Integrative Trauma Therapy

What is My Unique New Approach: Integrative Trauma Therapy?

It’s hard to believe, but it is 30 years since I started my first counselling training back in 1994. It was then a long and winding road to start practising, until I finally opened my private practice around 15 years ago. That first training was in a transpersonal, parts-based model called psychosysnthesis. I loved it and had an incredible time on the highly experiential three-year training, but the transpersonal focus wasn’t such a good fit for me and my more scientific worldview.

In the gap between doing that first training and starting to practice as a psychotherapist, after a series of underwhelming jobs I began working as a sub-editor and then a freelance health journalist for 10 years – writing for various newspapers, magazines and websites based in the UK and around the world. I see that decade as an invaluable part of my therapy training, because it helped me understand how to evaluate research and introduced me to evidence-based treatments for physical and mental health. I had the great fortune of interviewing world-leading experts in everything from psychiatry to cardiology, osteopathy to holistic approaches to health. It was fascinating and my hungry mind devoured all the new knowledge and ideas. That 10 years also taught me to write, which has proven very helpful for posts like this and the book I am currently working on.

My new treatment model

As a mental-health professional, I have always sought new approaches to psychotherapy, as well as grappling with how best to put them all together. In a by-no-means conclusive list I have trained extensively in cognitive behaviour therapy (CBT), compassion-focused therapy (CFT), schema therapy and internal family systems (IFS); as well as learning Janina Fisher’s excellent trauma-informed stabilisation treatment (TIST), psychosynthesis, integrative psychotherapy, polyvagal theory, mindful self-compassion (MSC), mindfulness-based cognitive therapy (MBCT) and Buddhist psychology.

If I’m honest, one of the hardest aspects of this journey of discovery was figuring out how to fit all these models together – it was like a puzzle with lots of parts, some of which fit seamlessly while others clashed in some ways. But I’m happy to say I have finally figured it out. This has been made possible, largely, because I have been writing a book on an integrative approach to healing childhood trauma. Nothing helps you clarify your thinking like writing a book – it really helps you figure out what you believe and why.

My new model is called integrative trauma therapy (ITT), because that neatly sums up everything I believe and am passionate about. It’s based on the three phases of trauma therapy, which I have found to be the best structure for any therapy I offer my clients, especially because most of my clients have small t or Big T trauma histories. It’s important to note that other therapists use this description for their trauma-focused work – my unique contribution is the particular blend of models I combine. I would also add that many practitioners do amazing work using pure versions of, say, schema therapy, CBT or IFS.

On the shoulders of giants

This development in no way criticises or undermines these incredible approaches to healing – I am simply standing on the shoulders of giants such as schema therapy’s Dr Jeffrey Young, CBT’s Dr Aaron Beck, or IFS’s Dr Richard Schwartz. In fact, I have always found it odd that practitioners of approach A feel the need to criticise approach B, to claim that their model is superior. I believe that every approach has its own strengths and weaknesses, as well as great richness and depth.

Why not combine the best of them, in a way that seems to help my clients and supervisees, as well as fitting my therapeutic style, which has always incorporated new ideas, theories and strategies to optimally help my sometimes hard-to-help clients?

I will be posting often about the key elements of ITT and how it can help you, as a client or clinician. If you would like to know more about the details of my approach, check out this page on its fundamental principles, or click on the button below to read more.

I hope you find it interesting – and, of course, most importantly that it helps you heal your trauma, which is my greatest passion in life and why I do everything that I do.

Love,

Dan ❤️

 
 

Struggling with Upsetting News? A Sense of Perspective Will Help

I went to see Gladiator 2 at the weekend. It wasn’t exactly my cup of tea – a bit too much blood and gore for my taste – but I went with my son, Ben, so getting to hang out with him is always such a pleasure. And alongside all the sweaty torsos, sandals and swordplay, I found something strangely and unexpectedly comforting about the movie. It got me thinking about human history and all the tumultuous times we have been through, as a species. And how living in ancient Rome would have been much worse, scarier and harder for the vast majority of the population than being alive now.

If you, like me, are feeling a bit freaked out by the state of the world right now, we need all the help we can get. The seismic US election result, which made half the population happy but the other half – and much of the rest of the world – deeply anxious and uncertain about what comes next. War, that most pointless and awful of human creations, raging in the Middle East, Ukraine, Sudan and many other places not deemed worthy of the media’s attention. The rise of populist strongmen, around the world. Climate change, which is really scary. It’s already bad and will, I’m afraid, get worse over time.

