Sunday, January 27, 2013

If I wasn't crazy before, I am now

Email to my support group in August 2012:

I feel spent.

In the morning, I had my session with New Therapist. It wasn't at all difficult. Mostly she gave an interesting lecture on brain development and then told me what we would actually be doing during EMDR. But I missed Randy, because I would have told him about my past week, which wasn't exactly a walk in the park, and he would have completely understood why.

It seems that New Therapist simply must annoy me at least once every session. I'm trying to remember if Randy annoyed me in the beginning. What I remember is that with him, it was mostly like this:

Me: "Blah, blah blah, but it was really no big deal."

Him: "I think it was. I think it was a very big deal."

Me: "No, it wasn't. And how do you know? You weren't there!"

Him: "If it's no big deal, why can't you look at me? Why are you hiding all curled up in a little ball, with your right leg shaking?"

Me: "Why do you have to make things sound so horrible?!"

Him: "Because they were."

Then I would think that he was hugely annoying...damn him...therapy sucks...

But New Therapist is annoying in a different way. Today it was because I mentioned that I was going in for psychological testing because the marriage counselors recommended it. Specifically, they wanted me to be tested for ADD.

"Why do they think you might have ADD?" she asked, sounding highly skeptical. I cited a litany of reasons. She said it could all be from PTSD.

I replied that I'd had the same issues all through school, that every report card said "not working up to her potential"' "needs to pay better attention", "makes careless errors", and "reads or daydreams when should be working."

She asked when the incest began. I said at age 13. Then she decided, knowing absolutely nothing of my childhood, that I must have had PTSD long before that. "I think we need to take care of the PTSD first before we even look at anything else because I don't think it is anything else."

I figure the psychologist will be able to sort all that out. Isn't that the point of testing? I think what bothered me is that she sounded so sure of herself when she still knows very little about me.

The other thing that annoys me is that she seems to be trying too hard to convince me of how effective EMDR is, and how experienced and well trained she is. I want to say, "Hey, I'm here, aren't I? So enough with the infomercial already!"

After lunch, it was off to the psychologist for testing. I really liked this guy. He apologized up front for being a smart ass, and I said it would make the testing more fun. It did.

But, dang!!! It was exhausting. I felt like every part of my mind and psyche was poked, prodded, and analyzed.

Weird thing I can't figure out: why does taking a screening test for PTSD make me feel so horribly anxious?

But the worst part was this thing that was supposed to test my auditory attention or something like that. A computerish voice would say numbers and I was supposed to keep adding the last two of them and say the answer. That made me nervous and twitchy enough. Oh, no!!! A math test!!!! Yeah, they were only one-digit numbers, but still...Then the voice started reading the numbers faster and faster and I couldn't keep up. It reminded me of 10th grade, when the evil teacher would send me to the board and bombard me with so many questions that, at the end, I couldn't even tell him the answer to 1 plus 1, and the whole class would laugh.

This wasn't quite that bad. I wasn't worried about getting in trouble for getting a bad grade or about being humiliated in front of my peers. But my right leg stiarted twitching and trembling anyway, and my voice started quavering, and I felt on the verge of tears. Then I was afraid I'd fall apart and need therapizing on the spot!! Which, I'm sure, never happens to anyone else.

Finally, after four hours or so, the whole ordeal was over except for filling out and discussing a medical/psychological history. Then, at long last, I dragged myself away, feeling as if my brain had fallen out onto the floor.


Replying to comments from others:

I think the number part of the test was to determine how well I could focus my attention on what I was hearing. There was another test for the visual part. It was simpler, no numbers or adding, but was so boring and tedious I almost went crazy!

Funny thing: I always second guess myself, so now I'm wondering if I tried too hard on the tests. Maybe I should have given in to every distraction that came along, instead of fighting so hard to stay focused. The thing is that I can't maintain that same level of intense effort for very long.

There is overlap between PTSD and ADD. A lot of his screening and history was to determine when the ADD symptoms first became a problem vs. when the PTSD symptoms started. Some of the actual tests should pinpoint that as well. It will be interesting to see what he comes up with.

I know some of my spaciness is dissociation, but certainly not all of it -- and not when I was a little kid.

