January 7, 2009
Posted in DID Education, DID/MPD, Dissociative Identity Disorder, Internal Communication, mental health tagged Acceptance, Belonging, Breaking, Communicate, Communication, Confidence, Denial, DID/MPD, Dissociated, dissociative, Dissociative Identity Disorder, Dissociative Wall, Effective, Emotion, Family, Healing, Hear, Hidden, Hurt, Information, Inside Part, Insider, Internal Communication, Internal World, Intimidating, Journal, Kathy Broady, Landscape, Learn, Learning, Letter, Listen, mental health, Overwhelm, Painful, Panic, Potential, Private, Relationship, Safe, Skill, Social, System, Talk, Talked, Talking, therapy, Trauma, Trigger, Triggering, Understanding, Upset, Visual, Visualize, Wall, Worry at 3:48 pm by Kathy Broady
There are a variety of ways to develop basic, effective skills in internal communication with your dissociative system. Most of these skills are very similar, even the same, as the communication skills used with real people in the everyday world. There is no fancy trick to learning to talk to your inside people. Everyone can do this.
Have you spoken to people in your everyday world? I’m sure that every one of you has spoken to outside people before. If you can speak to real people and develop ongoing relationships with them, you can certainly develop the ability to communicate and build relationships with your insiders.
Don’t panic — I completely understand that many people with Dissociative Identity Disorder have difficulties with social situations and social relationships. I am fully aware that speaking with “real people” can be intimidating, challenging, difficult, disastrous, etc.
Here’s the good news. In some ways, it is actually easier to develop communication with your internal system because they are there with you more of the time. The opportunities available to you to speak with your internal system exist all day long, and frequently all night long as well. And because they are a part of you, they will already have some innate understanding of how you think and why you think it. The ability to connect with each other can happen more easily because you already have the foundation of literally belonging together.
One of the easiest ways to facilitate internal communication is using the internal worlds – the internal landscapes of your dissociative system. Simply said — step back and go inside, look around, see who is there, and then speak to them. If you see someone — anyone — say hello, and start a conversation with him or her. If you hear others inside, even if you can’t see them, speak in their general direction. Chances are, if you can hear them, they can hear you. You don’t have to know their names. You can easily begin a conversation with “Hi, what’s your name?” or “Hello, how are you?”
Looking inside is a natural skill for most DID/MPD folks, especially once the idea of having an internal dissociative system is accepted and denial is not clouding your willingness to interact with your other parts. Communicating with your other parts will be much easier if you are truly willing to see them and hear from them. Your genuine positive acceptance of their existence is a critical foundation to effective communication.
You don’t have to be comfortable with absolutely everyone in your system to begin working on internal communication skills. Start with who you know, who you can see, who you can hear, and then build that over time to include more insiders. If you can already see someone inside, that means there is significant potential to build that relationship. The folks that are the most dissociated from you will still be hidden, or further away. That is ok. Start with folks that are already closer and less intimidating to you.
Learning to communicate well with even one or two or three other inside parts will make a significant difference. Especially in the beginning while you are learning these skills, keep yourself from becoming overwhelmed by speaking with only a few others. Even in real life, we don’t have to talk to everyone we see. Start with the people that are the closest and feel the safest and the most comfortable to you. Build your confidence with them, and plan to meet others at a later point.
If visualizing your insiders is difficult or too scary for you, try putting your communication out on paper. The main point is to start somewhere — and the sooner, the better.
Create a handwritten journal or a document in your computer that can be specifically designated as a place for you and your insiders to communicate. This needs to be private, and not open for the world or your family members to see. In that space, write letters to each other. These letters don’t have to be long. Brief introductory comments and simple questions will work just as well, if not better, than long paragraphs.
You will be breaking through old, long-term dissociative walls by doing these communication exercises, and it is critically important to not flood yourself with too much emotion or too much information when first talking to the others inside. Do not start with trauma material. Do not ask about painful secrets. At these beginning stages, purposefully stay away from any triggering topics.
The following questions and comments are typically safe conversation starters:
- Hi, my name is …. What’s your name?
- Hi little one, how old are you?
- Hi little one, you look very scared. Is there something I can do to help you feel safer?
- Hi there. My name is …. Some of my favorite things to do are … What do you like to do?
- Hi. It’s nice to meet you. Have you seen me around here before? It’s great to get a chance to speak with you. I’m hoping that several of us can get together a little more often. Would you be willing to meet some of the other people in here?
- What kinds of things are worrying you today?
- Is there anything I can do to help you feel better? Would you like a drink of water? Or a nice soft blanket?
- Hi there. You look upset. I’m not here to hurt you. Can you tell me what’s bothering you today?
- Hi there, little one. Have you ever met the little girl over there? She is about your same age. Maybe the two of you can be friends. Would you like to meet her?
