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For people who have experienced severe trauma and neglect, and who struggle to trust other people, there is no small thing when the psychological treatment involves therapist changes, and when one feels that they have been misinformed about the treatment. 

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This is the theme of a new guest post from the woman behind the blog The Way Back to Myself. Here you read the whole post:

I'm shy of conflict. I do not like to get involved in discussions. I prefer to pull silently away. But when something really engages me, I'm hard to stop. One of the things I get carried away with is injustice! 

We go back one year in time. In print in the local newspaper there is a large article about a revolutionary treatment. The best in the county. The treatment that should help those who struggle the most, which is often the most difficult to treat.

Contracts were written, processing started.

This treatment goes over four phases, we were told. Patients in my patient group are known to have great difficulties with relationships, which should also be worked on in the therapy - both in the group and in the individual therapy.


Takes a long time to dare to trust someone

For me, and for several others in the same situation, it takes loooong time to trust.

During the period I had a contract for both, I experienced a change of therapist, and was told that even though this treatment is divided into four phases, this is not something they offer at our local adult mental health care unit. This is something I received information about well after the treatment was started. Phase one, as it's called. The idea is that as soon as phase one is over, then it is on to another therapist, or the one you had before if you are really lucky. (For me this didn't apply as I previously had a private therapist).

Let me count... It has been six months since my change of therapist, and I am very far from approaching anything that can be called a secure relationship with my new therapist.

This also applies to others in my situation. The whole treatment is meant to take a little over a year. In other words, one strives to adapt to a new relationship, only to be told that this will also end very soon. How should one then be able to trust?


Annoying therapist changes

How do you dare to open up to your innermost being, when you know that it will not last long enough to get started properly anyway?

Learning and regulating emotions and dealing with relationships and the urge to hurt yourself is all well and good, but it is also the case that we are not born that way. There is a reason why we have become who we have become, why we react the way we do — in many cases gross trauma and neglect that has persisted throughout adolescence and often into adulthood.

Regulating emotions is, as I said, nice, and very important, but we need to work with what lies behind the intense emotions, the reason why it was like that in the first place. Without constantly goint through therapist changes.


Misinformation for a vulnerable group of patients

Why not tell the truth when you promise people the county's best treatment? Why not tell potential patients that, even though this treatment is built up in four phases, only the first one is offered?

In my view, such misinformation, or the presentation of the treatment in a way that can be so misunderstood, is mistreatment.

We are a vulnerable group of patients, many of us have experienced great betrayal and find it very difficult to trust.

Where this leads I am very unsure. It may be a provocative post for many, but for me this is not fair, or the right way to treat a vulnerable group of patients. In for a penny, in for a pound, in my view.

This is not just an issue that concerns me, but also several, which is why it engages me so deeply!

- From the blog The way back to myself (discontinued)

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