November 28, 2009
It’s Thanksgiving weekend here in the US, and besides the wonderful traditional family meal and pleasant times with my kids, this time frame reminds me of something else.
Discussing Dissociation has been up and visible for nearly one year now. Yep, in a few days, it will be a year already!
Wow. Where has the time gone??!!!
There is truth to the saying that time flies, or is it because time flies when you’re having fun … or maybe I’m just getting older, lol.
Anyway, I’m being silly, but I do want to say today how much I appreciate all of you that have been readers here at this blog. The number of faithful, returning readers has been utterly amazing to me. If you look back through all the pages, you’ll see well over a thousand excellent comments from a wide variety of the readers. Wow! The input you all have made in this blog has brought it to life and given it a life-filled energy that I certainly couldn’t create on my own.
For the way each and every one of you have contributed to the positive, educational nature of this blog, I sincerely thank you. I truly appreciate your involvement, your thoughts, your comments, your questions. You’ve helped to make this little site a safe, comfortable community for dissociative trauma survivors. I think it’s a job well done, and once again, I do sincerely thank you for your part in this process. Writing a blog wouldn’t be nearly so fun without hearing comments from the readers! You all rock!
Many of you have questioned why I started this blog in the first place. The original reason is not as mysterious or worrisome as some of you may have thought. It’s a widely stated and highly recommended common practice for therapists to use blogs for marketing purposes. Marketing experts recommend to write what you know about, and to respond to the comments you receive. Blogs get quickly listed in search engines, and they are an easy, economical way for your target audience to get to know you, and to see what you do, and to become more familiar with the work that you do. It’s a simple as that. Check the blogosphere for blogs by therapists. You’ll see that most therapists write about their fields of work the same as I do.
I just happen to know about a very specialized topic – dissociative identity disorder. And my readers are a very distinct but wonderful population – dissociative trauma survivors or trauma therapists. (There aren’t very many of us out here — it’s no wonder that we are congregating together!) And yes, practically all of my blog articles have been very specific to DID, not that the topics couldn’t also apply to other populations, but the point of this blog is to “discuss dissociation” so I do tailor my articles to being about dissociative disorders, and the DID population. There’s no mystery there, lol. I think I’ve said that pretty upfront.
But something much bigger has been happening besides my having found a very effective marketing tool.
With all the positive sharing and support that has been created here, this blog has provided a deep sense of hope and healing for so many people. Having that absolute knowing that others are progressing along their healing journey as well, many survivors don’t have to feel so very alone. You might learn things from my articles, but you can also learn from each other, the same as I learn from you as well. It’s a wonderful circle of positive, helpful information, and that in itself is priceless.
Building a sense of safety, knowing you are not alone in your struggles, and learning from others who have been there too provide emotional foundations that so very crucial to healing and can augment your therapeutic process. Please remember, this blog is in no means a substitute for actual therapy, but it does provide a lot of educational support for survivors working on their own healing, or for therapists learning about working DID / MPD.
Again, you all have immensely helped to create that healing, informative atmosphere, and I am grateful for that.
We have to create and protect places of healing.
Even survivor-led blogs such as the truly incredible BTC blog have become targets for destruction by the “hazing / flaming / insaniacs” of the world. Do we really want the haters and gossipers to take over and ruin all the places of healing and support? How sad is this?!!
I know that you know there are predators and perpetrators out there in the world. For some of you, your abuse stopped years ago. For some of you, you are still smack dab in the middle of fighting your abusers. Some of you are being hassled and manipulated by internet predators (whether you know it or not), and some of you are safely away from any direct attack from anyone. No matter where you are in your life, there are abusers and predators out there in the world, (including those wolves in sheep’s clothing hiding within the dissociative population itself), so the importance of having safe retreats amongst all the danger and destruction is more important than you might realize.
Those of you that feel the loss of BTC’s blog can understand what I’m talking about. It’s a real shame that abusive people continue to ruin the good places and run off the good people. I think that is a tragedy. But it happens.
- Are you one that sits back quietly, doing nothing even though you see others destroying places of support?
- Do you believe the lies and negative gossip spread about helpers and healers?
- Are you so angry from your own abuse that you are willing to take that out on people who have helped you?
Surely the survivor population can see through the manipulations of abusers. You are adults now – you can start seeing through the tricks that are being played out there. Please remember to think for yourself the next time you hear some negative hogwash about someone who has dared to be a helper / healer. You can take a stand against that.
Complacency only allows abuse to continue.
Trauma survivors, I encourage you to ban together in protection of your valued and positive healing resources.
So many of you grew up without any safety or comfort or support. You learned to pull deep within yourself or to block out the world entirely. You survived it alone.
But it doesn’t have to be that way anymore.
Most of you are still learning about how important and helpful it is to have places of safe connection, genuine relationship, and gentle bonding. It may be scary to be around people, but building a positive, healing, trustworthy community is a way of overcoming the need to be isolated in order to avoid abuse.
Again, I challenge you to protect your places of healing. Protect those that are your helpers. Stand firm around your leaders that fight against abuse.
Don’t fall into the trap of complacency or destructive participation.
Your healing resources are depending on that.
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
January 3, 2009
I have a question about stability. I accept that I need to be reliable, motivated, responsible and willing to delve into things I generally don’t want to delve into. As for stability – I can see how a stable client is easier to work with for a therapist. However, what if the beginning stages of therapy have resurfaced old issues or retraumatised the client to the extent that they are now “unstable”? How would this fit with your schema? And what should the therapist’s (and client’s) roles be in re-stabilising?
