLETELY changed, and unbeknownst to me, she was having fevers, and being sent to school with the fevers. (They had mainstreamed her into regular school.) She did not speak, but could "drive" her own wheelchair wherever she wanted. She was smart in a way that couldn't be measured. She knew what "give Momma hug" meant, and could do a "high five". She seemed to understand time, with her ability to "show up" in the nurses station for the shift change before the care team showed up.

One week after her 11th birthday, I got a call in the middle of the night to come to the hospital in the city where her foster home was, about an hour away. (I was unable to care for her due to my job, and physical/mental health.) When I got there, she was obviously very sick, and in ICU, with pneumonia. I had been there for maybe 20 minutes when her doctor had my parents and I go into a consultation room. He told us that she was gravely ill, and asked if I wanted them to take extreme measures if she coded (went into respiratory failure). I declined, knowing how sick she was, and how traumatic it is to have CPR etc. He almost immediately left the room, leaving us to discuss what we do if/when she died. She was not comatose, which I knew because she had raised her hand and touched my cheek when I came in.

He returned just a few minutes later, and informed us that she was failing and to come to her bedside. We did, and they placed her in my arms, and she died, as I had always prayed for...in my arms...with my voice being the last voice she heard. I told her how much I loved her, and told her "thank you" for all she had taught me.

About 6 months later, I ordered all of her medical records, as I had planned to all of her life, just for my own closure. (I was a medical assistant for 25 years). When I got them, I discovered that the night she died, when he left the room, he had ordered a very strong sedative (Nembutal) to be given to her in her IV. She weighted 50 pounds, and the amount he had given her, was what would be given to a normal child for surgery. Basically, he euthanized her. Her records clearly indicated that, though no one had ever told me exactly what had happened. (I did know that when I had arrived to her bedside, her heart rate was around 180 per minute, and after he ordered the sedative, it had dropped to 70 when I was called to her bedside. He had come back into the room, not mentioning what he had ordered.

I am sorry for the long history...but it is part of why and how EMDR helped me. I kept having flashbacks of that night, and the dates and times that clearly showed that she was VERY sick long before that night. Her autopsy said that a foot long part of her bowel was dead, which meant she had had a bowel obstruction probable the whole time...3 months...that she was out So she also had blood poisoning that night. (Septic shock)

My therapist, very well trained in EMDR, helped me "install" a new "memory" of her death, that I can "bring up" if necessary. It has truly become what I "remember" about that night. I can literally picture her, in the sky (brilliant blue) holding Jesus' hand, He facing heaven, with her half-turned to me, with her big smile, saying "thanks for everything Momma, I love you, and you will be okay." I could describe it to a police sketch artist, and they would be able to draw my "memory" completely. What an AWESOME DIFFERENCE this has made in my healing and recovery.

After finally finding a "resting place" for her death, I have accepted that if the doctor acted out of a desire to cover up her lack of care that night (there is more to the story, but this is already long enough) that God will be the final judge. I also realized that if he had not done that, that it's a possibility that I might have had to make the decision to terminate life support, and I KNOW that I would not have been able to deal with that.

I already felt guilt that I had not realized what was going on with her. I know now that my guilt was really unfounded, as I did not know what was happening, but since no one else took the responsibility, I thought her lack of care, and the neglect had to be my fault. I know that the State had kind of "pushed her out of an airplane, without a parachute."

I really hope this wasn't too much to digest, but I felt a background of my trauma would help. EMDR also helped me deal with the HUGE anger that I had with the State, and the doctor who handled her "care" or lack of care.

In the end, I realized that my prayers had been answered. When she was born, is was obvious that her condition was very severe, and that she would not live a long life. I had asked God for 2 things when she did die. One, for her to be in my arms, and two, for it to happen fast. Both of those things happened. Since she had lived away from me for 9 years, that was kind of a tall request.

I know there is no easy way for a child to die, but I did get those 2 things. Plus, they thought she might live till she was 3 years old, and we had her for 11 years. I am who I am because of her life, and my son is who he is also. A great daddy, appreciating the health of his children.
I wouldn't trade the experience, and her life of love and smiles for anything.

