Most therapists don't know about dissociation and dissociative disorders, or how to treat it safely. Its easy to make big mistakes, and takes a lot of special training. It's not the clients' fault--- nobody asks to be traumatized in childhood, but the treatment is complicated all right. People who think they might be dissociative should be evaluated by a therapist that knows all about it. There are special questionnaires and interviews to help with that. See www.sidran.org, a site for and by dissociative folks. For professionals, www.issd.org is the place to be. The ISSD conference will be in New Orleans in about two weeks. Once dissociative clients are properly hooked up and treated, great changes are possible. The treatment will involve hard work, and may include EMDR as one component, but not early in treatment. There is a lot to do first, like rapport, containment, stabilization, mediating between parts of self, and preparing and planning for trauma work in bits and pieces. There is hope out there for dissociative individuals.
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