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Reply to "How about Informed, Trauma-Informed Care?"

Rick Herranz Sr. posted:

feeling guilt and shame over an addiction. i went to therapy today with a EMDR THERAPIST then  on the way home i "ACTED OUT "   .....SO Frustrated. i say i want to stop,,,but then look what i am doing...feedback is welcomed please.

Hi Rick, don't know what sort of addiction you're talking about -- nor am I asking to know -- these things are best sorted out in the confidentiality of a professional relationship. But don't feel too bad -- too blaming / self-shaming -- such steps are an expectable / manageable part of recovery, you had difficulty regulating / managing the emotions left over from the session and reverted, temporarily, to an over-learnt / automatic "coping" strategy. Such "self-shaming", and feeling bad for feeling bad, is all wrapped up as part of the shit that's left over from the trauma(s). Such difficulties with emotion regulation are quite common amongst those with addiction issues. They are also one of the defining characteristics of Complex Trauma (at least in what will be in ICD-11, if not in DSM 5). One of the best validated treatment approaches in such circumstances, which you might want to investigate, is Lisa Najavits' "Seeking Safety", which targets both the effects of trauma, and addiction issues, concurrently.

Ideally, you could talk through this event with your therapist, who hopefully does more than just EMDR. Depending on the nature of your problems -- e.g., Trauma vs Complex Trauma, for a start. There are a lot of things which could be looked at, in terms of both assessment ("understanding the problem") and treatment, but rest asssured, in the hands of an adequately trained and proficient, the issues are "hard work", but these days relatively easily understood and dealt with, if not quickly overcome -- but much quicker than the "lifetime" it once took. 

Feel free to PM me if you've got further questions -- but I'm in a different country from you, and this would NOT constitute a professional relationship at any stage.

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