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Treatment Plans

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katiekat

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Do all of you have therapy treatment plans? Is it common to have a trauma treatment plan with your therapist or is it mostly "patient-lead"? I entered into therapy with my current therapist about 9 months ago for things unrelated to PTSD and was diagnosed about 6 months ago by him with PTSD.

He is not a trauma therapist and offered to refer me to a therapist who does EMDR, but the thought of that process and having to rebuild trust with a new therapist scared me and I declined.

My therapist has done a little bit with me on my past trauma, but I don't think he is confidant in his abilities to really go full into it with me. I am going to talk to him about it today, but I wanted to see what everyone else has going on so I can get some idea as to what is normal. Thanks!
 
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Since starting to work with a therapist that specializes in trauma I have improved tremendously. It is such a huge difference that I wish I had found this therapist 2 years ago.
I understand the trust issue. It can be real scarey seeing someone new. Yet it can translate into further healing of trust issues outside of therapy. At least that is what I have seen in my life.
 
I'm extremely self-directed. I've always led my own therapy. But I still would only see a trauma therapist.

It isn't just about a treatment plan, it's about the therapist having the knowledge and understanding to work with you appropriately. For them to know how to monitor you, spot dissociation, keep things grounded, avoid triggering/retraumatising you, know what to do if you become very symptomatic, and remain calm and reliable themselves whatever is discussed. A non-specialist can't know all those things, however good their intentions.

It's tough having to find a new therapist, but I think it's worth it. EMDR is an option, but there are others too. I'd explore different types of therapies and different therapists. It doesn't have to be only the one your therapist has suggested.
 
I agree with Hashi.

Actually, if you work with a non-trauma therapist there is a higher chance that they can make things worse as what works for many non-PTSD people can actually be traumatizing or triggering to those with PTSD. Unfortunately, not all therapists know this!
 
Thank you for @katiekat for this post. It has helped me a lot. I have been seeing my therapist on and off for almost a year now and this was before being diagnosed with ptsd. Any cognitive behavioural therapy that I was asked to do I was incapable of doing. I was way too hyper vigilant

when I informed my T of my history (trauma in my childhood) that session still sits uneasy with me. My T tried to delve into my trauma and it hit so many triggers - it was horrible and now I feel it was really inappropriate what happened. it was suggested at the end of this appoint that I go and see a psychiatrist (my T is a psychologist) my T wanted guidance on what we should do next. That week or so following this consult was horrendous because it had touched on an area of my life I had long since buried deep and now it had been opened somewhat I was a mess and thought my life was falling apart. At my psychiatrist appoint I was diagnosed with ptsd. I feel like my current T is not confident in treating me and has said they don't do EMDR (which I was advised to get) and that I should find someone who does this.

The psychiatrist wants my new meds to settle down the hyper vigilance and dis regulated moods to settle before going into deep trauma therapy. So I hav some time to find a good trauma therapist... But I still need some help with the here and now before I get to that point so I am wondering if I should stay with my current T till then (the psychologist) Do you think this would be beneficial or will it be a waste of time and even dangerous?
 
Hi WhiteSwan. I'm sorry you are struggling right now. You are not alone!

Just my 2 cents here, but I would strongly recommend you immediately seek out a trauma specialist. I know it's never easy changing therapists but it will serve you well. If you need help and support with more "superficial" (not the deep trauma issues) while you wait for an appointment with a trauma specialist, you could keep seeing your current therapist. But I would certainly refrain from addressing any trauma issues...especially given the response you described you had last time.

I've been in and out of treatment and therapy almost my entire life, yet just started with a trauma specialist about 5 months ago. I can't tell you the difference.... She's been so wonderful and immensely helpful and supportive. I also just started EMDR but that is a topic for another thread.... feel free to message me privately if you'd like to discuss it!

I wish you good luck and stability as you make your decisions, and keep posting on this forum! :)
 
I agree with what TimeToHeal said. I have also been in and out of therapy most of my life since I was first diagnosed over 40 years ago with what it now called PTSD (back then, it was called similar to shell shock for non-veterans). Seeking a trauma specialist is the way to go, but you can still see the therapist you like.

Honestly, I have not found standard therapy helpful. They basically work with emotions with no understanding of the brain and how it operates. Those of us with PTSD have a "tick" in our flight or fight response, our survival instinct caused by traumas we have suffered.

Over the past few years, my PTSD which was once long since forgotten returned due to new traumatic events. Not only is there new PTSD to contend with, it triggered old PTSD as well. Honestly, I have found that regular therapy has made it worse. As I've mentioned in other posts, in going to the psychiatrist for medications, he called a 5150 on me (3 day suicide hold) but the police disagreed and refused his orders. My therapist often blows me off as I explain new symptoms wanting to find ways to get rid of them. If she has never heard of it before, then she just doesn't believe me or won't address it. When I started work with a trauma specialist, that all changed.

Here's a good example for you. Over the past year, I have had a terrible time with written comprehension. I can still write, but I am unable to read even a simple sentence without tremendous effort. I used to love to read. Her response was that she had never heard of it before. The trauma specialist -- he has seen situations similar -- it is a defense mechanism -- that part of my brain is trying to protect me since much of the trauma came from the written word. Rather than simply blowing me off, he told me of programs I could attach to my computer that read along with the written word. That helps a lot! He's also helping me develop tools to overcome it. It has taken a lot of effort on my part and I have a long way to go, but my reading abilities are starting to improve.

He also reminds me not to get upset with my brain, it is really trying to help me --it's just a matter of guiding it down the right path. That, in itself, has made a big difference. So many of us suffer from self-loathing -- why am I like this? why is my brain broken? - - As a result, we often add to our own PTSD as we come down hard on ourselves. It's taken a lot of work, but when my attitude changed, my symptoms decreased.

He also supports my decision to refuse to take SSRI's and admits that he feels they are potentially more harmful than helpful.

My trauma specialist is actually considered "alternative" treatment. He is a trained clinical hypnotherapist who specializes in veteran PTSD. We have not been using hypnotherapy. The tools he has taught me have made a tremendous difference. Despite all attempts (including legal actions) I have not been able to stop the triggers that are causing the PTSD. We work together to develop techniques that have been very successful in helping me manage the triggers so they don't overwhelm me. He has given me tools that help me when my mind just goes off in a tangent and I can't stop it. That doesn't happen anymore. As soon as it starts up, I know what to do and can immediately end that torture. His tools have been very helpful in dealing with the agorophobia. I still have a long way to go to fully overcome it, but I am on the right path.

Please don't misunderstand. I still suffer from just about every PTSD symptom there is (a few that aren't even considered symptoms). But, in working with him in the course of the past 12 weeks, the intensity of the symptoms have diminished.

I will conclude with the best reason for seeking the help of a trauma specialist. I met with a friend who said to me that she hasn't seen me look this good in a long time. I asked her why. She said that even though you still have nothing but bad news, everything is still going wrong, your eyes don't look dead anymore. The life has come back into them. There are two reasons for that -- finding the trauma specialist and (as he always reminds me) doing the work I need to do to get better.
 
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