November 21, 2010
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:
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.
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?
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
July 31, 2010
One of the diagnostic criteria for dissociative identity disorder is experiencing amnesia or lost time. While losing time may seem like an obvious hole in your every day life, it really might not be as obvious as it seems it could be.
For dissociative trauma survivors, the sliding of time is a normal everyday way of life. It just is how it is, and time feels very different for DID survivors than it does for other people. Dissociative survivors may or may not pay attention to the minutes that are gone, or the hours that have slid quietly by. They are very used to the ebb and flow, and unless there is reason to pay specific attention to the idea of lost time, they may not really be genuinely aware of how much time they lose.
Every dissociative survivor I have met has recognized specific periods of lost time in his or her life. Sometimes, multiples think they do not lose much time, but with a few detailed questions, it can soon enough be shown that there are very clear gaps in memory and awareness of regular life events. There will be everyday type things that they know they should know, but they don’t.
Some multiples will notice big chunks of time that seem to be gone. It will be 2 pm, and then suddenly, it’s 9 pm, and the survivor has no awareness of what happened during those seven hours. Those hours are considered lost time because they feel completely lost and unaccounted for. The host parts don’t remember what happened. If they look around, they might get some clues about what may have happened, but for the most part, it feels like time completely jumped seven hours ahead. Time feels lost to them because there is basically no information and no awareness about what happened.
Other times, DID survivors will feel like they are mostly aware of everything that happens through their day, but their ability to remember what happened yesterday, or even to remember what happened this morning, or an hour ago is extremely limited. This is a different kind of lost time in that the recall is so nonexistent that it becomes the same as lost time since the survivor has next to no idea what happened.
In both of these situations, time is being quantified from the perspective of the front host personality. Time loss can include other parts of the system as well, but the questions about lost time are typically addressed towards the host. This is an important distinction to remember.
Because you see, even though time feels lost to the front host personality, in all reality, time is not lost at all.
Yes, you read that right. Time is actually not lost. Time has not actually gone away. The DID survivor’s day is not shorter than everyone else’s day. Time has not disappeared in the way that it feels.
While we use the term “lost time” all the time, that is actually not what happens. In fact, no one with DID actually loses any time at all.
So where does the time go?
Actually, what happens is that the dissociative trauma survivors have switched to another part.
Yep, they’ve just switched.
Switching. Shifting from one part or another. “Transitioning” as US of Tara called it.
That’s all that happened. You’ve switched!
The hours of time can be completely accounted for if you know who was out and what they were doing. Time itself isn’t missing. What is missing is having the awareness or knowledge about who in your system was out doing what.
So when the host or front personalities are completely unaware of life events, and there is no knowledge of what has happened, they have simply switched to someone else in their system who is out and doing all kinds of things. The body is likely up and active, and any number of things could be happening. Someone inside the system will know exactly what happened between 2 pm and 9 pm!
For there to be “lost time”, this switch occurs with parts that are so dissociated and separated from the host personalities that the host personalities are not aware of what happened.
Actually, this kind of time loss / lack of awareness can happen between any part of the system with any other part of the system. Many of the insiders may not be at all aware of what the host personalities are doing either. Part of the reason for time distortion, triggers, and flashbacks is connected to the insiders not being aware of the outside life in the current day, place, or time.
Sometimes the lost time between these parts are just from not paying attention. For example, one set of parts can simply be daydreaming or drifting off, and simply not concentrating enough to be aware. Maybe they were choosing to have an internal nap or be otherwise internally occupied. However, if they actually tried to be aware of what was happening in the outside world, they may fully well have known exactly what happened during that lost time. Or with a little effort, they may have been able to get close enough to the front of the body to be aware enough to see, or hear, or know.
Other times, the dissociative walls / amnesiac walls are much thicker and less penetrable. In these situations, one set of parts does not want the others inside to know what is happening, and the blocks put between them are strong and absolute. Parts from within the internal system are specifically dividing themselves away from everyone else so everyone inside is not aware. If you have parts that are specifically hiding their activities from the rest of everyone else, this is an important issue to address in your therapy.
In my opinion, integration is not necessary for successful stable functioning. But, eliminating time loss and/or periods of unknown switching is important for exactly those reasons. It is ok that everyone within has their chance to do what they need to do, but it is also important to build the communication around what is happening. You all share the same life. Being more aware of what happens in that life is important.
