What is the Treatment for Complex Dissociation?
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- čas přidán 19. 06. 2024
- In this video from The CTAD Clinic, Dr MikeLloyd, Clinic Director, discusses the main treatment approaches to working with complex trauma and dissociation. While not focusing on specific therapeutic types (for example, cogitive behavioural therapy / CBT), there is a discussion about the merits of using guidelines as a general framework towards therapy. The importance of keeping the individual in mind is asserted.
The main guidelines mentioned in the video are the Adult Treatment Guidelines for Treating Dissociative Identity Disorder in Adults (2011) set out by the International Society for the Study of Trauma and Dissociation. In addition, Practice Guidelines for Treatment of Complex Trauma from the Blue Knot Foundation in Autralia are mentioned.
The Guidelines referenced tend to be used for complex dissociation, such as Dissociative Identity Disorder (DID) and Other Specified Dissociative Disorder (OSDD) but in clinical terms are also adaptable for working with associated conditions such as depersonalisation, amnesia and conversion.
#complextrauma #guidelines #therapy #DissociativeIdentityDisorder #DID
#OtherSpecifiedDissociativeDisorder #OSDD
www.isst-d.org/resources/adul...
www.firstpersonplural.org.uk/...
www.blueknot.org.au/resources...
bethanybrand.com/
www.tandfonline.com/doi/abs/1...
I worked with a trauma therapist. She was specialised in psychotherapy. It helped a lot. And I’m in a great place now
DID/OSDD need to be studied & codified. We are tired of having few treatment options that most therapists are unaware of. Thanks for the video.
Exactly
Many changes recently
@@izdotcarterWhat are the changes?
Yes!! A Million Times YES.
I’ve been in therapy since the early 90’s. I wasn’t Diagnosed with DID until 2021.
Since my Diagnosis in America I’ve been told they will only Treat “Tonya” my Birth Name.
They will not address any of the 16 distinct parts. Which is absolutely terrifying for someone who has long periods of amnesia between parts. I have no idea who’s fronting most of the time. For 50 years we’ve all answered to Tonya so this works for now.
I have been through CBT DBT Group Therapy EMDR Early Childhood Therapy Inner Family Systems and Hypnosis prior to my DID Diagnosis!
My Trauma Therapist is Suggesting a Care taker although I have been married almost 40 years. I led a successful life until my late 40’s when my Family Re-traumatized me and the abusive Childhood Memories came flooding in once I finally went No Contact with my Primary Abusers.
I currently feel STUCK agoraphobia Depression etc…
Therapy weekly feels mostly pointless.
Sorry for the rant.
It feels like we need to educate the professionals! It’s incredibly Frustrating!
This was really insightful.
It's honestly so refreshing to have that "assess each person and treat everyone in a way that actually suits them" approach when many therapists and psychiatrists seem very "one size fits all".
We are in Australia. Our therapist this week pushed us into exposure I think, but I don't remember. There's been a huge amount of distress for us this week and I really don't remember the last few days. From the comments that have been left in our journal there has been a drastic negative change for us in functionality, mood, stress, coping etc. And there seems to now be an intense dislike and fear of him where there was none before. If I try to remember what was discussed I just have another dissociative seizure. I'm glad we watched this video now, because I think I understand better why it happened. We may need a new therapist, or he may need to consider changing his therapy with us. I don't think exposure will work, and we definitely don't want to relive trauma at all. Thank you for the video.
- Ian
I was so excited to see a new video title pop up in my notifications!
Thank you for the content you provide. I would appreciate if you would make a video on somatization and its relation to trauma and dissociation. I suffered a lot of pain as part of my dissociation (and trauma), and it took me a while until I learned to "read" certain types of pain/tics/sensations as communication, or body memories. They still happen, but now they serve to turn my attention to what is going on inside, because sometimes I think that I am fine, doing some work of my own, and all of a sudden my body starts hurting and cramping, or my hands and feet become ice cold, and my heart is racing, because a part is being triggered by something that I didn't even notice. I usually need to backtrack, remember what the possible trigger could have been, and then contextualize who is triggered, and why. Once I understand what is going on, the pain disappears.
