Trauma and Dissociation Informed IFS with Joanne Twombly
Feb 11, 2024
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Joanne Twombly, a seasoned psychotherapist, shares her extensive knowledge on trauma and dissociation. She highlights the significance of Internal Family Systems (IFS) in treating complex PTSD and Dissociative Identity Disorder. The discussion covers innovative coping strategies, including safe space imagery, and the need for empathy within therapeutic settings. Joanne also emphasizes the importance of navigating nonverbal communication, creating a safe environment, and fostering communication with clients' younger parts for effective healing and integration.
Integrating Internal Family Systems (IFS) with trauma-focused modalities is essential for effectively treating clients with complex PTSD and dissociative disorders.
Understanding the differences in IFS parts and dissociative barriers is crucial for providing effective therapy to clients with DID.
Teaching coping skills within IFS is necessary for empowering clients to manage distress during the healing process.
Deep dives
The Integration of IFS and Trauma Treatment
Integrating Internal Family Systems (IFS) with trauma-focused modalities is essential for effectively treating clients with complex PTSD and dissociative disorders. This integration provides therapists with a deeper understanding of the traumatic background that influences their clients' behaviors and coping strategies. In her new book, the author emphasizes the importance of equipping IFS practitioners with knowledge about trauma-specific coping techniques that help clients function while undergoing therapeutic work. The absence of this knowledge can lead to ineffective treatment processes, as many IFS practitioners may overlook the particular needs of those dealing with severe trauma histories.
Differentiating Between Parts and Dissociative Identity Disorder
Understanding the distinction between common parts within IFS and the more severe manifestations seen in Dissociative Identity Disorder (DID) is crucial for effective therapy. Clients with DID often have significantly more dissociative barriers between their parts, leading to an inability to seamlessly transition between them. This lack of connectivity can result in clients feeling stuck within certain parts, making it challenging to function in daily life. Addressing these barriers and recognizing the nuances of DID helps therapists better support their clients and emphasize the importance of developing a coherent sense of self.
The Need for Coping Skills in Trauma Healing
Clients with complex PTSD and dissociative disorders frequently lack essential coping skills, which are crucial for maintaining functionality during the healing process. The author argues that teaching these skills is not only beneficial but necessary for clients, especially those who did not learn effective self-soothing techniques in their formative years. By integrating coping strategies into IFS, therapists can empower clients to manage their distress and navigate their emotional landscapes more effectively. Highlighting this need for coping skills fosters a more supportive therapeutic environment, allowing clients to access and address their traumatic experiences safely.
The Importance of a Phase-Oriented Treatment Approach
Adopting a phase-oriented treatment approach can significantly enhance the therapeutic process for individuals with trauma histories. This method establishes a clear structure for therapy, which typically includes phases of stabilization, processing traumatic material, and integration of healed experiences. The author emphasizes that the traditional IFS approach, which does not prioritize this phased structure, may not adequately address the complexities of severe trauma. Implementing phase-oriented strategies within IFS enables therapists to create a safer and more effective therapeutic environment tailored to the specific needs of their clients.
Navigating Consent and Nonverbal Communication in Therapy
Effective therapy with clients who have dissociative disorders requires ongoing attention to the issues of consent and nonverbal communication between parts. As these clients often harbor fears about revealing sensitive experiences, therapists must proceed with caution, ensuring that all parts feel safe before engaging in deeper therapeutic work. The author illustrates how sliding in and out of self allows therapists to pick up on subtle nonverbal cues that might indicate a part's readiness to engage. Fine-tuning this approach to consent, as well as actively incorporating the feedback from managers and protectors, can lead to more successful engagements in therapy.
Today, we revisit Joanne Twombley’s amazing episode from 2022 on Trauma- and Dissociation-Informed IFS. Joanne H. Twombly, MSW, LICSW is a psychotherapist in private practice in Arlington, MA. She has over thirty years of experience working with C-PTSD and dissociative disorders, provides trainings and consultation. She has written on EMDR and Dissociative Disorders, EMDR and Internal Family Systems, and on working with perpetrator introjects. Her commitment to helping her clients heal and to providing quality training has resulted in her becoming an EMDR Consultant and a Trauma and Recovery Humanitarian Assistance Program Facilitator, Internal Family Systems Certified, and an American Society for Clinical Hypnosis Consultant. She is a past president of the New England Society for the Study of Trauma and Dissociation. In recognition of her achievements and her service on committees and the Board of the International Society for the Study of Trauma and Dissociation (ISSTD) she was honnored with ISSTD's Distinguished Achievement Award and is an ISSTD Fellow.
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