November 21, 2010
Freedom of Choice and Client Empowerment or Therapeutic Exploitation?
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I would like to make a follow-up comment from a comment made on the “What Would Your Perfect Treatment Plan Look Like?” blog.
Specifically, a portion of heartofindigo’s comment includes the following paragraph:
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a final comment: I wish that T’s would do exactly what you are doing, and ask. I have heard of so many… can’t think of a way to put this delicately… asinine demands on the patient. like the therapist doesn’t trust the patient’s process or intent or something. like the therapist has “superior knowledge.” unless one has DID, I don’t see how one can assume that they can make the judgment about what is working or not. that has to come from the patient, and so there HAS to be a partnership.
plus that will empower us to reclaim our power, which is the root of the problem in the first place.
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This is an extremely important point.
The dissociative survivor IS the expert for what helps them.
And from what I can see in reading through the comments in the previous blog, the normal 50-minute hour is far from helpful. For most dissociative trauma survivors, it’s not sufficient, it’s not enough, and in many ways, it’s not helpful. DID survivors simply need more time to make sufficient progress in therapy.
Should insurance panels be the final “experts” on how long sessions can be and on how many sessions a trauma survivor can have?
If DID clients are cash-paying for their therapy, can they make their own decisions about how much time they would like to have with their therapist?
Should therapists or counselors have the final say on how much time a dissociative client needs to work on their issues?
Should psychiatrists or doctors have the ultimate decision-making power to determine all treatment plans for dissociative trauma survivors?
Who gets to decide these things? Are clients allowed to have freedom of choice and the freedom to want or request something more or different than the norm? Do mental health professionals have the only vote about what is helpful?
In too many instances, treatment plans for dissociative survivors are designed by – and limited by — mental health professionals and insurance companies. And all too many DID survivors truly do not get their therapeutic needs met because the mental health professionals are setting “appropriate limits” to what they are willing to offer their clients. These limits are decided on based on the therapist opinion, and not on the clients’ needs.
In my personal opinion, a 50-minute session once per week is barely scraping the surface of what is needed to work with the dissociative population. Most DID survivors have a minimum of 5-10 insiders that could productively use the therapy session time at any given day, and the issues that these 5-10 insiders would be discussing would not be simple issues. Typically everyone in the DID system has complicated situations, painful issues, complex conflicts to discuss. Is this going to happen in 50 minutes? Not likely. Is everyone going to get a turn in 50 minutes? Absolutely not. In reality, it would be more likely that each and every insider could fill up a 50-minute session! To have to share such limited therapy time between so many inner people means that the pertinent and important issues just are not discussed in any great depth or detail. It takes a lot longer to make progress because so much just can’t be addressed.
Because of dissociative walls, the need to switch between inside parts, amnesia between many parts, time distortion, other dissociative complications, etc., it very often takes a DID survivor longer to dig into the issues of the day, and longer to get grounded and stabilized afterwards. Having the time to talk to a few of the insiders, to get their opinions about the topic, or to give them a chance to talk about their own issues does not happen quickly.
Part of what created and solidified dissociative identity disorder in the first place was having no where to discuss complicated, painful emotions, turmoil, and distress. For the therapy hour to remain a drop in the bucket in terms of meeting the needs, it leaves the dissociative survivor feeling like they will never get through the healing process. And in some ways, that is too close to being true.
But is it therapeutic exploitation to “allow” clients to have longer sessions and / or more than one 50-minute session per week?
When is too much? If a DID client needs more than normal, even for the dissociative population, should they be allowed to have more sessions than normal?
Should therapists be “required” to set an “appropriate limits and boundaries” by insisting on short sessions, even if DID survivors say and believe they need more time in therapy?
If clients say they need 2-hour or even 3-hour sessions, should they be allowed to have extended sessions? OR should therapists have the right and responsibility to limit these sessions to “normal limits” instead?
Whose opinion is correct?
In these situations, do therapists know best or do dissociative trauma survivors know best?
In case of a disagreement between the client and therapist, who should have the final say in length of sessions and frequency of sessions?