As for EMDR, if anything, New Therapist is moving too slow for my taste. Yesterday she said that it would take "quite a bit longer than average" to prepare me for EMDR. When I asked why, she said that I had a difficult time "staying in the present". I guess I'm more of a whacked out nutcase than her typical client.

Friday, January 25, 2013

Don't know what to think

Third session with New Therapist:

The plan was to go through some mysterious "screening tool" that she would explain afterward. Then she would describe more of the actual process of EMDR.

We didn't even make it through the screening tool. Apparently my inability to stay on task infects my therapists, causing them to throw structure and order out the window. She started asking me questions that had us jumping all over the place. Had I reported the rape? Why not? (Followed by her sort of fussing at me for not reporting.) Did I tell anyone? Had I experienced any other sexual trauma besides the years of incest and the rape? None of these had anything to do with the screening tool.

It did have something about flashbacks, without using that word. She asked some follow-up questions and then she said, sounding almost surprised, "The flashbacks you describe are a symptom of full-blown PTSD." I bit my tongue, but I wanted to say, "Well, duh. Why do you think I'm here? Haven't you been paying attention?"

She asked what triggered my flashbacks and she was way more interested in the ones I'd had during therapy. Not that she came right out and said so, but she hinted that Randy had been irresponsible in not preventing my flashbacks. Then she said something like, "I disagree with the idea of clients having flashbacks during sessions. I think it's harmful and not at all beneficial." It's not like he purposefully triggered my flashbacks or sat back and let them run their course in case they had some therapeutic benefit. I pointed out that he always brought me back to the present and that he became adept at noticing when I was starting to go away. I felt kinda defensive on his behalf.

She let me know we were going to finish the screening next week. She asked some other questions. At one point she got to see my anxiety-induced leg trembling/shaking. She made the mistake of suddenly touching my other leg in a calming gesture. That only made things worse. Why didn't she ask first? Did she think it was OK to touch me without warning because she's a woman?

So we had a talk about boundaries and touching. She said most of her clients would have found that soothing and grounding. I said I didn't know her well enough to want her to touch me. I didn't say that I was shocked that she made a habit of touching clients without warning or permission.

Apparently this session convinced her I'm a tougher case than she originally thought. Last week she said something about a total of 6-8 sessions of preparation before starting EMDR. Now she was saying that I would need 8-12 sessions, not counting the 3 we already had. "Probably more like 10 to 12 sessions." I guess she's afraid I'm going to stay lost in flashback land if we don't do all this prep work.

It's kinda discouraging.

The latest from marriage counseling:

Sigh. To make a long story short, the counselors referred me to a psychologist for diagnostic testing. They were astonished I haven't been tested for ADD. My husband was immediately on board without even making a comment about cost. Apparently this guy is going to do a full battery of tests. I'm kinda nervous.

It's not like the counselors refer everyone to this guy -- I'm only the 4th one. They had referred the other 3 after working with them for years without making any headway. From a few comments they made about one of those clients, he sounded like a psychopath.

Great. I just love being the "special" client who needs extra help.

 

Wednesday, January 23, 2013

Two therapists in one day

Written after my second session with New Therapist:

Tuesday has been my therapy day for about a year now, and yesterday was no exception...except that it was a therapy day like no other.

My first appointment was with Randy. He was eager to hear about how things had gone with EMDR Therapist the previous Thursday. I gave him a brief overview and then said that I'd had two concerns. One was about my file, which she was going to request. Would that include just his notes or also the things I'd written? He assured me it would just be his notes, but that he was reluctant to send even that because it would not really do her any good because his notes were completely illegible to anyone but him.

"I warned her about that," I laughed. "I said that she would never be able to decipher your hieroglyphics."

Randy said he would be more than happy to talk with her and bring her up to speed, and that a phone consultation between the two of them would be far more valuable to her than his notes.

Then I told him that she strongly recommended I not see him while in treatment with her, and that this had sort of thrown me for a loop. We discussed it, and he had some additional reasons for why it was not a good idea, and why New Therapist needs to be my primary therapist "for a season", as he put it. At the same time, he wanted me to know that he was not abandoning me; he was not getting rid of me by palming me off on someone else, etc. He liked my idea to check in with him now and then. We both agreed that I would call when I wanted to schedule an appointment.