So the next time you want to know what happened during that chunk of time that you don’t remember, ask inside. Ask who knows about it. Ask who was out, or who saw what happened. There will be someone inside that knows exactly what was happening during that chunk of “missing time”. You might need to work on increasing your internal communication with those parts, but once you know the others in your system, that time loss will decrease.
Even if the time loss is happens, but if you know who is out, that can help with knowing what happened. The more you know your whole system of insiders, the less unaccounted for time you will have.
Once again I’ll say, internal communication is the central core of treatment for dissociative identity disorder.
If you want to know what is going on, talk to each other!!!
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
July 10, 2010
*** 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.
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.
In case they are a little hard to read, the words on the collage are as follows:
This can’t be happening
It’s not real
It’s not real
It’s really happening.
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.
Someone help me
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.
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?
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?
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
May 9, 2010
It’s Mother’s Day 2010.
Mother’s Day – it’s a hard day for a lot of dissociative trauma survivors. It’s a day full of mixed emotions, painful longings, unhealed heartbreak. This day hurts the people who were hurt so much by their mothers.
Mothers are a complicated subject, to say the least, and the impact a mother can have on her children can and does change their lives. Abusive or neglectful mothers can teach some very damaging life lessons. Their children will carry those scars for decades of time.
I’ve seen this over and over with the DID survivors I work with. Years later, the ways their mother treated them affects so much of their life – maybe even more than they realize. People who were deeply wounded by their mothers often cannot view other maternal figures (Including other female authority figures) without getting confused in that relationship because of who their mother was. The crimes of the original mother spill over onto the relationship any children they might have, making it harder to be a good mother in their own life.
That original mother relationship affects how DID survivors see the world, how they experience people, what they believe about themselves, what they believe about the world around them, and how they interpret others. It is very central to the very core of their being.
Working with mother-transference issues is one of the hardest parts of being a DID therapist. It is the area where the therapeutic relationship is at its most tender. It is the most vulnerable place. It is the spot where issues and feelings can get messed with by people who wish harm upon that therapeutic relationship.
To explain this, let me start from further back.
For example, I was blessed to have a very good mother and she taught me a lot of valuable life lessons. She wasn’t perfect, but she was and is about as close to perfect as one could ever hope for in a mother. She is kind, loving, compassionate, caring, generous with her time, good with children, full of wisdom, patient, gentle, and self-less in so many incredible ways. She has been an example to me for how to interact with people, especially with children. My mother is non-judgmental, and she is willing to dig in and help anyone that she meets. She is a beautiful soul, and she leaves a positive impact wherever she goes.
Yes, my mother has taught me a lot. And almost all of what she has taught me has been good. I do much of what I do because I had an incredible mother who taught me to be kind to others.
Those that spend time with me will see this in my work with them. They will see that kindness, acceptance, gentleness, and generosity in what I do. They will reap the benefits of what my mother gave to me as I pass that on to those that I work with.
So what makes that so hard?
If I am pulling from a good place, what makes mother issues so complicated and difficult to work with?
It’s because not everyone can interpret today’s kindness as genuine kindness. The past wrinkles in and rolls up into the present, and the present becomes twisted into the past in an emotional kind of way.
Sometimes the damage done to trauma survivors confuses kindness with abuse. Sometimes the damage done by an abusive or neglectful mother is so pervasive that it colors all acts done by other females, and the perspective becomes so tainted that nothing is seen clearly. Female therapists are seen through the perspectives of “mother figures will abuse me”, “mother figures will hate me”, “mother figures will think I’m bad”, “mother figures will abandon me”, “mother figures are to be hated”, etc.
When trauma survivors truly believe, in their deepest selves, that women are there to abuse them, it is not an easy job to overcome that belief. The fear is too huge. The expectation of horrible doesn’t end. The fearful expectation of abuse can often overtake everything else.
Frequently the pain-anger-guilt-shame at not having a good mother can get thrown at the female therapist, and displaced and projected onto her as a safe place to express such deep heart-wrenching emotions. Therapeutically, this is expected to happen, and the goal is to work through that in a healing way. Most therapists and clients understand that, and will work through it as a team. It can be done, and when it is, very deep healing can occur.
