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Dr. Monson One of the things that I would think about, seriously, is "When will you know you're ready?"
Because I don't think anyone who I've ever treated with CPT or some other trauma-focused therapy has felt like they were really ready.
So I think the thing that I would be thinking about is "How long do I want to suffer before I address this?"
Dr. Galovski If someone's saying to me "I couldn't possibly come in and talk about my trauma, that's way too hard,
I would become overwhelmed, or unsafe, or out of control in some way"
then I would look at that with that person and that would actually become part of the therapy.
Part of our goal is getting people ready to begin the trauma focused work.
Dr. Rogers I think the research really favors trauma-focused treatments and we've got several of those that are really proving to be effective.
At this point, it really seems one way or another really focusing on the trauma and going with it seems to yield the best results.
Dr. Yoder Just because a person feels anxious and doesn't feel like they want to face their fears doesn't mean it's not the right thing to do.
A lot of times, with anxiety, it doesn't feel natural to confront what you're afraid of, but pretty quickly, people see that actually it's helping,
and there's a part of facing what you're afraid of that feels good... but sometimes it doesn't feel that way right away.
Dr. Friedman This therapy that we do requires that the patient revisit the trauma.
Many people are unwilling, unable, or just too fearful of engaging in psychotherapy, so we try them on medication first.
Medication is available, a lot of folks know how to prescribe it, and there's a good chance,
maybe at least 1 in 3, that medication will be all that they need.