Hi @mudsum @CheerBear @NikNik @Former-Member @Scar,
I finished reading chapter 13 today. It is kind-of depressing how totally and utterly mainstream psychology and psychiatry seems to have lost its way. What most psychologists and psychiatrists offer is horribly far removed from what people with a history of trauma need. The bit about the value of physical touch super resonated with me. I have an extremely messy and complicated history with touch and I know that addressing that part of the puzzle would be super helpful. But alas, it simply isn't seen as important by most therapists. I am SUPER grateful that (A) has at least got over her "no touching" rule enough to be ok with putting her hand on my back while I snuggle under the blanket during sessions. She's drawn the line at holding my hand though. When I'm super distressed, I will tend to reach out to her and she ignores it. I super struggle with that and in her brain there's nothing to talk about there - it's just an inappropriate behaviour to be ignored. I don't do it so much now. The ignoring has worked - I have given up reaching out. She probably sees that as progress. 
It super seems to me that most psychologists and psychiatrists have lost sight of the fact that they are fundamentally dealing with human beings. Not "illnesses" or "pathology" or "symptoms", but real live human beings who are doing the best they can with the hand they've been dealt. It truly feels to me like (A) sees me as a computer that she boots up at the start of session, and then shuts down at the end of the session and sticks on a shelf for the week. I don't have any sense that she sees me as a real person who continues to exist between sessions. I mean, almost six months have gone by since I started seeing her and I am not one single step closer to achieving my goal of healing my brain and getting into a career.
The chapter talks about CBT. This is really the only treatment that is talked about during a 4-year undergrad psychology degree. It's simply where we are in history. Gradually the third-wave behavioural therapies (such as DBT and ACT) are gaining ground, but I can see that Van Der Kolk's work and that of neuroscientists is still a looooooooooooong way from becoming mainstream. 
I like that Van Der Kolk had a lot to say about medication. I like that he isn't totally anti-medication...but also holds the view that medication should not be an immediate go-to. That is my view (though I respect that others differ). I feel extremely frustrated that I am now taking an anti-psychotic (one of the ones mentioned in this chapter) to counter the effects of my less-than-totally-competent psychologist. I know that the ONLY reason I need it at the moment is because (A) has cooked my brain by constantly triggering me in sessions. I am trying to tell myself that even though it is very wrong that I should need it, given the pickle that I'm in it is still best to take it in order to give my brain a rest.
I found it really awful reading about just how many people (and especially how many children!!!!!!) are being prescribed anti-psychotic drugs in America. I just wrote a whole lot more about that...but then deleted it. I'm feeling a little burned after last weekend's adventure in Forum Land. 
So...all in all, the chapter was kind-of depressing. However, I'm super glad that there ARE people like Van Der Kolk out there slowly slooooooowly making a difference. I love reading about the things that people like him are doing - like the sensory integration clinic that he describes in this chapter. Things ARE changing...just not fast enough for my liking!