I feel that it's kind of ironic that I kept dissociating while watching this video. Very helpful and informative and we'll definitely be sharing this with our therapists. I've already noted the link in our journal.
- Ian
I dissociate as well when trying to find info on DID.... You aren't alone. Good luck.
@@williamalexander7481 There is a really helpful article on Dissociation by a therapist in Virginia explaining that Dissociation is a brilliant strategy of the mind to help forget trauma/upsetting events. it happens to everyone if they are upset enough & there is no other way to get a respite from the upset. it does not mean you have a disorder. it means you're a human who's had a lot to deal with, whether you or anyone else acknowledges it, or not. why would you want tp get rid of a brilliant coping strategy?
@@kimlec3592 While I see your sentiment, dissociating has made it so I cannot connect to experiences or those I love. I cannot trust what my self actually wants when I’m dissociated because I feel no moral or emotional leanings. It has been the singular hardest thing I’ve had to deal with in my adult life.
Dissociation can also make driving a challenge, or working, or relating to people at all. I dissociate most every day because of how much trauma I’ve endured. It’s becoming less since starting therapy, but it is VERY jarring to try to come out of dissociation when I’ve been doing it since I was a little kid. 31 now.
Dissociation makes it hard to feel, well, anything. Positive or negative emotions. I “zone out” so badly I miss bits and pieces of what people say to me, then I may forget what they said after 5 minutes have passed, like they never even said it at all.
It’s NOT good for trying to build or maintain a relationship with others.
I learned about the three phase model when researching how to heal from trauma, and I immediately recognized that that was basically the approach that I was already doing, and benefiting from, at that point in time (albeit not intentionally following the three phase model, and not with the guidance of a trauma therapist). After giving up on traditional therapy (which had proved to be useless), I started working with a somatic coach, doing what was, in effect, the stabilization phase. When I finally got my CPTSD diagnosis, I got offered EMDR therapy, which was basically phase 2, and started that after about 2.5 years of somatic work. I definitely had to "retreat" a bit with that, as it opened up a pretty big wound, but my somatic coach really helped me stabilize and work through it. Since making it to the other side of that particular trauma, I have felt a lot more resilient, and I don't get as triggered as I used to. I'm finally feeling now like I'm ready to make a few phase 3 changes in my life, to put myself out there a little bit. Part of the issue I have with stabilization and trauma processing is that I really don't have much in the way of a social support system in my life, but in order to develop one, I have to try to be around people so I can form those relationships. Only after a significant amount of healing work do I finally feel like that isn't too demanding and draining to attempt in small doses. At the same time, I recognize that I still need more time with both phases 1 and 2. I'm really glad I learned about this model, because it's helped me get a sense of how what I'm doing is helping me heal and what I can expect from the process.
I don't really like the criticism that stabilization takes too long. It takes as long as it takes. You can't speed up the process just because you want it to go faster. It takes time to learn and practice new skills, to form new habits and ways of working with your internal experience. But if you don't do that groundwork, you'll just dissociate when things get too much, and you can't heal from that dissociated state. I think that's the main reason EMDR fails for a lot of people with CPTSD---it's approached too rapidly without taking the time to stabilize first. If as a therapist you aren't prepared to deal with dissociation, then I don't feel like you're really qualified to be practicing EMDR for the treatment of complex trauma.
I also think it's a mistake to assume that stabilization doesn't also include processing trauma. I don't mean it's explicitly seeking to explore trauma memories. I just mean that what's happening is that you're likely already triggered, already in that emotional flashback or EP, and now you're learning how to navigate back to safety from that position. The process of doing so heals trauma. It's not just about skills training. When I started my somatic work, I had no idea how it was supposed to help me. I thought at first all I was doing was learning how to calm myself down when having a panic attack. But it was actually a lot more than that. I was learning how to be vulnerable, to face my fears, to establish boundaries. I was laying the groundwork for a lot of healing, and I was having a lot of emotional releases throughout the process. I had to be coached through it, to guide me to stay grounded, because I didn't know how to do that on my own, but I do believe that I was processing my trauma in those moments. Not because I was actively, consciously trying to access it and process, like with EMDR, but because the act of simply trying to be in my body was triggering me to feel my repressed trauma, and the only way to work through that without dissociating was to process through the emotions.
