Showing posts with label dissociation. Show all posts
Showing posts with label dissociation. Show all posts

Friday, 24 February 2017

Working with dissociation; some surprising symptoms and their resolution

In the course of my work some things still manage to surprise me. Today I was working with a lovely client who has endured years of chronic fatigue as a result of traumatic dissociation (but who was unaware exactly what was the issue - she just knew she failed to connect with her life somehow). This lady is a delight to work with (as are all my clients really), but she has a very particular way of releasing the pent up energy that has been spent keeping her emotions locked in.

In one of our first sessions as we went through the process of trauma transformation (using a mixture of EFT, EMDR and havening) we got to the point of discharge of an old belief system and its stored energy and she said she felt like shaking. I have come across this discharge response before, both in clinic and in my research (particularly the work of Peter Levine*) and luckily was not perturbed by this comment. I suggested she get up and indeed 'shake it all off' which she proceeded to do. The next few days were remarkable for this lady; previously unable to concentrate on things she succeeded in playing the piano for the first time in years and spent an hour making something in needlework. It was a remarkably quick turnaround. But more was to come...

In another session we were discussing the myriad symptoms of traumatic dissociation including tinnitus, vertigo and ear wax build up and pain. I told her a story of my own problems with my ears, and we got around to discussing how she might move forward. I explained about using Levine's shower techniques where you direct the spray to parts of your body whilst saying 'this is my arm, this is my chest, etc.' Sounds wacky if you don't understand dissociation, but effectively the brain refuses to acknowledge parts of your body if they were involved in some traumatic event in your past. This can be mild like tinnitus where blood supply to the nerve is restricted, or it can be severe as in depersonalisation. My client at this point had an 'ah-ha' moment and told me the story of how, until she had a number of sessions of massage in her thirties, she had never been able to draw anything on the middle of a piece of paper, they always ended up on the left only. This is a classic example of dissociating the right side of your body (represented here by the visual field in the brain). This was her brain's response to an overwhelming trauma at some point in her childhood where she effectively 'cut off' the right side of her sensory perception. The right side of the brain also happens to be the side of creativity and play so I suggested this might be the reason why she had given up all the things she loved to do.

I do massage as part of treatment with some clients, others have a mixture of EMDR, EFT and havening. I chose the appropriate technique for different people. I have noticed that connection with the body is the most important precursor to recovery. But whatever way you do it, the results of release are phenomenal; you gain joyful appreciation, connection to yourself and others, a deep peace that you haven't felt since you were tiny (hopefully). I have witnessed this time and time again with clients- and because I am a HSP - Highly Sensitive Person (see the work of Elaine Aron) I can feel the change in that person that I am working with. Another lady I worked with recently seemed to visibly 'drop' into herself at one point; I swear I felt it happen. I commented - 'you just seemed to arrive back into your body' and she opened her eyes and said that is what she felt had happened also. She has been so much better since then.

The one thing that enables me to do this important work of trauma recovery is to witness people making progress - usually bit by bit (too quick and the change is overwhelming and the threat response is activated)- but sometimes as I've described above it can be remarkably quick. And, when, as today I have 2 clients who are able to sit with me and describe feeling real joy in their lives for the first time since childhood, more energy, and a sense of purpose I know that my work is done. We are all 'work in progress' but with the right tools and person it becomes SO much easier.

Friday, 20 February 2015

Dissociation as a response to trauma

Whether one has suffered the trauma of abuse or the more cumulative low key trauma of rejection or poor parental attachment, dissociation is often the result. If the dissociation is very severe it may interfere with the person being able to inhabit their body and 'depersonalistion' is the term used. Whatever the diagnosis (and there are many in the latest psychiatrists' diagnostic manual the DSM-V), I aim to look at it as a survival technique rather than an illness. In therapy I am keen to help clients understand it as a clever way that the mind has devised of keeping them safe. This approach rather than being locked into inhabiting your diagnosis (I am dissociated, I have dissociative identity disorder DID) has the benefit of empowering the person rather than allowing them the sink into passivity..

People with this condition may well have always struggled with being social in larger groups and found that they retreated into their own quiet world to survive. Of course social anxiety is common, even among those of us who consider ourselves mentally well it is quite a stressful thing - it's just that most of us are clever at hiding it! For trauma sufferers it is completely intolerable. They cannot even work up the courage to walk into a room where there are large numbers of people...

The sad things is that with this degree of dissociation, the sufferer does not feel real in their body, and their interactions with others are superficial. One client told me the only reason she could come and see me is that I look like a 'cardboard cut-out' to her so she doesn't really believe I'm real either. I felt inclined to show her I have three dimensions and am as real as the chair she is sitting on but she doesn't believe that is real either so you can see that the perception of reality is altered and makes functioning extremely difficult.

However, it is important to feed back to these clients that the problem is in their perception, not the reality.. the reality is that their body still notices everything that happens to them, and responds to it. But they are simply not aware, the disconnection is between the sensation (and the feelings that these engender - usually fear) and the interpretation by the brain (meaning - e.g I am in danger). I always stress that the disconnection they feel is ultimately a safety valve for the feelings that have simply become intolerable. Particularly when the feelings are ones of rejection and humiliation (shame) from those who are meant to love you, those feelings are simply unacceptable and are disconnected from the mindbody completely.

So, when you understand the dissociation as a symptom of your experience (usually sensitised early in childhood to rejection and shame) and how then you have interpreted things, the labels no longer matter so much. They are just defences your mindbody has erected. They can be dismantled but very, very gently. This degree of spiritual disconnection from your own body cannot be solved easily.

The usual approaches to trauma, like EFT and EMDR are difficult to apply as the person is asked to concentrate on their feelings as a precursor to both techniques which is almost impossible for them. So, although I do use these, I have to allow the person to gain confidence in trusting their own body not to betray them first by
  • psychoeducation
  • bodywork
  • pendulation
One of the techqniques I have found especially useful in the beginning is applied kinesiology - it has a huge following in chiropractic circles where it is used as a sort of communication system with your subconscious. I find that very interesting but, more appropriate for dissociation disorders is learning to use it psychologically. Check out these two videos; in order they are Bruce Lipton;
and Rob Williams.. They are a 2-lecture series on 'The biology and psychology of perception'. I hope you find they inspire you as they did me. Both men are respected in their individual fields, Bruce in particular is a cell biologist so nothing flaky there.. his book The Biology of Belief is required reading for anyone interested in the mindbody link.

Finally, its worth noting the more naturopathic interpretation of this is that you have a deficiency of spleen energy - apparently there is a link between the spleen and rejection. See
It may be a little too 'woo-woo' for some who reject the notion of meridians, but its written by Alison Adams who is a highly qualified UK dentist and now naturopath. Her website is full of nuggets of information. I am constantly amazed by how many conventionally trained doctors and other clinicians are finding truth and answers in the more esoteric fields of 'alternative' health.