However, sometimes trauma survivors get a little messed up along their journey. They truly get confused in this area, and understandably so. It’s an emotionally complex point, and trauma survivors are extremely vulnerable in this place. And because of those vulnerabilities, they can be easily misguided. They can get easily confused over who is the “good mother transference figure” and who is not. They listen to poor advice, or bad rumors, or are too unwilling to let go of their fears in order to heal. They stay convinced that women are out to get them, and they quickly join in with thinking that female therapists are abusive.
This breaks my heart.
I found it horrifically sad that some trauma survivors are willing to hold onto such beliefs that they would bring harm to themselves and to others. This only continues the cycle of abuse. It is not about healing. It is destructive.
(Yes, there are a few female therapists who are harmful to their clients, but those are few are far between, and those are not the people I am writing about in this particular article. That’s a completely different topic, to be discussed another day.)
This article is about genuinely good therapists who are mistaken as the “bad mother”. This article is about finding ways to heal from your abuse. It is about finding a woman of kindness, and not confusing her with your not-so-kind mother. It is about recognizing the differences, and not being pulled into old fears, old beliefs, and old ways, just because they are more familiar to you.
It is about learning to recognize someone that can be positive, helpful, and kind to you, and to your inner children. It is allowing that healing to occur. It is keeping clear on what happens in the present, and not distorting it or twisting it into something negative from your past.
It does not help your healing to project your “bad mother issues” onto a good therapist and then stay stuck in that spot. It only confuses you, and it prevents your healing. It brings harm to you and your system to stay stuck there.
Your female therapist can and will teach you something very different from what your mother taught you. Don’t assume the two women will be the same, because they will not be. Don’t project so much of your abusive past onto your current day therapist that you cannot see who she really is. Work hard at recognizing true kindness and gentleness for what it is.
Let yourself and your inner child parts have those corrective emotional experiences with a kind therapist and don’t let anyone mess with that. If you let someone distort those experiences – if you let someone convince you that something was abusive when it wasn’t — then you have brought emotional pain to your inner world that didn’t need to happen. If you weren’t abused, don’t let yourself believe that you were just because that is more familiar. Separate the past from the present.
Haven’t you been hurt enough? Why add to that?
It is important to try to believe that women are not out to get you. Female therapists are not here to harm you. What your mother taught you can apply to her, but it really and truly does not have to apply to everyone else. Your mother may have been cruel, cold, uncaring and abusive towards you. But not everyone will be. Not everyone wants to be.
Don’t assume the worst, and please don’t treat other women as if they did what your mother did.
It is very hard for trauma survivors to come to terms with these truths. But the sooner you do, the sooner you will find that place of genuine healing.
Don’t let the harmful lessons that your abusive or neglectful mother taught you ruin or destroy any more of your life. You truly can heal from the hurt and the trauma that you went through – I promise!
There are lots of good, helpful, kind, compassionate, caring women out here in the world. I encourage you to be one of them.
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
January 19, 2010
What an interesting phrase.
Externalizing responsibility is when someone fails to accept responsibility for the messes they make or for the problems they cause. It is also failing to accept responsibility for the situations they find themselves in.
Internalizing responsibility is personally taking on the responsibility for what happens (in the past, present, or future). It is accepting the responsibility for personal welfare or for consequences of actions instead of dumping the blame on others.
Do you externalize responsibility?
Do you internalize responsibility?
For dissociative trauma survivors, the issue of when to accept responsibility versus when to deflect responsibility is a very complicated topic.
Most DID survivors have had years of experience internalizing responsibility for the actions of their perpetrators, family members, abusers, etc. Abusive offenders are some of the world’s best at externalizing blame onto someone else, and most trauma survivors internalize that blame, guilt, shame within themselves. Purposeful and direct blaming of the victim, especially child victims, typically ends up with the victim feeling responsible for the abuse.
Having this convoluted, complicated history of who is or isn’t responsible makes “accepting responsibility” a very difficult topic for trauma survivors.
Survivors spend years of time blaming themselves for the abuse (internalizing responsibility). Survivors typically end up feeling like they were bad, or they did something to cause it, or it was because they were too pretty, or too available, or too easy, etc. Survivors were usually told by their abusers that they deserved the abuse, or they liked the abuse, or they wanted the abuse, or some variation of the sort.
