Latest / The Trauma Therapist / Understanding Complex Trauma with Kate Mikhailouskaya
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapist podcast. My name is Gan macpherson.
- 0:04Speaker 1: I interview incredible people who've dedicated their lives to helping
- 0:07Speaker 1: those who have been impacted by trauma. Here we go,
- 0:11Speaker 1: So five four, three, two and one, our folks, welcome
- 0:16Speaker 1: back to the podcast. Very excited to happen. My guest today,
- 0:20Speaker 1: Kate Mikhiluskaya.
- 0:22Speaker 2: Kate welcome, Thank you guy. I'm so excited to be
- 0:26Speaker 2: here with you and have a conversation about whatever comes
- 0:31Speaker 2: up in our talk.
- 0:33Speaker 1: Awesome, awesome, appreciate it so. Kate is an existential psychoanalytic
- 0:38Speaker 1: psychotherapist based in Sydney who specializes in childhood and complex trauma.
- 0:43Speaker 1: She works with both adults and children, helping them understand
- 0:46Speaker 1: and heal from the lasting effects of single or ongoing
- 0:49Speaker 1: traumatic experiences. With the background and existential psychodynamic and trauma
- 0:54Speaker 1: informed therapy, Kate takes a compassionate, holistic approach that supports
- 0:58Speaker 1: clients and managing such as PTSD, association and emotional regulation.
- 1:05Speaker 1: She also has extensive experience working with survivors of torture
- 1:08Speaker 1: and extreme trauma. Kate, Welcome to the podcast. Before we
- 1:12Speaker 1: get going, Kate share with the listeners where you're from
- 1:16Speaker 1: originally and where you are currently.
- 1:18Speaker 2: Well, I'm originally from Belarus. That's a country that's neighboring
- 1:22Speaker 2: to Ukraine. Everybody knows Ukraine these days due to the
- 1:26Speaker 2: unfortunate events of war, So Belarus is a little country
- 1:31Speaker 2: that's just next to Ukraine and Poland. And I've been
- 1:36Speaker 2: around the world. I've left home early, at around seventeen,
- 1:40Speaker 2: I left my home, went to university, traveled in China
- 1:45Speaker 2: and lived in Hong Kong for a while because I've
- 1:48Speaker 2: in my previous life, I've been an interpreter and translator
- 1:52Speaker 2: in Chinese and Russian languages, so that's why i traveled,
- 1:57Speaker 2: and I did a lot of interpreting work. And then
- 2:01Speaker 2: I landed in Australia and somehow retrained to become a
- 2:08Speaker 2: therapist because I accidentally landed in a place where as
- 2:17Speaker 2: a volunteer in the crisis support center and I loved
- 2:21Speaker 2: the work, and from there I decided to go to
- 2:24Speaker 2: another university and study as a therapist. So now I
- 2:30Speaker 2: am in Sydney and it's six a m. Guy here,
- 2:33Speaker 2: and I woke up at five a m. With my
- 2:35Speaker 2: coffee to be here on the podcast.
- 2:38Speaker 1: Well, I very much appreciate that, and we value your
- 2:42Speaker 1: commitment to coming on this podcast truth truly. But go Kate,
- 2:46Speaker 1: go back to that that that volunteer experience. First of all,
- 2:50Speaker 1: your background is wow, very.
- 2:53Speaker 2: Yeah, I've lived a rich life. I've lived a rich life.
- 2:56Speaker 2: I'm very grateful for that. So many amazing opportunities. Yeah,
- 3:01Speaker 2: but to go back, yeah, yeah, what I'm saying that
- 3:08Speaker 2: that experience on the phones, being a volunteer in the
- 3:11Speaker 2: crisis center and seeing how much it helps just to
- 3:17Speaker 2: have someone on the phone and listen and that's all
- 3:20Speaker 2: that people need to call at the time of crisis
- 3:25Speaker 2: or at the time.
- 3:25Speaker 1: Where Why did you do that? How did it happen?
