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Wanting To Switch Therapists To Trauma Specialist But Nervous

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greenleaf

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I have been in therapy with the same person for quite a while... Hard to guess a date but maybe 8 years? For quite a while most of the stuff I was working on had more to do with trying to have a life than specifically dealing with trauma stuff. I had already spent maybe 10 years working on trauma stuff, although I don't think that that original therapist -- or much of anyone -- understood how somewhat subtle dissociation could get in the way of dealing with stuff for some of us.

These last 8 months or so, the trauma stuff got stirred up pretty drastically by my original abuser, my brother, re-contacting me with some bizarre and subtly threatening emails.

I have been realizing since then that I still dissociate some emotions, esp. when feeling threatened, though I had made a lot of progress in many other areas. I was not aware I was doing this stuff until recently. I have a lot of threat-related emotions stored in my body, and as I get a bit older my body might be rebelling! Tense muscles, apparent "trigger points"... Luckily I love to exercise and had developed a lot of other good coping skills for parts of this stuff.

However... I have not felt like my current therapist is well-educated in dissociation; I've been doing the research myself, have been seeing parts of my experience in pretty recent writings about ddnos, and a few times I have felt like my therapist is looking at me like I'm an alien specimen. Well I already feel like an alien sometimes (we've had threads here sorta joking about that stuff) so I would rather not have my therapist doing that... (???)

She had some training on ptsd a while back, but kept forgetting to bring some info about it to our sessions for, like, 3 weeks in a row. Then when I was showing her a book I bought ("Coping with Trauma-related Dissociation"), her initial comment was that she thought things should be brought to the present. (Well, yeah, but she didn't seem to understand a lot of the issues too well?) After looking at the book, she thought it might be ok, but I thought her initial reaction was sort of hesitant. She also thinks it's better for therapists not to just do trauma therapy because they can get "burned out". (I'd brought up that I might want to try a trauma therapist, a few months ago; she kinda discouraged me, and said she thought she could help me.) I also find myself unable to talk about some things I really need to with her, but I'm partly blaming myself for that - but trying not to. Part of me is just not feeling safe enough after all these years. I feel safer with the doctor who prescribes for this ptsd stuff for me, and I only see her every few months! She is both warm and smart, and has that grounded honesty about her.

So, it may seem like I should obviously feel ok about trying a new person, and I'm reading about what to look for, and folks here mention that "trauma therapists" have been very helpful to them... I'm not quite sure what my question is here, but any helpful thoughts are very welcome!
 
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Hi @greenleaf ,

First of all I want to say that you are handling this in a very rational and healthy way. You have obviously put a lot of effort into your therapy sessions and it's a shame that your T doesn't seem to be motivated to help you move closer to the trauma (re)processing.

Based on what you just shared in this thread, I would say that it is probably best for you to start looking around for a new therapist, who is specialised in trauma and PTSD.

But you should take plenty of time to look around for that. Maybe you can make a list of what you're looking for in a new T?

Perhaps you can tell your current therapist why you are looking for a new one. I'm sure she'll understand.

I can imagine it's a very big step to change therapists after so much time, so take your time to think about it. Perhaps discuss it with someone you trust. You'll find out what's best for you.
 
The fact that she's trying to dissuade you from seeing anyone else throws up a red flag for me.

The best therapists I know are thrilled for their clients to seek expert advice in fields & areas that are not in their realm of expertise or are handled in different ways (like AA, group therapy, neurology, whatever).

They often, correctly, would like to be involved in the process or the transition if it's shifting instead of adding... But the blanket dismissal of an entire field that is not her own...when it's an issue you have... seems really bizarre to me.

That's like a GP saying not to go the the ER or an Oncologist, because those specialties have high burnout rates. Ummmmm. The working conditions aren't really material. What's material is having a specialist make sure you don't bleed out over the weekend and has the machines and chemcicals to treat the cancer.
 
I would try a trauma specialist that specialises in body based therapy. You need to be very gently and expertly connected to those feeling of being under threat. This isn't achieved by traditional talk based therapy.

Your T sounds out of her depth and she has a duty of care toward you which she isn't honouring.
 
You sound like you have been doing an amazing job supporting yourself this far: and I'm of the opinion that your post reflects a real desire to change therapists. Find someone - ideally with good roots in trauma - that you feel as connected to as you do with your Doctor. Can you ask her for referrals?

Because 8 years is a long time to be with one person, and I think your current therapist isn't trained enough yo help you.

