http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/ <<exploring healthy therapy & counseling>> Sun, 12 Oct 2008 17:47:08 +0000 http://wordpress.org/?v=2.6.2 http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5883 amy Wed, 16 Jan 2008 19:17:11 +0000 http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5883 I think that your client does still need therapy. Just because he may not have made the progress at the rate you feel is appropriate, it does not mean that he isn't making progress. If you are really that unsure of your effectiveness with this client, maybe you need to recommend another therapist. You could see the lack of progress as an unwillingness to trust as the author referred to. If this is the case, you have had plenty of time to foster trust with the client. It may be time to let this client go and see if another therapist may be a better fit for him. I think that your client does still need therapy. Just because he may not have made the progress at the rate you feel is appropriate, it does not mean that he isn’t making progress. If you are really that unsure of your effectiveness with this client, maybe you need to recommend another therapist. You could see the lack of progress as an unwillingness to trust as the author referred to. If this is the case, you have had plenty of time to foster trust with the client. It may be time to let this client go and see if another therapist may be a better fit for him.

]]> http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5881 Art Wed, 16 Jan 2008 19:14:44 +0000 http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5881 Have you ever worked with a client that has never realized what the root of the problems in his or life is? I have been working with someone for the last five years and feel like he is not any closer to that realization than he was when he started. I then get in a moral delimma when I get a letter from the insurance company checking to see if treatment is still necessary. If my client is not going to progress any, is it moral to say that he still needs treatment? Or, what if the next session is that break through session? I'm really not sure what to do here. Have you ever worked with a client that has never realized what the root of the problems in his or life is? I have been working with someone for the last five years and feel like he is not any closer to that realization than he was when he started. I then get in a moral delimma when I get a letter from the insurance company checking to see if treatment is still necessary. If my client is not going to progress any, is it moral to say that he still needs treatment? Or, what if the next session is that break through session? I’m really not sure what to do here.

]]> http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5879 Lisa Wed, 16 Jan 2008 19:12:27 +0000 http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5879 I have found that with my clients, until they are ready to make a change, there is nothing I can do but manage problems. Rather than being a healer, I am a manager. It is indeed frustrating. But, when we realize that at that point in time the client needs a manager rather than a healer, we realize that we are doing our jobs. We need to be skilled in realizing when the client is ready for the shift in our job description, however. If we miss the signs that the client is ready for the shift, we risk becoming part of the problem. I have found that with my clients, until they are ready to make a change, there is nothing I can do but manage problems. Rather than being a healer, I am a manager. It is indeed frustrating. But, when we realize that at that point in time the client needs a manager rather than a healer, we realize that we are doing our jobs. We need to be skilled in realizing when the client is ready for the shift in our job description, however. If we miss the signs that the client is ready for the shift, we risk becoming part of the problem.

]]> http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5877 Lyle Wed, 16 Jan 2008 19:10:25 +0000 http://www.goodtherapy.org/custom/blog/2008/01/14/twisters-and-roller-coasters-living-with-complex-post-traumatic-stress/#comment-5877 I found this blog to be very helpful. I am struggling right now with a client with this condition. I find myself getting impatient with my own skills and blaming myself for lack of progress. But, I can see that this client hasn't reached the moment when he realizes what he is doing is not producing the desired outcome. He knows that he doesn't like what's happening, but cannot see where he is contributing to the problems in his life. Is there anyway to help someone to the point of realizing change is necessary or is it necessarily a strictly internal process? I found this blog to be very helpful. I am struggling right now with a client with this condition. I find myself getting impatient with my own skills and blaming myself for lack of progress. But, I can see that this client hasn’t reached the moment when he realizes what he is doing is not producing the desired outcome. He knows that he doesn’t like what’s happening, but cannot see where he is contributing to the problems in his life. Is there anyway to help someone to the point of realizing change is necessary or is it necessarily a strictly internal process?

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