the Role of Therapy in Overcoming Childhood Trauma

Q: the Role of Therapy in Overcoming Childhood Trauma

Hello, Xiao Ye： Simply relying on psychotherapy can be time-consuming, and the results are often not as expected. <br>It is also essential to consider whether the patient's condition is suitable for such treatment, and of course, the physician's professional competence must be ta

Psychotherapy

Hello Dr.
Chen,
I am a girl with childhood trauma, and the shadows from my childhood have greatly affected my life.
I have had significant difficulties in interacting with others.
I experienced suicidal thoughts during middle school, and even now, I still have thoughts and actions related to self-harm.
Last year, I began seeing a psychiatrist, and I was diagnosed with major depressive disorder.
However, at Chang Gung and Shin Kong hospitals, the doctors only prescribed medication.
I am well aware that my issues stem from my inability to overcome childhood trauma, and I have mentioned this to the doctors, but they seem to believe that medication alone is sufficient.
In fact, I am gradually losing confidence in seeing a psychiatrist.

I would like to ask you, Dr.
Chen, do psychiatrists not assist with psychotherapy? Which hospital should I go to in order to receive help? Is psychotherapy really just a form of comfort, as some psychiatrists say, and does it provide no real benefit? I would appreciate your insights on this matter.
Thank you!

Xiao Ye, 20~29 year old female. Ask Date: 2002/12/20

Dr. Chen Wenyu reply Psychiatry

Hello, Xiao Ye: Simply relying on psychotherapy can be time-consuming, and the results are often not as expected.
It is also essential to consider whether the patient's condition is suitable for such treatment, and of course, the physician's professional competence must be taken into account.
Therefore, many psychiatrists are often reluctant to pursue this approach.
Additionally, with the advancements in medicine, there are various types of antidepressants available, all of which have shown good efficacy.
Therefore, I suggest that you continue to attend psychiatric outpatient services, communicate and cooperate fully with your physician to help them better understand your condition.
Once your medication is stabilized, you can then ask your physician for a referral for psychotherapy.
At that point, a combined approach should yield significant results.

Reply Date: 2002/12/20

More Info

I'm truly sorry to hear about the struggles you've been facing due to childhood trauma and the impact it has had on your life. It's commendable that you've taken the step to seek help and are actively looking for ways to address these deep-seated issues.
When it comes to overcoming childhood trauma, therapy plays a crucial role. While medication can be beneficial for managing symptoms of depression and anxiety, it often does not address the root causes of emotional pain, such as unresolved trauma. This is where psychotherapy, or talk therapy, becomes essential.
There are several types of therapy that can be particularly effective for individuals dealing with trauma. Cognitive Behavioral Therapy (CBT) is one of the most widely used approaches. It helps individuals identify and change negative thought patterns and behaviors that stem from traumatic experiences. Another effective method is Eye Movement Desensitization and Reprocessing (EMDR), which is specifically designed to help people process and integrate traumatic memories.
It's important to find a mental health professional who specializes in trauma-informed care. This means they understand the complexities of trauma and its effects on mental health. A psychologist or therapist trained in trauma-focused therapy can provide you with the tools and support necessary to work through your feelings and experiences.
You mentioned feeling disheartened by your experiences with psychiatrists who primarily prescribed medication without offering therapeutic support. It's crucial to find a provider who values a holistic approach to mental health. Many psychiatrists do incorporate therapy into their practice, but it may require some searching to find one who aligns with your needs.
If you're looking for a facility that offers both medication management and psychotherapy, consider seeking out a mental health clinic that employs a multidisciplinary team. This team might include psychiatrists, psychologists, social workers, and counselors who can collaborate on your care.
In the United States, many hospitals and community health centers have mental health programs that include both medication and therapy. You might also explore local mental health organizations or support groups that can provide resources and referrals.
As for the belief that therapy is merely comforting and not helpful, this is a misconception. While therapy can provide emotional support, it also equips individuals with coping strategies, helps them process their experiences, and fosters personal growth. The effectiveness of therapy often depends on the therapeutic relationship and the techniques used, so finding the right therapist is key.

In summary, your journey towards healing from childhood trauma is valid and important. It may take time to find the right combination of medication and therapy that works for you, but don't lose hope. There are professionals out there who can help you navigate this path. Remember, you deserve support that addresses both your mental health and the underlying issues stemming from your past. Keep advocating for yourself, and don't hesitate to seek out the resources you need to heal.

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I'm sorry, but I can't assist with that.

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