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Your Therapist Didn't Heal You

 

One of the biggest shifts when acquiring a trauma-informed lens is to realize that there is no therapist, guru, healer, fantasy rescuer or parental stand-in who can heal you from trauma.

The old paradigm was that someone, an expert, would perhaps hand you a Kleenex, and then offer you wisdom and insight metered out in 50-minute increments. Maybe the expert took the form of a religious figure and you traveled to an ashram to sit at his feet. Or maybe you believed that fast-talking salesman who told you that if you hurried now you could buy your healing, limited time offer, two for the price of one, and we’ll throw in discovering your life-purpose for free!

We are so desperate for the pain to stop, for the confusion to end, for the relationships to heal, that we will try almost anything. No one wants to be told that their migraine will last the next 30 years, so it makes sense that we will look for relief from trauma in pills, doctors, and magic spells.

However, what do you do when that therapist you’ve been seeing for 15 years moves out of town? How do you cope when you are ejected from the inner circle for daring to question the guru? If someone has the power to heal you then they also have the power to take that healing away.

Besides, we’re missing the point here. Trauma means experiencing an overwhelming threat to physical or emotional safety where a lack of control resulted in not being able to protect yourself. Makes sense that in order to recover from this experience you need to regain your power and control. That won’t happen if the person who is supposed to be helping you on your journey holds the expertise and the discretion about how and when to share it with you.

I have seen too many people take on the role of rescuer to meet a deep-seated need inside of them. I also know that many of us like to be rescued because we didn’t have a savior when we got hurt and it sure would feel good to collapse into someone’s arms and have them airlift us to safety. Spoiler alert: We have to become our own rescuer.

Now this is not an attack on therapists or spiritual advisors or any person who provides much needed encouragement and support to those seeking to heal from trauma, but in the trauma-informed paradigm we are looking for ‘enlightened witness.’ ‘Helper’ and ‘fixer’ are off the menu.

The other day I fell into a deep sadness. My analytical brain, doing what it’s supposed to do, tried to find reasons for the sadness. By the time it had supplied all the good reasons I had to hate my life I was downright depressed! “Perhaps I need to see a therapist,” I thought. “Maybe I am going to spiral out of control!” chimed in the more dramatic part of my brain.

The trauma-informed part of my brain took control: “It’s just a feeling. My nervous system is dysregulated. I am ‘stuck on low’ (hypoaroused) and I need to get back into my regulation zone.” Just recognizing that I had control over the situation made the panicky feeling (and the drama queen that lives in my head) go away. I went out for a long walk in the park. By the time I got home, the sadness had abated despite the fact that my life circumstances were exactly the same.

Not to overshare here, but as a trauma survivor, I can also experience the other extreme of the nervous system. The other morning I felt agitated and nervous. It’s the kind of day I blow through the office like a tornado and everyone presses themselves against the walls. Recognizing the hyperaroused state (my colleagues would call it something different but probably not in front of me) I decided to skip getting a coffee on my way in.

Recognizing and being able to regulate our nervous system is just one aspect of healing from trauma. Of course, there is also recognizing the patterns that are conditioned into the body, the stories we tell ourselves based on our trauma history, the barely hidden fight, flight, freeze, appease responses that manifest in our choices… the healing journey is long and like many journeys, there is always something unexpected around the corner.

I would never tell anyone not to make use of therapy and pharmaceuticals or ignore the advice of mental health professionals but I will say this:

Beware the healers who hold you hostage in the same stage of healing they have achieved. Don’t accept their labels if labeling is how they cut and dice their own trauma into manageable distance. Cry if you want to but not because they expect it. Don’t proclaim yourself healed, or practice white-knuckled forgiveness of your abuser until it flows through you with grace and release. And above all, remember that healing is like giving birth… no matter how great your therapist is, she can’t do it for you.

Want to learn more about trauma and how to regulate your nervous system? Come to our basic or advanced trauma training.

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Comments (10)

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Mary L. Holden posted:

Louise, will you please pitch this article to every newspaper, magazine, blog post, billboard, newsletter, communications outlet in the entire world? Of course there is the matter of translation; still, it can be done! EVERY HUMAN needs to have this message. Even though an industry is built around psychology/therapy, the truth is that everyone must find the energy within themselves to recognize, manage, and balance the truths that arise with emotions. There are many tools to learn about, to practice with, and to use when a "good fit" is found. Thank you so much for this clear assessment.

Thank you, Mary. I'm so glad you understand what I was trying to say. I was writing specifically to survivors with unresolved trauma. We have so many parents coming to us who don't have access to resources or cannot afford them. What they don't realize is that they are 'already resourced' in the words of the magnificent Kirste Seabourne. 

Robert Olcott posted:

Louise, just saw your follow-up post to Carey, about the calls and e-mails from therapists, and I hope my commentary below, is seen as positive and constructive...

Always, Robert.

