I've been gone a while. I'm on a trauma unit

TRriggerWArning* Around the first of the month I went to my T and a new alter, having recently appeared, who had been burning the body made some really scary threats against me. I didn't want to go into the hosp because that always makes things worse, but that is what had to happened. (complete with my 2yr old alter trying to open the abulance door on the way)

My t had been working on paperwork to get me into a Trauma Unit waiting list, but it wasn't done and it was a long list so I ended up on a gen unit at Sheppard Pratt. It wasn't too bad there in the beginning, but it go so that I couldn't bear it. The doctor was good though, and she got me into a truama unit in DC. That's where I am now. They even have limited computer access.

With all of that being said, I met with my inpatient T today for the first time. She seems pretty good, though maybe a little "tougher" than my outpatient T. She talked to Little K and got to the bottom of the "who and when" of the original trauma. I guess, on a level, I wanted to know, but now I feel so completely alone and vulnerable that I can barely stand it. Seven wants to destroy the body and be done with it.

How do you deal with information like this? We don't want it to be true, but when we plug it in, so many other things fall into place.
(I'll get back to the computer when I can. Thanks for any responses.)

KK

Hi KK,

I'm glad to read you. I'm sorry things've been tough.

I still believe T's are going way to fast about knowing the who and when, without first thinking about Safety.

The ISSS-T says:

1. Establishing safety, stabilization, and symptom reduction;

and then

2. Confronting, working through, and integrating traumatic memories;

As for what you're going through right now, I'm not sure what can work to make it more bearable. I'd say take care of the emotional pain, as you would with a physical injury. Be gentle, and let it heal. Do things that are comfortable for you and in which you feel pampered: Having a nice soft blanket, or have a good night sleep, or having a warm shower, or a nice meal, or being hugged by someone who cares, or being in contact with nature. Anything, that makes you feel better.

What I do when I'm in pain, I cry, I write, I talk about with people I know care for me.

I'm not sure this is the best moment to look at details of a safety issues, but I think your T's should have a look at it, from the same guidelines:

Safety issues and symptom management:

a) Education about the necessity for safety for the treatment to succeed;
b) An assessment of the function(s) of unsafe and/or risky behaviors and urges;
c) Development of positive and constructive behavioral repertoires to remain safe;
d) Identification of alternate identities who act unsafely and/or control unsafe behaviors;
e) Development of agreements between alternate identities to help the patient maintain safety
f) Use of symptom management strategies such as grounding techniques, crisis planning, self-hypnosis, and/or medications to provide alternatives to unsafe behaviors;
g) Management of addictions and/or eating disorders that may involve referral to adjunctive specialized treatment programs
h) Involvement of appropriate agencies if there is a question about whether the patient is abusive or violent toward children, vulnerable adults, or others (following the laws of the jurisdiction in which the clinician practices
i) Helping the patient with appropriate resources for self-protection from domestic violence
j) Insisting that the patient seek treatment at a more restrictive level of care, including hospitalization, as necessary to prevent harm to self or others.

http://www.isst-d.org/downloads/guideli ... ed2011.pdf

Stay Safe,

Sea

Hello KK, I'm glad to hear that you guys are safe! Hope the hospital can help! Wish I could offer advice

Hope you feel better soon!

Sea, it sounds a lot like what I've been doing. A lot of crying and a lot of writing. Just don't have a lot of people I can talk to about this right now.

Well my computer time is up for now.
Thanks for writing also Partial. I'm happy to see familiar support people again.

KK

GKOKD wrote:Sea, it sounds a lot like what I've been doing. A lot of crying and a lot of writing. Just don't have a lot of people I can talk to about this right now.

Well my computer time is up for now.
Thanks for writing also Partial. I'm happy to see familiar support people again.

KK

I wanna read you KK, I want to read you all.

Sea