I told him that I'd always imagined that I would taper off with him and that we would never really have an official "last session". He said something about tapering off of drugs versus quitting cold turkey and I laughed. I didn't think of him as a drug! (A friend later convinced me that, yes, our therapists are like drugs.)

We then talked about the bond that is formed by a healthy therapeutic relationship. I have been feeling increasingly upbeat over the past few days and the nice things he said about me didn't ruin that. I didn't even glare at him. He told me he would miss me, which made me feel all weird at first until I remembered that I miss my students when they leave, even if only for a break, and there is nothing sinister or inappropriate about that, and they don't act all jittery when they return and I tell them, "I missed you!"

He reminded me of some of the things we've worked through together...it was a nice conversation.

Then we caught up on the latest of what's been going on with me. He said that I looked much more at peace, much more hopeful, and I said that I felt that way as well.

It was a bit odd to say goodby to him and instead of "See you next Tuesday", to say "I'll call you when I want an appointment." He's going to be gone for a little over two weeks in August, so I'd be taking a little break anyway...which means that it will be New Therapist and me, just the two of us, on our own until at least September.

I had an hour break between that session and my one with New Therapist.

Even though it was only my second session with her, I felt fairly comfortable. It's not like I feel at home in her office yet, or that I feel a sense of connection with her yet, but I feel confident that we will be a good fit. She seems more "therapish" than Randy...more structured...although the funny thing is that she commented several times that she wasn't following her usual plan for a second session, that she was doing things in a much different order. I began to wonder why. Without meaning to, was I somehow throwing her off her game? Was Randy more structured with his other clients? Do I bring into therapy some sort of urge to go off on rabbit trails or to follow a different track? Or did she think that I needed some on-the-spot therapizing that couldn't wait?

Some half-joking comment that I made about a parenting book left on her couch made her stop everything and jump on why I tend to focus on the things I've done wrong rather than the things I've done right.

Then she was having me read a laminated list of "lies" that she pulled out of a small nearby filing cabinet. These were a bunch of negative statements such as "I am no good", "I am stupid", etc. She had me read them quietly and notice, without having to tell her, if any of them "popped out" at me, gave me a mental picture, or caused me to feel something emotionally and/or physically. At the end of the looooong list, I laughingly commented, "I say a lot of these to myself." Of course she couldn't let that go. She went into a thing about negative beliefs and gave examples of the difference between admitting I'd made a mistake or done something stupid versus calling myself an idiot. She also talked about evidence against that belief, again giving examples.

I'm not sure how it came up, but we started talking about the statement, "There is something wrong with me." I insisted it was true or I wouldn't be in therapy. She insisted there was nothing wrong with me (I wanted to say, "Oh, you don't know me yet!") and had some way of rephrasing it that didn't make a whole lot of sense to me because I didn't see the difference.

After that, she was asking me how things went with Randy, which prompted her to ask what I particularly "enjoyed" about therapy with him. We laughed about the word "enjoyed" and I talked about some of the things that I felt had been particularly beneficial to me. For some reason, I started talking about trust, and how huge it was for him to have gained my trust. I also mentioned that I'd had this fear, in the early months of therapy, that I would do something that would make him kick me out. Although I didn't say this to her, now that I think about it, what I was really trying to ask was, "No matter how difficult I become, no matter how 'bad' I am, will you still hang in there with me or will you abandon me?"

I think she picked up on that without my having to say it, because she asked me if other people in my life had "kicked me out" or physically abandoned me. "Not really...." I said, and then she asked if I had been emotionally abandoned. For some reason, this question gave me a lump in my throat. I stammered something...don't remember what...and she was suddenly asking me to remember the first time I ever felt that way. I tried to deflect the question with a joke, but that didn't work, so I told her about an incident at age 7...the time when I wept inconsolably...and how I was left all alone to cry for what seemed like hours...

Then she was writing something, sort of like a list, on the whiteboard she has on the wall. "Normally I would use an example to explain part of the process we will go through with EMDR, but I think I'll use your memory."