Yes, it takes a long time. The process is on the order of years. But honestly, considering (in my case, at least) it's working to heal about 18 years of trauma plus over a decade of being a traumatized (and sometimes retraumatized) adult, it's not that slow when viewed in context. That's fairly rapid for rewiring the brain and overcoming decades of dissociative habits. It's been 3.5 years for me now, and the changes in me have been pretty dramatic. I'm not at the end, but I have come a very long way from where I started.
I've started therapy recently and it's become incredibly apparent that i have a dissociative disorder. I was so excited to see a new video since my therapist is researching the best approach! 🧡 thank you!
I'm very happy with this video because it exactly discribes how we and our psychologist work together. It gives us a good but also a save feeling knowing that we are on the right track.
Thank you for the references. This is great.
This was a wonderful video. Exactly what so many people need to see.
Very informative and clearly explained as always. Great to have another video from you!
Thank you, this was so helpful as I wasn't sure what guidelines were available in the UK and what you say makes sense from our recent experience of therapy with the NHS. Thanks so much for explaining it so clearly and helpfully!
Thank you Dr Lloyd, it was so helpful to hear a summary of treatment approaches; it's hard to pin down reputable information surrounding DID treatment in the UK and no information is given whilst on the waiting list for treatment. I really appreciate these videos. Emily
Thank you Dr Mike!
Thank you again for such an informative video.
Words will never be able to express how helpful all your information has been to me and my system. We are incredibly lucky to have an amazing therapist and wonderful support system at home. We are a system in which some, maybe many parts, are incredibly interested in learning we rely on experts like you. Right now things are incredibly tough but knowing there are people who believe us and are passionate about helping systems is very comforting. Keep up the amazing work you are doing, you are saving lives!
Than you so much for this amazing comment, Nina! We are so glad that the videos are helpful for you and will defniitely keep making them whenever time allows! Good luck with your therapy.
We felt it was most helpful that our therapist was well grounded herself and able to see subtle shifts in the relationship between us
This is one of the best and most important video I have ever seen.
I have a chronic dissociation and most of the therapists do not know how to treat it. One of the challenges is that because of the dissociation I can not feel anything so I can not process the trauma and not be exposed to it.
CBT and EMDR therapists do not understand that there is no therapeutic effect if I expose because I will not feel anything when I expose. I would be very happy if you could leave contact details we might be able to start remote treatment (I live in another country)
Thank you very much for your videos!
Thanks is for the video, Dr. Mike. I have an extensive history with EMDR (7-8 yrs; time is an issue for me, so not sure), and my insite is that the method encompasses all 3 phases discussed.
My dissociatIve boundaries (DID) are solid, and I came to therapy with only a couple of traumatic memories. EMDR was started early and has allowed me access to several years of torture. My T believes the body holds energy from the experiences, and EMDR releases it. I see this is true and not just that; once the energy is released, parts naturally calm, boundaries become porous, and I think several have merged.
Regarding stability and communication, EMDR has helped in that regard too.
My T and I have discussed it, and he has hinted that not all DID patients can tolerate processing in this manner. Still, I am determined to know my biography and have worked hard to establish coping mechanisms, including self-love meditations, self-care, and yoga.
I wanted to share to encourage others. Thanks again for the channel. It's helpful.
Hi please could you make a video explaining the differences of DID, CPTSD and BPD. Regarding Dissociation symptoms, PTSD symptoms, emotional regulation. As these diagnosis have great amounts of over lap between the 3 while also being completely separate diagnosis in how the brain with each separate dissorder will be connected.
You are a diamond discovery. My husband has all the symptoms of Structural Dissociation and the traumatic childhood that supports what's happening to him. I cannot find him a therapist in Houston, TX to help him and he's in a Schizoid phase, living apart from me and closing all intimacy and emotional communication out of his life. Our marriage is devastated. Your videos are so helpful for me. I've shared them with my husband but I don't know if he'll watch. He's self aware but there is still denial happening and I can't be the one to talk with him as I'm now associated with his childhood traumas.
