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Long term trauma treatment?

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hermione

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My therapist is concerned that I have been being self destructive in my behaviors...I cut and basically than passed out in the middle of writing her a text about doing that she is concerned I will do that and say my roommate comes home and sees me like that she would probably call 911 and I would be in the hospital. Then would come the question can I live alone I also will be alone for the week and she is not an alarmist but she is like if something happens because you act on an urge who would know...she is also concerned because I keep going back to things that will trigger me and cause me to act out. She mentioned how with my extensive trauma I should have gone to long term trauma treatment but I have a job I don't want to leave and stuff so I say no. I don't know what that would entail I have been inpatient and long term treatment for my eating disorder multiple times but never trauma so never dealt with the route cause. I did EMDR it did not work for me I couldn't fully open up it wasn't my regular therapist I was also active in my eating disorder at the time not sure that helped any...I don't know even where there is long term trauma treatment or anything it's a scary thought...
 
Anyone done a program or know any or what it really would entail I only know psych wards and eating disorder programs I really don't know much about this and I still think I would say no because of my job and stuff but with how I have been struggling I don't know how much I can take I don't know I could talk more to my therapist...
 
I'd suggest talking to your therapist to search out trauma based ED or self harm programs. There are some inpatient treatment centers in US that will treat someone for 4-6 weeks, and it can be very stabilizing. Perhaps adding group therapy to your current outpatient treatment or partial hospitalization day treatment could help as well.

You could google "inpatient PTSD" and call to various hospital programs and get details about each one. I did one once and it was very helpful and included a wide variety of treatments.
 
we have been trying to at least find a trauma group so i am less alone but there is nothing really around me. its hard because i am a mess but can still manage work so i wonder if i can manage i know part of me can hardly keep up with what i am doing I work hard but get so tired and exhausted and am spent most of the time...i am trying i will look into things and talk to my therapist more.
 
Perhaps an online DBT group might be an option? I don't have any personal experience with any, but there are a wide variety offered online.

I did do DBT group therapy, and two workbooks, and I found DBT to be really helpful to stabilizing. It can especially help with self harm.

You may still need a higher level of care, but perhaps this is an option to try in the meantime. There are also a lot of DBT workbooks out there as well, although a group would likely help with feeling less alone. Most impatient trauma programs use DBT in some capacity. It was really helpful for me to work with the DBT tools with others in the group, but the tools are helpful even without a group.

It's really great that you are able to work, and I can also see how your therapist is concerned about your safety and recovery.

I found that doing a intensive inpatient treatment program really jumpstarted my recovery. Most of the people in the program that I did were on a break from work to do the the program, and returned to work when they left the program. Most folks used FMLA to be able to leave and return to their jobs.

I hope you and your therapist are able to find some options that fit for you.
 
Thanks I will have to figure things out I know my health should be my main concern and not work but I have always been like that like work is the most important thing even if I am struggling and being completely destructive.
 
I will talk to my therapist i don't know if i should voluntarily agree to go to treatment or let it build up like i do every time before a hospitalization like for my eating disorder or even just when i have been suicidal its always a build up...but i just got this promotion and more hours i just fear my job i know i am sure legally i can't lose it but ia m a daycare teacher i could lose the classroom i am in now which would be hard...
 
Ir might help to know that most of the inpatient / residential PTSD treatment programs in the US have a 3-4 week wait to get into them. So while it might seem like an option to wait to get into one until it is a crisis and it needs to happen right away, this is usually not an option.

Even more so, it helped to be able to go voluntarily on my terms so that I could plan my life around it. If you plan to go in a month from now, perhaps your work would be better suited to make better adjustments and be able to keep you in the same class when you get back, than if you wait until it's no longer a voluntary issue. When it comes to that point, choices become much more limited and a lot less trauma specific and much more focused on just keeping the person alive until they can get into something more specific.

That all being said, be careful about making it too much of an all or nothing choice. There may be many in-between options like partial programs and only a step down from full time to part time work, which might help you stay in the class you want to stay in... I'm not sure what options there are out there for you, but there might be other middle of the road paths to consider.
 
Thanks its difficult as my shift for work is 8-4:30/5 so its really not easy to do part time work i really couldn't i am also head teacher of the classroom so its a whole complicated thing i couldn't really drop down to part time so its a hard decision to make to be honest i dont' know what is best i will discuss more with my therapist but its just a big thing for me to leave work and this is sort of a new positiion and i just got a raise an d stuff so i would feel kind of like a jerk leaving....
 
I'm seeing my therapist tonight I am struggling ...not sure I want to bring up the long term trauma treatment unless she does or should I discuss it further I am just scared I have a room I pay rent for too with a friend I don't know what would happen there it is just a huge step and I just don't even know what it entails
 
It's clearly on your mind, and you have nothing to lose by bringing it up. Maybe it will help your therapist better understand your hesitations and look for other solutions and you might gain more helpful info too.
 
The best work you can often do, is your own. Look at amazon for DBT books, and start learning the skills a therapist would teach you. Buy the same books therapists buy, that they then teach from, apply to self and work your way through them. In a years time you will be in a very different place, without the expense or lifestyle hassle that is part of the problem for you.
 
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