- 3:28Speaker 2: There is also a little prehistory to that, because when
- 3:31Speaker 2: I was an interpreter in Hong Kong, I somehow landed
- 3:37Speaker 2: a part time job at an addiction recovery center that
- 3:41Speaker 2: was ran by an American gentleman who lived on the
- 3:45Speaker 2: boat in Hong Kong, and he created a detox and
- 3:49Speaker 2: recovery center for people who struggle with addiction on the
- 3:53Speaker 2: boat in Hong Kong. In Aberdeen, it was sort of
- 3:57Speaker 2: moor to there and I became an interpreter because he
- 4:03Speaker 2: was importing a Russian product from Russia, the product that
- 4:08Speaker 2: you sort of put in your body and then your
- 4:11Speaker 2: body reacts to alcohol in a certain ways. So he
- 4:15Speaker 2: needed shipment understanding how that product worked. He worked with
- 4:22Speaker 2: Russian specialists. So as a part time person, I sort
- 4:26Speaker 2: of landed there to help out with these translations. And
- 4:30Speaker 2: as I listened to clinicians speak about patients and the
- 4:35Speaker 2: doctor being invested in their recovery and what else they did,
- 4:39Speaker 2: group therapy, casework, all of that, that planted the first
- 4:44Speaker 2: seeds of thinking about that amazing profession of a counselor
- 4:50Speaker 2: or a therapist or a caseworker or a group therapist,
- 4:53Speaker 2: somebody in the helping role that can be around or
- 4:59Speaker 2: travel along side the people who are struggling. So that
- 5:04Speaker 2: somehow has planted the seeds of potentially me being curious
- 5:09Speaker 2: about the role of a helping profession in our field,
- 5:15Speaker 2: I suppose, like social work and therapy.
- 5:20Speaker 1: It's very interesting to hear you say a couple of times,
- 5:24Speaker 1: I just landed in this job of this addiction. I
- 5:28Speaker 1: just landed in this job. But all right, so how
- 5:32Speaker 1: did you land in that volunteer position in the crisis center?
- 5:38Speaker 1: How does that happen.
- 5:40Speaker 2: Yeah, well I heard about it. I heard about it
- 5:43Speaker 2: from a friend or a quaintance somehow. When I ended
- 5:49Speaker 2: up landed in Sydney, and I started another translation and
- 5:54Speaker 2: interpreting job, which was also about China products and working
- 6:01Speaker 2: with Chinese language and a bit of Russian language and
- 6:04Speaker 2: English language. I heard about Lifeline. We have crisis line
- 6:10Speaker 2: which is called Lifeline, And I heard about Lifeline meeting
- 6:15Speaker 2: volunteers and constantly recruiting volunteers. And somebody has told me
- 6:22Speaker 2: about this, and I had the office Lifeline office not
- 6:26Speaker 2: far from where we lived. So there was a volunteers
- 6:31Speaker 2: open night and I went and joined and I listened to,
- 6:36Speaker 2: you know, to what they spoke about the organization values,
- 6:40Speaker 2: how they trained volunteers that got attracted by the courts,
- 6:43Speaker 2: how you do little role plays, and what you do
- 6:47Speaker 2: in emergency if somebody is really, you know, progressing to
- 6:52Speaker 2: a suicide or thinking about suicide. And I felt the
- 6:56Speaker 2: urge to be there, and actually the urge to step
- 7:02Speaker 2: in to this world where all these volunteers are on
- 7:07Speaker 2: the phone and ready to answer, just needing someone to
- 7:11Speaker 2: call and reach out and we're just there. And I
- 7:16Speaker 2: just felt this shivers down my spine thinking, oh gosh,
- 7:21Speaker 2: I'm going to join and I'm going to volunteer. So
- 7:23Speaker 2: from there I joined a few weeks. Course it wasn't
- 7:27Speaker 2: that long. We did role place and a bit of
- 7:32Speaker 2: you know learning in terms of you know, what to
- 7:36Speaker 2: do in a crisis and how to connect people, refer
- 7:39Speaker 2: them for supports, look up what they have in the area,
- 7:43Speaker 2: discuss some options with them, and just yes. And then
- 7:47Speaker 2: I joined and I started taking some shifts. They're usually
- 7:51Speaker 2: for hour shifts and then sort of you can do
- 7:54Speaker 2: it at least once a week or a couple of
- 7:56Speaker 2: times a week, and it's just as long as the
- 7:58Speaker 2: call center is always oct with people and there's always
- 8:02Speaker 2: somebody to answer the phones.