WE have ZERO intimacy in any way. Only text and the occasional talk mostly logical task related. I almost checked out from the craziness and not understanding for a year and a half. HERE'S MY REQUEST: Make a video series for the Spouses of people who have DID, real DID from CEN/Childhood Abuse/Enmeshment, etc. He also scored extremely high for Alexithymia, has anger phobia, fear of all emotions, and the more intimate, the more he shuts down. Physical symptoms like trembling, becoming so hypo-aroused that he lays down and falls asleep, slurs his words (sounding confused, disoriented, not able to follow a basic sentence) and because I tell one alter what's happening who listens but then another alter is present when I try to bring it up (protective alter who doesn't allow the core personality or other alters to be aware of the whole truth), it's impossible to have any emotional or psychological conversation, even with proof (recordings, videos, letters in his handwriting).
I have distanced myself and grieved the loss of my husband when "he" went completely away and I haven't "talked" to the man I married in over a year. I can recognize when he switches alters IN MID SENTENCE and as an Empath, Intuitive, it's jarring when someone's energy print switches that fast. I was terrified for the first year and a half. It wasn't until my thousands and thousands of hours of study began to connect dots, which led to more awareness, more dots, more conclusions, and here I am writing you. I interviewed a handful of therapist but they didn't know half of what I knew about the issues he's dealing with. I want a diagnosis.
I know this is a comorbid issue and it's hard to tell what drives the other that causes the other, what can be healed/helped, what is permanent, and he has resigned to the belief that if I stay married to him, he will never be able to show emotion or intimacy and this is the way he is (forever). I don't buy into that. I believe there's an alter or two or three who are complacent and feel safe leveraging some of these personality constructs like Alexithymia and the DID disorder and etc. as reasons nothing has to change.
I feel I'm being pushed out and have been for many months. It hurts to walk away from the many I fell in love with and knew for 10 years before dating 2 and then eloping. All of this began 2 months married. He's doing what he can to learn on his own with an alternative therapist who has taught him a parts integration process that is a fast track which is why his personality shattered 2 mo married. She's taking him too fast through this and now he knows how to do this "parts integration" by himself and has been for YEARS but he's gotten more into his coping behaviors from trauma than away. He is not resistant to getting help. He'll try to make excuses such as we can't afford it but I'll zap that by changing our financial situation and contributing. I've got to get him out of his trauma cocoon that he doesn't see or doesn't talk to me about so I experience his distance as neglect and feeling rejected yet I believe this is less true the more I learn. I can't just abandon him w/o finding an experienced doctor in this kind of mental illness who can really help. Solutions solutions, helping him believe that there IS hope, that he's not stuck this way in life (he's 47). We were only together 2 years married of which at least 12 months were apart (he abandoned the marriage twice rather than sitting down w me and facing our conflicts. I understand now why that was impossible, but it triggered MY abandonment issues on an epic level and I'm still healing from the surfaced wounds from my childhood)
An entire blog should be dedicated to the Spouse and educating the Spouse. I wish we could work with you. Please consider the blog for Spouses. Please let me know if I can get in touch with you. Video therapy. I have enough data to show you what's happening and you'll see it on a video session. We were both multi-six figure educated professionals, called a "Power Couple" by our friends. We had it all in our hands to create the most incredible life. I at least want answers from a doctor/therapist who specializes in this and I know he does too.
Hi, you would be best to contact via the enquiries e-mail to look at what you may want to access. All the best.
Please look up Dr. Colin Ross. He has more than one facility in Texas.
@@Cathy-xi8cb I Second this idea
Thank you so much for this! I've been struggling to find good resources. This is extremely helpful
Thank you so much! We’re really pleased that you find the video helpful.
Thank you really helpful as always.
Excellent video! Thank you!
Have you ever made a video specifically about getting tested for dissociative disorders? I love your channel, I love the information you let people access; but it breaks my heart to know that people like you are so rare within the NHS.
Thank you, Annette, we have done a video about the diagnostic process, I hope you find this helpful. It is sad that not enough people are offering services for dissociation within the NHS, we try and train people there where possible.
Thank you. Forwarding to therapists
Thank you for these very insightful, helpful videos! I’ve read the book The Haunted Self, and they talk about the stabilization phase.
