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Re-experiencing Fear And Vulnerability In Therapy

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falling_wave

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I have been going to therapy for about 15 months now and have processed a lot trauma and made a lot of progress in therapy. I have a trusting great relationship with my therapist but recently she has been noticing that I am doing better and suggested we space out sessions more. I understood this as reasonable and was happy things were going better but from that day I had a huge panic attack and it seemed to last 7 or 8 days. Tons of other memories of losing people came up, I got an intense medication resistant headache, chest pain, muscle tension, and nightmares. I didn't tell my T the start of the symptoms but I did tell her what was going on and my fear of loss. She was direct about the situations where I might have to cope with it and it made the anxiety come back even though it was helpful. I started to have a panic attack right there and felt really out of contol of my mind. She talked me down from it and over all I think it was a positive experience. I was glad she saw the intensity I feel but now I keep re experiencing that moment when I felt out of control and I can't stop. Does anyone have experience with this. My chest feels so constricted and I can't stop re-experiencing.
 
My therapist and I have talked about the time that will come where we will space sessions out and eventually not do therapy anymore. I start getting all kinds of panic and physical symptoms. It makes me shiver and my chest stings SO BAD and I start running my arms mindlessly. It's really hard. My therapist reminds me that she isn't going anywhere, and when I need her, she will be there, but that over time, I will need her less and less. I hear her say this and I'm glad for it, and yet my my body reacts like my parents are abandoning me all over again just to talk about it. It's so hard.

The therapist that I saw before her - I had a great relationship with as well. She had to move away. We had a month to close out work together, and I was by far the most symptomatic then as any time in our work together. I still went through all of it, with support, and it was worth it. When she left, it was a very different kind of experience for me. It was a loss, but it was loss that left me feeling more like a whole person, stronger, and more able to face the world. Most previous losses of people left me feeling abandoned and discarded.

Keep taking it step by step and keep reaching out for support when you need it. The therapy relationship is a intense and weird kind of relationship, and distancing from such a deep and helpful connection is really understandably hard and stirs up a lot for many people. If you need to decrease the sessions more slowly, or get more support for how to work through it all, don't be afraid to ask for it. Dealing with all of this is part of the recovery process too.

PTSD symptoms can often make me feel out of control and then that becomes it's own trigger and I get scared I will be that symptomatic again. One way to look at it is that the symptoms did come on that strong, but you got through it, and if it happens again, you will be all the more likely to get through it again. You can also proactively do grounding and other skills in advance of more symptoms - this can help not only reduce the severity of symptoms that may come later, but help us feel like we do have some control, some choice, some actions we can take and don't have to feel so helpless when symptoms come which can help take away the re-traumatizing nature of re-experiencing.
 
I think it's really good that you told your therapist some of this, because there's probably a lot to process in that. I'm not sure how often I'll be able to see my therapist when my insurance changes in the new year. But the panic hasn't been horrible because I think I'm in a better place and able to process my options and also realize it's not all over. If you're having a lot of negative and distressing symptoms that feel hard to control, is changing the schedule an option? Like compromising somewhat between how often you were meeting before and what you are doing now?

Being able to talk about panic, fears, and how we're doing through changes helps relieve some of the tension for me. It sounds really quirky, but my therapist has been on a medical break and I was able to do a better job of finding some other resources, like a meditation group, because I felt like my therapist hadn't just "disappeared" or like she or I was just erased. It can't be explained rationally (likely early trauma stuff). I "disappear" into a thick bubble where I don't connect with the world. I feel nothing in that space...cannot be comforted or harmed, but am completely alone, even if someone is sitting right next to me.

The thought of finally being able to connect, even a little, with someone I can tell all this weird stuff to, and then just leaving, seems pretty horrible. But it helps to realize that this is part of the recovery for me...it just has to be timed right and manageable so it feels like I've actually attained something I never had within myself, a new level of connection and autonomy. I've been naturally doing a little better accessing other resources. So I don't feel like I'm being pushed out. I think if it were too early and I was told I had to barely come to therapy or quit, I might just be tossed more badly into my disappearing. So it's something that requires a careful approach. Good you can talk to your therapist about how you are doing through it.

As for panic, it sometimes helps me to push against something, release some of the energy, or breathe slowly into my hands like I am getting life support oxygen. If I'm feeling pre-panic anxious, sort of a buzzing or a little compressed, it helps to go for a walk. If I'm at point of messing up my hearth rhythm, I need to lay down but push against a wall or heavy piece of furniture with my legs, slowly, releasing some of the panic charge. I know less about what my panic comes from and more about responding to panic, so in my body I just feel more confident and can evade panic attacks mostly before they are fully out of control.
 
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I can relate to what you said about when your therapist was on medical leave it feeling better. I think that's the difference. Something has come up for her a couple of times and I've been fine because I trust she will be there next week. It's just that spacing it out this time means we are moving toward a solid end which is some thing that I have had so many times with so many people but processing it really does help. I like your suggestions about how to handle panic. I noticed I need to get on the floor and I sometimes wish someone would hold me for that contact so I'm going to try the pushing on the wall. I think that could be good. I am so thankful for people who can relate and share experiences. I already don't feel as alone.
 
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