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Talking through trauma and PTSD

Different therapy approaches for trauma

Different therapy approaches for trauma

I had multiple mental illnesses, one of my diagnoses is cptsd. Right now I’ve been doing more behavioural therapy and my current psych focuses more on exposure therapy. I feel like I haven’t been able to get far, it’s not that it hasn’t helped, but I feel like I need a different approach. I find it super difficult to talk about trauma details, I’ve tried it before and ended up retraumatised. I don’t think exposure therapy is right for me. I’ve tried a few EMDR sessions in the past which helped, I have been contemplating whether I should revisit it. I would need to get referred to another psych for EMDR.

I have also considered art therapy (which is also not a focal point for my current psych). Sometimes I don’t have the words to describe the pain that is stuck within me. I want to heal. I struggle with somatic flashbacks and I’ve had to disconnect from my body in order to feel safe. I don’t always notice the discomfort in my body until much later. I also get lots of intrusive thoughts and memories. I think it’s been feeding my OCD thoughts. I also have bipolar and trauma isn’t helping with stability since so much is suppressed. The bipolar also makes it worse.

I’m open to hear about what others have found helpful and hear about experiences of different therapy modalities.

63 replies

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In response to: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

Good points you raised there. From your post, I'm sort of gathering that the therapist needs to be very skilled and attuned to your needs as a way to prevent re-traumatisation. @Flutterbug9 There's such a fine line between pushing someone out of their comfortzone and retraumatising.

Now that I think about it, I think @Captain24 worked on rescripting??

@Bow has also shared her experiences with schema therapy before.

Very interesting...

When @creative_writer first mentioned therapy for trauma, I could only think of EDMR.

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

Yeah I did a 6 mth eating disorder schema therapy group @creative_writer and I found it very helpful. I had already done some schema work with my psychologist and it really resonated with me. I think it can definitely help with trauma.
I did some exposure therapy too, it’s pretty rough. But my psychologist stopped cause I had some other big stressors happening.
I’ve not done art therapy, but I’d totally give it a go if given the opportunity. Sometimes when I don’t have the words I find drawing easy.

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

@tyme @creative_writer

Exposure therapy involves starting with that is safe which aligns with the trauma. Eg a photo. And gradually increases until the person has the actual thing in front of them in reality.

eg fear of flying might be

- photos of planes

- sounds of air plane engines

- videos of planes on the ground

- videos of planes flying

- walking around and touching an airplane

etc. only advancing to next step when person is comfortable.

trust in the therapist is first and imperative thing.

at one stage my panic attacks started as soon as I tried to step outside my front door. Therapist stepped me through everything via zoom for ages before having first f2f meet

i think @Bow might have done rescripting also

In response to: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

@Flutterbug9 @tyme it is super important for a therapist to be attuned with a client during exposure therapy. It’s hard to know the difference between pushing someone out of comfort zone and retraumatisation. I think my psych at the time eventually realised (after many sessions) that it wasn’t working for me. I had too many breakdowns, so I ended up leaving that psych. Probably wasn’t the best fit.

Often therapists combine approaches. Even if I did see another psych for EMDR or for another therapy, I still have the option of keeping my current psych in the loop. I think I might ask my current psych about other therapies she uses with her clients since I’ve already built that rapport. I can then assess if I think any of them are suitable.

I’ve done bits of schema but didn’t get far. I only got into the early stages

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

@Bow I’m worried about destabilising especially with how my mental health has been lately. I could re-attempt exposure therapy, but I’m afraid it’ll break me like it broke me years ago. I did parts of schema therapy and found it insightful.

It is sometimes hard to find words. I wish it was easier, but I often freeze don’t know what to say. Maybe pain is sometimes too deep for words

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

Yes! I know about exposure therapy. I went through it with dogs. I was petrified as a child. @Flutterbug9 @creative_writer

I started with:

- funny cartoons of dogs

- cute pictures of puppies

- cute videos of puppies

- normal pics of dogs

- dog info sheets

- videos of dogs

- then.... I got my first dog (lab pup).

And that's how I managed with dogs.

TW: Emergency Services

Content/trigger warning
The other one I've experienced was sirens. Unfortunately, due to the large number of times I've been in amubulance and have police at my door, I developed a phobia of sirens... it took a lot of work with my therapist, and in order to maintain being OKAY with seeing a police car/ambulance or hearing a siren, I watched episode after episode of paramedics. Even now as I write this, I need to stop and take a few breaths because the trauma is still there. If it becomes too much, then I have to go back to watching those episodes. It works, but takes time.

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

Thank you for sharing @Bow 🙂

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

@Flutterbug9 exposure therapy looked different for me, maybe we went too fast. I also felt judged for my reactions.

@tyme dogs can be scary. I’m scared of dogs. I am a cat person. The trauma around emergency services sounds rough. I do hope the mental health system is able to become more trauma informed when managing mental health crises. Australia has a very long way to go.

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

I have issues with sirens too @tyme but not to the extend of you. I have had them at my house many times and whenever I hear them I do panic. Ask myself what did I say/do? Have to remind myself that I’m ok.

In response to: Re: Different therapy approaches for trauma

Re: Different therapy approaches for trauma

That information about watching TV showing gives my bit of encouragement @Bow to put on my list of goals with my current psychologist.

imy previous therapist was aware and kept saying EMDR is only options. I walked away without a scratch from a near fatal car accident just over 6ths ago. Truck side swiped me. Being near a truck, even if not moving, is a trigger

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