When you say the patient feels “ resilient, strong and confident”, the question that comes to my mind is, isn’t that how one would feel when they’re no longer traumatized?
I have a hard time imagining how someone who needs this kind of in depth therapy could feel that stable. 🙂
But the rest of it was very helpful.
I have dissociation. Don't know if I have alters. Have memory gaps.
"There you have it then." ❤ In the first minute a densely packed message is flawlessly delivered. The diagram showing the three phases using eight arrows helps. A lot. Fabulous information from a video less than 14 minutes duration. Thank you especially for providing concise phraseology with the individual principle of gain. Useful synthesis. Also, "the construct of caution" provides a succinct model for communicating. Looking forward to following the links you've provided. Respectful and effective. Wow. ❤
Thank you so much, Linda, your positive words mean a lot!
This is just perfect for me right now. I’m on the process of selecting my therapist. The information about the guidelines of therapist would be an enormous help for me to go to the right one, wish me luck 😊
Please look at the ISST-D website and see what they have to say. I will confess: I literally hunted down one of the authors of the guidelines that lives within 4 hours of me, and hired her privately. It has made my life so much better. Great way to use my inheritance from the awful rich people.
Choosing a therapist would make a great video for our channel, thank you for the suggestion!
Thanks!
Fantastic video - at 6:00 and talking about integration, and exploring the ‘point’ of integration - this is all of my clients’ experience, somehow dragged in to a race to be redeemed and become mindfully one, by their previous therapists. Folks will say, it felt like being asked to commit suicide and keep sitting right in front of them, and then pay and be grateful. The ISST-D materials are a gold standard
Yes! Thank you for that wording!
Our therapist told us last week that our goal should be integration. Mind you, we don’t even know how many we are and who the host exactly is.
She told us that we‘ll talk this week about it again.
It made us basically non-functional for the week, which is absolutely lovely.
I’ve had CPTSD therapists that work with Dissociation. My newest therapist gave me a MID test and when we went over it I came to understand I am on the deeper end of the dissociation spectrum but we didn’t discuss what kinds of dissociation I am dealing with or how to work through it. I just found out this therapist (VA) works with Complex PTSD and dissociation, but doesn’t specialize in complex childhood or sexual traumas, which are dangerously coming to the surface, or Dissociative disorders and so I am being passed off again. CBT and DBT helps in the day to day navigating, but I have little time between trigger and dissociation and still no grounding skills to keep me from getting hijacked; it’s been 3 years since I first began therapy.
I am tired of putting my life in the hands of professionals who look at pieces of my traumatic 4 decades and decide how to proceed according to the only piece they’re experienced with; my triggers and dissociation can get dangerous for me (considering I am coming back from 4 days in a dissociated state where I isolated from any supports and have found notes alluding to suicidal planning).
About a month ago I went to the “Infinite Minds” convention to learn how to help myself and that’s where I first learned from ISSTD, Blue Knot, System Speaks and a few others! For the first time I had more understanding of what was happening to me and why… a few new grounding ideas… and what kind of therapist I need to take the initiative to look for to help me navigate the waters of CPTSD from childhood and adult abuses and Complex Dissociative Disorders. It took some digging but I finally found someone and have an appointment in June.
I just started watching your channel to help in the meantime (sometimes I have to rewatch because I dissociate so many times throughout the day I don’t catch it all in one go) and with this episode I have more respect for your scope of expertise because of your mentioning ISSTD and Blue Knot! It’s nice to know that this therapy can be at my pace. I love to research, but when it comes to behavioral health concepts I often feel like a kindergartner in a third grade class.
Thank you for the validation and valuable insight and for caring enough to make these videos and letting people like me know therapy doesn’t have to be grueling and that we’re not too damaged to find help in healing.
Thank you so much for the positive message!
Thank God for you.
We have DiD an a Poly Fragmented System we are comfortable with our DiD and do not want final fusion/integration. We juz made a a video of our recent Hospitalization in psych ward. Love yallz videos, keep it up.😊🖤🦇💋🍕
Would it be possible for you detail how someone would map the heirarchy and boundaries of the system?
Does emotional detachment count as dissociation? I have a few memories but no emotional connection to them. I can talk about it all you want because it feels like it never really happened, or like it happened to someone else.
