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What *is* Effective For Complex/childhood Ptsd?

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This question is open to anyone, but specifically I'm hoping the admins, and maybe Anthony, could chime in as their is such a wealth of info about therapy techniques in the forums.

I'm reading that among the 4 "tier-1" recognized therapies effective for PTSD, most studies try to omit severe and complex PTSD from the subject data. Anecdotally too, therapists will say that EMDR is more effective for one-time traumas than for complex PTSD. So this seems inconclusive but strongly suggests that CPTSD is harder to treat.

As someone suffering with CPTSD (as is my wife), who has also recently been rendered extremely non-functional due to recent trauma, I'm desperate for info about what therapies can actually work. Also am confused about how to stabilize from recent trauma when that trauma has freed up so much childhood trauma that it is all coming up at once.

Since my trauma involved a lot of neglect (as well as a life-threatening trauma at age 7 at hands of my mother), I also wonder if neglect/abandonment are somehow a different animal. For example, when therapist doing EMDR will ask me to bring up images or specific memories about my trauma, when I think about the trauma of being chronically abandoned... it's like asking someone to come up with specific images or memories of being female. It *isn't* specific but is pervasive. In some ways I felt abandoned for years by my mother even though she was there, taking care of me, since the trauma at 7 so shattered trust that it was like I had no nurturing mother I could trust, and so was abandoned.

Where do the 4 main therapies fit in for complex PTSD? Are there other things I should be seeking?

Lastly -- I instinctively keep wanting to find someone very empathic, willing to listen. I had so little of this in my life, it feels like a basic biological need. But I'm trying to reconcile this with the idea (which makes a lot of sense to me) that talk therapy is neutral to harmful for PTSD, as it basically causes a lot of re-traumatzing in the retelling, without necessarily helping to process or resolve the trauma.

Every therapist I interview will either say my case is too complex, they won't take it, or they will invariably say their method is effective, whatever it is. So I feel awash in contradictory info. EMDR so far has proven very difficult. In 5 sessions I only managed to do the process once (and it seemed to make a big impact), but often am agitated and finding issue with that therapist's ways of explaining what she's doing, interrupting me a lot, being late to appointments, not following up on things she says she will do like *billing* me or providing referrals for my wife... I don't know what part of this is me being an impossible person with a lot of agitation when forced to discuss traumatic stuff vs. she is not very organized and effective as a therapist.

Any input is welcome and appreciated. Thanks
 
Welcome, to a empathetic and helpful community! For sure, when trauma memories open, there is a lot to do and to sort out, for you and your partner. You show great instincts: desiring empathy, and you noticed that a style of therapy wasn't helpful to you. This is what helped me, at first.

1. I looked around to found an empathic therapist, familiar with trauma, and found a therapist where we seemed, mutually, comfortable. Since I did not have insurance, I bartered.
2. I choose therapy styles that I worked well with, despite the research. My needs changed over time, so, with time, I changed therapists. Like you, I did not tolerate EMDR. At first, I worked with a therapist who mixed CBT with self esteem exercises, a relaxation technique, and a style of non-traumatizing, emotional expressional/release work. (Always let your therapist know if you get worse, from any treatment.)

3. As I did my work, specifics of memories, and individual memories, revealed themselves..
4. It helped to establish activities that were joyful, that helped connect me to the present; they are useful after therapy sessions.
5. I worked on developing safe friends and community. I slowed down; i decreased some activities and my work, to decrease my stress.

6. I learned to be kind to myself-in my thoughts and in my actions. I believe in loving myself, and I practice believing in myself, no matter what. I stop doing activities, if they trigger me.
7. I realized that I had the job of constructing a new self, myself. Like you, I read about PTSD, incorporating ideas I liked. I'm still doing all these things. It takes time and patience. I'm significantly improved. I have a lot further to go.

8. I worked with a therapist and, late added a psychiatrist.
9. Knowing most people wouldn't understand me, I made a list of people I could call, in case I was in a bad spot.
10. Eventually, I took lessons in movement, and freeing my voice, so I could be free to move, talk, feel, and set boundaries. I learned social skills, from everyone, along the way.

