Overcoming Long-Term Psychological Trauma: Effective Treatment Strategies

Psychological trauma

Hello Dr.
Wu: I have been struggling with long-term psychological trauma.
My thoughts are constantly focused on not wanting to be hurt again and not wanting to open my heart.
The injuries I have experienced from childhood to adulthood have caused me psychological trauma that I have been unable to overcome for many years.
I have previously sought help from therapists and undergone counseling, but I still cannot move forward.
I find myself completely unable to control my negative emotions, which are very erratic.
In addition to having excessively strong emotional reactions, I also experience uncontrollable ruminations, emotions, and thoughts.
One moment I feel very excited and happy, and the next I feel lonely, angry, resentful, depressed, or manic.
I struggle to find motivation for anything and often have difficulty thinking clearly.
Sometimes I feel an urge to break things or shout in anger.
When I feel insecure, I crave affection, overeat, drink alcohol, use traditional Chinese medicine, and engage in other bad habits.
In the past, I tried to distract myself by volunteering, but that did not help either; instead, I felt wronged and unjustly treated.
Now, I feel that the only way to cope is to frantically search for a job.
I truly cannot bear the pain and discomfort, and I want to escape my problems through distraction, yet this only addresses the symptoms and not the root cause.
Doctor, if hypnosis therapy is an option, could it help uncover the underlying issues? My psychological trauma has severely impacted my life and future goals.
It feels as though my past experiences have caused me to be unable to live a normal life, affecting many aspects of my existence.
Given my situation, where I have been struggling with psychological trauma for many years and still cannot move forward, what kind of treatment would you recommend?

Chen, 20~29 year old female. Ask Date: 2022/06/11

Dr. Wu Enliang reply Psychiatry

Netizens suggest that medication treatment for depression, anxiety, and emotional stability should be included.
Dr.
Wu Enliang.

Reply Date: 2022/06/11

More Info

Overcoming long-term psychological trauma is a complex and often challenging journey that requires a multifaceted approach. It is important to recognize that healing from trauma is not a linear process; it can involve setbacks and progress that may feel frustrating. Here are some effective treatment strategies that can help individuals like yourself who are struggling with long-term psychological trauma.

1. Therapeutic Approaches: Traditional talk therapy can be beneficial, but it may not always be sufficient for those with deep-seated trauma. Cognitive Behavioral Therapy (CBT) is one effective method that helps individuals identify and change negative thought patterns and behaviors. Eye Movement Desensitization and Reprocessing (EMDR) is another specialized therapy that has shown effectiveness in treating trauma by helping individuals process distressing memories. Additionally, Dialectical Behavior Therapy (DBT) can be particularly useful for managing intense emotions and developing coping skills.

2. Medication: In some cases, medication can play a crucial role in managing symptoms associated with trauma, such as anxiety and depression. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) like Paroxetine, can help stabilize mood and reduce anxiety. It's important to work closely with a psychiatrist to find the right medication and dosage tailored to your needs.

3. Mindfulness and Relaxation Techniques: Practicing mindfulness can help ground you in the present moment and reduce the intensity of negative emotions. Techniques such as meditation, deep breathing exercises, and yoga can promote relaxation and improve emotional regulation. These practices can help you develop a greater sense of control over your thoughts and feelings.

4. Support Systems: Building a strong support network is essential. This can include friends, family, support groups, or online communities where you can share your experiences and feelings without judgment. Connecting with others who have faced similar challenges can provide validation and encouragement.

5. Lifestyle Changes: Engaging in regular physical activity can significantly improve mood and reduce anxiety. Exercise releases endorphins, which are natural mood lifters. Additionally, maintaining a balanced diet, getting adequate sleep, and avoiding substances like alcohol and drugs can contribute to overall mental well-being.

6. Trauma-Informed Care: Seeking professionals who are trained in trauma-informed care can make a significant difference. These practitioners understand the impact of trauma on mental health and can provide a safe and supportive environment for healing.

7. Hypnotherapy: While some individuals may find hypnotherapy beneficial in uncovering the roots of their trauma, it is essential to approach this method with caution. Not everyone responds well to hypnosis, and it should be conducted by a qualified professional. It can be a useful tool for some, but it should not be seen as a standalone treatment.

8. Gradual Exposure: If certain memories or situations trigger intense emotional responses, gradual exposure to these triggers in a controlled and safe environment can help desensitize your reactions over time. This should be done under the guidance of a trained therapist.

9. Self-Compassion and Patience: Healing from trauma takes time, and it is crucial to practice self-compassion throughout the process. Acknowledge your feelings without judgment and allow yourself to experience the healing journey at your own pace.

In conclusion, overcoming long-term psychological trauma requires a comprehensive approach that combines therapy, medication, lifestyle changes, and support. It is essential to work closely with mental health professionals to develop a personalized treatment plan that addresses your unique needs. Remember, healing is possible, and with the right support and strategies, you can regain control over your life and move towards a healthier future.

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