As heartofindigo stated, a big part of the healing process is about reclaiming personal power that was not allowed during the years of trauma.
Is freedom to decide length and frequency of sessions part of client empowerment? Or part of therapeutic responsibility?
What are your thoughts about this dilemma?
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By:
Kathy Broady LCSW
http://www.AbuseConsultants.com
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
November 11, 2010
What Would Your Perfect Treatment Plan Look Like?
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In this blog article, I’d like to hear your opinion.
It’s very clear that the mental health professionals out in the world do not agree on treatment goals for dissociative identity disorder (DID / MPD). For that matter, the mental health professionals of the world do not even agree that dissociative identity disorder is a real and legitimate diagnosis, let alone agree on how to best work with trauma survivors with dissociative issues.
The disparity of perspectives and lack of education, training, and knowledge about dissociative disorders means that therapists take all kinds of different tactics in their approaches. Obviously, some of these approaches are more effective than others.
After reading the hundreds of comments on the different articles on this blog, it is very clear that many dissociative survivors are not feeling completely satisfied with their healing process. There are various limitations and obstacles in the way of having optimum treatment. Many of you have written about some wonderful therapeutic experiences, but plenty of frustrations have also been included.
Please note: I am not asking about your therapist’s personal faults – please don’t use this blog as a way to bash your therapist.
I’m actually asking the opposite. Dream big for a minute. If there were no limitations preventing you from having the perfect treatment plan for DID, what would that include?
In my opinion, those of you that have DID or live with someone with DID are the experts here. You are much more knowledgeable about DID than the mental health professionals are and you know what genuinely works for you and what doesn’t. So, in order to get an better understanding of what works best for the treatment of DID, I’d like to hear from a bunch of you. You are the true experts here on what works. You all know what you need to get through your healing. You know what helps and what doesn’t help at all (even if the mental health professionals insist on doing it that way).
Obviously what works best for one person may be a very different list of options than what works best for someone else, which is completely ok. Everyone’s opinion is welcome and no one will be more right than anyone else.
Your comments would be appreciated, and your ideas as a collective group will be important. The comments you write could send a message to the trauma therapists of the world and hopefully help them to hear what actually works, from your perspective.
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If you could design your perfect treatment plan for DID, what would that look like?
- How many times per week or per month would you meet with your therapist?
- How long would your sessions be?
- What kinds of things would happen in your sessions?
- What artistic or creative therapies would you include?
- Would your sessions be inside of an office or anywhere else?
- What time of day would your sessions occur – morning, afternoon, evening, or night?
- Besides your therapist, who else would you want to have on your treatment team?
- Would you include any kind of group therapy in your treatment plan?
- What kinds of approaches would you want your therapist to use?
- Who from your DID system would be allowed to speak and present up front during your sessions?
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Any other thoughts, comments, or ideas are welcome!
———-
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
October 22, 2010
Wellness Guru Award
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My news of the week can be summarized in the following quotes from two eCollegeFinder letters:
First…
I’d like to congratulate you, as Discussing Dissociation has been nominated for eCollegeFinder’s Wellness Guru Award. eCollegeFinder is an online education resource dedicated to inspiring and informing college students with comprehensive online tools and information. The Wellness Guru Award recognizes the top web experts that offer students mental, physical and emotional advice. Your website has shown commitment to assisting individuals in their pursuit of a healthier lifestyle and this award is intended to commend your efforts.
And then…..
Congratulations, you have been selected as one of eCollegeFinder’s top 50 Wellness Gurus Award! To recognize your excellence, we have dedicated an entire page to the Wellness Gurus Award that allows our readers to learn more about your blog and what inspires you: http://www.ecollegefinder.org/wellnessguru.aspx
… Congratulations on your achievement and we hope that this recognition will continue the promotion of wellness.
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WOW!
Wellness Guru Award
So thank you to eCollegeFinder for selecting Discussing Dissociation – Thoughts from a Trauma Therapist as a winner for the Wellness Guru Award! That is a wonderful recognition, and I sincerely appreciate the honor.
