Why don't I get better after years in therapy?

Why don't I get better after years in therapy? 

Clients arrive to psychotherapy with a set of multiple presentations. The typical presentation is high states of anxiety and depression with ineffective adaptations that can be seen through the abuse of prescribed  medications, addictions street drugs, eating disorders, panic attacks, dissociation and personality disorders or just other forms of self-adaptive behaviours. The typical manifestations are through the overwhelming body sensations and relationships issues that slowly start to affect other areas in clients life. 

Clients with more critical presentation have already arrived with physical and mental diagnosis such as of Bipolar disorders, Personality Disorders, Dissociative Disorders, Fibromyalgia, ODC and Eating disorders; and some clients has either receive more than one diagnosis, sometimes treated with therapy or only with pharmacology but finding not resolution. Some others have even been hospitalized for crisis, leaving them hopeless. But the common denominator from most of this clients,  is that they have experienced adverse childhood experiences (ACE's). 

This childhood experiences translate in deep attachment wounds, that have affect deeper areas of the brain. According to Vander Kolk, many regions are affected by trauma, including the orbitofrontal cortex, Inhibits inapropiated action, helps postpone reward seeking. The dorsolateral prefrontal cortex, that help with establishing priorities. The ventromedial prefrontal cortex where emotions seems to be registered, and the anterior cingulate and the Insula that correspond to interception of the body.


What is going on in the field of trauma and attachment?

The field of trauma has been taking considerable advance with the lead of researchers that are tireless working to recognized that there is not one way to help clients bounce back from mental illness, accessing the mind through talk therapy is primely to understand what happened and deal with fragmented parts of their personality, looking at the body is sciential to make the mind-body connection and the spiritual guidance can allow to evoke awareness of the power of the human being in present days, but unfortunately these approaches can only go so far, sometimes for some clients is just not enough. Neurofeedback  adds a brilliant component to these efforts, in providing accessing to interpret the electrical activity of structures the brain and understand patterns to then be able to reshape or rewire neural activity, where there is a possibility of an over or under activation, that explain the diagnostic symptoms.

Why select therapy from a comprehensive approach?
According to Bessel Vander Kolk (personal communication, 2020) trauma research has exposed what is necessary to heal the traumatized brain. Clients need to learn to regulate emotions, deal with the fragmented parts, establish a sense of self, process traumatic memories and rewire neural circuits. Therefore, multiple approaches are needed, besides talking therapy. Clinicians are now aware of the need to provide a multitude of practices. For example, Dialectical Behavioural Therapy (DBT) provides clients with emotion regulation skills, stress tolerance and mindfulness approaches. Exploring (IFS )Internal Family systems can help deal with fragmented parts. (SE), Somatic  experiencing can support clients to inhabit their body and make body-mind connection.  EMDR  Eye Movement Desensitization Reprocessing, helping process traumatic memories,  CRM Comprehensive Resource Model or (EFT) Emotion Freedom Technique healing the attachment wounds, and finally Neurofeedback, in helping rewire comprised frequencies in the brain.