Tag: therapy

Even years after a traumatic experience, we can feel stuck in a place of emotional distress. In therapy, I noticed that many trauma survivors would struggle to find self-compassion. They would get caught in an endless loop of self-blame and resentment. Other clients were keen to begin therapy; however, they were easily overwhelmed once they started to talk about the trauma. Many clients felt unable to deal with their past because their current coping mechanisms (e.g. self-harm, substance use) were causing so many problems.

These clients are intelligent, capable, and well-versed in therapy lingo. Many of the folks I see can recite CBT and mindfulness principles to me. Despite knowing how they “should” think or behave, they were still feeling stuck. As a clinician, learning Internal Family Systems therapy (IFS) transformed my counselling practice and helped me better understand these stuck points. I hope this blog post will help you recognize what may be affecting your own recovery.

Healing wounds

When it comes to trauma, we develop strong emotions and negative beliefs about ourselves. We carry these wounds with us, not always recognising the subtle ways in which they influence our behaviours and actions. For example, after a rape, a survivor could start to believe “I deserved this”, “I did something wrong”, or “I am unlovable”. She may feel an intense level of shame or fear. If she is carrying these beliefs and emotions, she will develop protective methods in order to adapt. These protective habits ensure that the beliefs and feelings stemming from the traumatic event are never experienced again.

A Parts-led System

Before we dive into the topic, let me give a brief explanation of Internal Family Systems Therapy. IFS recognizes that our mind is divided into sub-personalities; each “part” or personality can be active at different points in time. When I am calm, confident and feeling at peace, I feel like myself. However, there are times during the day when I get triggered and parts of my personality get activated. At work, the therapist-part of my personality likes to coach me in what I should say to clients. When I’m home, my mother-part can narrate all the ways I need to my take care of my child. My self-conscious part gets loud when I am shopping for a new pair of jeans. My over-achiever part can take over when I’m signing up for courses, agreeing to tasks, or managing my calendar.

Having our mind divided likes this is not the same as multiple personality disorder. We all have parts. At various points in time, these parts get triggered and feel the need to push a certain agenda (e.g. attending therapy, avoiding treatment).

Managerial Parts

In the IFS model, we recognize that there are two types of protective parts that develop following a trauma. The first type of protective parts are called managers. Managers are the parts of our personality that try and prevent bad things from happening. Managers are proactive in preventing us from feeling the same emotions that we experienced in the time of trauma. They try to ensure safety by keeping our environments and relationships in balance.

A sexual assault survivor may create one or many managerial parts to prevent an assault from happening again. Her managers will try to avoid triggers that bring about similar emotions and beliefs to her experiences following the trauma. For example, she may have a part that refuse to go anywhere by herself at night, a part that turns down dates, a part that numbs emotions, and a part that is fearful of strangers. All of these parts protect her from being vulnerable again.

How do managers affect therapy?

Managers can show up in a variety of ways in the therapy context. From their perspective, they are attempting to the help the client. Bear in mind that these reactions are not always within our awareness. These parts of our personality become triggered and react oftentimes outside of our conscious decision-making. These parts are not intentionally trying to cause harm, but using their own capacity and knowledge to keep us safe.

Before we can start processing trauma, my job is to work with these protective parts of your system. You have survived all these days by using these protective mechanisms. Unless every part of you is on board saying, “Yes! Let’s talk about this!”, it is perfectly natural for some type of blocking to show up.

Common manager blocks:

• People-pleasing parts: This part tends to agree to all of the therapist’s comments despite not truly believing the therapist’s feedback. It may often accept a task or homework, despite knowing that other parts of the system are not ready to take on a certain challenge
• Avoidant parts: This manager often misses appointments, or is late to therapy. In attempts to prevent the client from talking about a difficult experience or feeling vulnerable, this part can take over and avoid therapy all together.
• Achievement-oriented parts: This part tries very hard to ensure that the client is doing his or her best. This part will often read therapy textbooks, learn about different diagnoses, and speak about trauma 24/7, if allowed. Unfortunately, the client can easy become overwhelmed or burned out if this part takes over all the time.
• Critical parts: This part is often trying to be a cheerleader to the client; however, its words are harsh. The client can feel too distressed by the criticisms to work on the traumatic memory.
• Denying parts: This part often minimises traumatic events in order to protect the client from truly recognising the impact of these horrific moments. Often these clients will say “it’s not a big deal”, or “that’s just normal at my house.”
• Socially-avoidant parts: In fears of experiencing another distressing social encounter, this part will avoid any situations in which the client may stand out. This can prevent clients from spending time with friends, attending school, or dating. This socially avoidant part can also avoid situations where the client has to speak assertively or set boundaries.
• Caretaker parts: This part will often forego the client’s own healing in order to take care of others. I often see this manager role in many postpartum parents as they learn to balance their own needs with that of their newborn child.
• Intellectualising parts: This part will focus on analysing the situation, or thinking of the right answer versus allowing the client to sit with, or experience an emotion.