Also, to whoever it is out there in the world who nominated Discussing Dissociation for this award – THANK YOU too! I have no idea who submitted this blog to the eCollegeFinder organization, but I am very grateful and I feel deeply honored that you would consider this blog to be an award-worthy site for individuals pursuing wellness and a healthy lifestyle.
Thank you!
And I do wish a lifetime of WELLNESS to each and every reader of this blog!
———-
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
October 15, 2010
Turning Self-Injury into Self-Soothing
Self-injury is a problem all too common for trauma survivors with dissociative identity disorder (DID / MPD) or borderline personality disorder (BPD). For that matter, self-injury (SI) is an issue for other populations of people as well. This discussion will focus more on the effects of trauma and abuse and how self-injury can be addressed effectively. However, because self-injury is actually a very complicated topic, this particular blog article will reach only a few of those layers.
In my years of working as a trauma therapist, I have noticed that many DID survivors self-injure when they are in emotional pain. They are hurting, their heart feels broken, they feel betrayed or abandoned, or they feel incredibly sad (but can’t cry). Turning to various forms of self-injury and self-harm sometimes helps to temporarily relieve their emotional pain. (Trauma survivors also self-injure when they believe they need to be punished, or when they are extremely anxious, or when they are feeling strong compulsions or hearing internal instructions, etc.)
One of the reasons self-injury works is because the brain cannot distinguish between a self-caused physical injury and any other type of physical injury and upon recognizing a body injury, the brain releases all the necessarily chemicals and hormones. Dopamine, serotonin, and neural structures are significant in this process. I’ll refer all the complicated medical explanations to others more qualified, but the point being is that the act of self-harm creates a reaction in the brain that allows the hurting person to feel a little more calm and numb.
In other words, when self-injuring, survivors are trying to feel better. They know they are in emotional distress, they recognize the emotional pain, and they know they are hurting. And they want to feel better, or at least to feel differently.
Self-injury can be a quick fix for these intense feelings. In that sense, self-injury is not a lot different from having a few shots of whiskey, or a shot of heroine, or a plateful of doughnuts, or a pound of chocolate. Many addictive behaviors are centered around finding a way to feel better when hurting.
Typically speaking, this has been a life-long issue. From even their youngest days, most dissociative trauma survivors were neglected or ignored when they were hurting. They were not comforted, and their pain was not acknowledged. Even as very young children, they were left alone with their pain and injuries. All too often, they were not properly tended to, they were not cared for, they were not hugged, they were not given medical aid. They were hurt – physically and emotionally – and they were left on their own to manage.
In my opinion, this lack of comfort and the years of neglect are some of the biggest crimes committed against young children. Neglect is as significant in causing harmful life-long effects as any direct trauma.
So, when working with trauma survivors who experienced significant pain and next-to-no comfort, a critical and crucial part of their healing process is to teach how to accept and create healthy and positive comfort.
Children who are injured in healthier environments are very much comforted by their mothers or fathers or other caregivers. Their hurts are recognized and acknowledged appropriately. These children are given hugs and gentle affectionate kisses. They get band-aids — sometimes they get the fancy special band-aids with Snoopy or Spiderman or pretty flowers on them! They are checked on repeatedly, they are allowed to sit close to their caregiver, they are given other little treats (such as stickers, or the chance to watch their favorite cartoon), etc. These injured children learn that positive forms of comfort can help them feel better.
Since traumatized dissociative survivors were typically not taught these ways of receiving comfort, this becomes an important treatment goal in their healing process. They need to know their wounds can be tended, that their hurts matter, that someone hears them, and that they can be treated gently during times of pain.
Tending to the hurts and the wounds often has to be modeled to dissociative trauma survivors. In many situations, this will be completely new experience for them, and the process of having their hurts be important, can be a profound experience.
As trauma survivors start to experience genuine comfort and caring from others (this may start first in the therapeutic office setting), these survivors will eventually learn to copy these same kinds of behaviors and apply them towards themselves and their other insiders.
Emotional pain is no different, and in some ways, addressing and comforting emotional hurts is even more important.
