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Originally Posted by SalingerEsme
These. are things I can't even imagine- and they sound like more of what I need to manage the fear generated by sessions. My T only understands containment inside the session. I also think he feels qualified to treat CPTSD bc he is a rockstar at short intense prolonged exposure theory for vets with PTSD.
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My T practices schema therapy, ACT, DBT and she's pretty strict for a schema therapist or other attachment therapists. Full fledged DBT Ts offer coaching calls etc.
Others I've read in trauma survivor blogs and books offer a lot more. There's some PC folks with very generous therapists. Eg, junkDNA, AbusedToy, Elio, Starlight? whose T lives in another country...and many more, sorry my memory is fuzzy.
Can I half jokingly roll eyes at your T? The part about him thinking he's a rockstar bit.
Prolonged exposure doesn't *always* work (not saying it *never* works) for C PTSD because too many traumas.
Does he work on self regulation skills with you which you can use outside of session?
Does he help you remember those skills, eg notes, flashcards for when your brain is hijacked and you forget because you're flooded?
In session, has he co created a safe space (perhaps an imaginary one) which you can "return to" when triggered?
https://www.goodtherapy.org/blog/com...trauma-0603137
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Exposure therapy, which is highly effective with PTSD, tends not to work with C-PTSD because there may be dozens of traumatic memories or years of trauma, and exposure therapy is impractical. Instead, C-PTSD researchers generally recommend a stage-based treatment approach that includes the following phases:
Establishing safety and helping the client find ways to feel safe in his or her environment or eliminate dangers in the environment.
Teaching basic self-regulation skills.
Encouraging information processing that builds introspection.
Helping the client to integrate his or her traumatic experiences.
Encouraging healthy relationships and engagement.
Strategies designed to reduce distress and increase positive affect.
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I'm not trying to bash your T and I'm sure there's good things with him else you won't be so attached and struggling so much. I just feel you deserve better.
I thought I'd never find anyone as good as my ex T. I still have great fondness for my ex T, but my current T is a much better fit.