Perpetrators know that if they verbally blame the victim, that victim will be more likely to internalize the responsibility for what happened. Perpetrators typically do not accept responsibility for their actions. The more the perpetrators push blame and responsibility onto the victim, the more the victim will internalize that responsibility and blame.
But typically, survivors are not responsible for being abused. At least, they are not responsible for what the abuser does. The abuser is responsible for what the abuser does.
However, it is very difficult for many trauma survivors to put the blame of their abuse back onto their perpetrator. Trauma survivors will argue with their therapists that their abusive loved ones were not at fault – that they cannot be considered a perpetrator – that they are not to be blamed.
How many of you refuse to believe that your father (or mother) sexually abused you even if other parts in your system have said this clearly?
How many of you refuse to blame your perpetrator, and instead will run in circles protecting your family member from being called a perpetrator?
How many of you will argue that you have no right to be angry with your father – perpetrator? How many of you will define criminal actions as “not a problem” in order to not assign responsibility to your loved one?
Children are not responsible for being abused. Adults are responsible anytime they have abused children. Children will internalize the blame, but they are not responsible for being abused.
What about when the trauma survivor is an adult? What if the adult survivor is being abused as an adult? Who’s responsible then?
Adult trauma survivors do get abused. There are thousands of domestic violence situations where adults are being abused on a regular basis. Rapes and date rape situations can happen to adult trauma survivors. Dissociative survivors can still be involved in the sex slave industry or other ongoing abuses even as an adult. Abuse certainly can happen into adult-hood.
Who is responsible in these situations?
Of course, the abusers are still responsible for their own abusive behavior. (The topic of recognizing who abusers are will be discussed in a different blog article.)
However, these issues are not simple once the victim is an adult who has to be responsible for their own selves and any dependents. If you are an adult trauma survivor caught in abuse, it is not your fault you are being abused, but it is your responsibility to get yourself out and away from this abuse.
These adult survivor victims are responsible to get the help they need to get out of their abusive situations. They do not cause the abuser to abuse, but they are responsible to learn how to protect themselves and to protect any children that may be involved in the situation. It is important to build and utilize enough resources for safety and protection that will make the abuse come to an end as quickly as possible.
Finding the Balance
The difficult part is internalizing the correct portion of the responsibility. Even adult trauma survivors well experienced in therapy will internalize responsibility that genuinely belongs to the abuser. Other adult trauma survivors will stay stuck completely in the victim role, refusing to accept responsibility for getting out of the mess they are in. Sometimes survivors will cause-create-instigate-perpetuate emotional conflicts that are of their own making, and yet, claim to be the victim of their circumstances (more on that topic another time…).
So think about it…
Internalizing responsibility vs. externalizing responsibility.
What really does belong to you?
What really does belong to someone else?
Are you taking on too much?
Are you acting like a victim in situations where you are actually responsible?
Kathy Broady LCSW
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
November 21, 2009
There have been some interesting discussions and comments from various trauma survivors about how much their therapists have meant to them. These readers have shared some very tender moments with their therapists and have talked openly about the depths of their heart-warming connections and healing moments.
Clearly, these survivors have found their therapists to be important and significant people in their lives. The work and the effort of developing these therapeutic relationships have clearly been worth it to them.
Why is their therapist important?
On the flip-side, other commenters in this blog have written about horror stories they have had with former trauma therapists. It seems there is an endless supply of the “bad t” stories that get passed around and shared over and over. I can’t tell you how many of those stories I’ve heard. I’m sure each of you have already been told about at least a dozen bad therapists. In these stories, the clients are angry with their therapist, they accuse the therapist of causing all kinds of harm, and they speak of these therapeutic relationships as traumatic or disturbing or exploitive.
Who are these bad therapists?!
Is there any trauma therapist that has not been considered to be a “bad t” by someone or another? Honestly, most therapists get targeted sooner or later by someone. It happens frequently. (Please remember the blogs about love/hate relationships and protecting your therapeutic relationship.)
So if there are allegedly so many bad therapists, or perceived bad therapists, why do trauma survivors repeatedly risk having a therapist in the first place?
Why does a therapist matter to you?
Why bother with the hassle of developing and maintaining a therapeutic relationship?
