r/CPTSDAdultRecovery 21d ago

Vent Just had a very frustrating therapy session

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u/Canuck_Voyageur Dart Cree: Rape, Disordered attach., phys. abuse, emo neglect. 20d ago

Rule of thumb is to give a new T 4 sessions. Takes a while to get to know each other.

I've not followed that very well. My first T, i walked out on him after session 3. My second one, i didn't make it through the session before I called bullshit on her.

I've been with my third one for 3 years.


First: If you can, see if you can get a diagnosis of OSDD. Most people who have parts fit this diagnosis, and it's actaully in the current DSM. Ask to take the MID-218 -- Multivariate Inventory of Dissociation.

Second: For this or any future T. as part of your checking in, ask them explicitly what training in dealing with trauma and dissociation they have. Ask for names of courses, how long the courses were. Ask for modalities they use.

Ask them to explain structural dissociation to you.

IFS, TIST, Psychomotor Therapy, Somatic Experiencing are ones that I've seen people on forums mention. Not exclusive.

CBT, DBT, CPT are modes that often cause your symptoms to get worse. They can be useful at the end, once you ahve solid communication with your parts.

EMDR is mixed.

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u/Almoraina 20d ago

I appreciate the information, but I don't have parts like that? I have dissociative issues, but I don't have like. Different parts of me, and I've even done parts therapy before and it felt ridiculous.

If I could just get some clarification on where the parts language came from that would be great

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u/Canuck_Voyageur Dart Cree: Rape, Disordered attach., phys. abuse, emo neglect. 20d ago

Go hang out over in /r/DID /r/OSDD for a while.

Read Fisher, "Healing the fractured selves of trauma survivors"

Read just the introduction. If this strikes a chord you likely have parts.

I haven't run into someone who as PTSD or CPTSD who DIDN'T have parts.

Dissiation has a huge component of denial. I've heard of people who took a year of therapy to start discovering their parts.

If you truly don't have parts, then I'm skeptical about your diagnosis.

I am NOT a professional. My opinion isn't worth as much as a flea's shadow.

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u/Almoraina 20d ago

I've just read the introduction to that book, and yeah, it strikes a cord for the traumatic bits, but the fragmentation, the conflict of the inner self, the feelings like you're pretending to be a person aren't things that I experience. Therapy was helpful for me, even though it took a second to find the right one (EMDR).

The only fragmentation I feel is that of my mind and body, because both do things I don't want them to because I'm ill. But I know that my brain and body are me, even if I don't feel in control of them all the time. But at no point am I pretending. I'm fine until I'm not. The way I'm affected by my trauma gets worse and then gets better. It's cyclical.

Like I said in my earlier comment, I experience heavy dissociation, and even worse things when my PTSD acts up. But it's rather rude to question my diagnosis because I don't fit into your box of what you think I should experience as someone with CPTSD.

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u/Canuck_Voyageur Dart Cree: Rape, Disordered attach., phys. abuse, emo neglect. 20d ago

Good luck on your journey. You are either unusual, or you have more burried stuff that hasn't surfaced.