She had me come up with a title, something to call that experience. I said that I'd remember what "7 years old" meant. Then she asked what picture I saw in my mind...what emotions I felt about it...what physical sensations I felt (although she said we weren't going to explore that one today) and what thoughts or beliefs I had. She was helping me come up with these, not by suggesting anything, but by asking me questions. All this time, she was summarizing my answers in a kind of chart form on the whiteboard. She asked me, on a scale of 1-10, how distressed I felt, how strong my emotions were, how significant this situation was, or something like that. I wasn't completely overwhelmed, but I felt on the verge of breaking down and sobbing. I think that if Randy and I hadn't already talked about that very same situation...if this was the first time I was telling someone about it...I would have been completely undone. I told her it was a 9. That made me feel silly and like I was hugely overreacting to something long in my past, but I kept my mouth shut about that.

Next she asked me about my thought/belief, not what I was thinking then, but now. That one was harder to come up with. At first -- especially since I'd been berating myself silently for still being all upset over something I should be long over, telling myself that I'd hugely overreacted back then and was still overreacting -- I said, "There is something wrong with me." We talked about that and then I said really quietly, "I think what I believe is that no one really loves me. I mean, they love me up to a point, but they don't really...really...love me..."

"What does that make you believe about yourself?" she asked.

It was hard to get the words out. First of all, it seemed so over the top, so untrue...and so cliche. We sat there for a while. Finally I said, "I am unlovable." Then I issued all sorts of disclaimers, which she ignored while writing "I am unlovable" on the whiteboard and crossing out "There is something wrong with me."

"What would you really like to believe instead?" she asked.

"Huh?"

"What belief or thought would you like to replace this lie with?"

"Uh..." I had no idea. We talked about it and she came up with, "I am lovable. I was just a little girl who was heartbroken." Then she asked, "On a scale of 1 to 7, how strongly do you feel that is true? I'm not talking about whether or not you believe it, but how you feel, deep down inside, about it."

I felt like saying, "I hate putting things on number scales" but was afraid that either she would think I was trying to avoid answering her (partially true) or that she would feel a need to therapize me about my hatred of number scales. So I said, "3" because it felt safe and middle of the road. Then I elaborated, "I believe the second sentence. Not so sure about the first."

Then she explained this was the sort of memory we would use in an EMDR session. She talked about how these feelings, thoughts and beliefs, didn't just end at age 7, that they have followed me my entire life, and that I have set about attempting to prove or disprove "I am unlovable" ever since then. She even gave some specific examples, based on the little she knows about me so far.

Apparently we'll be looking at my present issues, and then looking back at their origins. She said something about doing EMDR for the "first time" we felt or experience something, the "worst time", and the "last time". Sometimes just taking care of the first time will automatically take care of then rest, but not always. Somewhere in the session, she had made the statement, "Anxiety is unresolved conflict". I kind of re-framed that, in my mind, as anxiety being caused by our stuck points, and as EMDR being a way to work past those stuck points.

In the course of all that, she asked me several times how I was doing. (This reminded me very much of the book "The Body Remembers". I'd mentioned it the previous session and she was familiar with it. Her approach seems similar in a lot of ways, as far as I can tell so far.)

She brought up Randy again. She acknowledged that I obviously had a bond with him after three years of therapy. She was comfortable with my "checking in" with him now and then. But she asked me to tell her if I found myself especially missing him or wanting a session with him, to see if there was something specific that I was missing that we could incorporate into our sessions. I didn't say anything, but I thought, It's not a specific technique that I will miss. It will be Randy himself and the rapport we built up. It will be the simple things, like being able to say "My mother called" and he will know by the tone of my voice and the look on my face exactly what that means. It will be the trust I have for him...the fact that he has always shown me a mind-boggling level of acceptance I never thought possible...

At the end of the session, she did a little 5 senses, grounding exercise to make sure I was doing ok. I thought it was a bit hokey but nice at the same time.

Overall, I feel optimistic. In some ways, I feel like I'm embarking on a new adventure or something...kind of like a bird leaving the nest but knowing she can always return...

 

Monday, January 21, 2013

She seemed promising at first

Written back in August 2012:

Just had my first session with EMDR Therapist. My nerves almost got the best of me beforehand. To help me cope, I dressed like an adult. But once I met her, I felt more at ease. I really liked her. We're not going to jump into the EMDR right away; she's going to be helping me establish a sense of safety first and teach me tools I can use to deal with being triggered. She doesn't believe in "it gets worse before it gets better", even though she was taught that in therapy school. She also thinks therapy should not disrupt the rest of your life. And she claims clients leave their sessions smiling. We'll see.

It all sounds very good and what I'm ready for.