Why does a therapist warrant your business, your time, your respect, or any caring connection from you?
What does a therapist do anyway?
There are a variety of reasons why dissociative trauma survivors might find therapists to be important. I’ve listed 50 benefits of having a therapist. This is not an exhaustive list. If you have an idea to add, please comment.
50 Benefits of Having a Therapist
1. To have someone encourage you to love and accept yourself to the point that you can truly live, without focusing on death and needing to die
2. To have someone in your life that will make it ok to not have to dissociate away from your real life
3. To have someone to bounce ideas on, to problem solve, to explore new behaviors
4. To have someone to talk to about deeply private and personal things
5. To have someone who can genuinely hear your pain, and sit with you when you are hurting
6. To have someone who can give you their undivided attention, their best listening ear, even if for a specified period of time
7. To have someone who gives you courage and hope to keep going, even in the darkest moments
8. To have someone who provides a gentle, safe environment for the healing of your deepest wounds and painful memories
9. To have someone who repeatedly offers positive emotional support and encouragement
10. To have someone who sincerely believes in you and your abilities, talents, and accomplishments
11. To have someone who truly sees you as a good person, a worthwhile person, a valuable person
12. To have someone who will address the variety of issues that underlies the mental health difficulties in your life.
13. To have someone who will build a relationship with you, willingly connecting with you, no matter how badly you feel about yourself
14. To have someone who will challenge your thinking and cognitive distortions
15. To have someone who will connect the dots of your dissociated life experiences
16. To have someone who will encourage you to be comfortable becoming your very own self
17. To have someone who will encourage you to build a life based on your strengths instead of the life your abusers may have designed for you
18. To have someone who will encourage you to try new things and to stretch your horizons
19. To have someone who will expect you to honestly work on your issues instead of blaming others
20. To have someone who will foster your leadership skills, job skill development, educational opportunities, etc.
21. To have someone who will genuinely accept you, warts and all
22. To have someone who will have the courage and ability to tell you “no”
23. To have someone who will hear your heart and the depths of your soul
24. To have someone who will help to remove the jagged edges from your life
25. To have someone who will help you build a tolerance and acceptance of others
26. To have someone who will help you create personal safety, both inside and out
27. To have someone who will help you find and connect with your very best self
28. To have someone who will help you to build the ability to tolerate and sit with intense emotions in yourself and in others
29. To have someone who will help you to contain the extremes of your behavior and feelings
30. To have someone who will help you to emotionally grow, develop, mature
31. To have someone who will help you to move past the blocks, walls, and black holes
32. To have someone who will help you transform self destruction into self acceptance
33. To have someone who will hold you accountable and responsible for troublesome areas
34. To have someone who will hold your secrets with you
35. To have someone who will listen to you, and understand your point of view
36. To have someone who will look for the positive in each and every one of your insiders
37. To have someone who will make it safe enough for you to express your true feelings
38. To have someone who will offer encouragement and support, even when its tough
39. To have someone who will offer guidance as needed
40. To have someone who will offer opportunities to explore trust, acceptance, compassion, kindness, gentleness, patience
41. To have someone who will push you to move forward, instead of sitting complacently
42. To have someone who will recognize family dynamics and their impact on you
43. To have someone who will remember what your insiders say, especially when it is too difficult for you to retain it
44. To have someone who will set appropriate limits and boundaries
45. To have someone who will sit with you while you face your deepest fear, shame, guilt, horror
46. To have someone who will sort out conflict and disagreement
47. To have someone who will stay with you, even when you expose your worst self
48. To have someone who will talk to your inner parts, even the ones you are afraid to speak to or unable to speak to
49. To have someone who will teach and model new behaviors, and healthy emotions
50. To have someone who will team up with you in your healing journey
True therapy is so much more than a sequence of techniques to address trauma, or emotional containment, or cognitive distortions, or dissociative separation, or destructive behaviors.
Therapy happens with real people, between real people. Therapy is a healing process. It touches many levels of life. The emotional depth of true healing is founded in the solidity of the therapeutic relationship.
Unfortunately, your trauma and abuse happened at the hands of violent, hateful, destructive people.
Fortunately, your healing will happen within a caring, accepting, compassionate relationship.
Kathy Broady LCSW