Firefighters

IFS explains that there is a second type of protective personalities that they refer to as firefighters. Whereas manager parts are in the role of preventative care, firefighter parts are reactive. They see a fire, and quickly work to put it out. In this way, firefighter parts are extremely helpful. Rather than letting the client feel burdened by traumatic wounds, firefighters are quick to find ways to stifle these intense feelings and beliefs.

Consider an example where an individual has recently been dumped. The impact of this breakup can be incredibly intense, worthy of hours of sadness, loneliness, and perhaps, hopelessness. This individual may also start to develop beliefs about himself following this experience, such as: “I don’t deserve love”, “I am ugly”, or “I am not good enough.” In reaction to this vulnerability, firefighters try to quickly eliminate these thoughts and emotions. They do this through any means, irrespective of other consequences that can arise. For example, this individual may have a part that is angry at his ex, a part that pushes others away when they talk about feelings, or a part that has him moving out of this neighbourhood.

Common Firefighter Blocks:

• Cancelling appointments parts: Following a difficult appointment, this part may feel it’s too vulnerable to return to therapy.
• Angry parts: In response to feeling vulnerable, these parts want a way to feel empowered and lash out through anger, oftentimes projecting on to safe people.
• Dissociative parts: These parts have the client “check out” during or after therapy. They can also cause clients to forget parts of traumatic experiences. Clients may present as distracted, or they have limited recollection of what happened.
• Self-harm/Suicidal parts: In hopes of distraction or reducing pain, these parts practice self-harm or focus on suicidal urges.
• Substance-dependent parts: In order to numb out emotions and thoughts, these parts turn to alcohol and drugs.
• Food-dependent parts: These firefighters turn to food for comfort (e.g. binge eating, purging, excessive exercise). In hopes to feel some semblance of control, some firefighter parts focus on caloric restriction. Unfortunately, this food-dependent part tends to get push back from other parts of the system (e.g. parts that are ashamed in having to cope this way, part that resents being stuck in treatment because of food).
• Body sensations/Illness: These parts can take over during sessions through headaches, body pains, upset stomachs, and other uncomfortable body cues. This can make it hard for the client to be fully present during the therapy experience.

Working with a Self-led System:

There is a common phrase in IFS, which is “all parts are welcome”. When it comes to therapy, every part of you is welcome to show up. Your therapist recognizes, like a family, you have various members in your internal system. As with families, each member has a different role, a different set of fears, and (sometimes) a different agenda. In IFS, we are not fearful of these managers and firefighters. Instead, your therapist will focus on the intentions of these parts to keep you safe. By taking the time to slowly work with these parts of your personality, your system begins to build more trust and there are fewer “stuck points”. It is at this point that we have permission to work on our underlying traumas.

IFS believes in the concept of “Self”. This is the true version of you. Not the one addled by anxieties and symptoms, but you at your very core. This is the confident, calm, curious, compassionate version of you that has been hidden due to firefighters, managers, and traumatised parts taking over. In IFS, we work to have a better relationship with our protective and traumatised parts so that there is more space for your true Self to come forward.

Parts-led versus Self-led

When we have a chaotic leader guiding us, our nation reacts with volatility. We become divided with one party screaming that their perspective matters most, and the other side counteracting with the same level of intensity. In similar ways, when our internal system is led by our managers, firefighters, or wounded parts, the rest of our system goes into a fight-or-flight mode. When we are led by Self, the system believes this leader has our best intentions at heart. There is more space to trust, listen, and negotiate.

When there is enough trust between Self and our protective layers, managers and firefighters can step back so that we work with the actual traumatic wounds. This process can take a session, or it can take a few months. The more vulnerable you felt during and after a traumatic experience, the more intensely your firefighters and managers will work to ensure these vulnerabilities are locked away safely. Therefore, therapy can take time in order to build trust with these protective parts of your personality.

Your therapist’s parts

The last piece that can create stuck points in therapy is your therapist. As your therapist is human, it is natural for him or her to also have managers, firefighters, and traumatised parts. In order to stay Self-led, I am regularly assessing whether my parts are interrupting the work in order to protect my own wounds. If a part of me reacts, then I am no longer feeling open-minded or curious. Instead, I am deterred by the agenda of my own anxieties.

If a therapist is triggered, this can impact a client from receiving effective and genuine support. Clients may feel that their therapists do not understand, and that they seem impatient or defensiveness. If this is the case, please know that this is not your fault. It may not be your therapist’s fault either, especially if he or she is unaware of these parts taking over.

Shifting away from feeling stuck

When we take the time to get to know our internal managers and firefighters, we build trust with these parts of our personality. We allow space for these parts to assess if it is safe to stop their protective roles. With this trust and safety, they no longer feel the need to react as strongly. We are finally able to move past these stuck points in healing.

If you are interested in learning more about IFS, or if you would like to discuss stuck points in therapy, please feel free to reach out.

Cheers,

Kasi