Teaching trauma survivors to sit with their emotions and to increase their ability to endure intense emotions is an essential part of the healing process. In early stages of therapy, most DID survivors can barely touch their feelings. In the later stages of the healing process, DID survivors can sit with their feelings, no matter how intense they feel them, and not turn to anything destructive or harmful.
In order to sit with those feelings, survivors need to learn what to do during those moments. They need to know and understand that they matter and that bringing more harm and pain to their selves and their bodies is not the answer. Learning how to comfort themselves – how to self-soothe, instead of self-injure – is a significant process in their healing.
Self-soothing means that the person is doing something that brings comfort in a helpful, positive way. Feeling better can become about comfort instead of numbing. Survivors can learn that they are worth being comforted, instead of being feeling unvalued and ignored.
Each time trauma survivors are comforted in their pain, instead of ignored or injured more because of their pain, they are experiencing a corrective emotional experience. Correcting the neglect by experiencing proper comfort, including self-soothing comforts, is incredibly significant in the healing process.
Comfort actually works much better than numbing, especially in the long run. Comfort allows for pain to heal. Numbing (or self-injury) means that the pain is just postponed until it comes back again.
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Ways to Self-Soothe Include:
Self-soothing is unique to each person, just as any other preference is unique to each person. There are dozens and dozens of healthy options — explore a variety of different options to see what works best for you. Some ideas to try include:
- Listening to music that matches your mood – if you are feeling sad, listen to music that will help you express that sadness.
- Sing to yourself (even if this means making up your own songs, or singing sounds), or play musical instruments as a way of expressing your feelings.
- Wrap yourself up in your favorite comfy clothes or in a warm blanket and snuggle up somewhere safe, quiet, and protected.
- Hold or hug a pet, a stuffie, or a pillow.
- Sit close to someone safe. Lean against their shoulder, or find some way to have physical contact that is in no way sexualized or dangerous.
- Sip on your favorite tea, or any other gentle beverage, and treat yourself to a few simple snacks that are not heavy, but are tasty and nutritious.
- Rock in a rocking chair, or sit in a swing, and let the movement relax and calm you.
- Walk slowly or sit quietly in areas of nature that are beautiful and inspirational.
- Make your room, or your home feel particularly cozy – have nice smelling candles, or soft lighting, or bring out your favorite treasures to look at, sit by a calming fireplace (not for injury purposes! But yes, sitting by a warm fireplace can be very beautiful and calming). If you need to clean up an area first, that is ok, because it is important to be in an area that you can feel calm and quieted.
- Take a warm shower or a warm bath, using very nice smelling soaps and body washes. Dry off with your favorite most soft towels. The more you can make this a “spa-like” experience, the better.
- Bring in fresh flowers, or fresh greenery, or pretty leaves. Looking at something beautiful from nature, even while you are indoors, can be calming and soothing.
- Allow yourself to cry, uninterrupted, when the feelings come. Crying really is allowed, it really is ok, and it is a natural expression for pain. Use soft tissues, and don’t punish yourself for having real human emotions. Give yourself permission to feel, permission to heal, and permission to respond naturally to your pain. The more you can express your emotions in natural ways, the healthier you are.
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Trauma survivors — you really can help yourself to feel better without bringing more pain and injury to yourself. The key is to surround yourself with lots of nice, positive moments that help you feel better through the course of the day. Practice self-soothing every single day, especially on painful days. It will get easier, even when if it doesn’t feel easy or natural to you at first. You can learn this, and when you do, it will make a huge difference in your life.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
October 11, 2010
Who’s Looking at You In the Mirror?
The following drawing is a DID survivor’s response to my question: Can you picture dissociative identity disorder?
*** If you are a dissociative trauma survivor, please read the following article with caution. Some of the topics presented in this blog article could create an emotional reaction from your internal system as several difficult but important topics are mentioned. Please be sure to tend carefully to your own safety and stability. ***
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This drawing is helpful to understand dissociation – the very picture itself portrays how it feels to have dissociative identity disorder (DID / MPD). Assuming this drawing represents one actual person, the plural, divided-self experiences are visually obvious.
