Therapy for csa

someone321 · Dec 24, 2013, 10:06 AM

What type of therapy do you have/recommend for csa? A month ago I started a therapy based on Jungian approach (similar to psychoanalysis - I talk, not much interaction, T is neutral) and I am not sure if this is what I would prefer but I have never tried anything else so I don't know how a proper therapy should look like...

I found a (scientific) paper about therapies for csa and there was written: Therapists who prefer to be seen as ‘the expert’, distant, uninvolved, and completely anonymous will face conflicts with the type of therapeutic relationship required in trauma work.

That's exactly a description of my T... How can I know if I feel bad because I dont't like my T, I don't like the type of therapy or maybe everything is ok and it's normal to feel so bad at the beginning of the therapy?

stopdog · Dec 24, 2013, 10:18 AM

Have you thought about test driving a couple of other types?

someone321 · Dec 24, 2013, 10:31 AM

It's tough to test many, as it's not so popular here and it's even more difficult to get the therapy in English (I live in not English speaking country). However, I found one more who highlighted in his webpage that he works with csa, traumas, c-PTSD etc. so I'm thinking about trying once but I am afraid that I would feel that I'm betraying my T... And I've also thought that my first session with current T went really well... It's just that I think that it would be cool to have a T at "my side" and not so neutral one but maybe it should be like that? He's not my friend so maybe he should be so neutral...

stopdog · Dec 24, 2013, 10:40 AM

People like different approaches and it seems finding the right approach is useful. I find neutral useful (although hard to find in my personal exploration- I have had more difficulty finding ones who will stay back rather than those who want to get all caringish) but for others neutral does not work at all.

iGottaBme · Dec 24, 2013, 11:17 AM

I did CBT for years without much success and moved over to trauma therapy. It was life-changing for me.

More than anything, you need a therapist who is a good fit to help you work through this stuff. If you are not feeling a connection, move on.

Petra5ed · Dec 24, 2013, 11:45 AM

I'd suggest looking for T's based on years of experience and issues they treat. I'm just convinced for some reason that people cant really excel in this kind of profession until they have decades of experience and then on top of that, should be smart as well, need to be obviously passionate about the subject otherwise how do you know if they continued learning crap after college. Find one of those that is also a good person and you are in the money. To whatever extent possible I say, try out different T's until you find one you want to talk to. It sounds like your T is going "blank slate" on you and I agree, that sucks. I had one T who never self disclosed anything and I never really liked her that much since the whole process felt weird. That whole approach dates back to Freud and traditional psychoanalysis where the patients laid on a couch 5 times a week, so it's pretty dated IMHO. Maybe ask him if there is a reason he doesn't say anything?

Steph44 · Dec 24, 2013, 01:39 PM

You may want to find a trauma therapist or someone who is trained in sensorimotot/somatic psychotherapy. This type of therapy addresses the body as well as the emotional memories and trauma.

Steph44 · Dec 24, 2013, 01:40 PM

Sorry - meant to type "sensorimotor"...

anilam · Dec 24, 2013, 02:09 PM

Im in therapy for CSA, psychodynamic and I think its helpful. Like my T to be "neutral". I don't show emotion much, esp when talking about past stuff and I like my T to be the same. Think what you want but keep it to yourself- I sure don't need s.o. getting soft on me. I don't do well with mushy. Got a terrible experience with one female T crying over me- WTH? In retrospect though I wish I were more empathetic towards her instead of being just plain mean.

Also my T won't give advice and/or evaluate me/my action/past/ whatever, tell me what he feels towards me... That's what I would define as being neutral but it's a positive thing for me.

Could you explain more what you mean by neutral?

Trying a new T is more than OK. I did my share of T shopping in the beginning... Can't imagine a T feeling betrayed/offended by it. As with any other professional I just want to get the best I can afford.

Daeva · Dec 24, 2013, 03:22 PM

A lot of people have posted threads like this, and I think a T with a flexible approach--one who is a mix of things and can change from client to client is best, but when it comes down to it, most of the time it's the T who you get on best with that matters.

stopdog · Dec 24, 2013, 03:33 PM

It is okay, I think, that people post new threads even if the idea may have been addressed before by others.

Daeva · Dec 24, 2013, 03:37 PM

I know, I never said it wasn't, I was just trying to recall what the majority had said back in the old thread. A lot of people need refreshers and the new joined members could use the thread as well.

stopdog · Dec 24, 2013, 04:01 PM

OP - I have not found that therapists care if you try other ones out or find one more suited to you.

sweepy62 · Dec 24, 2013, 04:18 PM

My t is ecletic she is experienced in trauma work, she is very empathic and caring, yet stern, she listens and also gives me feedback. I dont think iwant somebody who is neutral or just a sounding board with my csa work.

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