Typically trauma survivors, particularly those with Dissociative Identity Disorder and PTSD enter therapy because their life is already full of emotional complications, symptoms of depression, anxiety, self-injury, internal chaos, flashbacks, confusion, memory loss, time distortion, time loss, body numbing, nightmares, voices, etc. As a whole, people do not enter therapy because their life is already stable. They go to therapy because they have some awareness that they are starting to fall apart. There is something wrong, something very uncomfortable, and something very unmanageable about their life. They may not be able to define it, but they can feel it and see it in the way their life is unraveling.
And yes, Kerro, you are right. There are various stages of therapy that can be quite de-stabilizing, yet maintaining stabilization is a fundamental building block of therapy. Sometimes the path seems like two steps forward, one step back. And, yes, there are times when it feels more like one step forward, two steps back. It is a very fine balance. To do the healing work required for trauma survivors to gain overall life stability, these survivors have to address painful difficult issues that are potentially de-stabilizing.
So, not doing the work leaves people de-stabilized.
But doing the work also can cause people to be de-stabilized.
Some days, it feels like the line between the two is nonexistent.
Take it slowly, one step at a time. Look ahead, increase your self-awareness, try to maintain the stability that you have, and try to predict the areas of your stability are the shakiest and and prepare for them ahead of time. This is important.
What is stability?
Stability consists of a lot of different elements all at once. Some examples of stability are when survivors:
- Can manage intense emotions without using serious self-injury to cope.
- Can be challenged with something emotionally difficult without making it ”the end of the world” or some other dramatic crisis.
- Are willing to move forward by learning about new areas of life and using new coping skills, instead of self-destructing from the same old place and/or blaming others for their lack of progress.
- Do not consider suicide as a realistic problem-solving solution to difficult situations.
- Can manage feeling depressed, and even suicidal, but knowing they wouldn’t actually do anything lethal or harmful.
- Take their medication as prescribed, regularly and consistently.
- Eat regularly, without starving themselves or without bingeing repeatedly.
- Get a regular, sufficient amount of sleep, rest, and personal down time.
- Have a steady source of monthly income that meets their basic needs.
- Can incorporate painful trauma memory work into their lives without self-destructing or attacking others.
- Work cooperatively with their internal system without attacking each other from within.
- Maintain a safe and consistent distance from and/or can establish boundaries with people that repeatedly abuse them.
- Can keep their regular job/employment, even while working on therapy issues.
- Can use their dissociative skills to their advantage, instead of to their detriment.
Sometimes therapy is like walking through a minefield. If you know you have to get through the minefield to survive, but there is the potential that you will set off one of the mines on your way through, you would tread very carefully. You would check everything you do, in smaller and more detailed increments. You would listen and watch for clues every single step of the way.
In the therapy process, once you start feeling a little too de-stabilized in a particular direction, back off and stop pushing that issue at the moment. Give it a break for an hour, a day, a week, a month — depending on the circumstance. Get to know yourself and what you can handle. Learn your own red flags for when you are starting to fall apart and getting too overwhelmed. Give yourself the space and the time to do your work. There’s no need to rush headlong into things that particularly de-stabilize you.
Remember, when healing from trauma, there are usually many, many different areas of healing. Remember the list of 50 different treatment issues for DID/MPD? If you are finding one area too difficult to deal with right now, simply put that issue on hold, and work on a different area. They ALL have to be done. They ALL have to be addressed. You can decide when something is genuinely too difficult, or too tangled, or too emotional, or too destabilizing for right now.
As a general rule of thumb, put internal communication work and system work as the first steps to focus on. If you cannot even speak to your insiders, you certainly will not be able to tolerate their intense emotional trauma memories.
In years gone by, the mental health profession used to promote abreactive memory work as valid and necessary. I absolutely, unequivocally disagree with that. Abreactions are often hypnotically induced, and they are basically inducing a flashback — putting the person back in time and directly into the intensity of the trauma. Most survivors find they do not even recall abreactive work, so as far as I am concerned, it is an absolute waste of time, and just leaves the person feeling more traumatized than healed.
If you cannot speak, in your normal voice, discussing your trauma memories from the safety of the here-and-now while still connected in the present, then don’t even try to address your memories. It is too soon.
In my opinion, memory work is NOT the core of the healing from dissociative disorders. I believe that developing the internal communication, internal cooperation between parts, and system teamwork is a much more important element, as well as being crucial to a person’s stability. Decreasing the dissociation and separation between the inside people has many facets to it. The trauma is only one area of separation between insiders. Build strong connections with each other first and then, much further down the road, address the memory / trauma issues, and you will likely find that the memory work is much less de-stabilizing than it once was.
Memory work has its role, and yes, survivors do have to process their trauma. Please know that you are not getting a “free pass” on not addressing that. BUT, it is not the first goal of treatment, and it is certainly not the main focus of the therapy.
In your outside life, when you first walk up to someone new, as you are first meeting them, do you say, “Hi. You don’t know who I am. I don’t know who you are. But I want to know your most painful memories. Tell me all your deepest, darkest secrets RIGHT NOW.”
Hello??? Of course you don’t approach people like that. SO, don’t approach your insiders that way either. Get to know them as people first. Find out who they are, what they are like. Build a relationship, a connection, and a rapport with them first.
In fact, building connections in your internal system, building that teamwork approach, improving communication, and etc. is the main and most effective stabilizing factor that I know. Once you truly can connect with your insiders, and you care for them and have relationships with them, you can hear their trauma through an entirely different perspective. You will have compassion for your inner people, and that will help you to heal. Jerking their memories out of them before you even have a relationship with them isn’t good for anyone.
Focus first on relationship building with your parts. Get to know them. Talk to them. Learn their names. Overcome your fears of who they are. Appreciate their strengths. Develop friendships with them. I guarantee that your overall stability will greatly improve as you are more connected with your internal system on a genuinely friendly, caring basis.
Kathy Broady LCSW