- 8:05Speaker 1: That's a that's a pretty heavy duty job. I mean,
- 8:09Speaker 1: to do that and to listen to uh, you know,
- 8:15Speaker 1: the difficult times, the challenging times, trauma that people is
- 8:18Speaker 1: going through. I mean, it takes a certain person to
- 8:22Speaker 1: be able to do that. And it also takes something else,
- 8:28Speaker 1: which is like just being able to listen and not
- 8:33Speaker 1: needing or feeling the need to jump in there and
- 8:38Speaker 1: try to fix someone that that that is another skill too.
- 8:42Speaker 1: But what was that? What did what was that like
- 8:45Speaker 1: for you? How was that when you were there listening
- 8:47Speaker 1: to these people calling what.
- 8:50Speaker 2: Were well, you definitely have the urge to fix things,
- 8:57Speaker 2: and you definitely start feeling for the person and you
- 9:02Speaker 2: have that response, oh my god, what do I do?
- 9:05Speaker 2: And you sort of learn to suppress it because yes,
- 9:08Speaker 2: part of our course and part of our training and supervision,
- 9:12Speaker 2: you have supervisor on site that can hold your hand
- 9:16Speaker 2: and you can put a call on supervisor being on
- 9:20Speaker 2: the other line to sort of connect with you and
- 9:23Speaker 2: they sometimes we would write some notes to each other,
- 9:27Speaker 2: you know what to say, what not to say, so
- 9:30Speaker 2: you know you have somebody to help. Until you learn
- 9:35Speaker 2: how do you suppress that urge and you really focus
- 9:39Speaker 2: on listening ear you focus on being there for somebody.
- 9:43Speaker 2: So that's a learned skill. So it took some time
- 9:45Speaker 2: for me to learn that. And still as a human,
- 9:49Speaker 2: you still have that natural desire to fix things and
- 9:56Speaker 2: learning that you're not there to fix things, but you
- 10:00Speaker 2: prioritize being with somebody and that involves, you know, ensuring
- 10:07Speaker 2: that they don't feel so alone, and that's your priority.
- 10:13Speaker 2: It's a relief, it's a relief, but at the same
- 10:16Speaker 2: time it's a hard thing to do. It's still a
- 10:19Speaker 2: difficult thing to do because even to this day, you know,
- 10:24Speaker 2: I've been counseling people close to twenty years now, if
- 10:27Speaker 2: we really date back to the time in crisis center,
- 10:34Speaker 2: that urge to fix things still comes up. And the
- 10:37Speaker 2: more hopeless the situation is, the more you want to
- 10:42Speaker 2: even if you don't, even if you don't offer things
- 10:47Speaker 2: to fix you, or even if you don't sort of
- 10:50Speaker 2: offer solutions, you might have the urge to be overly optimistic.
- 10:55Speaker 2: You might have the urge to say, can you.
- 10:57Speaker 1: Give us an example of what a call might have soundedlike?
- 11:02Speaker 2: Oh, it might be a distressing mother calling about a
- 11:07Speaker 2: mother in distress, calling about something happening for her daughter
- 11:12Speaker 2: and being upset about a conflict and saying she's alone
- 11:18Speaker 2: because her daughter cut her off and she doesn't have anybody,
- 11:23Speaker 2: she doesn't have contact with grandkids, and therefore she doesn't
- 11:29Speaker 2: feel there is any meaning to her life for things
- 11:34Speaker 2: like that. So being able to understand how hard that
- 11:39Speaker 2: is and being curious about her life and what it's
- 11:44Speaker 2: almost like entering that empty house with her the house
- 11:48Speaker 2: she's being alone in and calling from to kind of
- 11:53Speaker 2: sit there in that sorrow or sit there like next
- 11:58Speaker 2: to her. It's just you just sort of that. That's
- 12:02Speaker 2: probably the first first aid, if you like. And then
- 12:10Speaker 2: and then as the person starts talking and opening up
- 12:13Speaker 2: more and more, they often find solutions themselves. They might say,
- 12:19Speaker 2: will you know, I've got my neighbor here, or I
- 12:24Speaker 2: can always reach out to my sister, or perhaps I'm
- 12:27Speaker 2: going to give my daughter some space, and then when
- 12:31Speaker 2: the Christmas rolls around, I'm gonna reach out to her husband.