The only catch: she strongly advised I not see Randy while seeing her. She said it's not helpful to be stirring things up in an additional session per week. Also, she and Randy would need to work closely together and consult on a weekly basis, so as to keep on the same page, and she would have to bill me for that ongoing consultation time, which makes sense.

So I'm going to see him next Tuesday and tell him I'll be taking a break for awhile. She says she'll have a better idea next week as far as how long my treatment might take.

In the meantime, she recommended I see a psychiatrist to have my meds evaluated; she thought zoloft might be a better fit for PTSD.

We also talked about tequila. And insomnia. She suggested a bedtime ritual that doesn't involve alcohol, forcing myself to get out of bed at the same time each morning, and exercising between 6 & 9 am each morning. She sounded quite confident that this would cure my insomnia.

I'm looking forward to working with a girl therapist. I like that she covered a lot of ground today (including how she handles running into a client in public) and gave me a good understanding of how she approaches things. I think we will be a good fit. I'm excited...and kinda nervous...and a bit sad about taking a break from Randy, even though I was all angry at him just a few weeks ago.

Friday, January 18, 2013

New year...finally a new post

I'm not sure why I let this blog languish...or why I feel like posting again. All I know is that I feel the need to write.

Recovery is a strange, difficult progress. So far, it's been a meandering journey for me, full of stops and starts, detours, roadblocks, mountains, valleys, hidden dangers, beautiful discoveries, etc. Often it takes a crisis to get me willing to get moving in a new direction. A crisis brought me to therapy in the first place and, since then, much of the work I have done has been motivated by pain and desperation.

Months ago, I had another crisis: a panic attack so severe that I ended up in the emergency room, thinking I was dying. I scared the hell out of some of the people who saw me. Physically, I recovered quickly. Emotionally, I felt at the end of my rope.

So I pretty much blamed it all on Randy, my therapist. (Later, I apologized but told him he did make for a handy whipping boy. "Gee, thanks," he replied.) The upshot is that I decided I needed a completely different form of therapy, something more structured, less long term, with a definite and predictable duration -- in other words, EMDR. So I found someone whose website impressed me and who sounded nice on the phone, and off I went (with Randy's blessing).

Long story short, New Therapist and I were not a good fit. No, it was worse than that. To be completely frank, I think she was in way over her head with me...and possibly with any sexual trauma survivor. One example: she showed a shocking disregard for personal boundaries by touching me without permission when I was already triggered...and she acted as if she'd never before seen a PTSD-ish reaction to unwanted touch. Heck, I thought I was low key with my "Don't touch me!" It's not like I screamed or ran out the door or curled into a weepy ball or started having some full-blown flashback -- all things I've done in the past. She also seemed to think nothing wrong of unsolicited touch and acted as if the whole thing was my weird problem and an overreaction on my part. What are they teaching in therapy school? It's pretty bad when the client has a better idea of what is appropriate and what's not, and why.

I put up with things as long as I could, wanting to give her the benefit of the doubt, and not wanting to give up too easily. But eventually, I realized we were heading nowhere, and I was just wasting time and money.

Now I'm back with Randy. It's good.

Some might see my time with Bad Therapist as a senseless detour. But it turns out that I'm glad for the experience, but that's for another post sometime in the future.

In the meantime, over the next few weeks, I hope to be posting about my EMDR experience...that really wasn't.

Wednesday, May 9, 2012

Incest, child sexual abuse, and its aftermath

I saved this from an online discussion. The parts that apply to me in regards to the incest are in italics.

 

After being on this panel/board for a bit and reading some of the postings and comments, it has become apparent to me that there is still a lot of unawareness among panel/board members as to what behaviors may constitute incest or other childhood sexual abuse, as well as almost total oblivion as to the possible aftereffects of such abuse experiences. So, I'm going to go ahead and outline some of this for you. I don't mean to put anyone down here, only to explain and give you a better idea of why certain things are happening in your life.

