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multiplicity_archivesHello everyone
The reason we're unsure of our case manager is because of one time when our therapist asked us why we were so determined to hold onto the did label. We tried to answer her, basically we told her it was because we had finally found something that fit us, we knew we were here, there were many of us, etc. that is did by definition. Anyway, a couple of days later our case manager asked us the same question in the exact same words our therapist used. Given the fact that we know they have permission to talk to each other, and that they work for the same organization, we figure they communicate with each other on a regular basis. I believe they have paperwork that says they can. I don't remember if they do or not. The thing is, we trust our case manager and she sees a larger number of us than our therapist does, even though our therapist sees us once a week and the case manager only sees us about once a month. Or maybe it's twice, I don't know. At this point we don't want our therapist to know we're wanting to change therapists. We'll either work past the fear of it, or we won't ... If we don't, we'll be stuck with her ...
We have New Hampshire Medicaid, and also State Aid to the Permanently Disabled, which is cash assistance of about $600 a month. It might be a little more. Anyway, our award letter for our medicaid stated that to continue receiving it we had to have ongoing treatment at the place where we're receiving therapy.
*Thinking* ... You know, I believe it would not hurt, the next time we talk to our case manager, to ask her if there is another therapist there who works with DID patients. The case manager knows we're not sure that our therapist is a good fit with us.
The thing is, I think there is another therapist who works with DID, but he/she is not also a DBT therapist. I signed a contract that I'd stay in DBT for a year. I suppose I could break the contract, but I'd really rather not. I haven't been in DBT long. According to our therapist, we have borderline personality disorder. But anyway, we've heard that DBT doesn't really work for DID. We're not sure yet if it is helping us any. We know we like DBT group better than therapy sessions, even though our therapist is one of the group leaders.
We've jokingly said that she seems like another person entirely during group, and we wonder if she's really multiple herself ... she seems so much nicer during group. She's more serious and intense in one-on-one sessions.
But seriously, is it better to have not quite the right kind of therapy, with not quite the right therapist, or better to have no therapy at all? How do you tell when a therapy or a therapist is doing more harm than good? How long does it take to know if you mesh well, if the therapist is right for you? It's been since late November for us. We still feel really unsure that our therapist is right for us.
Distraida
The reason we're unsure of our case manager is because of one time when our therapist asked us why we were so determined to hold onto the did label. We tried to answer her, basically we told her it was because we had finally found something that fit us, we knew we were here, there were many of us, etc. that is did by definition. Anyway, a couple of days later our case manager asked us the same question in the exact same words our therapist used. Given the fact that we know they have permission to talk to each other, and that they work for the same organization, we figure they communicate with each other on a regular basis. I believe they have paperwork that says they can. I don't remember if they do or not. The thing is, we trust our case manager and she sees a larger number of us than our therapist does, even though our therapist sees us once a week and the case manager only sees us about once a month. Or maybe it's twice, I don't know. At this point we don't want our therapist to know we're wanting to change therapists. We'll either work past the fear of it, or we won't ... If we don't, we'll be stuck with her ...
We have New Hampshire Medicaid, and also State Aid to the Permanently Disabled, which is cash assistance of about $600 a month. It might be a little more. Anyway, our award letter for our medicaid stated that to continue receiving it we had to have ongoing treatment at the place where we're receiving therapy.
*Thinking* ... You know, I believe it would not hurt, the next time we talk to our case manager, to ask her if there is another therapist there who works with DID patients. The case manager knows we're not sure that our therapist is a good fit with us.
The thing is, I think there is another therapist who works with DID, but he/she is not also a DBT therapist. I signed a contract that I'd stay in DBT for a year. I suppose I could break the contract, but I'd really rather not. I haven't been in DBT long. According to our therapist, we have borderline personality disorder. But anyway, we've heard that DBT doesn't really work for DID. We're not sure yet if it is helping us any. We know we like DBT group better than therapy sessions, even though our therapist is one of the group leaders.
We've jokingly said that she seems like another person entirely during group, and we wonder if she's really multiple herself ... she seems so much nicer during group. She's more serious and intense in one-on-one sessions.
But seriously, is it better to have not quite the right kind of therapy, with not quite the right therapist, or better to have no therapy at all? How do you tell when a therapy or a therapist is doing more harm than good? How long does it take to know if you mesh well, if the therapist is right for you? It's been since late November for us. We still feel really unsure that our therapist is right for us.
Distraida
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no subject
Date: 2005-03-12 08:33 pm (UTC)You can probably predict what I am going to say, as I wrote to you that I am someone who has taken great trouble to keep DID off my official label, which is autism.
I'd take the Borderline package. We have a Borderlinish girl as the second most common frontrunner, and those sort of issues can be quite painful. As far as therapies go, DBT doesn't sound as dreadful as some, it may even be helpful.
I know what it is like to have trouble with communication and selves-control within your system. We've had our share of trouble with that, and continue to, although funnily enough, the greatest inconsistencies show up within the context of therapy. I wish it were an ideal world where we could just sit down with someone and feel safe about discussing system disfunctions, and our sometimes extremely painful inner world.
Unfortunately, that just isn't the reality these days. According to the definition of the DID label, you are imaginary. Therefore, most therapists will try very hard to integrate you. We even saw an alternative one who didn't believe in DSM, and he STILL wanted to integrate us.
If you ever are free of constrictions and can find a private therapist, try Vera Riley in Guilford, Vt. She said she didn't believe in integration, and I saw no indication she was lying, but we just couldn't hack therapy about system stuff by then..it was too late.
We got brave
Date: 2005-03-18 09:14 am (UTC)We got brave and talked with our therapist. She asnwered a lot of our fears, and we are fairly certain now that we can work with her. Some of the others are now considering coming out to talk with her. Some who weren't before. So this is good.
Distraida