Firstly, I'd say I don't think therapy is for everyone and I don't like how people are blamed for not finding therapy useful. I've seen that sometimes on this forum and I don't want to talk like therapy can help everyone and everything.
I'm not good at explaining why I think so. I think it's because maybe therapy is pushed a lot in some countries or cultures.
In my culture, a lot of people don't want therapy even if they can access it through public healthcare because they prefer clergy or talking to friends.
I got incredibly lucky, and there are also stuff therapy can't "fix", like systemic issues in society which affect many people's lives.
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Originally Posted by Etcetera1
Thanks!, this was very informative. A couple more questions, if you don't mind. I might add more comments on my own experiences later as you got me thinking, too.
Ahh alright what I meant to ask was whether the therapy was therapy specifically adjusted to alexithymic people. Not that you went into therapy due to having alexithymia.
Are you able to clarify for me on this point? Was it standard schema therapy, or did they have access to methods for a version specifically adjusted for alexithymic people?
I am asking because what I've read is that there are a few kinds of people who are incompatible with standard therapies and alexithymia is a good example of that.
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I think it was standard Schema Therapy foe Ex T, however, for my current T, she quickly realised it's not so simple as asking my Detached Protector to "step aside", and that I'm alexithymic... so I believe she modified it very heavily.
How heavily, I don't know. I've read the clinician books and they claim the hallmark of Schema Therapy is flexibility, so to her, it's "I'm just doing Schema Therapy."
I have to say that during times of high chronic stress, I do lose my ability to feel and name my emotions.
I think I also benefited from this book by Robert T Muller titled "trauma and the avoidant client".
I think these days we're not doing Schema Therapy since my DID become apparent. Some alters don't like the concept of being just "modes".
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So just curious if these therapists were able to work you even if they had no previously working therapy methods or frameworks for alexithymic people and/or experience with alexithymia before.
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I honestly believe they either had some training or sought out training. And then gained experience. Not sure how to describe my gut feeling. Like, there might not be a therapy training workshop or book titled "working with alexithymic people", but there's literature out there these days.
Developing Emotional Skills and the Therapeutic Alliance in Clients with Alexithymia: Intervention Guidelines - FullText - Psychopathology 2021, Vol. 54, No. 6 - Karger Publishers
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I'm glad that you did not feel judged by being told all that about no connection or personality being sensed there.
Did she explain to you that she doesn't think you actually don't have a person but just that she is unable to reach it due to the detachment?
Also if you don't mind me asking, did she actually share with you that she felt helpless on the spot? Or just more like, share it with you later in retrospect when somehow relevant for a discussion?
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Ex T said she was unable to reach me due to my detachment yeah. Said it in the session, and it took me by surprise. She did make it clear that she understood it as a defence, and that she would like to connect in order to be a more effective therapist for me. I remember asking why would she want to connect, and how it would help our work be more effective.
Though I don't remember the answers although I too also asked current T a lot of those same questions.
Hmm, Ex T shared her feelings of helplessness later. On the spot, I did notice (as I'm hypervigilant), but thought it was frustration at me. Therefore I only asked later, when I myself felt frustrated with my progress.
With my current therapist, I'm working on asking "I feel like you're frustrated/angry/bored with me, are you?" quicker in the session itself. It's gone from several sessions before I voice something, to around 10 minutes.
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Yes. I mention the Detached Protector and Schema therapy right in my first post in this thread. I've been given Schema therapy too, was a disaster.
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I have a friend whose Schema Therapy was a disaster, and he doesn't do well with relational therapies.
I think one major problem was that the therapists were not respecting his detachment as a necessary defense. Or if they did, they were impatient with this forced "goal" and imposing their own agenda on him.
Ultimately they were trying to fit him into this box and for him to conform to Schema Therapy ideas, instead of adapting to who he is.
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This is very interesting to me. I like your wording.
I've not often seen true warm curiosity from therapists, I've seen some try and do fake warmth though.
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I've felt fake warmth, and true warm curiosity, yeah. I definitely accused my current T a lot (almost every session for a long time) about if she's faking care, faking interest, that I don't tolerate warmth because it's a trap.
In hindsight, (thanks to your words prompting self reflection) she titrated her warmth. She wasn't as warm in the beginning.
