Re:Bipolar/Anxiety - EMDR

Some general comments.

Clients being candid with their therapist about budget constraints can help the therapist to make realistic appraisals about what to get into and when.

People with complex and severe trauma histories should plan sufficient budget to complete a large piece of their work - else it may feel like abandonment when its time to cut loose for budget reasons. For some people this means waiting until they have set more money aside.

Limited budget of course is very very common. Setting priorities is important. Some things can't be skipped -- for people with low ego strength, strengthening has to be done, and containment skills are necessary. Can't skip it for some people. Some people already have those skills and strength so they can get into trauma work right away.

Setting priorities is helpful -- most people have mother and father stuff that needs to be addressed if their childhoods were rocky. If so, its helpful to just plan on targeting those a la the Kitchur model (Strategic Developmental Model).

If one has to stop suddenly, usually the worst that happens is 1) progress gets delayed, 2) one can feel abandoned by the therapist, even though the client is the one that had to abandon the therapy because of budget, and 3) little kid parts of self, if there are any that feel alone and injured, take it hard because they've been waiting a long time to be heard. In that case, one can reassure the self that the therapy will be resumed when the time is right and budget permits. 4) in rare cases people might be worse off, but I haven't seen that beyond what I've already mentioned. I wouldn't recommend people avoid therapy just because they can't do it all.

Replies:

There are no replies to this message.

| Behavior OnLine Home Page | Disclaimer |

Copyright © 1996-2004 Behavior OnLine, Inc. All rights reserved.