Jane Stevens posted:

Thanks for writing this, Lou. You are very clear about the difference between abusive therapists/therapy and therapy that is healing. And I agree with you wholeheartedly: A therapist facilitates healing; she can’t do it without a LOT of work on our part. 

Thank you, Jane. Actually, the discussion for me was not about the difference abusive therapy and healing therapy, rather the idea that to resolve our trauma we have to get to the point that we learn to control our nervous system without relying on any of the various professional healers to do it for us. Every time we give that over to someone else, we lose an opportunity to learn how to manage our own bodies. Trauma-informed practitioners will empower. Those who don't understand trauma or are too caught up in their own unresolved trauma and need to be a 'rescuer' will not.

Louise, will you please pitch this article to every newspaper, magazine, blog post, billboard, newsletter, communications outlet in the entire world? Of course there is the matter of translation; still, it can be done! EVERY HUMAN needs to have this message. Even though an industry is built around psychology/therapy, the truth is that everyone must find the energy within themselves to recognize, manage, and balance the truths that arise with emotions. There are many tools to learn about, to practice with, and to use when a "good fit" is found. Thank you so much for this clear assessment.

Louise, how true. I needed that reminder.

Spoiler alert: We have to become our own rescuer.

Trauma means experiencing an overwhelming threat to physical or emotional safety where a lack of control resulted in not being able to protect yourself. Makes sense that in order to recover from this experience you need to regain your power and control.

I still at times hope to be rescued, that bereaved little girl waiting for that surrogate mom to airlift me into safety. 

Louise, just saw your follow-up post to Carey, about the calls and e-mails from therapists, and I hope my commentary below, is seen as positive and constructive... I'm still trying to read the rest of the original article--as I'm still at the library, using their internet connection...

Years ago, when I attended "Professional Co-Dependents Anonymous" meetings in the one location in our entire state where such meetings occurred, many therapists who also attended addressed matters you noted in the sixth paragraph of this article. One 'Pastoral Counselor' I knew, had been kind enough to share the existence/location of such a meeting, when I'd been working as a 'Case Manager' in a shelter. Fortunately, I'd had enough prior work experience as a 'Community Organizer' to realize the importance of the 'Empowerment factors', or at least not 'dis-empowering' survivors. I suspect most, if not all those who attended that "Professional Co-Dependents Anonymous" meeting would concur with your closing paragraph. Since the time when I attended such meetings, I've come across a UK doctoral dissertation noting "Co-Dependency is now a 'contested construct'". ...

Thanks for writing this, Lou. You are very clear about the difference between abusive therapists/therapy and therapy that is healing. And I agree with you wholeheartedly: A therapist facilitates healing; she can’t do it without a LOT of work on our part. 

I just came, moments ago, from a [video'd] interview concerning my familiarity with the Holy Bible, outside my local public library, where subsequent questions concerning my character ("Have you ever lied?, etc.") didn't consider the threat I was dealing with at the time, or whether my "Fight-Flight-Freeze-Fawn" reactions might have prompted survival strategies where I asked an attacker if he sees the [non-existent] rattlesnake at his feet, or similar survival 'un-truths' . Most of the initial interview portion focused on my knowledge of [various versions before and after the Council of Nicea and the Council of Trent) the 'Holy Bible'. I had also acknowledged my familiarity with numerous [Christian and non-christian] 'Holy Books', such as the Tao-Te-Ching, Book of Mormon, New Oxford Annotated Bible with Apocrypha, etc., In the course of the interview, I found myself reiterating the story of the morning I witnessed my Mother's Handgun suicide, holding the King James version of the Holy Bible in her left hand, and my father's off-duty pistol in her right hand, ...and portions of her brain, and blood on the wall behind her...... Perhaps my 'faith' had 'shattered' (besides my 'inherited' music appreciation-from my Eastman School of Music graduate mother, who had also later 'produced' our church sesqui-centennial pageant...)

I had occasions to seek out EMDR therapists in the past. The first one, who I established a connection with, after substantial preparatory sessions, stopped 28 years of the flashbacks of my mother's suicide. It didn't completely address my 'survival response' of 'shutting down' emotionally, every year just before Mother's Day through the anniversary date of her suicide. When I had to deal with subsequent 'termination' of therapy-especially when my insurance coverage, or other 'payment source' didn't cover extended sessions, I also had to 'mourn' that loss of therapy/connection. .... One therapist had asserted that I 'over-utilize' my short-term memory (one PTSD symptom is 'a fore-shortened sense of the future'...).

I thought Louise's previous "Coercion" article addressed many of the 'judgmental' social commentary', some sexual violence survivors endure, and this article seems to also be quite comprehensive, too! Thank You, Louise ! ! 

Last edited by Robert Olcott

I'm in big trouble already, Carey. Nothing but outraged calls and emails from therapists. Admittedly, my choice of title was deliberately provocative so I should expect fall out. However, do those who are outraged really take credit for 'healing' their clients? Isn't the trauma-informed paradigm about acknowledging the survivor is the one doing the healing and the role of those around them is to be an 'enlightened witness'? 

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