1) if the person is not OK with being OK. I know that sounds weird, who would call to schedule a therapy appointment that doesn't want to be healthier?! It happens though. Sometimes it's around anger, the person thinks that they have to be angry because of what happened to them or that anger gives them power or the drive to do this or that. I'm here to tell you, in a very short time, anger sets your logical brain off line, I can not think of ANY time it is helpful to be angry outside of a dog attacking my child and then anger MAY give me the strength to get that dog off my child. Sometimes it's because someone is grieving and they think if their not grieving then they are not honoring their loved one. Well I'm pretty sure that loved one is all about the griever being healthy and joyful versus miserably grief stricken. Once I was even told, by a client, that it wasn't OK to be OK because no one would love her if she was healthy. Lastly many people think they must feel guilty. Let me just give one example...when we put a criminal in jail do they typically come out a better citizen or better criminal?
2) You have to be honest with me. You have to be ready to put the traumas on the table to be cleared. Think about a trauma like a dirty, cluttered room in your house with the door closed and locked. If you hire a house keeper and tell her to clean your entire house EXCEPT that room, well that room's going to continue to be a mess. But then you complain to her that she didn't clean that room...Come on now you locked her out of it. This happens to me. People put on the table what they are willing to put on the table, but if your avoiding the biggest trauma (or mess in this house) the work I do may not be as effective as we were looking for it to be.
3) Organic brain stuff- such as a traumatic brain injury, dementia, on-going psychosis, certain medications like anti-psychotics. It can also be helpful if you are taking anti-anxiety medications like Valium, Xanax, Ativan to not take your dose before your session.
4) On-going use/abuse of drugs or alcohol. Check this image out, it's a brain can of someone with long standing alcohol abuse. Note the "holes" those are not seen in a "normal brain." Yes any RRT therapist can work with someone with addiction issues. However to fully get the benefit of RRT one needs to be detoxed, with alcohol or Benzodiazepines (Xanax, Valium, etc) one HAS to be medically detoxed first!!
5) Lastly if there is a clinical mental health issue I'm finding that to fully get the benefit of RRT the client must be on and compliant with their medications. Like for example depression, there are times depression is situational, but if this has been a life long issue consider how medications can improve the outcome of an RRT session.
Be well, Be joyful-
Tara S. Dickherber, LPC
Certified Rapid Resolution Therapy® therapist
Executive Director of the Institute for Survivors of Sexual Violence™
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