Hi Eva, that certainly does sound like dissociation, well worth assessing with someone and trying to see if the memories can be 'brought together' with the feelings over time.
can't tell if i even want to reintegrate anymore. only socialization is in youtube comments and livechats. think i might have become oddly comfortable in defeatist self-loathing. i've had this tab open in my browser for months without closing it though so maybe theres a small seed of hope under all this. (not intended as attention/pity seeking as it may appear)
I live in FLORI-DUH. I truly suspect there is not a competent therapist in this state to deal with this problem. If u do know of someone please let me know. Also I'm wondering what it would take to start a DID clinic here with trained clinicians specific to DID treatments. If I wasn't in the middle of a crisis re DID Right now I would research. But I have been having trouble functioning. I am an RN and I had to leave my job. Just a little more stress. This channel has helped me so very much. I hope he stays forever.
ISST-D have a register of therapists in the States, maybe someone on there is in Florida?
@@thectadclinic thank you I will look. I can't believe I have to communicate across the pond to get info here in Flori-Duh. Thank you for your help.
is hypnosis part of did treatment
Could you do a video on integration and more explanation of what that means?
That’s a great idea, I hope we get onto this soon!
Do some or most people get diagnosed with complex ptsd and later on in treatment find out it is OSDD/DID? Is EMDR therapy bad if you actually have a dissociative disorder?
Who has a friend who acts normal till they brake and they do wonky things to try to feel normal, is it possible that they have been in the mindset that they aren’t normal for so long they don’t know what normal is.
This is NOT how they talked or treated kids 30 years ago...theyd be shocked at how many people DO have DID
Is denial of having osdd or did common?
FPP is now closed and you can't buy the DVD anymore. How else can we get access to this, would you be willing to share the DVD?
Hi Kevin, we only have a limited supply of the DVDs in the clinic, and am not sure where downloads are available from now. I will investigate!
Thanks Doc!!
If I may ask, how would you go about trying to receive support for dissociation as a teenager? I'm nearly 15, and have researched for about a year and a half (but I completely understand that this doesn't mean I'm 100% understanding of dissociation), and I seem to match a lot of the DSM and ICD criteria for a dissociative disorder, and it's been like this for a while now. I'm under CAMHS but they don't seem to understand. :(
I think it completely depends on whether the CAMHS team are willing to take your thoughts on board, and/or have the expertise to follow up and look at the signs and symptoms. Many are really good at this, so being patient and sitting and talking it through with them may be your only real choice here.
@@thectadclinic Thanks for the reply! I've been under CAMHS for years now, on and off since I was 9. I really don't think I have any other options at this point.
It's unhelpful that there's a huge lack of communication between my assigned CAMHS key worker, and psychiatrist. I suppose that waiting until I bring in my own income might help, and I'll have to consider private services.
Dear Mike, I´m a danish psychologist and I´ve seen many of your videos about dissociation because I have a client who is experiencing it a lot. Is there any chance that you offers supervision online? and if you do what is the price? Best wishes Charlotte
HI Charlotte, we are currently looking to work with therapists abroad as part of a new initiative; please email us via the contact details on the website for details.
Just a quick question- what is your professional opinion with regard to IFS- is it helpful when working with complex trauma and dissociative disorders or can it be unhelpful?
I personally really hate the IFS videos that I have seen. It implies that everyone can have DID and that it can come from non- trauma, like endo people, it is awful when you really do have DID. I have seen nothing helpful at all in what they do and it just adds to the discourse in the DID community.
@@jazminebellx11 You would LOVE my therapist; Schwartz and his minions don't speak to her any longer because she dared to say exactly this!! She is writing a book on using IFS w/ DID clients.
@@Cathy-xi8cb So are you saying IFS is getting so much traction that therapists are using it with DID clients? That is SO unsafe!
