February 12, 2013

The Abused Addict: Roads to Recovery



Today, I am pleased to bring you this final post by David of Together We Heal. It has been a true honor to have had him on. I know I've learned so much and hope you have too!

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Over the last few weeks we have talked about childhood sexual abuse as it relates to addiction, depression, anxiety, abandonment, PTSD, the impact it may have on our DNA...Lions and Tigers and Bears, OH MY!!! I only make a joke not to make light of our situation as survivors, but rather to bring a little levity to a situation that for some of feels like the sky is falling and we are being attacked on multiple fronts by creatures that can devour us. So with all of these potential pitfalls and problems seeming to lurk around every corner, what do we do?

Having done my usual research and even stepping into waters just being tested, I have come across both the usual suspects of therapy and a couple not so well-known. It is my hope that no matter whether one of these specific therapies helps you or a loved one or not, you find one that does, because what I do know is that healing from abuse is not something that happens naturally. It takes help, it takes time and it takes work. So please do whatever you need to reach out and find the help that is available.

Under the category of "usual but relatively proven" therapies we find Psychotherapy, Cognitive Behavioral Therapy, Group Therapy, and Self-Help Groups. 

Psychotherapy consists of a series of techniques for treating mental health, emotional and some psychiatric disorders. Psychotherapy helps the patient understand what helps them feel positive or anxious, as well as accepting their strong and weak points. If people can identify their feelings and ways of thinking they become better at coping with difficult situations. 

Psychotherapy is commonly used for psychological problems that have had a number of years to accumulate. It only works if a trusting relationship can be built up between the client and the psychotherapist. Treatment can continue for several months, and even years.

Some people refer to psychotherapy as "talking treatment" because it is generally based on talking to the therapist or group of people with similar problems. Some forms of psychotherapy also use other forms of communication, including writing, artwork, drama, narrative story or music. Sessions take place within a structured encounter between a qualified therapist and a client or clients. Purposeful, theoretically based psychotherapy started in the 19th century with psychoanalysis; it has developed significantly since then. 

Cognitive behavioral therapy (CBT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. CBT is commonly used to treat a wide range of disorders, including phobias, addiction, depression and anxiety.

Cognitive behavioral therapy is generally short-term and focused on helping clients deal with a very specific problem. During the course of treatment, people learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior.

The underlying concept behind CBT is that our thoughts and feelings play a fundamental role in our behavior. For example, a person who spends a lot of time thinking about plane crashes, runway accidents and other air disasters may find themselves avoiding air travel. The goal of cognitive behavioral therapy is to teach patients that while they cannot control every aspect of the world around them, they can take control of how they interpret and deal with things in their environment. Because CBT is usually a short-term treatment option, it is often more affordable than some other types of therapy. CBT is also empirically supported and has been shown to effectively help patients overcome a wide variety of maladaptive behaviors.

(Note from Rachel: As as little aside, the Beyond Surviving program I developed for adult survivors of abuse draws upon many of the techniques used in CBT.)

Delivered in a group of people, Group Therapy and Self-Help Groups are for people who have experienced abuse and can be an extremely cathartic experience. Individuals who feel different, ashamed, or guilty as a result of the abuse will benefit immensely from discovering other people who have lived through similar experiences. Although not limited to groups like SNAP and The Lamplighters, they are certainly organizations that have proven themselves to be helpful for survivors of CSA.

(Note from Rachel: I lead an Adult Survivors of Child Abuse support group every month in San Francisco. Learn more!)

Next we have some relatively newer therapies, with regard to years of experience in the realm of psychology. TRE (Tension and Trauma Releasing Exercises) is one. TRE is a simple technique that uses exercises to release stress or tension from the body that accumulates from every day circumstances of life, from difficult situations, immediate or prolonged stressful situations, or traumatic life experiences.

TRE is a set of six exercises that help to release deep tension from the body by evoking a self-controlled muscular shaking process in the body called neurogenic muscle tremors. The uniqueness of this technique is that this shaking originates deep in the core of the body of the psoas muscles. These gentle tremors reverberate outwards along the spine releasing tension from the sacrum to the cranium. 

Another is by a former associate professor at the University of Kentucky's educational and counseling psychology department, Kate Chard and it centers on Cognitive Processing. "It was the first NIMH-funded treatment outcome study on childhood sexual abuse," she says. This three-year study of women (Chard has done an equivalent study with men) took adult survivors of childhood sexual abuse through a 17-week, manual-based program, with individual or a combination of individual and group sessions.

"What you think affects what you feel, which, in turn, affects what you do," Chard says, summing up the basic theory behind cognitive therapy. "We build on this by saying that due to the traumatic event, the ability to process cognitively has become impaired. Biologists can look at the neurotransmitter connections in the brain and actually see differences between people who've been through traumatic events, such as childhood abuse, and people who have not."

Another option is coaching. While still fairly new, coaching is a great option for survivors of abuse who are reading to move into the final stage of recovery. If you would like to learn more about coaching, you can of course give Rachel a call or email her. She’d be happy to answer any questions you might have about how coaching works.

While these are by no means all of the potential therapies out there, the point I am hoping comes through today is that no matter which type of therapy you seek as a survivor of abuse, the point is that you indeed seek one, and don't stop until you find the one that works for you. As I mentioned earlier, it is of the utmost importance that you find professional help. Just as a police officer or military person is required to see a therapist when they go through an extraordinary time of trauma, so we as survivors of childhood sexual abuse must get assistance. What we have been through is beyond an extraordinary event, it's beyond the pale. And seeking help does not mean we are weak, it shows no signs of lacking anything. To the contrary, it means you care enough about yourself and the ones that love you that you will take the necessary steps to ensure your continued growth as a person. Let me say this again, you aren't weak, you are human, it's ok for others to help you.

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References:

- British Association for Behavioural and Cognitive Psychotherapies (BABCP) Mapping Psychotherapy. 
- David Berceli, Ph.D.
Christian Nordqvist
CDC
NIMH
Kate Chard
- University of Kentucky



Learn more about Together We Heal.

David spent years on a healing journey that continues to this very day. This led him to seek out groups specifically for men as well as those who had been through a similar trauma and ultimately inspired the foundation of Together We Heal, an organization focused on providing counseling and guidance for those who have suffered the trauma of childhood sexual abuse.
As the Executive Director of TWH, David works to educate the public through speaking and collaborating with other groups to raise awareness and expose the sexual predator's methods. TWH now works with therapists, counselors and groups aiding both men and women in their efforts to heal, grow and thrive. He is also the South Florida Area Support Group Leader for SNAP, Survivors Network of Those Abused by Priests.
TWH follows the saying, "one person might not be able to change the world, but you can change the world of one person."

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