Posts Tagged ‘dissociation’


Timelines and Trigger Mapping in Healing PTSD

Posted on:

In the “old” days of psychotherapy, when I began in the 80s, abreaction or emotional release of traumatic memories was considered a goal of therapy. This idea of therapy was also made popular in powerful movies such as Goodwill Hunting.

Abreaction will happen when it happens, and it will facilitate healing. But it is not enough.

We have to live with the day-to-day realities of our history as they manifest in the present moment. With that in mind, I wanted to share two of the most helpful activities in or out of therapy for people who suffer PTSD.

The first activity is to create a timeline of events. When our PTSD results in dissociation our sense of time can get distorted. In fact, many would say that PTSD itself distorts the part of the brain responsible for the sense of time passing.

In any case, most people I see have a very poor sense of the timeline of what happened to them. Also most people I see have had more than one type of trauma. Some peoples’ lives have been one traumatic event after another. Creating a visual timeline can help us understand and digest what we have actually been through.

 Chances are, when you begin, you will not put down every event. Our brains are associative, so if you are looking at, say, accidents, you will put down accidents. But, you may forget about abuse, or you may remember one type of abuse but not another. I consider the timeline a working document in therapy, whether on paper, or just as an understanding between my client and myself.

When you record an event, you have an opportunity to look at your age at the time. A good timeline should include: event, type of event, age and any other relevant details (such as physical injury).   The timeline provides a chance to re-associate the aspects of yourself connected to your own history and is a valuable tool for your therapist. (P.S. therapists can and do become dissociative too, so this tool can help ground both of you.)

The second important activity that will really start to empower you is trigger mapping. Everyone with PTSD has triggers! They may or may not be known to you. Knowing triggers can help you and your loved ones anticipate PTSD storms and head them off.

Here is how I describe trigger mapping in my book The Trauma Tool Kit:

I recommend writing down or drawing your triggers, getting them down on paper in some form or fashion. Some triggers you will know right away; some you will have to ferret out. Triggers fall into six categories: the five senses of taste, touch, smell, sight, and hearing, plus feeling states. Let’s start with the senses, because they are the easiest. You can divide your paper into different sections reflecting each of these senses. It will help jog your memory to go through each sense modality individually. Let’s say you are working in the smell category. Ask yourself what smells really bother you. All of us have smells we do and don’t like. Generally we all like floral scents and dislike the smell of feces, but I am not talking about ordinary aversions here; I am talking about radical reactions. Nobody likes the smell of poop, but if that smell sends you into a panic or frozen numbness and dissociation, it’s a trigger. Or maybe the scent of lavender makes you want to rip someone’s head off. That’s a little unusual; write it down. Take your time working through each category. Do not attempt to do all of this work in one day! If you are in therapy, it can feel safe and reassuring to do it with your therapist. Or it may not depending again on your triggers, but find some way to do it anyway. p. 184-185

The great thing about timelines and trigger mapping is that they create a bridge of healing between the present and the past. They empower and they inform, and they are tangible.  You can also add to them and edit them as you go. It is a great joy to be able to remove a trigger off the list!

One last thing, when you do them, do them with care and beauty. Take your time. Use beautiful colors and paper. Or if you just do them in your own head give yourself the benefit of a peaceful space and time to contemplate your own history and healing.

Blessings on your journey, Sue PB




Healing Together With An Infinite Mind

Posted on:

HT_logo_HPI just returned from my favorite conference of the year, the Healing Together Conference put on by Infinite Mind.  Infinite Mind is a group of people with DID, which is Dissociative Identity Disorder.  You might know it better as Multiple Personality Disorder.

Why is this my favorite conference?  Many reasons.  This group of people who suffer from DID and those who support and/or treat them are the most dedicated, open and knowledgeable group I have been involved with.  There is no lying, no minimization, no disinformation.  Pain is acknowledged but not dwelt on. Jaime Pollock, the main organizer, is known for her organizational skills, her comedic timing and her immense sensitivity to the suffering of others.  She is completely open about her own journey, but never triggering.  There is an art room and a quiet grounding room with lots of pillows and blankets with student psychology interns available to help as needed.

Remember the movie Sybil?  Well, the real Sybil, Shirley Mason painted her way through her treatment.  There was a beautiful and moving exhibit of some of her paintings during the conference.  Despite the recent book questioning her diagnosis, most people who knew her, and most specialists believe, she was, in fact, DID.  The pictures in this article are some of hers.  Some facts about them: she often painted telephone poles, sail boats (to sail away from her pain?) and yellow, she said, was the color of her mother’s screaming.

Another famous multiple, Truddi Chase, wrote the runaway best seller When Rabbit Howls.  Her daughter, Kari, gave a very moving account of what it was to be the daughter of a multiple growing up.  It was very clear that a distant, mean father was much more of a liability to a growing child than a mother with DID.  Another interesting presentation was a mother-daughter pair from England discussing the same topic.  Carol, who only “discovered” her DID later in life brought some remarkable videos of herself in other personality states (called ‘alters’ or ‘parts’).  Her daughter with much patience and humor described a mother who often could not remember what she had said five minutes ago, but she was fun to play with!  They shared a very dramatic and, at times,  journey of healing which continues today.

On a more serious note, the mental health system in England and other places is severely lacking and there is much international work to be done on educating practitioners not only about the reality of DID, but how to work effectively on integrating painful memories.

Here are a few important facts to know about people with DID:

 1)   DID begins at an early age, usually before 7 but is often not diagnosed until later in life.

2)   DID is always the result of severe and prolonged trauma.  There has to be immense force involved to shatter a mind.

3)   Most people with DID are law-abiding and peaceful people who suffer from extreme internal torment.

4)   Many people with DID grow up to be loving (if somewhat dysfunctional) parents.

5)   Children of parents with DID can thrive, especially with support from the community.

6)   People with DID hold jobs in all sectors of society.  They are preschool teachers, lawyers, police officers, writers, hospice workers, etc.

7)   You cannot tell if someone has DID by looking at them.

8)   With appropriate treatment people can integrate fully and heal from DID and their traumatic histories that were the cause of their problems.

9)   People with DID almost always have problems with losing time.  Often people think they are pathological liars because different alters give different information. Over time they learn how to compensate for these difficulties.

10)  DID is fairly prevalent.  It is estimated that  1 out of 100 people in the USA suffer from DID, and it is found in every country.

 I had the privilege of giving trauma informed yoga classes in the morning and presenting two workshops: one on Yogic Modalities For Healing From PTSD and one on The Effects of Abuse and Trauma on Developing Children. The audiences were engaged, and responsive.  

 If you are a therapist, a physician, someone suffering from DID or you know someone with DID I would highly recommend this yearly conference as a place to learn, to laugh and to commiserate with a group of compassionate and knowledgeable people. It is held in Orlando, Florida every year in late winter.  I feel very grateful to be involved with this amazing group.

 




© Lotus Heart Counseling, LLC • 530 NW 23rd Avenue, Suite 109 • Portland, OR  97210 • (503) 869-0314 • moc.t1544464587tinab1544464587esaep1544464587eus@o1544464587fni1544464587

To Top