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Hello all,

This is my first post here and I am a bit nervous.

I have a great trauma therapist I have been working with for awhile. She is not perfect, but things have been pretty good and I have made significant progress in the 6 months we have been working together. One possible red flag has come up that I would like to get some outside perspectives on.

She told me she feels dissociation in sessions sometimes when clients talk about hard things. She says she can feel the clients dissociation coming on, and she will even have moments where she has visual changes when her clients do. She also gave another example of feeling energy in her arms when her clients feels that.

I work with traumatized people in my professional life, so I know what it is like to deal with others with PTSD. She knows my professional background and that I feel very incompetent sometimes. This therapist is generally very reserved with self disclosure, and she told me about this because I was convinced that hearing sound differently, like it is far off, is a sign that I am crazy. She was trying to convince me it is a sign of dissociation, not psychosis. I believe the intent behind her telling me this was to help me not be so hard on myself and to help me understand I had not lost my mind, but that changes in sensory perception are signs of dissociation. She explained, that if I know that the sounds are not actually far off, I am just hearing them that way, then I have not lost touch with reality, I am simply overwhelmed by whatever triggered me. She explained that it's like when she has a visual distortion. I didn't need to go check myself into the ER, but to ground myself when I feel like I am suddenly hearing sounds like they are far off.

In the moment, I was quite reassured by her telling me this.

Now, I am a little worried. She does somatic experiencing and attachment trauma therapy and she really works to be attuned on a physical level with her clients. At the time she said this, it seemed like she was just describing what it was like to pick up on a client's state. Now, I am not so sure. I am wishing she had not told me this as I think I will be concerned to share something that is triggering me. At the same time, I was about to quit therapy because I felt like I was not able to get better, and her description of her process gives me hope that maybe I am not broken beyond repair. It also leaves me confused.

I know that I need to talk to her about this, but that is more than I can handle right now.

Hope
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Hi Hope4,
I'm not sure how good my outside perspective is, but here goes. Most of what you wrote sounded very reasonable and reassuring. You said that your T has been helpful and that her disclosure was initially helpful and that she doesn't usually disclose too much. What you said about how she "does somatic experiencing and attachment trauma therapy and she really works to be attuned on a physical level with her clients" makes me feel like what she reported to you about sensing clients' dissociation might be unusual, but it also seems to fit the work she does very well.

On the other hand, when something in therapy bothers you like this, it is good to question it as a red flag. I think it is a concern because you think you might be reluctant to share something triggering in the future. I can imagine that your T wouldn't want that to be the case. I can understand why it is confusing and why it would be hard to talk to her about. Still, it sounds like she would not want you to be reluctant to talk about triggering things with her for fear of causing her distress. She told you about this so that you could feel more at ease. I think that she would appreciate a chance to reassure you about what it means for her. But maybe you can take your time and bring it up when you feel like you can handle it better.
Quell,

Her style of therapy does very much involve her needing to be very attuned to her client's states. It does make a lot of sense she would use this as a tool in therapy too, maybe more than others.

You are right that if it is holding me back, I should certainly talk to her about it. She is trying so hard to help me feel safe with her, and really genuinely wants to know how she can help me feel safer.

Smilingpenguin,
It is new to me to understand that the visual and sound changes are not some kind of break from reality, but dissociation. It feels awful and surreal to experience.

quote:
I label myself unkindly in a way I'd never label others, does this sound familiar at all?

Yes! I think she knew this too. I don't generally see her as crazy but I really respect her even when I don't trust her.

quote:
it feels like you're saying you're worried your triggering your T? And that feels like information you didn't want from her as it inhibits you, and you worry about her and all this constitutes over disclosure? Is that right?

Exactly. I am concerned I will trigger her and then she will be "gone" (like I am when I feel dissociative or like my mother was/is when she was dissociative - oh wait, that might be a whole issue in and of itself!) But yes, I really am worried now I will be afraid of making her feel bad or dissociative. I don't want to hold information back, but that would be my tendency.

I think you are both right that her disclosure wasn't inappropriate but perhaps fitting for what I needed in the moment, a bit of reassurance I'm not crazy and I can still be ok even if this happens for me.

I am thinking my reaction is perhaps more about my fear of bringing up things that my therapist could be triggered by and knowing that this won't work if I shut down in order to protect her. As I write about this now, I think this is also bringing up my fear of my therapist being like my mother who has untreated severe PTSD.

I read your responses to me before I saw her today. It gave me courage to just go in and see how it goes. It was the first time I have seen her in person since we had this conversation on the phone. She was very there and present, for lack of better words. There was nothing numb about her. I felt somewhat numb on and off, and she noticed it and said she could tell I was feeling dissociative. Even in my dissociative state, she seemed very present and ok. That was very reassuring to me.

I didn't feel any need to hold anything back, except for my own sake, which she supported. The odd thing is that I felt more safe than ever before.

I may still need to bring it up with her at some point, but for now, it all seems ok.

Your reassurances helped greatly. Thank you.

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