Showing posts with label psychotherapy. Show all posts
Showing posts with label psychotherapy. Show all posts

Thursday, 23 February 2012

Psychotherapy...a Dangerous Method?

There are many third parties who specialise in getting people back to work. I’m currently working with a company called Corpore who are organising my rehabilitation and now a company called Validium who are providing my Psychotherapy.

If you recall, I dislike Psychologists. I dislike talking about what happened to me and I HATE discussing my feelings. I was like this before my accident and that part of my personality hasn’t changed. Writing things down is something I find very easy (I’ve kept a diary since I was 5) and perhaps that’s why I don’t feel the need to verbalise everything. It's a part of my personality that lots of people don’t understand; I’ve been called cold, hard and unfeeling in the past and been encouraged to surrender control in order to become a better person. This is me though, I’m a person who likes to be in charge and that makes me who I am. As one friend describes me, I'm the personification of the iron fist in the velvet glove...and I don't mind that at all.

The difficulty has been finding a therapy and a type of therapist who suits me and can work alongside my strong views on this subject. After all, I know it has been proven that people in therapy feel much better and have more successful recoveries overall. I don’t want to discount therapy as I want to help myself as much as possible.

Last week I went along to a Gestalt Centre to meet the Therapist I’ve been assigned, someone who has done a lot of work in Psychological Trauma. He also works with prison inmates, so he’s pretty hardcore I imagine. The type of therapy he works with comes under the branch of ‘humanistic therapy.’ This means they believe humans are inherently good. Gestalt Therapy treats counselling as a dialogue, rather than the injured being expected to come up with all the answers about themselves and their feelings. It concentrates on the experimental approach, involving action. This means they encourage you look at the blocks you are experiencing and come up with ways of combating them. Then you do just that….go away and put the ideas into action.

Gestalt is very focused on the present moment. Instead of looking over your shoulder into the hellish experience you’ve had, you look around you at what is happening now. It aims to create an awareness of your feelings so that you can change them and change your response. It sounds to me like they aim to give you control back……brilliant!

It also links closely to mindfulness which I’ve always been really interested in. We spend most of our day to day life ignoring how we feel and being prey to our moods. A lot of this is because we are surrounded and distracted by so much stimuli all the time, we rarely sit back and notice our physiological and mental being. Being mindful helps you be aware of what is happening to your ‘self’ and how your ‘self’ is reacting whether that be positive or negative. Once you know yourself better, you can work with yourself to get the best out of your life.

It’s with high hopes that I approach this type of therapy and I’m thinking of doing some more research into mindfulness while I’m at it. If anyone has had any experiences with Gestalt Therapy or other types of counselling, please speak up!

Thursday, 1 December 2011

PTSD - not all wounds are visible

Post Traumatic Stress Disorder was something I studied in Psychology at College, not something I thought I would ever suffer from. Yet recently I was diagnosed with mild symptoms of the disorder and have been referred to a type of therapy known as Cognitive Behavioural Therapy. This is to minimise the chance of developing anxieties or phobias linked to the accident and 'trauma' suffered.

We know more about PTSD nowadays because lots of soldiers coming back from war will suffer from it due to the terrible experiences they have had. It is important to treat people after trauma in a timely fashion to stop the disorder eating them up and taking away their ability to live a fulfilled life. It can also lead to other problems such as alcohol dependency, depression and an inability to cope.

Although I've been told some of the symptoms I am experiencing are part of the disorder, I feel that most people who have suffered a trauma would display these feelings or behaviours. PTSD can be diagnosed if these symptoms are still prevalent after 6 weeks but I do feel that some of these may persist for months or longer. I think having a significant accident may make you always feel differently towards certain things.

An example would be strong, uncomfortable feelings related to situations related to the event. I am probably always going to be nervous around BBQs, bonfires and other sources of open flame or fire. I'm not sure these 'strong, uncomfortable feelings' will go away after 6 weeks. I'm not sure they will go away at all!

I am quite 'hyper-vigilant' but am hoping this will lessen over time. Apparently this is something that CBT will help with. Bright, electrical lights startle me, like gas flames or fireworks. When the fish-tank light came on the other night, I jumped out my seat! I also see accidents everywhere but I think this will lessen too. It's early days still.

I have also had palpitations a few times and can suddenly feel my heart pound in my chest. I constantly check for fire exits, refuse to get into lifts or move the oven gloves away from the hanging on the oven door!

I'm really pleased that I am being referred to CBT as although I think I'm doing really well in my recovery I'd hate to miss something and it escalate into an irrational fear. It's better to act early. As resilient as I am, I still need support to make sure I recover from this ordeal as well as I can.

The person who has had the accident needs to take action themselves but others can also help them by acting appropriately. If you know someone who has had an accident or trauma, follow this advice from the Royal College of Psychiatrists. There is nothing worse than people telling you how lucky you are! Believe me!

Do…….
*watch out for any changes in behaviour – poor performance at work, lateness, taking sick leave, minor accidents
*watch for anger, irritability, depression, lack of interest, lack of concentration
*take time to allow a trauma survivor to tell their story
*ask general questions
*let them talk, don’t interrupt the flow or come back with your own experiences.

Don’t …….
*tell a survivor you know how they feel – you don’t
*tell a survivor they’re lucky to be alive – it doesn't feel like that to them
*minimise their experience – “it’s not that bad, surely …”
*suggest that they just need to "pull themselves together".


Further information can be found on the Royal College of Psychiatrists website.