Psych Central

Go Back   Forums at Psych Central > >



advertisement
Reply
 
Thread Tools Display Modes
Old 07-10-2013, 11:09 AM   #1
ThisWayOut
Grand Magnate
 
ThisWayOut's Avatar
ThisWayOut has no updates.
 
Member Since: Jan 2013
Location: in my own little world
Posts: 4,227
My Mood: something this T said bothers me...

5 yr Member
6,514 hugs
given
PC PoohBah!
Question something this T said bothers me...

I have quite a bit of education around trauma and trauma reactions... Intellectually, I know dissociation can come in a lot of forms, and that there is no "true" form of dissociation, but more along a continuum of severity...
yet this (new) sexual assault clinician has said to me (twice now) that my dissociation is not considered "true" dissociation because it is not experienced like the traditional "out-of-body" experience is described (watching the experience from outside of my body).
I don't know why it bothers me, other than it is very invalidating to the experience itself, and what other (more expert) clinicians and doctors in the field of trauma have told me... While I am desperately grasping for any support I can get, I'm beginning to wonder if seeing her will be more helpful or hurtful. Has anyone else been told that their experience of dissociation is not "true" dissociation? I'm not quite sure what she is trying to achieve by telling me this more than once. I don;t know how to ask her why her definition is so limited, and why she feels the need to underscore this with me. I also don't know why it is getting under my skin so badly... Maybe it's a fear of trusting yet another person... and fear of judgement from her (is she being judgmental?)... and maybe a fear of her invalidating the entire experience. I have felt like I needed to defend myself with her in terms of my interpretation of events that occurred, and why I did not leave/felt like I could not leave the situation. But she is supposed to be an expert in this arena... I don't know. She's willing to still see me, despite general policy not to "duplicate" services (I don't feel I can talk about this with my T because he is a male T, and there are so many other daily things that we need to tackle... and he is also looking to help get me extra support). I agreed to keep an open dialogue with both of them. Maybe I will talk to her next week and ask about this...
Am I wrong in my understanding of dissociation? I used to know a lot about this, but since everything has relapsed, I find it hard to remember facts about treatment and such... this may be one of them...
ThisWayOut is offline   Reply With Quote
Hugs from:

advertisement
Old 07-10-2013, 11:26 AM   #2
anonymous91213
Guest
anonymous91213 has no updates. Edit
 
Posts: n/a
Default Re: something this T said bothers me...

I'm not an expert on this subject at all, but it sounds to me as if maybe your clinician is threatened in someway because you are knowledgeable about this and want honest answers that she might not be able to give you.Intellectually it sounds like you have a good perspective on what is true disassociation and it would seem invalidating, if you are confident in what you know, yet open to further discussion. getting a second opinion might help.
warm thoughts
  Reply With Quote
"Thanks for this!" says:
Old 07-10-2013, 12:13 PM   #3
amandalouise
Wise Elder
 
amandalouise's Avatar
amandalouise has no updates.
 
Member Since: Mar 2009
Location: NY
Posts: 8,048 (SuperPoster!)
My Mood: something this T said bothers me...

8 yr Member
727 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

Quote:
Originally Posted by MdngtRain View Post
I have quite a bit of education around trauma and trauma reactions... Intellectually, I know dissociation can come in a lot of forms, and that there is no "true" form of dissociation, but more along a continuum of severity...
yet this (new) sexual assault clinician has said to me (twice now) that my dissociation is not considered "true" dissociation because it is not experienced like the traditional "out-of-body" experience is described (watching the experience from outside of my body).
I don't know why it bothers me, other than it is very invalidating to the experience itself, and what other (more expert) clinicians and doctors in the field of trauma have told me... While I am desperately grasping for any support I can get, I'm beginning to wonder if seeing her will be more helpful or hurtful. Has anyone else been told that their experience of dissociation is not "true" dissociation? I'm not quite sure what she is trying to achieve by telling me this more than once. I don;t know how to ask her why her definition is so limited, and why she feels the need to underscore this with me. I also don't know why it is getting under my skin so badly... Maybe it's a fear of trusting yet another person... and fear of judgement from her (is she being judgmental?)... and maybe a fear of her invalidating the entire experience. I have felt like I needed to defend myself with her in terms of my interpretation of events that occurred, and why I did not leave/felt like I could not leave the situation. But she is supposed to be an expert in this arena... I don't know. She's willing to still see me, despite general policy not to "duplicate" services (I don't feel I can talk about this with my T because he is a male T, and there are so many other daily things that we need to tackle... and he is also looking to help get me extra support). I agreed to keep an open dialogue with both of them. Maybe I will talk to her next week and ask about this...
Am I wrong in my understanding of dissociation? I used to know a lot about this, but since everything has relapsed, I find it hard to remember facts about treatment and such... this may be one of them...