@@jazminebellx11 our trauma therapist is trained in the IFS model (amongst other things) and we've actually found it quite helpful, our therapist just uses the tools but more catered to us - being more flexible, while also doing emdr. I personally think it's overly simplified for a DID system, our parts are more complex than the ones pictured in IFS, plus the communication aspect of parts doesn't quite work the way it does for people without amnesiac barriers, with a million parts and constant confusion. (There's a lot of bullshit out there and bits of it that we don't like though lol - just take the bits that you find accessible for you personally) however it has helped us feel more compassionate towards one another and really learn to love and accept everyone in the system, as before this there was just chaos and a lot of hate and frustration.
I'm always happy to chat x
@@jazminebellx11 My therapist trains other therapists in how to adapt IFS for DID clients, and Schwartz doesn't believe it needs to be adapted. That is why he no longer speaks to her. Working better with parts is essential for a lot of people w/DID. There is a lot in IFS theory that helps people. And a lot that ignores DID. Thus her book....
FIRST PERSON PLURAL’S Board of Trustees are currently considering the future of the charity. Our discussions include the possibility of proposing a July 2023 closure of the charity at an EGM which is currently scheduled for March 2023.
Is DBT enough to treat depersonalization /depersonalization?
I would not have thought so on it's own, unless used within context of a trained therapist in dissociation as well.
First, I don't think that Peter Levine wants to even mention DID. He stops short of it in everything I have read or seen from him. Please don't place him at the same level as Bethany Brand, who is devoted to us. And secondly, exposure therapy for DID is a risky choice for people's lives, IMHO. We commit suicide at too high a rate, lose jobs and relationships, etc. I understand desperation, I really do. But unless there is a super-solid foundation of orienting to the present, grounding in the body, and affect tolerance, it is a foolish choice.
Based on my experience, I agree re: exposure therapy, Cathy.
That's an excuse to commit suicide.if u feel suicidal u need skills to regulate suicidal thoughts and behaviour
Can you recover from dpdr I have had it for some months now and I feel like it's affecting my daily life, happiness, depression and anxiety
Absolutely, with the right help and support, people improve a great deal.
Hi Dr Lloyd, I have a question needs answered here. What do I do when my alter was being forced to come out? I’m in the middle of finding a therapist. I don’t have anyone atm. My head is in full swing of switching chaos and it sores. Thank you in advance.
Araya Sununkingpet
Of course I'm only a beginner myself, but if you aren't doubting that you switch and thus probably have some form of DID or OSDD etc.
Seems step one is to let the frantic insiders know you are working on getting help.
I liked kinhost.org, for the instructions to start helping ourselves with communication and organizing
Second I'd recommend one of the plural or DID peer group online help spots.
Such as
The Plural Association cheap resource with weekly group texts, online peer chats, and monthly meetups
Discussing Dissociation lots of reading, and a peer group but a fee based system because it's monitored for group meetings
Or even a free resource like
Pandora's in their DID subsection protected group.
Kinhost is free
And Dis-SOS is free
As someone living very rural help took a bit. Keep letting Them know you hear them, what you are doing to help get them heard and don't forget to follow-up that help is coming. Maybe ask or investigate why all the switching with a question? Panic that you are seeking help or are you procrastinating and they are reminding you to stay on task? Or perhaps some other reason?
The Plural Association has a FB page as well called Alter nation..but as always caution with the level of help from random FB people.
Best of luck with you and yours and hopefully Dr. Mike replies to you, but in the meantime you can help get ready the internet has some amazing resources
@@suejorgensen46 thank you so much for your support.
@@arayasununkingpet8496 anytime we are in this together ❤
Hi Araya, I don't really understand what "forced to come out" means, sorry. It's difficut to offer any clinical advice without knowing circumstances, so general recoomendation only to read Suzette Boon's books on trauma-related dissociation and see what techniques may work for you.
@@thectadclinic thank you Dr Mark, we are ok now and yes I’m going to look up the given reference for future resource. All good now.
I just want to be whole . Ive only just admited i have DID ,can the host an other be dull.? I see personally moods but i dont think me as host am ever alone but never separate no black outs an have CPTSD as well .im 60 an never aloud myself separate.sex abuse an torture as a young child. It feels like im crazzy to even alow myself to except this .
Is mixed personality disorder the same as D I D
No, personality disorders are in a different category to dissociation.
I like you far better than Dr Grande, he has shown he cannot keep his biasies to himself. He often includes narration of his inner thoughts that show his bias.