- 12:36Speaker 2: So there would be you know, once that that's sorrow
- 12:41Speaker 2: and that all consuming crisis in the stressful moment passes,
- 12:48Speaker 2: then the person is more regulated and more sort of
- 12:53Speaker 2: calm and open to look around themselves and say, well,
- 12:57Speaker 2: actually I've got options.
- 13:01Speaker 1: So how do things unfold for you? After that?
- 13:04Speaker 2: After that, I entered the university to study counseling psychotherapy
- 13:10Speaker 2: and started my degree and did a lot of practice
- 13:16Speaker 2: because our degree had a practical component, and they sent
- 13:20Speaker 2: me off as an intern to work with the refugees
- 13:24Speaker 2: and torture and trauma survivors asylum seekers. That was work
- 13:32Speaker 2: mostly with interpreters because there would be people coming from
- 13:36Speaker 2: Iraq and Syria predominantly, so I needed Arabic speaking interpreter
- 13:40Speaker 2: with me when I was seeing a client, which actually
- 13:45Speaker 2: was a bit of a godsend because it allowed me
- 13:48Speaker 2: time to think. So when the client speaks and then
- 13:52Speaker 2: you have an interpreter interpret, you got time as a
- 13:56Speaker 2: new student, as a newbie, when you're sitting there thinking like,
- 13:59Speaker 2: oh my god, this person has been through some horrific events.
- 14:03Speaker 2: They are complaining of nightmares, they're talking about you know, dissociation.
- 14:12Speaker 2: They are so depressed and suffering every day. What do
- 14:17Speaker 2: I say here? So you're completely thrown into this, you
- 14:21Speaker 2: know very I suppose sad and distressing environment, and you
- 14:27Speaker 2: don't know what to say as a new student. So
- 14:29Speaker 2: the buffer of an interpreter allowed me time to learn too,
- 14:37Speaker 2: you know, don't rush again. I had to really learn
- 14:39Speaker 2: don't rush to fix and there wasn't anything I could
- 14:42Speaker 2: fix or don't rush with your that's gonna be okay
- 14:46Speaker 2: statements because it's ridiculous, you know, say something that wouldn't
- 14:53Speaker 2: make this person think like you are patronizing them, or
- 14:58Speaker 2: you are being you know, ridiculous, or you know, like
- 15:02Speaker 2: it's meaningless to come and talk to you. So that
- 15:07Speaker 2: taught me a lot in itself. And this is where
- 15:12Speaker 2: I first noticed that if we speak about instead of
- 15:21Speaker 2: talking about recent traumatic events in this person's life, because
- 15:24Speaker 2: that wouldn't lead anywhere. They would come in and talk
- 15:28Speaker 2: about their not knowing where sisters or brothers are because
- 15:32Speaker 2: they may still be kidnapped or taken away, or they
- 15:36Speaker 2: would be still coming in talking about their families back
- 15:39Speaker 2: home that are still in the war to own country
- 15:42Speaker 2: and they have nowhere to go. Or they would come
- 15:45Speaker 2: in and talk about their own symptoms that are overwhelming
- 15:49Speaker 2: and not improving. So what do you talk about in
- 15:55Speaker 2: your therapy session? And paradoxically, it's not about the recent
- 16:02Speaker 2: events that we needed to talk about, That's what I've learned,
- 16:07Speaker 2: but about something from the distant past. Some clients accidentally
- 16:13Speaker 2: started talking about their childhood or telling me about their families.
- 16:17Speaker 2: So they might talk about things what happened when they
- 16:21Speaker 2: were five year olds or ten year olds, how they
- 16:24Speaker 2: went to school, which cousins they played with, house or
- 16:30Speaker 2: pets they had in their childhood, and how things were.
- 16:34Speaker 2: Maybe they were reminiscent of the old Syria before war.
- 16:38Speaker 2: Obviously they missed their country and you know there was
- 16:42Speaker 2: certain grief there. Yeah, probably we're just wanting to reconnect
- 16:49Speaker 2: with things that existed before things fell apart.
- 16:53Speaker 1: Yeah, let me just interject for one second here. So
- 16:56Speaker 1: these were clients who coming from a war torn country.
- 17:01Speaker 1: They were seeking therapy.