In addition to the whole of the picture, I’ve picked out a variety of elements that could be significant to the dissociative system being pictured. I will include some of the thoughts and questions that come to mind as I look at the different areas of this drawing. A lot of helpful therapeutic information can surface by asking the following questions to the survivor artist. Many of these questions could be asked to any other dissociative survivor in terms of exploring their own internal systems.
1. The blank face in the mirror
- Why is this a blank slate?
- Is there ever a time when “no one” is there? What is that like?
- Does the face place not belong to anyone in specific?
- How often does this person switch?
- Does anyone claim the face?
- Who does the actual face belong to?
- When you switch, are there visible differences in the face?
- Is there a specific leader to this dissociative system? If so, where is this person pictured?
- How often does this dissociative survivor feel like she is living outside of her body or separated from her body?
2. Notice that there are other inside system parts visible in the overall picture –
- Some parts are in the front
- Some parts are in the back – what is the significance of these different locations?
- Some parts are unknown (blank spots)
- Some parts are pictured standing alone
- Some parts are closely connected to someone else
- Some parts are older, likely adult in age
- Some parts pictured are very young
- Some parts pictured are middle-aged children
- Some parts pictures appear to be teenagers
Additional Questions:
- Can you identify any of these insiders as specific individuals?
- Who talks to who?
- Do the insiders on the back communicate with or know about the insiders located on the artist’s paint palette?
- Since we are seeing only a small portion of the actual body, are there other parts located elsewhere that are not pictured in this drawing?
- If there are other system insiders that are not pictured in this drawing, would you consider drawing another picture that does include them?
- Do the two main figures in this picture represent two distinctly different systems?
- Are you aware of what happens when the insiders “from the back” are out?
- Do you experience more time loss with the parts that are connected to the body but not visible because they are on the back or with the parts that you can see, but are more separate and pictured on the paint palette?
3. The hair and the clothes are different in the mirror — ever so slightly — but still different. Notice the different hairstyles / clothing for the different insiders – a clue for who is out might be related to the actual hairstyle / clothing they are wearing that day.
4. What is the thumb covering? I would need to ask the artist to know what this represents for sure, but several possibilities do come to mind.
- Is this a dark area of the internal system that is trying to hide?
- Is this an area that represents difficult feelings like shame, pain, anger, or any areas of life that may not be comfortable to look at?
- Using the metaphor of the paint palette, the dark spot might indicate a hole in the palette. Does it have any other significance than that? Are there “holes” in your system? To where does that hole lead?
5. Mirrors
As much as one figure appears to be the reflection in the mirror, is the mirror actually the doorway for an entirely different system than the parts outside of the mirror? It is not uncommon for mirrors to be part of the internal world / internal landscape of a dissociative survivor. These mirrors are very significant and will require specific therapeutic attention.
6. Circles
Some dissociative survivors speak about circles in their life, and circles can represent specific relationships, and / or being “in the circle” can have layers of meaning.
- Is there any significance or meaning to the circle designs included in this drawing?
- Do the insiders stay separated in their circle “bubbles” or are they allowed to mingle with each other?
7. Colors
Since the artist of this drawing used the paint palette metaphor to show their system, do colors have an important meaning to their system? Are certain parts associated with certain colors? For example, are there parts from the “green layer” or are there parts associated together as part of the “blue group”, etc. If so, what do the different colors mean, and what are the common characteristics or job roles of the insiders associated with each color?
8. Box Frame
What is the relevance of the square / rectangle mirror frame? Does seeing a main figure inside the box frame have any significance? Are any of your insiders tucked away in boxes? If your system insiders are not in boxes, do you have other issues boxed up?
9. Connection to the Body
One of the strongest themes in this picture relates to the way the different parts of the system appear to be very separate from the body.
- How often is this person in a numb, dissociated, depersonalized, or out-of-body state?
- When the parts from the paint palette are “in the body”, can the artist feel that they are present? Or do these parts continue to have a separated distance?
