Psykoterapi och ekoterapi – med fokus på trauma

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Fastän jag inte är färdig ännu med min psykoterapiutbildning, så har jag redan lång erfarenhet av att jobba med människor i utveckling och människor som vill förändra sina liv. Och jag känner mig mycket väl rustad att möta, stötta och hjälpa människor som upplevt olika slags trauma i sitt liv, framför allt är jag mycket kunnig inom området barndomstrauma, sexuella trauman, dissociation och det som med en paraplyterm kallas neurodivergens (ND), men som jag ser som vilken upplevelse som helst av att inte ”vara som andra” och ”inte passa in”.

Nu har jag gjort cirka hälften av min psykoterapiutbildning och tar emot övningsklienter under handledning. Jag erbjuder psykoterapi både i mer traditionell tappning (inomhus) och ekoterapi (eller ekopsykoterapi som är den längre benämningen) utomhus, och jag erbjuder både ”på plats” psykoterapi, just nu i Malmö, på ViduNova Traumaexpertiscentrum, och online. Och jag erbjuder psykoterapi både på svenska och på engelska.

Jag jobbar eklektiskt och integrativt, men har min bas i transaktionsanalys (TA), ekoterapi/ekopsykologi, upplevelsebaserat lärande, ”expressive arts” och mindfulness – och inte minst – jag har alltid jobbat traumamedvetet, traumasensitivt och jobbar nu också traumafokuserat.

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Relational Ecology — ECO-Mindfulness and Ecotherapy

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I talk about Ecodynamics, as a complement to psychodynamics, biodynamics and sociodynamics.

Ecodynamics explores our relationship with our surroundings, and especially our connection (or disconnection) from “nature”. I put nature in quotation marks as we as humans are not separate from nature — we ARE nature. But conventionally, nature is talked about as a place or our environment.

In Eco-mindfulness and ecotherapy — we work with whatever relationship you have with nature. And as I mentioned above, you are, by this simultaneously working with your relationship with yourself as well. But you are also working on your relationships with other people (and beings), or succinctly put — you are working on your relationships. Period.

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BEING NON-ATTACHED TO ANY SPECIFIC OUTCOME

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I am learning – again – by doing – and exposing myself to an avalanche of nos. And by doing so – I am learning that all those nos have nothing to do with me. And everything to do with the ones giving them.

The non-attachment to outcomes gives me the freedom to re-think and find other ways. To avoid engaging in ideas and plans that will never be, no matter how enthusiastic I first am about them. If there are solid nos – I am letting go. As gracefully as I can.

Every no is valid. And the thing is – if that is what comes to people when I suggest things, a solid no – then I do not want to engage in whatever it was I had ideas, suggestions, perhaps even plans around. I am all for mutuality and reciprocity.

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I CAN DO SO MUCH MORE THAN I THINK!

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AND IF I PACE MYSELF, I CAN GO EVEN FURTHER!

… and if I make solid choices based on internal listening – I am reversing dissociation and mending the gap between my biology and psychology!

Haha… I learn so much from experiential experimentation.

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STRUCTURAL DISSOICIATION

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I remember when I first encountered the theory of structural dissociation – through a therapist I saw a few times and the book she recommended to me “Coping with Trauma-Related Dissociation” (2011) by Suzette Boon, Kathy Steele, Onno van der Hart. The last author – I just recently learned are not allowed to practice psychotherapy anymore, due to transgressions? I will not judge that; I do not know enough about it to have an opinion on it.

But what I do have a lot of opinions on is the theory itself, and how it is used.

I was told in therapy that she (my therapist) only wanted to talk to the “main-me” – the ANP (apparently Normal Person) – that felt insulting on so many levels. Firstly – apparently?? It sounds like the person (me) is abnormal – that I just appear to be normal and that I just appear to be a person. Secondly, and more importantly, if a part of me initiates taking the whole of me to therapy to process trauma – and is refused a voice – how on earth is that going to be understood, by me? And how do you think it felt to me, to come to therapy and be told I am not only “just an emotional part” but also that the therapist then does not want to talk to me??