I'm sure you are in hands, here! Just reach out :).
 
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I think it is not always true that talking about your trauma is re-traumatizing. I believe that it has the potential to be re-traumatizing for some people but I strongly believe that I do not experience additional re-trauma.

If a therapist is disorganized I have to fire them. That will make me feel hateful and nasty faster than anything. I used to see a therapist who was chronically late. I still hate her guts.

EMDR is very hard for me. I do better with CBT (Cognitive Behavioral Therapy) and exposure therapy. EMDR often leaves me feeling intensely suicidal for up to 48 hours. I continue to do EMDR because when I carefully put a trauma in a small box or it is a recent trauma EMDR is like magic. I had EMDR to deal with the overdose of two close friends and a miscarriage in a short period of time. That worked out pretty well.

I find I tend to need to write down lists of where I want to be in life and then move towards it. My emotional stability comes and goes but I keep walking anyway.

I treat my therapists like paid friends because I don't have a lot of consistent relationships. I'm ok with this.
 
I'm confused as to why you're doing EMDR while not yet stabilized? Processing is a HUGE no-no while destabilized (and I'd find a new therapist just for that!)

Traditional talk therapy was re traumatizing for me. I went to ITT (intensive trauma therapy) in Morganown, WV. They enabled me to talk about and process my trauma with NO retraumatization which if you know my history, every other attempt send me into major dissociation, with one incident spurning multiple suicide attempts and a visit to ICU. (Just to give you an idea of how radically different their process is in that I didn't have a major reaction.)

The ITT approach isn't widespread yet. As if now, there are only two places in the USA that provide this particular program, although they do train therapists around the country to use their approach in a regular therapy approach (as opposed to a weekly program).

ITT was literally the end of the road for me as I was otherwise resolved to never process my trauma as talking about it previously almost killed me (literally). I tried everything else, and every trauma hospital and therapist in my state.

I'm not healed, as I've still got a long way to go. But, I'm past processing and working more toward reintegration in society (adding to my education, etc). I don't do therapy anymore as the last attempt just pulled me down more than anything.
 
@Solara what does ITT's approach seem like to you? That is really interesting to me. Sometimes when I try to talk to a T. I just "spin" into crying and can't get out of the "spin cycle." Yes, and then I just feel worse. I haven't tried EMDR yet. I'm willing to try anything once until I get to an effective step with at least some of my C Trauma.

Thanks!
 
Haha, I read the original post earlier today and was feeling bashful about mentioning (again) how awesome ITT was. I am so grateful @Solara said it! :joyful:

Honestly, I could not process the traumas before ITT. I have been able to keep this up since leaving the program through "parts work." Like she said, its not a "quick fix" but I am headed in the right direction.
 
I really liked what Change had to suggest. I'm pretty old school here so many of the abreviations you use I'm not familiar with. The things that helped me were:

Treat yourself like you'd treat your own best friend. Talk to yourself like you'd talk to your best friend in everyday walk of life as much as while dealing with feelings of the trama.

Like you I was abandoned (pretty much thrown to the wolves of the world) I had to learn to reparent myself. I had to allow myself to reexperience childhood thing with myself in the drivers seat instead of old Mom, so that I could have positive experiences. I was in the process of repartenting myself while I was raising my own children. Kinda wierd but it made us pretty close! You do what you have to do and this reparenting thing goes on and on for years; into the way you talk to yourself or the thoughts you allow in your head. We used to call them old tapes.
 
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Hi @radicalgratitude , by parts work do you mean IFS - Integrated Family Systems therapy? I came across a therapist who works this way, and curious. It might be a good fit for J at this point. Or me.

For those who did ITT, were you from out of town? (Not trying to find out where you live, but rather, how it might work if you aren't local to this place) A 2 week hotel stay.. WV probably deals with that enough. But yeah. No mention of cost on their website, either. If insurance covered it, would be worth considering. Although they say they screen for ego regression so I'm not sure whether this could be something available to J right now.

I'll let J respond. Those are my questions.
 
ITT is listed on theiir website under fees as $4500.00/ per week, no insurance coverage, responsibility and cost for accomodation your own (additional).
 
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