I agree with others: the fact that she will not recognize this on her own is a huge sign you should leave, that it's time.
 
I'm not sure what your question is either but I've found a trauma specialise has been and continues to be invaluable for me. Both for identifying and dealing with trauma related issues it also for helping me see things are part of daily life that I just happen to find challenging in a non-trauma related way. I think it's very easy to assume that every reaction or problem we have is because of past trauma - lets face it, it's in the forefront of our minds inch of the time. Having someone who ground me in "normality" while helping me sort out the trauma bits has been essential to me.

Do have a look around and see if there's someone with relevant experience that you "click" with, then revisit with your current therapist.
 
I have a body-psychotherapist who focuse on trauma. it felt very useful but has gotten weird because she changed on me...or I presented some kind of trauma she didn't want to deal with. So it's not working right now, but she was the easiest for me to trust. "Talk" therapy makes me too nervous....I needed someone that I felt I could be nervous around and she'd help me listen to by body to discover what felt okay or safe, or soothing. By tuning inyo our inner sensations we can learn a lot about our feelings....and then, for me, the talking is easy...but comes from stress and practicing self regulation in the body. Good luck!
 
Thanks everyone for the very helpful responses. The current T does help sometimes with grounding, and notices often if I'm spacing out so is partly helpful. I'm not sure what the issue is exactly, but I definitely can feel safer with some other folks; something about the feedback I get there on some level. Sometimes I think that the current T also tends to analyze mentally and thus brings me to that place away from the feelings; analyzing and cognitive stuff is my main strong skill set and not what I currently mainly need help with I think...

Yes @Chava - the body stuff is being extremely helpful -- am getting massage, it is a very strange experience and pretty confusing sometimes; like being in a different universe. But relaxing a bit is definitely worth all that.

Thanks again.
 
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If you have a persistent, feeling that maybe you aren't getting what you need from your therapist, and it's not just a feeling you have after a bad session or when you feel misunderstood (doesn't sound like it) then it may be part of you KNOWS that you do need to try a new T. There's a saying about how everyone knows exactly what we need in order to heal- but most of us can't hear or won't listen to that voice.


I have been in therapy with the same person for quite a while... Hard to guess a date but maybe 8 years? For quite a while most of the stuff I was working on had more to do with trying to have a life than specifically dealing with trauma stuff.

It sounds like she has been helpful to you in the past? It's possible that you've just outgrown her, and she's helped you unpeel some layers that a new T could help you work on.

She also thinks it's better for therapists not to just do trauma therapy because they can get "burned out". (I'd brought up that I might want to try a trauma therapist, a few months ago; she kinda discouraged me, and said she thought she could help me.)

This is generally regarded as true in the profession, FYI, and is in textbooks. For this reason I probably would be cautious about anyone who does only trauma therapy (unless they only work a few days a week). The T I worked with through my trauma, who was fantastic and very informed and attuned to my trauma, would probably never bill herself as a "trauma therapist", and saw people with many different issues, but yet was very informed, very experienced, and very sensitive to trauma and all that goes along with it.

I think finding a new T that meets your needs is WAY more about referrals and interviews than how they advertise themselves. That's just been my experience.

@greenleaf - Maybe I should make a new thread but... did you have issues with touch before massage therapy and how did you handle starting massage therapy? I'm really curious about the body-mind trauma connection, and recently met a massage therapist who seemed really tuned in to the psychological components of massage, and said she'd be willing to do short sessions with me at my comfort level... so I'm wanting to try but really scared to book an appointment!
 
@Sarah2732 said:
Maybe I should make a new thread but... did you have issues with touch before massage therapy and how did you handle starting massage therapy? I'm really curious about the body-mind trauma connection, and recently met a massage therapist who seemed really tuned in to the psychological components of massage, and said she'd be willing to do short sessions with me at my comfort level... so I'm wanting to try but really scared to book an appointment!

Hi @Sarah2732, I started a thread dealing with some body issues and therapy... not sure if it's the issues you are interested in discussing, but please add if you are interested!
In "Symptoms" under "Progress With Long-term Muscle Tension: What Does This Feel Like?"
 
Well, I did it - I switched; I've seen the new person, and ended with the old... Hoping for the best!

This person has both trauma and dissociation listed as specialties in her web page. She asked good questions that showed pretty interesting understandings, feels relaxing so far, and has toys in her office (very important.)
 
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