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TO RATHER BE BAD AND FEEL GUILT AND SHAME THAN TO FEEL POWERLESS

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My mind is used to “going inside”, to re-write my role in different kinds of outer events and situations. Note the difference, I am not re-writing the actual event or situation, I am re-writing me. We all have individualized coping strategies, but our actual choices of defense when being subjected to abuse, violence and trauma, are quite limited. Boiled down, we change our own role, other’s roles or the event or situation itself (meaning we change our perception of ourselves, others or our surroundings, of “reality” in different ways).

My strongest defense have always been to dissociate, meaning I mostly re-write myself. It does impact how I see others, but I am not actually re-writing them, just seeing them through my own re-written story. This might sound strange or complicated. Bear with  me – I will give you an examples and share how this ties into the title of this blogpost – why it has always been easier for me to be the “bad” one and feel guilt and shame over that – than to feel powerless. And how that sense of powerlessness was fortified in me by the ones whose intentions where to help me - by pointing out everything that was "wrong" with me. Never asking me if I had been wronged.

When I was 25 years old, I decided to share my story about how my father had abused me when I grew up, with my mother. I invited her home to me, just telling her I wanted to talk to her about something important.

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WHY SHARE MY STORY?  

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(I am an artist! - And I have something to "say"!)

When I grew up, I did really love my mother, though she did not love me back. She just did not have the capacity. She constantly abandoned me, belittled me, told me what was wrong with me and how I was supposed to be. She abused me, neglected me, scolded me – and once in a blue moon she would do something that on the surface looked kind, but would turn out to be much more for her than for me.

At the age of 5 I made a conscious decision to no longer beg for her love, as in seeking her out. I did keep on a couple of years to try to make her see me favorably, but it did not work.  A bit older, as an early teenager – my love turned into hate. I hated her with all that I had. Because it was always about her – and never about me. With that hate – I became the problematic one. I learned fast that describing my parents to anyone outside (which I tried to do to the child psychiatric hospital (at 13) I ended up in due to me starving myself, not taking care of my appearance etc, slowly shutting down) – was to no avail. It really felt like screaming (even if I was quiet, even mute quite often) – straight out into space. Or straight into a wall – there were really no one there to hear it.

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DIFFERENT KINDS OF DISSOCIATION

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How people dissociate is probably as different as anything else. What I describe in the poem below is my experience of one way I dissociate. These days – I can stay around and experience the experience of dissociating – kind of a contradiction in terms (since dissociating for me fills the function of not having to be around). But I stay – and experience it. When I started doing that – it was absolutely terrifying. So, I fled it – into my mind and other versions of me. But I have practiced. A lot, and now I can stay in it. It still makes me feel inadequate. I cannot control it. Only be in it – work with it – anchor myself to the best of my ability. Most people would not pick up on any of what goes on for me.

It feels like failing. Like I let fear govern and control me. When technically I know I am safe. What really helps me out of it – is being with someone I feel very safe with, and whom I can anchor “in”. But I have learned that is not okay. That I need to be able to anchor myself – so I keep on practicing.

I used to be very ashamed of my dissociation. Of how I leave my mind and enter this pure state of sensing – and how when I try to come back – I sometimes can not find where I left off, and don’t know what we were talking about or doing. I have learned to stay in my blank space – not panic – and orientate myself. Leave people waiting. Even letting them see my distraction. Hear the stammers. Hear the pauses when I search for words. Returning to mind is not easy. But it is how we “human” right? We exchange things through our minds. We talk with each other. Reaching to each other’s senses seems not to be okay.

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WORD!

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My autistic perspective.

Word! This is what people sometimes write in a comment – or exclaims when they feel someone said something they deeply resonate or agree with.

