Long-Term Psychoanalytic Therapy & Short-Term Trauma Focused Counselling

I have been meaning to update my blog for a long time now, but blogging has had to take a step back in the midst of coping with what has felt like an ever-increasing onslaught of flashbacks. Still, here I am now, neatly posed in front [well, technically, behind] my computer and though I will more than likely have to make many stops to work my way out of flashbacks, I still wanted to write a little, just to keep you all in the loop as it were.

Firstly, I would like to apologise – or perhaps not so much apologise as acknowledge that my previous post was of a rather difficult-to-read nature. I know that some people found it a little too hard to cope with. And, at the same time, I have also had emails from people saying that they found it helpful in one way or another, and I suppose, at the end of the day, this blog, it is – as it states on the tin – an honesty focused blog, and does come with an explicit warning that it sometimes deals with difficult issues.

Now, moving on from that, you will be pleased to know that this post will be perhaps a little less difficult to stomach. I can’t guarantee that it will necessarily be joyful, but it won’t be leaving you with any particularly nasty mental images, I shouldn’t think.

So, what’s been going on in my life? Well, as mentioned above, there have been the flashbacks, and sometimes it really feels like that is ALL that there is, but, really, that’s not true, and I am hoping that – eventually, with plenty of hard work – I will get to a place where those will take a back seat.

As regular readers will know I am currently in twice weekly psychoanalytic therapy, and have been for nearly four years [thrice weekly, a lot of the time]. In fact, A.’s and my four year anniversary is coming up later this month. Perhaps time to crack open the champagne, or share a celebratory cigar ála Freud? But more than anything, I think, time to reflect.

People often ask me if my therapy helps, and what does A. say about all these flashbacks that I’m having, about self-harm, about feeling suicidal? And I find myself forever explaining that it’s not that type of therapy. It’s not the type of therapy in which A. and I sit and practice grounding techniques or where she advices me on what I should and shouldn’t do. It just isn’t. Psychoanalytic therapy isn’t a short term crisis action plan. But that is not the same as saying that my therapy isn’t helping. No, it doesn’t immediately offer relief from flashbacks or other psychological ills, but it helps in different ways. It helps me see things from different perspectives, it helps me develop self-awareness, it helps me understand why I sometimes react very differently to other people, it helps me see patterns in both my behaviour and in my way of thinking and relating. It helps me in a very broad way. This is not trauma focused therapy. We look at a lot more than ‘just’ the sexual abuse I experienced, we look at all different aspects of my life. It’s colour photography, as opposed to black and white, and I feel that it offers a bigger and more stable platform to stand on, when looking at all the various angles of being alive and being human. So, yes, therapy absolutely does help. It’s just that it is rather more complex than a plaster cast on a broken arm.

That said, the one thing that impacts my day-to-day life more than anything else is without a shadow of a doubt the flashbacks, the horrible experience of being made to relive the abuse again and again without warning. It’s a painful and uncontrollable mental bombardment which severely alters the way I live my life. Apart from, of course, being extremely emotionally exhausting (both the actual flashbacks and the aftermath of them – it’s simply not a case of OK, I’m out of the flashback, everything is fine now..) they also impact on a very practical level. Firstly, the unpredictability of when they [the flashbacks] are going to happen, means that it is very hard to relax. I don’t have easily identifiable triggers which give me warning that I might soon have a flashback, so, even when things are good, when I’m only having perhaps six or ten flashbacks in a day, I don’t know when they are going to happen, and so have to always be on the ready to deal with them. Secondly, when things are bad – like at the moment when I’m having anything between sixty and eighty flashbacks in a day – it leaves little time or energy to spare for doing other things. I can’t read, I can’t watch telly, because I’m constantly being interrupted by these flashbacks, and by the time I’ve come out of them and calmed down, I’ve forgotten what I was reading or what the storyline was. Also, having so many flashbacks makes venturing outside something to be avoided. It’s simply too hazardous, as I won’t notice traffic lights changing, I’ll keep walking while having them ending up getting lost, I’ll miss my stop on the tube etc etc. Even something so simple as making myself a cup of tea can become quite dangerous, as I discovered the other week; I was pouring out the water, had a flashback but kept pouring.. as a consequence the boiling water spilled onto my lap, and I got a burn on my thigh. So, even though the flashbacks are not psychotic; I do know where I am, it is like being in two places at once, it’s an altered state of awareness which affects daily life a lot more than people realise. I have to do a million different work-arounds just to get by, like being on the phone with someone whenever I’m out walking (so the person can help me notice if I have a flashback and tell me to stop walking), ask bus drivers and tube staff to make sure I get off at the right stop, meet friends in places that are easy for me to get to and generally meet at the station rather than at the cafe or restaurant we’re going to, to minimise the potential for getting lost on the way. Etc etc etc.

Because of this, I have decided that on top of my normal therapy with A. I am going to do some short-term specialised trauma-focused counselling, aimed at trying to reduce the number of flashbacks I have. I’ve talked to A. about it, and although it’s not the norm to see more than one therapist at any one time, it is something I really want to do. And I think that doing it this way, while I am still seeing A. will help me cope better with what can’t be anything but very painful trauma work. It’s one of those I don’t think it is meant to be easy, I think it’s meant to be WORTH it sort of things. Because, if it helped reduce the frequency of the flashbacks even just a little, it would improve my life enormously.

So, although there is much to discuss, not least of all the reasons why I am chosing to do this work with someone other than A. [is it to protect her? is it to protect me? maybe fear of ruining our relationship? etc etc], for now, I am waiting with some trepidation to start this new (additional) type of counselling. So do stay tuned. Updates will be forthcoming once I actually start.

All the very best,

xx

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4 responses

  1. Good luck. Sounds like a good decision, assuming that A is not expert in the new work, the new therapist is, and that both will communicate well with each other.

  2. Thanks for the comment. Always appreciated.
    No, A. isn’t specialised in trauma treatment, whereas this counsellor will be both specialised and experienced. Don’t think they’ll be liaising, though; it’s not really how it works outside of the NHS. And I am fine with that. I’ll be using my sessions with A. to talk about the experience though, so she’ll be in the loop. I think I will need the extra support while doing this short term counselling. Help me stay safe. :)

  3. May I ask how you are affording therapy?
    If you have a job, how do you manage with the flashbacks?
    I ask as I desperately need therapy but am relying on the NHS, also I cannot hold down a job due to flashbacks/lack of concentration.
    All the best,
    Myrtle

  4. Hello Myrtle,

    Thanks for reading and commenting on my blog. I’ve emailed you a fuller reply, but below is some information which may be helpful.
    I’m not sure whereabouts you are, but I do hope you manage to find a therapist or counsellor soon. Rape Crisis (http://www.rapecrisis.org.uk) might be a good place to start.
    They also have a free phone number (0808 802 9999), and are very good at finding out about services for people recovering
    from sexual violence trauma. I know that they can help find organisations that offer time-limited counselling for free,
    like Solace Women’s Aid in North London. This is their web site: http://www.solacewomensaid.org

    I hope this is of use.

    All the very best,

    xx

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