I do hope that you have high hopes for EMDR. Sometimes the changes are subtle, and they also can affect different areas of your life, all good in my experience. Depression, anxiety, and guilt dissipated greatly. My faith also has been a HUGE help. I hope this helps a bit.

Best of luck!
AKJ
 
First, a little background for me....it's LONG....

I had a daughter who was born with severe b...

Thank you very much for sharing so much of your personal story. I am very touched by it. Thank you for telling me this. You have had to deal with a lot and you sound like such a loving mum to both your daughter and your son, and so brave to deal with it the way you did and do! It must have been horrible to first see your daughter can't have the healthy and "normal" life you dreamt for her, then have to institutionalize her, watch her not being cared for as she should, lose her so young and then discover this about the doctor who should have cared for her. You are strong to have come through all that so well. I am happy that you found a better way to live with this, to overcome negative emotions and memories and replace them by loving ones. And that you have such help from your faith.

My story is a completely different one, but there are parallels in the feelings I'm struggling with... anger, anxiety, guilt, depression. A child brings you such overwhelming love and connection, such worth to your life, but you are so vulnerable if you can't protect them... I also have a lot of guilt towards my son and anger at "the state" (cps, etc). They should have protected (me and) my son, and they didn't care and made very destructive decisions. I hope I can find a way to overcome this angryness and guilt and replace it by more positive feelings and memories of love and connection to my son. Like you did. And I hope to find back my faith...I've almost lost that in all the turmoil and your story has inspired to find it back. :)

Thanks!
 
(((Femke)))
You are very welcome! I did write quite the "book"! I do believe that I have gone through what I have to learn compassion and empathy, and to help other people. I do hope that you find the "perfect" help, and are able to work through the negative emotions.

It takes a L-O-N-G time! My daughter passed away 23 years ago this year, and it took me a good ten years to begin the biggest healing process. I did "start out" with pretty severe depression long before I had my children, so I'm sure that played a major part in it taking SO long to get into the right frame of mind to heal. It's really hard when "outside" people and entities make decisions that end up making things worse in the long run.

Blessings & Hope to you!
 
Congrats on getting more intensive healing therapies! I have had EMDR with meds, and it was/is...

What do you mean EMDR with meds? Was this inpatient or out patient? What meds where taken?

My wife is doing EMDR. She is having increased depression with anxiety. Took her to clinic to get Xanax. She just started taking it.
 
Hi!
I should have been more clear. I take an antidepressant, and have for years, (depression has definite genetic components) due to Major Depressive Disorder. EMDR does not incorporate meds, but targets the subconscious brain. The T and patient ALWAYS discuss the goal or desired outcome BEFORE the EMDR session which is out patient. The effects are pretty subtle, so it's hard to feel like you've DONE something.

Sometimes, at first, some symptoms of anxiety can occur, because of targeting longstanding issues, but it should get better. BE SURE that she tells the T this. Possibly, they might skip a session of EMDR and work on grounding techniques. She is ALWAYS in control...it is NOT hypnosis. It is a bit similar, but she'll always be a participant, and she can stop it at any point. They can even come up with a signal that lets the T know that she is becoming anxious,

I hope she is on an antidepressant. Xanax is good for short term use, to help her be calm enough for therapy, and if something "comes up" that makes her anxious. It is addictive, and can have "rebound" effects, meaning, when it wears of in 5-6 hours, her symptoms can come back. If possible, if she could "wait out" the anxiety for a few minutes...maybe 15-20 minutes...it might pass. Especially if she can focus on something else. Like the outdoors, taking a walk, calling a friend, or put on some music that she likes. Try not to take the Xanax as soon as she feels anxious.It can become a crutch, and that's not really helpful. Antidepressants take longer to take affect, but do better long term, as she works through her issues, and anxieties.

I hope this helps. Again, I'm sorry I wasn't more clear.

I'm sending blessings of peace and hope to you both!
AKJ
 
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