I thought a lot about the difference between words and meaning.

How I often used the metaphor of me coming into a room where they speak Korean (because I don’t understand a word of Korean – which is why I picked this language for my metaphor) – and I am assumed to understand and speak it. I used this metaphor to try to catch the essence of how I often feel in conversations with people.

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THE GIRL WHO DID NOT EAT – “ANOREXIA” AS EMANCIPATION

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She is 13, and there is nothing in her life that makes sense. She is both terrified and doesn’t care anymore. People come and go, places shift. She has already invented herself hundreds of times, nothing helps. No one helps. No one sees. No one cares.

She already hates herself intensely. She is growing, growing into a woman. A woman, like her mother. A mother she hates as intensely as she hates herself. But she is also the mother she wants to be, to have the power she has. Power to make it all stop. But also, the mother she never wants to become like. Angry, cruel, selfish, arrogant, judgmental, cold, with a body that demands.

She can’t do it anymore. She has nothing left in her. There is nobody in her anymore and she just waits. For the final blow. Then it all will be over. She does not long for it, but she does not care much either. A part of her is scared. How long will it take? Which day will it be?

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DISSOCIATION, EYE-TRACKING, VISUAL IMAGERY, PROCESSING, EMDR…

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The holiday winter season is one of my least favorite times of the year. But I have for each season become better at dealing with them, since I decided to reclaim them, and build my own traditions around them. So, I got a bit surprised when this year, I did not do so well. But in a new and unexpected way. I do think it is a step forward, as I am again learning new things about myself (and possibly about how severe childhood trauma “works”, or what people with severe childhood trauma can experience).

I am neurodivergent as well (forever will the professionals debate whether I am “just” traumatized”, or was born neurodivergent (I have an autism and ADHD diagnose, but also a C-PTSD and DID) – I do think this combination of being neurodivergent and having dissociative “difficulties”, or "tendencies" is pretty common – maybe because being neurodivergent makes you prone to dissociate, or maybe it is developmental (including lack of attachment) + abuse trauma – and that gives the same result? It is very hard to as in my case, 55 years later, figure out what is what. I am not sure that is what is important either. I have decided to go with the autism diagnose, as it is helping me understand myself.

But that is not what this text is about. Disputing what is nature or (lack of) nurture – or both. I am mentioning it because this is an intersection of potential mechanisms.

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WORLD MENTAL HEALTH DAY?

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I don't even believe in the concept of mental health anymore. How am I to separate out my mental life from the rest of my life?

I only have one life...

How am I to separate out my mental health from the rest of my health?

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A DIFFERENT WAY OF PERCEIVING THE WORLD AND “SELF”

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 A fair warning – I am going to get theoretical… but also add my own lived experience to this exploration.

What I am exploring here is if the fact that I highly resonate with a way of being and functioning that seems to be aligning with some of the leading theories behind what autism is, and how I see these theories through my own knowledge and experiences of how I have been reacting to early childhood trauma and how that has formed me, and my perception of myself. But I also explore my reactions to the theories behind severe dissociation, which I have never felt explain my own experiences (like the theory of structural dissociation).

I think I ended up using the defenses I did because they came natural to me. And I have defended myself against trauma with them, but also against everything else in the world that I could not cope with, in the same ways, that is using fragmentation and dissociation. What I say is – maybe they are not only psychological defenses that I came to use through being traumatized, but part of my individual, genetic make-up?

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CAUGHT BETWEEN OVERSTIMULATION AND SENSORY “BLINDNESS”- AND THE "INTENSE WORLD THEORY"

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I am out on a self-discovery journey. And I end up not really knowing where what I experience belong. Is all that I experience due to severe and recurring childhood trauma complicated by attachment issues? Or is there a genetic component of neurodivergence?

I have gone to therapy. And I have tried to “explain myself”. But I understand that it is not easy to understand me, I have not understood me.

