Counselling and Talking therapies for PTSD
Talking therapies have been increasingly used in recent years, as people explore the best ways to tackle depression and anxiety. According to NHS figures, 1.6m people were referred for talking therapy in 2018-19, a significant increase over the previous year. Thanks to modern technology, access to this type of intervention continued during the pandemic.
It’s not surprising that people with PTSD have been part of this growing trend. Talking therapies have proved to be effective not just with issues associated with PTSD – such as depression and other symptoms. They are also a way of building more self-awareness and self-management techniques. For many people, talking therapies allow them to get into a ‘better place’ to allow them to make sense of their trauma and their PTSD to allow them to begin treatments such as EMDR.
There are various types of counselling and talking therapies offered to people with a diagnosis of PTSD. You may also see them referred to as psychological treatments or psychotherapies. However, don’t be too tied up in the jargon. The best therapy for PTSD often involves drawing on a mixture of the following, to find the best way forward for you.
Cognitive Behaviour Therapy
This is one of the most common ways to support an individual with PTSD. So, what is CBT?
The word cognitive means the way our brain processes information from all of our senses, and from our stored memory. It is how you think, make decisions, and react.
Cognitive Behaviour Therapy explores your decisions and responses and helps you to find ways to redirect or rebuild unhealthy ones. This creates positive behaviours (or actions). A CBT trained therapist can guide you towards creating your own practical solutions. This can make it easier to manage PTSD in your daily life.
CBT is an evidence-based therapy. Meaning it’s backed by scientific research into its effectiveness.
The Mental Health Foundation website quotes someone who used CTB: “I had a CBT therapist but I think she probably used lots of different things – in fact, it didn’t feel like she was ‘using’ anything – it felt like a natural process rather than anything very medical or clinical.”
This sort of first-hand account will hopefully reassure people with PTSD that talking therapies such as CBT are not always intense or uncomfortable.
Dialectic behaviour therapy (DBT)
Again, don’t get too hung up on the jargon!
What this refers to is a combination of CBT with guided meditation. From this, you can reach a better understanding of your thought processes, but also gain skills to create calmness and control while exploring your responses.
Meditation is a valuable and often misunderstood option for PTSD support.
Psychodynamic or Psychoanalysis therapy
That title probably sounds even more off-putting! However, it’s used to denote a talking therapy that focuses on your current mental health status, but also your ‘lived experience’. The therapist supports you in discussing your early years and any dreams you have, for instance, and the ways your personality influences your present feelings and behaviour.
The aim of this – as with other talking therapies – is to give you more insight and ability to deal with difficult situations and responses. It is important to find a psychoanalyst trained in PTSD if you’re going to cover the trauma you suffered.
Holistic or Humanistic Therapy
This sounds rather ‘new age’ and alternative. In fact, it refers to counselling that uses a range of techniques to deal with the whole of you – past, present and life goals. It focuses not just on you and your lived experience, but also on your relationships with other people.
The aim of humanistic therapy is to find your strengths and build your potential to move forwards, getting passed barriers. So, it’s sometimes used when your diagnosis is specific like depression or substance misuse caused by PTSD.
This person-centred counselling is also often used for mild depression, as it addresses the issue in the context of everything going on it your life.
Ways talking therapies are delivered
Just as there are several proven methods to provide counselling for people with PTSD, there are various options to access this help. Clearly, many prefer the privacy and safety of one-to-one support.
However, group therapy sessions can also be beneficial. Being around others who share similar challenges can be a comfortable (and comforting) way to engage with talking therapy.
It’s also possible to book PTSD counselling and talking therapies with your partner, or as a family group. This helps you to explore the way your condition affects your relationships and gives your loved one opportunities to be part of your progression to healthier decisions and reactions.
Finding the right PTSD therapy
Before jumping into talk therapy, it’s worth being aware that both it, and counselling, may cause an initial ‘re-traumatisation’, as you work through your trauma story over and over again. With some methods, this is how you process and ultimately manage your trauma, but it can be a difficult and upsetting process. People with PTSD need a reactive and versatile programme of support. So, it’s important to find a trained therapist who can be flexible and who also understands the complexities of post-traumatic stress disorder.
As with any mental health condition, PTSD can be a complicated condition to manage. It can be both life-altering and devastating, not only for the individual experiencing it, but also for their friends, family, and loved ones. And yet, despite the difficulties posed by the condition, PTSD is treatable. In order to give yourself the best possible system to get your illness under control, it’s best to take a two-pronged approach that addresses both sides of your brain.
The left side of the brain does all the thinking for you. That’s where your logic lies. Meanwhile, the right side of the brain handles imagery, creativity, and functions more on instinct and emotion than logic and reason.
Choosing a recovery path that helps you heal the disruption to your thought patterns and behaviour by working on both the logical and the instinctual is the most effective means of treating PTSD. Talk therapy and counselling are both options that provide a strong foundation that will enable you to process and express thoughts and feelings. Despite the huge benefits of both talk therapy and counselling, these alone are not enough to effectively treat PTSD. NICE guidance updated in 2018 recommends the use of trauma focused psychological treatments for Post Traumatic Stress Disorder in adults, specifically the use of Eye Movement Desensitisation Reprocessing (EMDR) and trauma focused cognitive behavioural therapy (CBT).
What if you don’t start to feel better?
If you’ve tried talking therapies and counselling to treat your PTSD, but have not found anything helpful, it’s important to tell your therapist or doctor that you were expecting to feel different. You may need more treatment, or you might need a different type of treatment. A follow-up course of therapy or alternative treatment should be suggested to ensure you continue to receive support in your recovery
Please remember, these aren’t meant to be medical recommendations, but they’re tactics that have worked for others and might work for you, too. Be sure to work with a professional to find the best methods for you.
- Talking Therapies
- Trauma and PTSD
- Left Brain vs. Right Brain: What Does This Mean for Me?
- Carlson, J.G., Chemtob, C.M., Rusnak, K., Hedlund, N.L. and Muraoka, M.Y. (1998), Eye movement desensitization and reprocessing (EDMR) treatment for combat‐related posttraumatic stress disorder. J. Traum. Stress, 11: 3-24. https://doi.org/10.1023/A:1024448814268
- Cognitive Behavioral Therapy (CBT)
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Treatments for PTSD
It is possible for PTSD to be successfully treated many years after the traumatic event occurred, which means it is never too late to seek help. For some, the first step may be watchful waiting, then exploring therapeutic options such as individual or group therapy – but the main treatment options in the UK are psychological treatments such as Eye Movement Desensitisation Reprogramming (EMDR) and Cognitive Behavioural Therapy (CBT).
Traumatic events can be very difficult to come to terms with, but confronting and understanding your feelings and seeking professional help is often the only way of effectively treating PTSD. You can find out more in the links below, or here.