- 17:03Speaker 2: Yeah, so I, as a student, I got placed again accidentally,
- 17:11Speaker 2: I landed. Guy, You are so correct that I landed
- 17:14Speaker 2: in these places without really planning for it, Like, there
- 17:19Speaker 2: was not much contemplation. It was out of my hands
- 17:22Speaker 2: because my university sent me on a placement in my
- 17:26Speaker 2: last year of counseling degree to start, and which is
- 17:33Speaker 2: stands for Service for Treatment and Rehabilitation of Torture and
- 17:38Speaker 2: Trauma Survivors. And going in there, I thought, oh my god, seriously, seriously,
- 17:46Speaker 2: that sounds full on. And that's why I was so
- 17:51Speaker 2: glad to have an interpreter there. As a trembling, shaking,
- 17:56Speaker 2: hands shaking student, I was very glad that I had
- 18:01Speaker 2: an interpret but I had excellent supervisors, and the learning
- 18:05Speaker 2: that happened within that year in as an intern in
- 18:10Speaker 2: that treatment center was amazing.
- 18:14Speaker 1: It's what did you What are some of the things
- 18:16Speaker 1: you learned from that? But but just also just to
- 18:19Speaker 1: sit with with someone who's come from a situation like that,
- 18:26Speaker 1: I mean, I can't imagine. Yeah, you know what. And
- 18:29Speaker 1: I thought it was very interesting that you said, you know,
- 18:35Speaker 1: we're not trying to address the recent traumas or the
- 18:40Speaker 1: recent experiences that's going on. We're maybe more safely and
- 18:47Speaker 1: helpfully in a sense, talking about the past. That's where
- 18:50Speaker 1: they kind of tended to go. But I guess two
- 18:54Speaker 1: things here, Kate, How how did you deal with that
- 18:57Speaker 1: for yourself? That's a lot.
- 19:01Speaker 2: Well, I was in therapy at that time and that
- 19:04Speaker 2: helped immensely. So as I started that year, I went
- 19:08Speaker 2: to therapy. That was helpful, The supervision was helpful, and
- 19:15Speaker 2: my lecturers at university, which show were immntally helpful as
- 19:20Speaker 2: well me going into that environment. One of them said,
- 19:26Speaker 2: you know, see them as people. They're just people, you know.
- 19:29Speaker 2: They are not this you know, survivor that's crawling out
- 19:36Speaker 2: the strench is covered in blood and even that might
- 19:40Speaker 2: have been real for some and certainly they've seen a
- 19:43Speaker 2: lot of horrific things, but this is the person and
- 19:47Speaker 2: you got to meet them. And then I sort of
- 19:49Speaker 2: calmed myself from there, well, this is a person, his
- 19:53Speaker 2: or her name is so and so. And then as
- 19:57Speaker 2: you start your assessment you're talking about perhaps you know
- 20:01Speaker 2: basic things like where do you live with home and
- 20:04Speaker 2: your children, or you know, what do you do? Then
- 20:08Speaker 2: you do? Then we did symptoms assessment, which were would
- 20:12Speaker 2: be psychometric tests, and we did Harvard Trauma Questionnaire and
- 20:17Speaker 2: Hopkins Symptoms Checklist. We would check where they are on
- 20:21Speaker 2: those sort of scores, and as you did those tests,
- 20:25Speaker 2: they would start telling you some of these events that
- 20:28Speaker 2: happened to them. So you sort of just maintain your
- 20:32Speaker 2: calm composure and you hold your emotions because you need
- 20:36Speaker 2: to show that you are you can do, You can
- 20:38Speaker 2: hold this, you can handle.
- 20:40Speaker 1: Now were you? How was that for you?
- 20:43Speaker 2: Oh, you're asking me to date back so many years
- 20:46Speaker 2: and remember, well it was it was overwhelming, and it
- 20:50Speaker 2: was It was also okay because I think I've I've
- 20:58Speaker 2: heard a lot as an interpreter as well, so I
- 21:02Speaker 2: wasn't completely new to hearing things and having a bit
- 21:05Speaker 2: of a you know, I wouldn't say poker face, but
- 21:09Speaker 2: I demonstrated understanding and calm presence and sort of listening
- 21:16Speaker 2: and nodding and just being engaged in a conversation. So
- 21:20Speaker 2: that wasn't new. So I think those skills of being
- 21:24Speaker 2: an interpreter in different situations helped, but certainly the stories
- 21:32Speaker 2: stayed with me. There was a lot on my mind,
- 21:37Speaker 2: and debriefing with colleagues and then sort of having supervisors.