are you wrong in your understanding of dissociation? Im sorry but we cant answer that... you see each location, mental health agency, religion, culture...all have their own definitions of the same words..

which may be why this treatment provider is telling you different then what you believe. it may very well be the belief with in the mental health program where you are, the mental health agency at which this treatment provider works,...that what the treatment provider described is what dissociation is where you are....

my suggestion ask the treatment provider to show you the medical and mental health definition of what dissociation is in your location.. its usually wrote down in diagnostic books, mental heath treatment pamphlets, the Physicians Desk reference, the IDC coding and other professional manuals your treatment providers use...

this way you will have the terminology that is professionally appropriate for your location, religion, culture....what ever your treatment providers go by in treating you.

another suggestion... it helps to have all treatment providers in contact with each other when being treated by more than one treatment provider, this way problems like conflicting definitions, conflicting treatment plans, conflicting meds and other conflicts are avoided..maybe you can give this treatment provider contact with your other treatment provider so that they will both be on the same page with definitions, treatment and such.
amandalouise is offline   Reply With Quote
"Thanks for this!" says:
Old 07-10-2013, 04:35 PM   #4
ThisWayOut
Grand Magnate
 
ThisWayOut's Avatar
ThisWayOut has no updates.
 
Member Since: Jan 2013
Location: in my own little world
Posts: 4,227
My Mood: something this T said bothers me...

5 yr Member
6,514 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

as for getting them in contact with one another, this T is seeing me despite her program policy not to "duplicate" services. When I asked if she wanted a release of info for my primary T, she said that it was not necessary, but that I should keep open dialogue. I'm hoping if she is going against company policy, she will talk to one of her supervisors and ok it all.

about the different definitions around dissociation, I was under the impression that most of the US used the same one, but I guess it's not accurate. I might ask her next week to help me understand her def. and to figure out why she is so adamant about changing my understanding of it.
ThisWayOut is offline   Reply With Quote
"Thanks for this!" says:
Old 07-10-2013, 05:00 PM   #5
Claritytoo
Poohbah
Claritytoo has no updates.
 
Member Since: Dec 2011
Posts: 1,231
5 yr Member
6 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

Quote:
Originally Posted by MdngtRain View Post
as for getting them in contact with one another, this T is seeing me despite her program policy not to "duplicate" services. When I asked if she wanted a release of info for my primary T, she said that it was not necessary, but that I should keep open dialogue. I'm hoping if she is going against company policy, she will talk to one of her supervisors and ok it all.

about the different definitions around dissociation, I was under the impression that most of the US used the same one, but I guess it's not accurate. I might ask her next week to help me understand her def. and to figure out why she is so adamant about changing my understanding of it.
I think you should also tell her how it made you feel when she twice told you that you do not have "true" dissociation. I think sometimes therapist speak to us as though they are teaching a class. If she was thinking she should have discussed the differences between what she thinks is dissociation and what you understand dissociation to be. Than ask you how you felt about the discussion.
Claritytoo is offline   Reply With Quote
"Thanks for this!" says:
Old 07-10-2013, 06:08 PM   #6
amandalouise
Wise Elder
 
amandalouise's Avatar
amandalouise has no updates.
 
Member Since: Mar 2009
Location: NY
Posts: 8,048 (SuperPoster!)
My Mood: something this T said bothers me...

8 yr Member
727 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

Quote:
Originally Posted by MdngtRain View Post
as for getting them in contact with one another, this T is seeing me despite her program policy not to "duplicate" services. When I asked if she wanted a release of info for my primary T, she said that it was not necessary, but that I should keep open dialogue. I'm hoping if she is going against company policy, she will talk to one of her supervisors and ok it all.

about the different definitions around dissociation, I was under the impression that most of the US used the same one, but I guess it's not accurate. I might ask her next week to help me understand her def. and to figure out why she is so adamant about changing my understanding of it.
dissociation by its self (not to mental disorder extreme) has many different definitions....