- Hi there. It’s nice to meet you. Have you talked with anyone before? Would you be willing to write in our journal and introduce yourself to the others that are in here?
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These are some basic ideas. Communication gets much more complex than this, of course. This topic will be continued in future posts.
__________
By:
Kathy Broady LCSW
www.AbuseConsultants.com
www.SurvivorForum.com
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December 22, 2008
Posted in DID Education, DID/MPD, Dissociative Identity Disorder, mental health, therapy tagged Abuse, Amnesia, Anger, Anxious, Behavior, Blaming, Change, Client, Courage, Crisis, Dangerous Relationship, Dependability, Depressed, DID/MPD, Dissociative Client, Dissociative Identity Disorder, Dysfunctional, Emergency, Family, Fear, Feedback, Feeling, Frustration, Guideline, Healing, Healing Process, Hearing, Homework, Issue, Kathy Broady, Learn, Memories, Motivation, Painful, Panic, Personal Responsibility, Problem, Process, Psychotherapist, Qualities, Relationship, Resistant to Change, Responsible, Scared, Self Injury, Stability, Stable, Step, Suicidal, Suicide, Survivor, Therapeutic Option, Therapist, therapy, Toxic Relationship, Trauma, Trauma Survivor, trauma therapist, Willingness at 7:21 pm by Kathy Broady
Most clients quickly think of the many qualities they want in their therapists. However, are those clients also thinking about whether or not they are presenting themselves as the type of client someone would want to work with? As an experienced psychotherapist, I am proposing that there are many criteria for clients to consider about themselves as well as about their prospective therapists.
Many of the following issues pertain specifically to trauma survivors and those with Dissociative Identity Disorder (DID/MPD).
Please consider the following concepts as important guidelines.
1. Stability
- Are you in a constant or repeated state of crisis?
- Are you looking for someone to rescue you immediately?
- Are you repeatedly in a suicidal or self-injurious panic?
- Do you make more than one emergency call every few months?
- Are you frequently in drunken states, or on the verge of over-dosing, or on the verge of self-injury or suicide?
Most therapists are not as interested in taking on heavily crisis-laden clients. The more stable you are, the more therapeutic options you will find.
2. Dependability
- Do you show up for every appointment?
- Do you cancel at the last minute?
- Do you pay for your sessions up-front and without issue, irritation, or complication?
- Do you do you keep your word, and follow through with the things you say you will do?
- Do you regularly pass important information between the leaders of your internal system, and not hide behind dissociative amnesia as an excuse?
The same as employers, babysitters, and doctors, therapists want to be able to count on you. They don’t want scheduling nightmares, and they don’t want to have to beg or fight for their pay. Remember, there are a lot of other people involved in each weekly schedule, so keep your time spot precious to you. Show your therapist that your therapy work matters to you.
3. Motivation and Willingness
- Are you willing to do what it takes to get through your healing process?
- Are you open to new ideas?
- Are you resistant to change? Do you react with irritation, anger, frustration, or refusals when you are expected or encouraged to change?
- Do you complete your homework each week?
- Do you bring new issues of needed work to the table? Are you presenting topics that need to be addressed? Or are you waiting for someone else to point the trouble spots out to you?
Coming to therapy typically means you are looking for some type of change in your life. If you are happy with the way things are, or you do not see any areas that need work, or you do not see any changes that you are willing to make, why are you going to therapy in the first place?
4. Courage
- Change and healing require taking new steps – both little steps and big steps. Can you do that? Will you do that?
- Are you too scared or too anxious or too depressed to try anything new?
- Are you willing to venture into difficult, complicated, painful areas of therapy work?
- Are you willing to look at painful memories when it’s therapeutically needed or recommended?
- Are you willing to look at the reality of toxic, abusive, or dangerous relationships, even those with your loved ones or family members?
Therapists can help you address your fears, your problems, and your issues, but only if you are willing to allow that to happen.
5. Personal Responsibility
- Are you willing to look at what you are doing to contribute to the problems you are experiencing?
- Are you willing to face your part of the problem, rather than focusing exclusively on blaming others?
- Are you genuinely open to hearing feedback about your issues?
- Do you retain the things you have learned from session to session, month after month? Will you be able to apply what you learn over time, or will you continue to use dysfunctional responses over and over?
- Even if you are dissociative, are your adult parts in charge of and responsible for your child parts? Are you able to maintain an adult presence when necessary?
The more responsibility you take for your own healing, your feelings, your behavior, etc, the further you will go in your healing process.
__________
(Please come back — the second half of this article will be posted tomorrow.)
__________
by:
Kathy Broady LCSW
www.AbuseConsultants.com
www.SurvivorForum.com
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