- 21:43Speaker 2: There were a lot of people that supported me. But
- 21:45Speaker 2: I wouldn't I wouldn't say it was easy. It was
- 21:48Speaker 2: definitely a learning curve and and emotional sort of big
- 21:59Speaker 2: ball of feelings that was landing on me again and again.
- 22:04Speaker 2: And also an eye opener because we don't know even
- 22:10Speaker 2: as people. You know, I'm from Eastern Europe and then
- 22:14Speaker 2: I landed in Australia and I was previously in Hong Kong.
- 22:19Speaker 2: As people from these countries that haven't seen war, it's
- 22:25Speaker 2: we're oblivious to these things that go on in Syria
- 22:29Speaker 2: or Iraq. So it was also interesting because I wanted
- 22:37Speaker 2: to hear more about their life. They would be like
- 22:42Speaker 2: telling me that they often go out and have a coffee.
- 22:48Speaker 2: You know, you just go out to the street and
- 22:49Speaker 2: you have a coffee. There's always coffee tables with people
- 22:52Speaker 2: sitting outside. And this is the life in Iraq. You know,
- 22:57Speaker 2: people communities just downstairs in the street having these endless
- 23:03Speaker 2: conversations and everybody knows everybody so you learn a lot
- 23:07Speaker 2: about countries and people beyond the war, you know, or
- 23:13Speaker 2: like people in Syria that visit relatives and then they
- 23:17Speaker 2: visit people from work, and they sort of spend a
- 23:19Speaker 2: lot of time in each other's houses. And there's these
- 23:23Speaker 2: big three stories houses, those that aren't destroyed by war.
- 23:27Speaker 2: There are big three story houses, and multi generational families
- 23:32Speaker 2: live sharing the floors and sort of the top floor
- 23:38Speaker 2: for grandparents, and then you go your aunties and uncle
- 23:41Speaker 2: and then you have kids and kitchen downstairs. It was
- 23:46Speaker 2: also interesting to learn a lot just about the lives
- 23:51Speaker 2: and the culture and the every day of these people.
- 23:58Speaker 2: And maybe that's what got us think talking about childhood.
- 24:01Speaker 2: That's what got us talking about something else, and maybe
- 24:06Speaker 2: that's what got these people to look beyond trauma rather
- 24:11Speaker 2: than being all consumed. You know, you've got this crushing
- 24:14Speaker 2: PTSD and can't you can't do anything else.
- 24:18Speaker 1: Let me just remind everyone I'm speaking with Kate Mikhaliskaya. Kate,
- 24:23Speaker 1: so let's jump up here to present day. You know,
- 24:27Speaker 1: in your bio it says your existential psychoanalytic psychotherapist. Talk
- 24:34Speaker 1: a little bit about what that means for you and
- 24:40Speaker 1: what you're doing now currently, who you're working with, how
- 24:42Speaker 1: you're working, et cetera.