- Does the body feel the same or different when the mirror-reflection group of insiders is present in the body?
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I have found this drawing to be rich in information that would be useful when discussing the dissociative issues experienced by this trauma survivor. There is much to learn about this survivor-system and asking these questions is just the beginning.
What do you see in this picture?
What else would you wonder about?
———-
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
August 8, 2010
Switching in Your Sleep -– Are you Snoozing or Secretly Awake?
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In situations where dissociative survivors feel like they don’t lose time, it can be helpful to ask a lot of questions about how they experience life, time, recall, etc. There are a wide variety of reasons why systems get so tightly shut down from switching, (or from the appearance of switching), so it really depends on what else is going on. There could be other ways that the insiders are coming out, and for reasons that would take a lot of exploration, the inside parts could be hiding themselves from the host personalities.
Sleeping can mask a lot of switching.
Sleeping
Switching during your sleep is one way of losing time when you don’t know that you are losing time.
This is not sleep-walking. Certain parts of the dissociative system are sleeping deep inside, but the body of the dissociative person is actually awake and at least one part of the system is completely aware of what is happening. It may be that one layer of the system is awake while other layers of the system believe they are sleeping. While some parts sleep, other parts are awake and actively involved with activities.
If you have dissociative identity disorder, how many hours of the day do you sleep? Even though you assume you are sleeping, are you really asleep?
Sometimes dissociative survivors will tell me they sleep long hours everyday or they take frequent naps. With careful examination of that sleeping time, it is not unusual for the hosts to adamantly believe they are sleeping, while other parts of the system wake up, get up, and go about their own activities. When the insiders are finished with their tasks, they lay back down, go back to sleep. A few minutes (or hours) later, the host wakes back up, with absolutely no awareness that other parts were out and active during what felt like “sleep time”.
Do your child parts wake up while your adults are sleeping?
- The host can feel like they were just dreaming.
- Or they may wonder why they aren’t feeling rested after such a long sleep.
- Or certain inside parts truly blocked the loss of time from the other parts of the system.
- Or the host parts “thought” they were resting, and would say, yes, they were doing that, but when they actually think about it, they don’t remember actually doing it.
This type of sleep-hidden switching can also happen for DID survivors sleep in shorter chunks of time as well. If someone is “always tired”, it is easy enough to hide the additional hours of waking by the normal feeling of “I’m always tired”.
Sometimes, dissociative survivors just don’t think about how much time they are losing – it is a normal way of life, and calling attention to the time loss is what’s new and different. As far as they are concerned, they have always been dissociative, and they have always switched, they have always had missing chunks, they have always had to scramble or cover for missing information, and they have always slept weird hours. To think of life as a continuous state is completely foreign.
For treatment purposes, it is important for dissociative survivors to ask their systems why switching to other parts would need to be hidden and disguised through sleep.
Do you know who wakes up when you go to sleep?
- Why are these parts hiding so much from you?
- What are they doing?
- Are they going anywhere?
- What keeps them from doing whatever they need to do without having to make you “sleepy”?
- Why do you need to be asleep for them to be out?
- Is this a re-enactment from history or do they have their own lives going out completely outside of your awareness?
- What do they know that you don’t know?
- Who do they know that you don’t know?
Getting to know the parts on the other side of the dissociative sleep wall is important. Trying to build a connection and establish some version of communication with these insiders is essential for your healing.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
July 10, 2010
I Had a Great Time – Thanks for Asking
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*** trigger warning for dissociative trauma survivors ***
The collage and the material discussed in this blog is emotionally intense and could be triggering. Please be sure that you are in a safe place before reading further.
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Trauma survivors with dissociative identity disorder often have to live a double life. There is the public face, full of pretty smiles and general surface chatter that says “I’m fine”, “I’m doing great!”, “I had a good time”, “Nothing is wrong”, etc.
Recognize any of those kinds of cover-up phrases?
Unfortunately, all too often, looking the other side of these statements proves a very opposite reality. The person is feeling anything but “great”.