And you know, I've had to do this again and again over the years. I worked as a psychologist for 35+ years on the Behavioral Health Units of a huge University Medical Center, and I had to explain things not only to patients, but also to other psychotherapists. The aftereffects of sexual abuse are so pervasive, and may express themselves in so many different ways, I even needed to keep my lists handy to be sure I didn't miss something. It might be helpful for you to know that incest and/or other sexual abuse was often diagnosed based on the aftereffects that were being seen. No single aftereffect would ever serve to diagnose, but when you see five, six, or seven of them in one person, it becomes pretty obvious. So here we go. I'm going to begin with what I call:

OVERT SEXUAL ABUSE
* Being touched in a sexual way or fondled.
* Being forced to touch another in a sexual manner.
* Being masturbated.
* Being forced to masturbate another person.
* Being forced to perform oral sex.
* Being forced to submit to oral sex.
* Being forced to perform anal intercourse.
* Being forced to submit to anal intercourse.
* Being forced to perform any type of oral/anal activity.
* Being forced to submit to any type of oral/anal activity.
* Being raped. Depends on the definition...and my inability to recall a specific incidence.
* Being force to pose for pornographic pictures, or to appear in pornographic movies or video tapes/DVDs.
* Being forced into prostitution.
* Being forced to undress and/or expose your body.
* Being forced to be sexual with animals.
* Being forced to undress before you were punished or spanked.
* Being penetrated vaginally or rectally by finger, or some other object.

COVERT SEXUAL ABUSE
* Bathed in a manner that felt invasive.
* Excessive attention given to genital hygiene.
* Being given excessive enemas or suppositories
* Being offered money for any sexually related act or conversation.
* Being subjected to comments, jokes, and/or remarks about your developing body.
* Having someone stare at your developing body, at your breasts or your groin/genitals.
* Talked to in ways that made you feel dirty.

* Called "pet" names like "whore", "bitch", or "slut",
* Being exposed to inappropriate nudity, or seeing someone else exposing themselves. This might also include being taken to a nudist/naturist camp by your parents or other family members when you were a child.
* Inappropriate and/or unwanted hugs, kisses, or tickling.

* Being "French" kissed.
* Inappropriate sleeping arrangements, sharing a bed with your parents, or with a sibling of the opposite sex.
* Being given a graphic description of sex acts.
* Being given a graphic description of your parents' sex life.
* Subjected to voyeurism. Not being given any privacy while bathing and/or dressing/undressing.
* Asked about your private life, e.g., asking a girl if she has gotten her period yet, or asking a boy if he has had a wet dream.
* Parents forcing overly rigid rules concerning dress on the child, or forcing the child to wear revealing clothing.
* Being exposed to pornography or other sexually explicit material, including having magazines such as Playboy or Penthouse around the home.
* Being forced to watch movies or videos in which sexual matters were the predominant theme.
* Being accused of immoral acts after returning home from a date.
* Being told that your parents really wanted a boy/girl, but got you instead.
* Becoming the "Little Wife" or the "Little Husband" to your opposite sexed parent. Becoming their partner in every possible way but sexually. Sharing inappropriate confidences. Emotional incest.
* Becoming enmeshed in adult sexual relationships and problems.

SEXUAL NEGLECT AND/OR ABANDONMENT
* Living with parents who repress their sexuality and physical affection, overdue touch and affection, are involved in affairs, are sexually addicted, or are acting out in a sexual manner.
* Lack of sexual boundaries in the family,
* Not being given complete and accurate information about sex, sexuality, procreation, and/or intimacy.
* Not having your questions and/or concerns about sex answered, addressed, or acknowledged.
* Not being taught that you have a right to make choices concerning your sexuality and your body.

* Not being taught about birth control.
* Not being taught about "safe" sex.
* Not having any concerns you might have had about gender identity or confusion, which commonly occur during adolescence, addressed.
* Having parents who did not model normal, healthy sexuality and/or intimacy for the child.

Now, this listing should not be considered to be exhaustive or all inclusive. There are lots of other behaviors which could be included, but this will at least give you some idea of how broad this area of incest/child abuse can be. As far as the aftereffects go, they can be divided into two very broad categories, aftereffects commonly seen in infants, children, and adolescents, and then aftereffects commonly seen in adult survivors. Remember, a diagnosis of incest or other childhood sexual abuse is usually made when the therapist sees five, six, or seven of these aftereffects in any one client. Perhaps this listing of possible aftereffects might serve to confirm for you that something definitely did happen when you were a child. So here we go:

AFTEREFFECTS OF SEXUAL TRAUMA COMMONLY SEEN IN INFANTS, CHILDREN, AND ADOLELSCENTS
* Infants: Fear of diaper change.
* Toilet training relapses.
* Smearing of feces of urine.
* Bed wetting, change in sleep patterns (excessive sleep or an inability to sleep), nightmares.
* Fear of specific situations, or persons/strangers.
* Social or emotional withdrawal, isolation.
* Personality changes.
* Loss of appetite.
* Unprovoked crying spells.