- 24:44Speaker 2: I work in private practice, and I've been in private
- 24:48Speaker 2: practice since twenty nineteen. I've started seeing clients privately over
- 24:55Speaker 2: fifteen years ago, but as a little bit of a
- 24:57Speaker 2: part time, you know, Saturday here and there. And then
- 25:02Speaker 2: in twenty nineteen, I've got so many clients there's sort
- 25:04Speaker 2: of the number ballooned to the point where I had
- 25:07Speaker 2: to make a differicult decision leaving starts. Just to backtrack
- 25:12Speaker 2: a little, I stayed and started. I started working as
- 25:15Speaker 2: a student, and then I got employed in this treatment
- 25:18Speaker 2: center with refugees and asylum seekers, and then I stayed
- 25:23Speaker 2: on for seven years, and then in twenty nineteen, I
- 25:28Speaker 2: eventually decided that it's time to leave the workforce and
- 25:33Speaker 2: stay as a private practitioner because you know, my practice
- 25:37Speaker 2: demanded a little bit more time of me. And I
- 25:43Speaker 2: wrote on my website as a description of what I do,
- 25:48Speaker 2: existential and psychoanalytic, because I'm sort of blending this too
- 25:55Speaker 2: components in a way that they complement each other existentially,
- 25:59Speaker 2: because we focus a lot in our sessions with my
- 26:04Speaker 2: client on human needs and human wants and human desires
- 26:14Speaker 2: and what human get or humans get or don't get
- 26:17Speaker 2: from life, and how that really sort of shakes us,
- 26:21Speaker 2: and what we need to restore things or what we
- 26:26Speaker 2: need to make meaning and lead a meaningful life. So
- 26:29Speaker 2: a lot of that comes from existential sort of us,
- 26:33Speaker 2: the selves, which we can't escape or change. You know,
- 26:38Speaker 2: for example, there is no point in, for example, isolating
- 26:45Speaker 2: yourself and saying I'm going to cut off everyone and
- 26:48Speaker 2: live happily because I can't deal with people. Let's say
- 26:51Speaker 2: a borderline patient says that, or people with complex trauma
- 26:55Speaker 2: who learn to be afraid of making connections. And that's
- 27:00Speaker 2: where I would come in and say, well, tough chance,
- 27:02Speaker 2: because that's not we can't live like that as humans.
- 27:06Speaker 2: We need others, We need meaningful relationships, and that's based
- 27:09Speaker 2: on existential sort of thinking that we need as humans
- 27:15Speaker 2: those components in our lives. And then psychoanalytic is that
- 27:22Speaker 2: component is necessary to have the freedom of expression in
- 27:27Speaker 2: the session. So by that, I mean we don't necessarily
- 27:32Speaker 2: follow a treatment produccol or we don't necessarily follow a
- 27:36Speaker 2: goal or a focus in a session where we return
- 27:41Speaker 2: to and over again to something that's in our goals
- 27:46Speaker 2: You can bring anything to your session. You can bring
- 27:49Speaker 2: a recent dream that you just had, or you might
- 27:52Speaker 2: randomly speak about something that pops up in your mind.
- 27:56Speaker 2: It might be a song, it might be a memory,
- 27:59Speaker 2: it might be something sort of. Psychoanalytic thinking is guided
- 28:03Speaker 2: by non randomness of whatever comes up in the therapeutic field.
- 28:11Speaker 2: Psychoanalyst Pharaoh talked about the therapeutic field is that sort
- 28:15Speaker 2: of air, the space that exists in a consulting space
- 28:19Speaker 2: between the therapist and the client, and what comes up
- 28:22Speaker 2: in the field randomly arises is not accidental. So what
- 28:26Speaker 2: seemingly looks like a client might say, why am I
- 28:29Speaker 2: thinking about this? Or I don't know why I'm bringing
- 28:32Speaker 2: it up sort of, and they want to stay on topic,
- 28:35Speaker 2: and this is where I remind them, Look, it's not random.
- 28:39Speaker 2: The reason this comes up in your mind right now
- 28:42Speaker 2: might have something to do with our meaning making and
- 28:46Speaker 2: we will will so I encourage them to blurt things
- 28:49Speaker 2: out so that then we together will find the meaning
- 28:53Speaker 2: like sort of don't worry about being logical, And especially
- 28:56Speaker 2: when you work with childhood trauma and childhood memories, often
- 29:00Speaker 2: it's illogical or pre verbal, or it's not really organized
- 29:07Speaker 2: in in in the sentence or having full sentence. You
- 29:11Speaker 2: might even have not have a full sentence. You might
- 29:13Speaker 2: have a word or a sound that comes up and
- 29:17Speaker 2: sort of I suppose psychoanalytic therapy allows you or gives
- 29:24Speaker 2: a person, encourages person to let it out rather than
- 29:29Speaker 2: seek to organize it before you let it out.
- 29:33Speaker 1: Hmm. I love that, And my part of me wants
- 29:38Speaker 1: to say that type of working with a client isn't
- 29:43Speaker 1: for the faint of heart, because you you've got to
- 29:47Speaker 1: have a lot of faith and trust in yourself as
- 29:50Speaker 1: a clinician, but also in the process right in appreciation
- 29:55Speaker 1: for that. That's really exciting to me. But as we
- 30:00Speaker 1: kind of wind down here, you have a book coming out.
