This week licensed therapist Kati Morton talks about emotional pain in therapy sessions, how we can stop our hypersexuality, and how far back our body remembers traumatic experiences. She also explains other mental illnesses that could be helped through DBT, and what we can do to stop our doctors from blaming our physical ailments on our mental health. Finally, she discusses memory and trauma processing, and why we can sometimes struggle to recall simple things.
Ask Kati Anything, your mental health podcast, episode 231 audience questions:
1. How would you react if a client tried to leave session due to being in emotional pain. And you suspected they would try to harm themselves or even commit suicide? Would you stop them, or is that not your responsibility? Would you ever get in the way of the door and not let them leave? How would you react differently if It was a friend and outside the therapy space? 00:58
2. How can I put an end to my hyper sexuality? I’ve been struggling with it since like, forever. I was SA’d as a kid (COCSA) at the age of 5-6 and I’ve been hypersexual since, I’ve been physically abused by a parent because I was caught touching myself in public, now I more so use it as a coping mechanism, it’s what I’d turn to when I was even ever so slightly irritated... 05:14
3. Do you know how far in the past can the body "remember" potentially traumatic experiences? I was born a preemie at 32w (not too bad for a triplet, but still required weeks of care in NICU). From what I learned and saw in photos, I was the tiniest of the 3 and spent the longest time in hospital. I've been tube fed and covered with IV's. I also went into respiratory arrest at a few months old. Besides that, I haven't grown a sick child at all. We were lucky. I have been struggling with MH since my early teenage years (I am 22 ) Having an ED (among other co-related issues), gaining weight is really hard to cope with. In my case, it is not so much that I... 14:28
4. Hi Kati, is DBT a good fit for illnesses other than BPD? I have anxiety and bipolar II depression and, in the past, have had CBT/ACT therapy. They were pretty successful for anxiety but never touched the depression. Over time, I have developed chronic suicidal thoughts. When I'm well, they scare me. When I'm depressed they are almost like a warm blanket. I can’t stop thinking about it. It's always in the back of my mind. I know I have a way out. Could DBT help with this? 22:01
5. How did you get doctors to stop dismissing physical health issues and blaming it on mental health? I understand they can go hand in hand, but it's not always the case. It feels discriminatory. What's the best way to address this with a doctor? 30:45
6. What is going on with my memory???? I’ve been doing trauma work with my therapist for awhile now and all of the sudden I cannot remember what I have shared with her and what I haven’t. Why is it so hard for me to share new memories of the trauma with my therapist?? I fully trust her and know she is safe. Why do I go into a shame spiral and then push her away after I share something new? Will this go away with time? 35:27
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