for some it means they feel a bit spacey from their meds
for someone else it means they feel kind of slow as if in slow motion movie because they didnt get enough sleep
for others it means floating on the ceiling watching whats going on (out of body feeling)

As a dissociative disorder (depersonalization/derealization disorder, dissociative amnesia/fugue disorder, Dissociative Identity Disorder, Unspecified Dissociative Disorder or Other Specified Dissociative Dissorder) yes there are diagnostic criteria that says what each of those dissociative disorders are, that all american treatment providers go by unless they are going by the ICD.
amandalouise is offline   Reply With Quote
"Thanks for this!" says:
Old 07-13-2013, 12:03 PM   #7
MomgaJupiter
Member
 
MomgaJupiter's Avatar
MomgaJupiter has no updates.
 
Member Since: Jan 2013
Location: Dallas, Texas
Posts: 27
My Mood: something this T said bothers me...

5 yr Member
3 hugs
given
Default Re: something this T said bothers me...

What bothers me the most is that you went to her in the first place to deal with sexual abuse - why is the therapist sidetracking on definitions?!? I know you need to deal with background, etc. but this seems off topic and not helpful. This work is hard to do - much less with someone who wants to argue and get into power struggles. I sense she is somewhat intimidated about the co-therapist situation and may not be the best fit for you. Some therapists are just not a good fit, and it is ok to "interview" several people for the job before making a decision on who you go with. Just sayin...
MomgaJupiter is offline   Reply With Quote
"Thanks for this!" says:
Old 07-13-2013, 03:25 PM   #8
ThisWayOut
Grand Magnate
 
ThisWayOut's Avatar
ThisWayOut has no updates.
 
Member Since: Jan 2013
Location: in my own little world
Posts: 4,227
My Mood: something this T said bothers me...

5 yr Member
6,514 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

MomgaJupiter, I'm limited in choices with respects to this, as she was the therapist assigned to me when I called the center... and since they have a policy against duplicating services, I'm stuck with her. I was hoping to talk more with her about this on Tuesday, but she had to reschedule because she will be out of town for the week (something I think you generally know about before-hand, but maybe something urgent came up. I'm trying not to internalize that). I think we will def need to address the 2 therapist thing again, and I will ask that she talk to him and the other way around also. I want them to be on the same page...
I'm really putting a lot into this therapy because I know I really need to talk about this stuff. It's a bit intimidating knowing that, if her boss decides it's not appropriate, I will lose this resource too... :/
ThisWayOut is offline   Reply With Quote
Old 07-14-2013, 08:13 AM   #9
possum220
Legendary
 
possum220's Avatar
possum220 has no updates.
 
Member Since: Jan 2009
Location: Uppa Gumtree West
Posts: 15,853 (SuperPoster!)
10 yr Member
4,261 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

Work out what bothers you so much about what she said. Maybe write it down and give those questions and feelings to her. She may not know that it is making you feel invalidated or less than. Pain is Pain no matter what your experience is classified as.

Hopefully when you do chat with her things will be made clearer.

Good Luck.
possum220 is offline   Reply With Quote
"Thanks for this!" says:
Old 07-14-2013, 10:39 AM   #10
winter4me
Elder
 
winter4me's Avatar
winter4me has no updates.
 
Member Since: Dec 2012
Location: new england
Posts: 5,241 (SuperPoster!)
My Mood: something this T said bothers me...

5 yr Member
1,117 hugs
given
PC PoohBah!
Default Re: something this T said bothers me...

I guess I don't have anything to "add", just encouragement to tell her your concerns and to tell her how her statement(s) made you feel. Using the word "true" in that would bother most people when used to define a personal experience that you also have knowledge of---it sounds as if she is "correcting" you, or invalidating your experience even if it was not meant that way at all. It is amazing what words can do, and undo. Good luck to you! Be thinking of you.
winter4me is offline   Reply With Quote
"Thanks for this!" says:
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -5. The time now is 05:46 AM.


Powered by vBulletin® — Copyright © 2000 - 2019, Jelsoft Enterprises Ltd.




advertisement

 

The material on this site is for informational purposes only, and is not a substitute for medical advice,
diagnosis or treatment provided by a qualified health care provider. .
Always consult your doctor or mental health professional before trying anything you read here.

 

HomeAbout UsContact UsPrivacy PolicyTerms of UseDisclaimer
Forums HomeCommunity GuidelinesHelp


 
Helplines and Lifelines