- 30:03Speaker 2: Yeah, I can't wait.
- 30:05Speaker 1: For me coming out in twenty twenty six. As we
- 30:10Speaker 1: record this, it's not out, but it is forthcoming. Do
- 30:14Speaker 1: you have a title.
- 30:15Speaker 2: Yes, it's called Utilizing Childhood Memories and Natural Avoidance in
- 30:21Speaker 2: Trauma Work.
- 30:23Speaker 1: Okay, And what do you want to say in the
- 30:28Speaker 1: book and who's it for?
- 30:30Speaker 2: It's for everyone who struggled with trauma and attempted or
- 30:34Speaker 2: wanting to try trauma work. It's just one of the
- 30:37Speaker 2: approaches that I would recommend because it's worked for me,
- 30:41Speaker 2: and I'm just out there sharing with a bunch of
- 30:43Speaker 2: clinicians how we could enter trauma or we could support
- 30:50Speaker 2: clients through exploring their childhoods. But what we should also
- 30:56Speaker 2: be mindful of that our natural human avoidance will come
- 31:01Speaker 2: up and sort of stick sticks into our wheels of therapy.
- 31:07Speaker 2: And that's normal, that's expected, and I want clinicians to
- 31:12Speaker 2: learn how to navigate the avoidance that comes up.
- 31:17Speaker 1: You know, you've had, as you've said, rich background and
- 31:23Speaker 1: rich experiences, and as you've been talking about your different experiences,
- 31:28Speaker 1: I get this feeling from talking to you that's very inspiring.
- 31:33Speaker 1: I mean, you bring with your with the work you
- 31:36Speaker 1: do a lot of experience. What do you feel key
- 31:43Speaker 1: you're bringing to the work you do?
- 31:44Speaker 2: Now, I think I'm just bringing me myself, you know.
- 31:50Speaker 2: I think you're right. I've got some rich experiences and
- 31:55Speaker 2: I've got a steady presence and confidence in the process,
- 32:00Speaker 2: so confidence in what we offer as clinicians, what trauma
- 32:05Speaker 2: therapy can offer. And I think I'm bringing all of
- 32:10Speaker 2: that to people who perhaps need reassurance or path forward
- 32:17Speaker 2: or just somebody to be with them. And that's okay,
- 32:21Speaker 2: And I think I'm bringing that to the room to
- 32:25Speaker 2: consulting space.
- 32:27Speaker 1: Mm hmm. I Also I also feel there's kind of
- 32:32Speaker 1: like a no Bs.
- 32:34Speaker 2: Oh yeah, oh yeah, you're picking up on that guy
- 32:38Speaker 2: so well. Do you know there is a chapter in
- 32:40Speaker 2: my book that's called Judge Judy. I didn't know that, Yes,
- 32:47Speaker 2: where I compare a quality in therapist no bs quality
- 32:52Speaker 2: to Judge Judy because I love Judge Judy.
- 32:55Speaker 1: But the flip side, not even the flip side, a
- 32:57Speaker 1: complimentary aspect to that. That also, you emanate, is this
- 33:04Speaker 1: amazing appreciation for life and for connection and for human being,
- 33:09Speaker 1: this which is coming forth from you?
- 33:13Speaker 2: Oh yes, I do love life. You're picking up so well, Guys,
- 33:18Speaker 2: that might be your experience coming through your qualities.
- 33:23Speaker 1: Look, Kate, love talking to you. How do people learn
- 33:27Speaker 1: more about you and uh, your work and the and
- 33:31Speaker 1: the book that's coming out. What's the best way?
- 33:33Speaker 2: The best way is to head to my website existentialpractice
- 33:37Speaker 2: dot org and everything is there, my blog and my
- 33:40Speaker 2: book and things about me.
- 33:43Speaker 1: Okay, and we'll have all that linked up here at
- 33:46Speaker 1: the show notes page at the Trauma Therapist podcast dot com. Kate,
- 33:50Speaker 1: super inspiring, My God, love you back.
- 33:54Speaker 2: I loved talking to you guys. Thank you so much
- 33:58Speaker 2: and have a lovely afternoon. I believe it's Upton there
- 34:02Speaker 2: it is. Will be in touch, thank you bye,