Hello I believe I can help you with your concern
I am so sorry that you have been feeling this way, I can imagine how distressing this is for you
I think you are right about the low self-esteem part, but I also believe that this is a symptoms of a great disorder called Post-Traumatic Stress Disorder (PTSD). This is something that can occur as a result of the sexual abuse you had an adolescent
:) thx for answering. I dont quite understand the chat here... regards XXXXX XXXXX are the fee is going to increase because we are chatting?
Oh no, the fees stay the same. And I have no time limit on my sessions, so please do not feel rushed with the session at all. I am here to help you for as long as you need.
I understand why you did not like therapy because talking about your feelings and the past just re-traumatized you and you did not feel like you were moving forward
I processed some feelings though, but there is still a lot. thats whay i believe im broken for good.
No you are definitely not broken for good, there are successful treatment for this to help you. I believe that seeing a Cognitive Behavioral Therapist (CBT) will help you because it focuses on the present and not so much the past. But you would have to stay in that therapy for much longer than 3 sessions to get any benefit from it.
Being abused is a very traumatic experience and therapy will not fix you right away, but gradually you will start to see the benefits and start to experience a lessening of the symptoms.
I will try yes. but it is hard to feel all those nasty feelings. I dont like crying in front of the therapist.. There are therapist who doesnt agree with cbt. which method is the best? i read about the lifespan integration therapy that can be good for me because sometimes feel like a child,,,, do you know anything about that?
You are right that some therapists do not agree with CBT and not every patient responds to CBT. Lifespan integreation therapy is supposed to be an alternative whole body type of approach, but I do have to say there are no peer reviewed studies on the effectiveness of this therapy, while CBT is the most evidence based therapy, which is why I mentioned it.
If you also want to try an alternative approach to CBT, I would recommend Dialectical Behavioral therapy (DBT) or Eye Movement Desensitization Reprocessing (EMDR).
Both of those therapy modalities have peer reviewed research for treating PTSD and depressive symptoms like you have described.
what is that EMDR in a nutshell? how does it work to help traumatise people?
I am not an EMDR expert as I personally do not practice it, but it is supposed to help your neural pathways process trauma by ways of using 8 different steps of bilateral sensory input including side to side eye movements. Supposedly this will help you better process your trauma and alleviate your symptoms.
Also another alternative approach is Acceptance and Commitment Therapy (ACT).
I can recommend a book that explains EMDR better if you like
its okay for the book I will find a therapist. I have 3 methods now I can look for, thanks for that.
In addition, I wanted to ask if you also considered medication to help alleviate your symptoms so that you can respond better to the therapy?
I didnt know it can help me respond better to therapy. I think it will be helpful. what do I say to the doctor exactly? Or is the therapist will refer me to a doctor?
Your primary care doctor can prescribe the medications if you wish. You can tell your doctor that you are suffering effects of PTSD from past abuse, like depression, low self-esteem, anxiety, hopelessness, etc...And most likely you will give you a SSRI antidepressant (e.g. Zoloft, Lexapro, Paxil, Prozac, Luvox, or Celexa).
Yes they can alleviate your symptoms. You will start to see the effects in 2-3 weeks and the full benefits in 6-8 weeks with these medications
But it is not a cure, only therapy can cure you.
thanks, XXXXX XXXXX know that. I forgot to mention that im usually worse and down in the whole before my periods. ii guess its going to help me too...
That can happen with the hormonal flux as it can worsen your depressive symptoms. THe SSRI will help lessen the impact of that for you
I think Im okay for now. I will leave. What is the next step ? Rate and exit?
Well i am happy to help you tonight. Yep you rate and then we are done for the night. My goal is to provide you with excellent service, so if you ever have any further questions or concerns please do not hesitate to contact me at anytime.
thanks for your help good night:)
Anytime, I wish you the best of luck with your treatment
Thats the kind of answer I was looking for. Thank you for your help Dr. Kaushiké