I know many of you struggle with anxiety, so this post is not meant to make you more anxious! It’s just important to face reality, even if it’s scary and hard, as anxiety and avoidance are always intertwined – and avoiding scary things just makes them scarier, unfortunately. So, rather than hiding in a cupboard, here are three things that are helping me right now and will, I hope, help you feel a bit less bothered about the state of the world:

Develop a sense of perspective

One of the great gifts, but also curses, of our hi-tech age is that we can now access 24/7 news about anywhere in the world. This is very new, and very hard, for our hunter-gatherer-evolved brains to cope with. If there is a flood in Pakistan or train crash in Peru, we will know about it almost instantly. That means our highly threat-focused brains are in a constant state of alert, as if the threat might affect us or our loved ones. This is also, of course, how both mainstream and social media work – they scare, upset and outrage us so we keep reading, clicking and scrolling. This is built in to platforms like Facebook or Twitter. It’s not a bug. It is a deliberate and highly successful strategy.

I’m not going to offer advice about quitting social media, there is plenty of that available already. I’m just pointing out that, although we do face some very real and serious challenges right now, we are also made to feel as if everything is awful, all the time, and there is nothing much we can do about it except keep reading, clicking and scrolling. Instead, try to have a sense of perspective.

For example, something that often confuses me is when I hear people say we are ‘harming the planet’ with all our short-sighted human behaviour. That’s just not possible – the Earth has been around for 4.5 billion years and has experienced every kind of wild meterological and climactic change you can imagine – inconceivably vast volcanic eruptions that filled the atmosphere with noxious gases and dust, causing conditions that were deeply hostile to life; or Snowball Earth, when the whole planet was encased in a thick layer of ice on two occasions, the worst being around 600-700 million years ago. Scientists think this ice age lasted for millions of years. Somehow, life hung on – it has existed on this planet for four billion years and will exist long after humans do.

Of course, the fact that the planet has been through climate change before does not mean this, industry/human-powered cycle of change is not real. It very much is – and I am passionate about doing all we can to slow the course of climate change. And we can do this, the science tells us that, if we all stop eating so much meat, flying, driving polluting vehicles, pressure corporations and governments to act with more urgency, and all the other things we can to protect this miraculous, beautiful planet for ourselves, our children and grandchildren.

Enough with the doom-scrolling

In the run-up to the US election I was devouring everything I could find online about the race, as if somehow just knowing everything could magically influence the result. Since the result, which was not what I hoped for, I have taken a big step back from the news. I de-politicised my Instagram feed, for example, because I just don’t need a blow by blow of every scary thing that will be happening over the next four years. I also have stopped hopping from news site to news site, because it’s just too much for my frazzled brain right now.

That’s not to say we should just tune out or give up. Absolutely not. It’s vital to do all we can, about climate change and the natural world, social and racial justice, the welfare of immigrants and refugees, LGBTQ rights, abortion and women’s health, democracy – all the hard-won, precious things that are under threat right now. I have spoken often in these posts of taking compassionate action, when we feel anxious, upset or overwhelmed. That means marching, organising, writing to your elected officials, signing petitions, boycotting the worst corporations, and donating to charities/non-profits who are doing incredible things every day – you can donate to one of my favourites, the WWF, right now by clicking the button below.

Give love & Kindness in abundance

As the media becomes increasingly skilful at pushing the buttons of your evolutionarily ancient, threat-focused ‘subcortical’ brain regions – the structures in your brain that fire up during the fight-flight-freeze response, and are laser-focused on protecting your tribe and territory, not remotely rational or well-adapted for 21st-century life – my suggestion is that we do the exact opposite. The world does not need any more fear, hatred, hostility or division. It needs our love. Our compassion. Our prosocial goodness. Small example, but I was on the Tube, coming home from the movie with Ben, and saw one man tapping another man’s knee, pointing out the wallet he had dropped on the floor. The other man beamed with gratitude and it was just so sweet, so wholesome – the best of humanity on show in that small gesture.

There is a wise Buddhist teaching: ‘Every human mind contains the seeds of Jesus Christ and the seeds of Hitler’. Meaning, our old, subcortical brain can be fired up into fear, hatred, othering, blaming all our complex problems on immigrants, or trans people, or those with views and values we dislike. But our new, quintessentially human cortical brain has other capacities: love, warmth, kindness, compassion, trust, hope, finding joy in giving and helping others. I know which seeds I would like to help flourish in my brain and I’m sure you do too.

Love, randomly and abundantly. Help others, because it feels so good to you and those you help – like the men on the Tube. Spread ripples of kindness and goodness that start with your friends, family, community or a non-profit close to your heart. And our ripples will meet these scary waves of anger and fear and, bit by bit, dilute them into something better, more positive and hopeful for the future.

I will leave you with another profound, oft-quoted saying, from Martin Luther King: ‘Darkness cannot drive out darkness; only light can do that. Hate cannot drive out hate; only love can do that.’

Love,

Dan ❤️