The two hands is a small exercise meant to help with self-soothing and offer a felt sense of safety, protection or support. It is ideal when working with more or less dissociated parts in cPTSD or DID, but it could also work for people who don’t experience structural dissociation at all. Sometimes parts inside might […]
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Synchronizing (advanced DID SystemWork)
Synchronizing is an advanced exercise for DID SystemWork. We need a certain level of communication and cooperation within the system, that we might not have at the very beginning. We will also struggle if we are still stuck in chronic dissociation because we need a form of mindfulness for this. If you want to avoid […]
Administering mental energy
Like time and money, energy is a limited resource. It means that we have to be careful how we spend it, otherwise there won’t be enough to manage our life. PTSD and dissociation use up a good amount of our energy, so that our stores are slimmer than those of other people. It means that […]
Polyvagal Therapy
Science about the vagus is an exciting new trend, it gets marketed as having almost magical powers to help people feel better. So I get quite a lot of emails asking for ways to ‘strengthen’ the vagus or how to ‘stimulate’ it. I think that this is based on a misunderstanding. Let me clarify. […]
Epiphany #6: The Good
The perception of a reward leads to sympathetic arousal in our nervous system. Similarly to flight/fight (run away/ approach to overcome) energy is released to approach and get the reward. When a reward is overwhelmingly big we start to shut down. Think of people winning the lottery and fainting or hearing they won a prize […]
DBT Skills, chronic dissociation and a polyvagal perspective
When we learn how to stop dissociation we often get in contact with DBT skill training. It teaches us how to recognize dissociation early and then use different skills that we chain to help us regulate and return to our window of tolerance. Theoretically that is a good plan that can work really well. It […]
Integrating ‘new’ parts (DID SystemWork)
When parts have been stuck in TraumaTime for so long, arriving in the present, learning that there are others and all of life has changed, that we have aged, the body is big – all that can come as a shock. That is why we have developed a protocol for ourselves for welcoming ‘new’ parts. […]
Titration in Trauma Therapy
Titration is a chemical term that was taken out of context to explain a technique to approach psychological problems. Say we want to neutralize HCl with NaOH. Mixing the acid with the base should, with an easy calculation, give us H2O and NaCl, harmless water and salt. The problem is that an acid and a […]
Containment (in body work)
There is a crucial part of emotional regulation that has to happen somewhere between identifying a feeling and expressing it. Because it is physical in its nature, not a mental concept, it makes it difficult for me to explain it with words. So I will use pictures in the hope that you can translate them […]
Understanding thoughts ‘bottom up’
There is a feedback-loop between our thoughts, emotions and body. A picture you will often see to describe it is this It is the foundation of CBT interventions. We change the thought, that will change our emotion and physical state. It is called top-down approach and it works well with many psychological problems but its […]
Emotions: Explore, Express, Expand
If we are within our window of tolerance and there is an emotion we are experiencing and there is no need to regulate it down but a curiosity about what is happening to us, that is when we might want to explore. To do that, creative approaches are indispensable. We won’t try to suppress an […]
Provocation: advanced negotiation skills
Deliberate provocation is a specific form of confrontation. It is one of our sharpest tools for negotiations. It can cut through the knot that keeps us stuck and open the path for breakthrough. It can also cut deeply and painfully when it is done wrong, creating shame and disconnection and despair. The effectiveness of […]
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