One thing current T would tell me is that there's no way she can BS clients with fake warmth. She would say she understands why people are guarded, and that she had to earn trust. Mistrust is not the fault of the client.
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As far as emotional safety, I feel your description of it is part of being accepted & loved in a relationship.
Where I have had issues is getting to feel loved in close relationships, BTW. And I can't do a fake therapeutic relationship and transference for that, I've not the strong imagination for that.
Frankly, for me younger therapists have been better with real emotional interest, rather than fake it all with a competent therapist image.
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Oh yeah, I'd agree. I don't quite feel loved in close relationships except for a few very special people. Other friends, yes I value them and care, but there's a certain inner distance I hold, if that makes sense?
For transference in therapy, it helped me to work with it... because Current T does care and has proven that (though maybe other therapists might be horrified) but that's not for everyone.
I don't really know how to explain how I know its real, and it's different from my loved ones. Other than saying I don't think every therapist has that quality. On this forum, there's also been many threads on if therapists really care or does the care stop when the client can't pay anymore... which I definitely relate to.
Have had many debates with my therapist and currently I see her for free or a token amount due to major external mishaps I'm still recovering from.
I believe the ability to detect sincerity that you describe is something important and to be respected.
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That sounds like anhedonia to me.
Did you mean that type of emotional numbing then?
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I'm not sure as I wasn't aware of that word.
For me, it's zero emotions. Not just positive feelings, but negative ones too. Simply nothing at all.
Feeling numb: Symptoms, causes, and treatment
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Why should all therapists be like them? Like, in what way? Mind clarifying a bit for me?
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Sure. They meant the stance of not blaming clients, being flexible to what the client needs, being open to feedback, and not pathologising defenses.
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Frankly, yes, my overall opinion on the administration of therapies is that it's a mess. There is too much psychological power there that's not regulated properly. Very unethical in my mind.
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Yeah, I agree on the very skewed power dynamics. Which is why I'm staunchly of the view there's not enough regulation on therapists globally.
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Sure I am aware that a lot of people have still benefited from therapy, and that in some cases there may be naturally issues with getting benefit from standard therapies. Is why I made the thread.
Like you said, you got lucky. A lot of other people may have also got lucky and benefited from the therapy process but too many people have got unlucky. I still don't know if I am just in that category, myself.
Or if therapy just isn't for me. It's not supposed to be for everyone but again I don't know what that means ???
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I should clarify, I apologise for being unclear.
I don't believe therapy is the solution/cure or whatever for all kinds of issues because therapy is very individual focused. Many problems aren't within the individual, and for those, I view therapy as supportive in nature if there's a good match.
Take depression for example, yes for some it's due to their thinking, but depression due to poverty or racism (for example) isn't going to resolve with just free or low cost therapy.
My therapy won't lift me out of my current state of being working poor, but it's a place I can go to get support when I'm feeling hopeless about my situation.
Where I can work on articulating my needs for later when I see my social worker, and work on self advocacy even in a dehumanising system.
And I believe some people don't benefit from therapy because not everyone wants to have 1 to 1 appointments with a stranger who can be like an authority figure.
Some benefit a lot more from peers having similar struggles and a more casual scenario like that of a Meetup group. It doesn't have to be "sit down in a circle and talk" style. I've enjoyed boardgames in a group when pandemic restrictions lifted somewhat in my country.
For me, I wanted therapy so I could learn to form and maintain friendships.
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I see. You mentioned you still have to go deeper in therapy. Why, if I can ask? Because of the DID?
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Yes, because of the DID.
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Ahh ok. For me the "goal" (unwilling to use that word anymore for relationships) would be having more quality, close relationships. I've had some close relationships, but just not quality enough and I did not ever feel loved enough.
I'm good with having acquaintances, buddies and loose friends but close relationships......it "worked" for a long time but then was a disaster in the end. As this stuff didn't really actually work.
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I perhaps shouldn't have used the word goal, apologies. Yes, I mean quality friendships.
And to be clearer too, I'm not intending my posts to be saying I'm right and others are wrong.
I do believe I got very fortunate with therapy and that my work there also involves improving my interpersonal relationships, including close friends.
I do have acquaintances and casual friends as well, and maybe some will become closer, and some will be less close.
I guess I also work on identifying what attracts me to want to have a closer friendship among my acquaintances?
As emotional numbing, depression, some degree of alexithymia can affect matters, for sure.