Every DID survivor I have ever met has a whole repertoire of phrases and quick answers that indicate they are doing well, that everything is ok, even when they actually are not ok. DID survivors know how to cover and hide their pain. Besides dissociating away the evidence, feelings, and awareness of the abuse from themselves, they have also developed a variety of social skills to cover and hide the depth of their confusion, upset, emotions from others.
On the other side of “I’m fine”, there are very different feelings – depression, fear, anxiety, sadness, overwhelm, emotional pain, grief, shame, anger, just to name a few. Sometimes there are flashbacks, body memories, nightmares, self-injuries, addiction issues, etc. There are often feelings related to self-injury, self-destruction, and self-hatred. Sometimes there are incidents of trauma in the current day, or domestic violence, or sexual assault, or date rape. Life can feel pretty dark.
But still, all too often, the survivor will say, “I’m fine.”
The following collage says it well.
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I'm fine. Thanks for asking.
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In case they are a little hard to read, the words on the collage are as follows:
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This can’t be happening
It’s not real
It’s not real
It’s real.
It’s really happening.
To me.
What will I say? What do I say?
I can’t breath I can’t breath
I need air.
Gravel in my hair hurts.
What will I say tomorrow?
What if I get grass stains on my dress?
I can’t breathe.
Please God help me. Please.
Please save me.
Help me
Someone help me
Someone
Anyone
Please.
Please.
PLEASE.
There’s no on
And he’s on top
And I can’t breathe
And this is hopeless
And I think
I can’t escape
God please —
I’m fine I’m fine I’m fine I’m fine I’m fine I’m fine I’m fine I’m fine
I can never tell anyone about this
What would everyone say? They’ll all be bragging
About what a good time they had tonight
I can’t say
This is the night
God abandoned me
That my soul was killed
That the world left me behind.
I had a great time, thanks. Thanks for asking.
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In this collage, notice the initial dissociative statements. “This can’t be real” indicates the need to dissociate and separate from what is happening. Even when the artist recognizes that it is really happening to her, she separates herself with the tiny “to me”.
The middle section describes a sexual assault. Some of the pain and discomfort of the abuse is included – for the most part, the details of the rape are not mentioned. However, the fears and pleas for help are included, showing the desperation felt by the woman being assaulted.
Finally, at least for a short while, the abuse has stopped.
It appears, that after the assault happens, this survivor is expected to make a social appearance at a party or a dance. The social event is supposed to be great fun, but how can a social event be fun right after having experienced a sexual trauma?
But still, the survivor says she’s fine.
- What keeps her from talking about what she just experienced?
- Do you understand why she covers and hides the abuse instead of telling others about it?
- Does this survivor remember that she was just assaulted?
- Did she build an amnesiac wall around the abuse?
- Did one insider deal with the trauma, and another insider go to the party?
- Is this survivor denying the abuse?
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Part of the healing process is connecting the reality of the situation with the truth of emotion. Chances are, this survivor does not actually feel fine at all.
What could she do now?
___________
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
July 4, 2010
Land of the Free?
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For us here in the US, it’s the July 4th holiday weekend. Barbecues, picnics, swimming parties, and fireworks are happening all over the country. Red, white, and blue stars and stripes are visible in every direction. It’s a fun holiday – most people are in festive moods.
July 4th - Independence Day
The point of the Independence Day holiday is to celebrate freedom. It’s about being free, living in a land that is free, feeling free and all kinds of good stuff like that. Freedoms do exist in all kinds of ways – there’s no doubt about that. Life can be good. Most of us here in America have the freedom to live our lives in ways that we choose for ourselves.
But is everyone free?
Unfortunately, no.
People get trapped and stuck in a variety of ways. When this happens, their life feels anything but free. Sometimes the traps are made by the people themselves. Sometimes traps are made by societal views, racial hatred, poverty, language barriers, etc. Sometimes the traps are made by mental illness. Sometimes traps are set by other people, especially in situations involving chronic trauma and abuse. Sometimes traps are made with mind control.
This weekend, while I am enjoying the chance to make decisions for myself, I am thinking about people who are not feeling as free as I am.
