Katie Keech, LMFT, Discusses Neurodivergence, Trauma, Dissociation, Psychosis, and Autism
Aug 11, 2023
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In this episode, therapist Katie Keech discusses neurodivergence, trauma, dissociation, psychosis, and autism. The conversation explores the strengths and perspectives of individuals with autism, the challenges of treating trauma as a therapist with a history of trauma, and the impact of the Sisters of Perpetual Indulgence on LGBTQ+ communities.
Patients with complex trauma and dissociative identity disorder often have multiple selves, and a slow and gentle approach is necessary to help them feel seen and known.
Neurodivergent individuals, including those with autism, may identify as non-binary or transgender, and affirming care and support can reduce suicidality and improve well-being.
Creating a safe therapeutic space is essential for individuals with mind control experiences, as they navigate different selves and work towards healing and integration.
Deep dives
Working with Complex Trauma and DID
In this podcast episode, therapist Katie Keach discusses her experience working with complex trauma and dissociative identity disorder (DID). She explains that patients with complex trauma and DID often have multiple selves or parts, and her approach involves creating a safe space to explore and understand these different aspects. Keach emphasizes the importance of taking a slow and gentle approach, helping clients feel seen and known, and working to dial down distressing experiences. She also highlights the significance of consultation and collaboration with other experts in the field to ensure effective treatment.
Understanding Gender Diversity and Neurodivergent Individuals
The conversation delves into gender diversity among neurodivergent individuals, particularly those with autism. Keach explains that many neurodivergent individuals may not identify strictly as male or female, and some may identify as non-binary, transgender, or gender expansive. She discusses how hormones and brain development variations during fetal development can shape an individual's gender identity. Keach emphasizes the need for affirming care and support, which has been shown to reduce suicidality, self-harm, and improve overall well-being.
The Impact of Mind Control and Trauma
Keach discusses the challenging issue of mind control and trauma, particularly among those with complex presentations. She highlights the importance of creating a therapeutic space where individuals with mind control experiences can feel safe and heard. Keach explains the process of navigating different selves within these systems, working to understand their unique narratives, and gradually facilitating healing and integration. She emphasizes the need for patience and understanding, guiding these individuals towards a more cohesive sense of self.
Working with Transitional Aged Youth
Keach reflects on her experience working with transitional aged youth, typically between the ages of 18 and 25. She discusses the challenges presented during this stage of life, as individuals navigate their identity, gender, and trauma histories. Keach highlights the importance of building connections, providing support, and incorporating non-traditional therapy approaches to engage and connect with this particular demographic.
The Sisters of Perpetual Indulgence
In the podcast, Keach briefly mentions her involvement with the Sisters of Perpetual Indulgence, an organization that originated in San Francisco in 1979. The Sisters actively support the LGBTQ+ community through fundraising efforts and community engagement. They provide aid, comfort, and advocacy in various forms such as fundraising for charitable causes, participating in public events, and offering support to marginalized populations. Keach explains that the Sisters aim to offer a spiritual and irreverent space for individuals who have often been excluded or stigmatized by organized religion.
Katie has a passion for working with PTSD and dissociative disorders. She utilizes a variety of methods including arts, somatic work and brain spotting to assist individuals in learning to be more present in their lives. Katie is the co-founder of the Refractory Think Tank, a collective of over 80 international therapists, researchers, medical professionals, coaches and clinical students who have a lived experience with various manifestations of dissociative identity disorder.
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