* Clinging to a significant adult.
* Excessive washing/baths, talks of being dirty or feeling dirty.
* Poor self-image, low self-esteem.
* Change in type of fantasy play, expressions of extreme victimization or violence in play.
* Refusal to go to school, delinquency, drop in grades in school.
* Difficulty in reading, in doing math, or in keeping up at school.
* Running away from, or aversion to going home.
* Attempts to control the environment, fear of the unknown, anxiety over unknown aspects of life.
* Regression to infantile behavior, clinging to childhood securities such as blankets, toys, dolls, baby bottles, etc.
* Agitation, hyperactivity, irritability, or aggressiveness.
* An overall rebelliousness towards authority.
* Suicidal thoughts, feelings, or ideation.
* Alcohol abuse or alcoholism.
* Drug abuse or addiction.
* Eating disorders (anorexia, bulimia, or obesity).
* Fear of being left alone.
* Fear of being touched.
* Unexplained gagging.

* Speech problems.
* Excessive passivity.
* Ulcers, colitis, or other stress related disorders.
* Headaches or stomachaches.
* Frequent genital or urinary tract infections.
* Unexplained bruises or injuries in the genital area.
* Blood spotting or unexplained substances in the underwear.
* Physical damage to the rectal, vaginal, or mouth areas, venereal diseases or testing H.I.V. positive.
* Sexual precociousness, excessive masturbation, use of sexually explicit words or gestures that are inappropriate, given the child's age.
* Promiscuity, prostitution, sexual addiction, or obsessive-compulsive sexual behaviors.

And finally, the longest list of them all, the one that shows how incest or other childhood sexual trauma will manifest itself in the lives of adult survivors. These are the reactions you should be seeing in your life right now if you are a survivor.

POSSIBLE AFTEREFFECTS OF INCEST OR OTHER CHILDHOOD SEXUAL ABUSE IN ADULT SURVIVORS
* Depression, suicidal thoughts, feelings, ideation, or attempts.
* Anger or rage that is misdirected or is inappropriate for the situation.
* Fear and anxiety, fear of rejection and/or abandonment.
* Guilt and shame.
* Repeated victimization in relationships
, jobs, and marriages.
* Emotional shutdown or over controlling of the emotions.
* Relationship difficulties, problems with trust, sharing, and intimacy.
* Sexual problems,
impotency, frigidity, inhibited sexual response, disorders of desire, sexual addiction/compulsivity, promiscuity, prostitution.
* Feeling or acting asexual, sexual anorexia.
* Fear of being touched.
* Poor self-image/low self-esteem.
* Minimizing of the abuse or denying the abuse.
* Migraine headaches.
* Back pain.

* Eating disorders (anorexia, bulimia, obesity)
* Sleep disorders (insomnia, excessive sleep, nightmares, night terrors).
* Flashbacks (Post Traumatic Stress Disorder).
* Alcohol abuse,
alcoholism.
* Drug abuse, drug addiction.
* Need to be in control, or a need to pretend that you are not in control (helplessness).
* Self-abuse, self-mutilation, cutting, or burning.
* Feelings of unreality/detachment.
* Seeing self as failure.
* Feeling inadequate, wishing you were someone else.
* Inability to receive comfort or nurturing.
* Feeling ashamed when complimented.
* Feelings of envy or jealousy
* Difficult in making any type of commitment to others.
* A sense of being wrong much of the time.
* Feeling that if other people really knew you, they would reject you.
* Feelings of self-hatred.
* Testing people that love you, just to see if they really do.

* An overwhelming need to please others. (Codependency).
* Numbness in certain parts of your body.
* Repetitive negative thoughts.
* Envy of "normal" people.
* Finding it hard to connect with other people, loneliness, isolation.
* Difficulty in allowing yourself to be vulnerable.
* Problems making yourself heard.
* Fear of being used by others.