I want to try to explain what I experience with sensory input. And how that relates to other things with me and how I function.

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WHAT IS WRONG WITH ME???

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Or is there something wrong with me? Or am I just being this particular and unique version of being a human? I don’t know. I simply don’t know.

I have been thinking a lot lately on how neurodivergence describes or do not describe my struggles in life. I have been told all my problems are due to trauma. And maybe that is so. But what I see is me having the same kind of problems that many neurodivergent people describe they have. With e.g. ADHD, ADD and being on the autism spectrum.

I don’t have any kind of neurodivergent diagnose, and I am not asking for it either. I am just trying to understand how I can be I the world. Help myself. Help others understand where and with what I struggle.

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THE STUFF WE DO NOT TALK ABOUT…

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When am I the most happy? The most grounded? The most me? – Those questions are related…

I don’t know about you. But I am a contradictory… almost always have many perspectives on one thing. Many feelings about one thing. Almost nothing is crystal clear to me. Sometimes it makes me indecisive. There are so many things one can take into consideration – and yes – often they are – contradictory – or lead to contradictory solutions.

Sometimes I am contradictory just because of the above… I shift. I take different viewpoints – all seem valid, more or less perhaps, but still. Sometimes I appear contradictory because I simply have changed my mind. I am an ever-changing human.

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An Overactive Social Engagement System

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If a person is stressed, overwhelmed, out of their window of tolerance, is the answer always to help them engage their social engagement system, on the outside, with another person or being? Is it always external co-regulation that is the best answer?

No. Not in my opinion. Especially not if a person is having an overactive Social Engagement System – as part of their defense strategy. Too much of the good is, is, as always, too much.

Or maybe – what looks like a way too overactive social engagement system is not in fact that? Or maybe it is – it depends on how you define a social engagement system. At least if you talk the language of Vagus, where the social engagement system lives in the ventral vagal complex and dissociation in the dorsal vagal complex.

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De-colonization... where are YOU from?

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I saw a Facebook post the other day about how in the US it is common that you need to fill in forms that ask about your ethnicity. And it made me think. Coming from a Nordic country – that seems very strange. Why do you need to provide that information? What is the purpose behind asking for it? Why is it important to authorities, businesses and organizations to know what ethnic group you belong to? Isn’t that more important to you?

And in today’s global world – aren’t many of us a mix of ethnic groups? Isn’t ethnicity more about where your ancestors came from? What environment they adapted to live in originally? And the cultures that were built around the adaptations, hardships, victories, communities that were mourned and celebrated in every particular spot people gathered together to live and share their lives in?

I think it is VERY important to know where we come from. Where our ancestors come from. How they, how I, ended up where I am (living) today. And how that impacted those who already where there, are there, before me.

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Self-Care - Step no 1 - Be YOU

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I am reflecting over what self-care means, to me. 

I define it as a will and practice to give yourself what you need. To fill your own needs, but also be able to ask for those things you cannot do (for) yourself, or on your own, that is – to let yourself ask for – and receive help.

That definition rests on the assumption that you know yourself. If you do not know yourself, you cannot know what your needs are.

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WHAT CAN I DO? - Mindfulness – Trauma & Dissociation

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I am a mindfulness instructor – and am currently taking an advanced training in Trauma Sensitive Mindfulness (TSM) with David Treleaven (https://davidtreleaven.com/). I took his basic course during the fall. They are great courses!

I am also a person with severe trauma and I can be highly dissociative (although I am getting to be more and more in charge of my dissociation than the other way around – If you are interested in my thoughts on dissociation and trauma, there is plenty to read in my blog at http://livethechange.se/).

Taking this course simultaneously as the Coronavirus is affecting us all on a global scale – is interesting. It becomes even more interesting for me since I have managed to time huge life transitions to this time period too… Very little is certain in my life, this did not start now – but has been a process. But the resolution of the process is happening right now.

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