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1. Trapped within their Compulsive Hoarding
Have you seen any of the recent flurry of television shows about compulsive hoarding? Titles such as “Hoarding: Buried Alive” (shown on the TLC channel) describe exactly how trapped people become when they suffer from compulsive hoarding. Their own home becomes their jail, and far too many compulsive hoarders are stuck in their lifestyle, with no clue how to free themselves from such heaviness.
Hoarding: Buried Alive by TLC
Hoarders do not feel free. They do not have a sense of freedom in their own homes. They are often laden down with many extreme obsessions, compulsions, anxieties that may not even be rational, but still claim total ownership to their mind and lives.
The more someone hoards, the less space they have to move. Eventually, even the freedom to walk around their own home becomes nonexistent. They become complete prisoners to the items they are hoarding.
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2. Trapped with Fears and Phobias
Fears and phobias can imprison a person in a very extreme way. Fears of talking to people, fears of leaving the house, fears of trying new foods, fears of eating in public, fears of riding in cars, fears of the unknown, etc. can all keep a person stuck into a very limited life-space. When people are too frightened to venture out of their status quo, they are stuck and trapped in whatever place they are in. The more fears they have, the more traps they live in. Their living space can get smaller, and smaller, and smaller.
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3. Trapped by Obesity and Eating Disorders
Categories of Weight
People that are obese are trapped within their own bodies. The lack of freedom to move, or walk, or bend, or stretch can feel very entrapping. Eating disorders, including anorexia and bulemia, can also create a prison with the body. When the body becomes the prison, every minute of the day feels trapped. There is no freedom since the prison goes everywhere.
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4. Trapped with Ongoing Abuse and Trauma
Unfortunately, there are far too many survivors of trauma and abuse that are still current victims of trauma and abuse. This includes anything from child abuse,
Ongoing violence and abuse
domestic violence, incest, and date rape, to human trafficking, prostitution, sex slavery, cult groups, etc. When people are controlled by other people through violence and pain, they are often too beaten down to see a way out. They are not allowed to see or believe that they can escape from their abuse, and they are typically not given or allowed the resources to leave. Any efforts to leave require an incredible depth of personal strength since the external controls and risks of violence are excessive.
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5. Trapped with Mind Control
Mind control is the invisible jail. Dissociative survivors of chronic, severe abuse have elements of mind control that effect every essence of their lives. Survivors of organized or ritual abuse will absolutely have parts within their internal dissociative systems that were purposefully made and created in order to contain elements of mind control and programming. DID survivors with mind control issues will have parts in their systems that have been expertly trained to do tasks that are opposite from what the host personality / day parts are willing to do. Amnesia and dissociative walls (blocking off the sharing of information) can mean that a dissociative survivor can have missing time and minimal (if any) awareness that certain events happened. DID survivors may have no awareness of what is going on in their own lives.
Who is in control of the mind and body?
Mind control can dictate what dissociative survivors say, where they go, who they talk with, who they interact with, what they do, what they tolerate, what they feel, what they think, etc. Having internal system parts that are controlled by mind control means that there are certain elements of the life (and certain times of the day or night) that your life is being completely controlled and manipulated by someone else. Other parts of your system will take over the body and they do exactly what they have been told to do by the abusers who are using the mind control tactics. This can be very scary, and the people whose lives are “taken over” by mind control certainly do not feel free.
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Creating Freedom within Your Own Life
When you are trapped by any of the above-mentioned areas of life, it will take a lot of hard work to get out of those traps. It is possible. Yes, in every single situation mentioned above it is absolutely possible for the enslaved people to get out of all the traps. But freedom for any of these people does not come easy. It takes a lot of consistent work, typically for years of time.
Do you want real freedom in your life?
Do you want the ability to walk, move, think, decide, and believe for yourself?
Do you want the freedom to be your real, authentic self and have a life completely under your own control?
Freedom is to be your true self is an absolutely wonderful thing.
And yes, that’s an option for you too.
Don’t let anyone convince you otherwise.
You might have to fight for it, but yes, absolutely, you can have freedom too.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