* Inability to say "No".
* Inability to recognize the truth.
* Confusion about roles, identity, gender, or sexual orientation.
* Fear of men and/or women. (Related to who abused you).
* Fear of authority and/or rules.
* Homophobia.
* Fear of speaking out or standing up for yourself, problems with assertiveness.
* Inability to relax.
*Linking abuse or sex with love.

* In and out of therapy for years with little or no progress.
* Employment and work related problems.
* Inability to reach goals.
* Money problems: Fear of having it, fear of not having it, or fear of never having enough when you have plenty.
* Inability to participate in certain activities or use certain colors, foods, clothes, or fabrics.

* Psychosomatic illnesses.
* Getting upset by certain sounds, smells, tastes, colors, touches, or weather.
* Being an underachiever
or an overachiever.
* Perfectionism in any and all areas of your life.
* Self-sabotage.
* Fear of pelvic and/or rectal examinations.

* Personality disorders of all types.
* Dissociative disorders, multiple personalities, adaptable personalities, or sliding personalities.
* Antisocial, psychopathic, or sociopathic behaviors.
* Battering or being the victim of such abuse.
* Phobias and/or phobic reactions.
* Anxiety attacks.
* Disorientation, confusion.

* Hyperactivity, aggressiveness, irritability.
* Wearing clothing that is too large and that hides your body, body shame.
* Feeling "crazy" or different.

* Passive-aggressive behaviors.
* Criminal behaviors: setting fires, destroying property, theft.
* Offender status: Perpetrating sexual abuse on children, or some other form of sexual assault, such as rape.

All of these symptoms will NEVER be seen in any one individual. But when five, six, or seven are seen, the therapist knows that they are dealing with a survivor, whether the client realizes it or not.


Posted on 09/24/10, 12:47 pm



Monday, May 7, 2012

Signs of unresolved trauma

Over a year into therapy, I discovered...somewhere I don't remember...a list of symptoms of unresolved trauma.  

1. Addictive behaviors – excessively turning to drugs, alcohol, sex, shopping, gambling as a way to push difficult emotions and upsetting trauma content further away. (How excessive is excessive?)

 

2. An inability to tolerate conflicts with others – having a fear of conflict, running from conflict, avoiding conflict, maintaining skewed perceptions of conflict. (Yes)

 

3. An inability to tolerate intense feelings, preferring to avoid feeling by any number of ways (Who, me?)

 

4. An innate belief that they are bad, worthless, without value or importance (Sort of) <--- I think I was being slightly facetious here, or maybe I was underestimating how poorly I thought of myself.

 

5. Black and white thinking, all or nothing thinking, even if this approach ends up harming themselves (Not sure) I realize now that I tend to think in extremes.

 

6. Chronic and repeated suicidal thoughts and feelings (Maybe not chronic)

 

7. Disorganized attachment patterns – having a variety of short but intense relationships, refusing to have any relationships, dysfunctional relationships, frequent love/hate relationships. Short but intense relationship...yup, I had a few before marriage.

 

8. Dissociation, spacing out, losing time, missing time, feeling like you are two completely different people. (Unfortunately)

 

9. Eating disorders – anorexia, bulimia, obesity, etc Not a true eating disorder, although my eating has been disordered at times.

 

10. Excessive sense of self-blame – taking on inappropriate responsibility as if everything is their fault, making excessive apologies (Yes)

 

11. Inappropriate attachments to mother figures or father figures, even with dysfunctional or unhealthy people. Don't think so. My therapist disagrees about father figures.

 

12. Intense anxiety and repeated panic attacks (Not this bad)

 

13. Intrusive thoughts, upsetting visual images, flashbacks, body memories / unexplained body pain, or distressing nightmares (Yes)

 

14. Ongoing, chronic depression (Probably)

 

15. Repeatedly acting from a victim role in current day relationships

 

16. Repeatedly taking on the rescuer role, even when inappropriate to do so

 

17. Self-harm, self-mutilation, self-injury, self-destruction

 

18. Suicidal actions and behaviors, failed attempts to suicide (Yes)

 

19. Taking the perpetrator role / angry aggressor in relationships

 

20. Unexplained but intense fears of people, places, things (Yes)



 

My comments from back then follow each item in parenthesis. Today's comments are in purple.


I wonder if and when these will ever go away...