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Showing posts with the label counselling

Walking the path of a client

I can only take others as far as I’ve come, that’s why it’s so essential for counsellors to walk the path of a client and evolve as a person. When I see a client with low self-esteem sat before me who struggled to make it to the session, I remind myself of the day when I just about dragged myself out of bed and attended my first therapy session in my pyjamas. At least I made it, but I can relate to that heavy feeling that doesn’t want us to leave the house and face our shadow side. That’s what enables me to have empathy for those walking a similar path to that which I have taken. I applaud those who have the courage to take that first step towards healing, not knowing what demons they may have to face along the way. We’ve probably all met people who are in denial in our lives, those that say “I don’t need counselling” whilst they harbour resentment for the attention they never received as a child and suppress it with drink or other methods. And while we may be able to see how they de...

Rebuilding self-esteem after abuse

Sexual abuse or any form of psychological abuse can have lasting effects on a survivor, and in particular will have a detrimental impact on one’s self worth. The main issue is that the value of a survivor of abuse will have been falsely defined by others, which can cause huge problems with identity. As a result of abuse, a survivor will be conditioned to accept that they don’t deserve as much as others and they won’t know how to build a healthy self-esteem. It is common for survivors of abuse to internalise negative thoughts about themselves since abuse damages one’s self worth.  Something important for a survivor to remember is: your abuser’s mistreatment of you does not dictate your value. Surviving abuse and rebuilding self-esteem is not an easy journey but it is possible. Here are some steps that can help someone on their journey. Have a support network It can really help to reach out to friends and family, and talking openly about your issues and healing process ...

My experience of PTSD

PTSD often causes physical symptoms in people due to a release of hormones. People with PTSD will often keep releasing these hormones even when no longer in danger as ‘fight or flight’ is the natural learnt response. Recently I explained the process of flashbacks to colleagues, and thought it might be worth writing about from first-hand knowledge. In essence, flashbacks are an experience in which one relives a traumatic event and feels as though it is happening at that moment; they're often a result of PTSD, which can be a unique experience to each person that experiences it. When I endured flashbacks, my body would become rigid and I would feel like I was back in that awful place from my past. They would usually be brief but I believe that for some people they can persist for hours or even days. Overall, the flashbacks felt horrible and I often felt so alone and helpless during those episodes. Thankfully I had a great therapist who helped me to cope with them and eventually I ...

Speaking out

I recently saw a thought provoking question on Twitter and felt the urge to answer. It said: “If you are a survivor of abuse, what might have helped you to tell someone sooner?” It is certainly a difficult question to answer because I can’t imagine how things might have been different for me. I was a very open, talkative child but still I stayed silent. Survivors of abuse carry a lot of shame and will therefore keep the secret to themselves for a long time, usually for as long as about 20 years. However, as a society it is within our power to change this pattern and ensure that children are protected and able to speak openly. Firstly, I believe it is the responsibility of adults, such as parents, teachers and doctors, to be aware of behaviour in children and how it differs in those who are being abused. The next step would be to arrange a therapeutic intervention with a child that might enable disclosure; this could be made easier for children if they are educated on the topic of a...

Counselling survivors of abuse

Over the years I have had therapy with a number of counsellors and my experiences have varied. I feel that I am now at a point where I am able to reflect on what worked well for me and what didn’t. In this post I’d like to include some ideas for counsellors who are considering working with survivors of abuse and trauma. First session Consider the fact that the client may have never spoken about the abuse until the first session. Therefore, be mindful of how much information you ask of the client as you don’t want to re-traumatize. The client may have trust issues so a therapist needs to work towards building a good rapport and a trusting relationship. I would certainly advise against asking too many questions, which may feel like an interrogation to the client, and it might make the client feel judged and anxious. Comfort Tell your client that they can have comfort breaks if they wish. Anxiety can lead to an increased need to go to the toilet, and unfortunately if a cou...

The key to my past

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Child sexual abuse (CSA) has lifelong effects that are often not recognised or understood. Sexual abuse usually takes place in secret and is therefore kept secret. Due to the silence surrounding CSA, children are forced to endure the abuse and its effects alone. As a result, adult survivors often continue to feel alone and isolated. It is quite common for survivors to not remember the details but only have a vague recollection that something wrong has happened. As a child I learnt many coping mechanisms, one of which was to pretend nothing was wrong. My story had been written but I decided to rip it to shreds, lock it up in a cupboard and throw away the key. That locked cupboard remained untouched for many years until one tragic day; the day I found the key to my inner pain and depression. During the ensuing period I can only describe what I experienced as shock and inner turmoil. My whole life had been turned upside down in a split second and I felt alone and helpless. It would be...