 In my previous blog post, I shared my thoughts on Accelerated Experiential Dynamic Psychotherapy, or AEDP, and explained that it's considered a "bottom-up" therapeutic approach. But what do "bottom-up" and "top-down mean" in therapy? In this post, I hope to help you understand the differences between these two approaches and see which one might be best suited for you.
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 Lately I’ve been reflecting on what makes therapy actually healing—not just helpful, but transformative. Therapy is like home to me. The longer I do this work, the more I believe in the power of being with someone, with intention. The more I slow down and attune, the more I see how transformative it can be for people to be deeply witnessed.
Last month I read Undoing aloneness and the transformation of suffering into flourishing, a book by Diana Fosha, PhD about AEDP, which I highly recommend to therapists. AEDP is a model of psychotherapy founded and developed by Fosha in 2000, and it's an acronym for "Accelerated Experiential Dynamic Psychotherapy", although today it is believed that the essence of the model has outgrown its original description. The AEDP Institute website describes it as "an experiential model that seeks to alleviate patients’ psychological suffering by helping them process the overwhelming emotions associated with trauma in a way that facilitates corrective emotional and relational experiences that mobilize positive changes in our neuroplastic brains." Learning more about AEDP felt as if someone sat in my office and put words to the nuances of what I try to do every day. It reminded me that being present is the work. When sessions feel alive, when there’s real connection in the room, I leave changed, too. But how does AEDP work? What does “undoing aloneness” mean? And how can relational work help with emotional suffering? Here are a few reasons why AEDP feels so aligned for me.  Is burnout just a synonym for exhaustion? Does everyone experience trauma? In this post we'll talk about what burnout, trauma, and vicarious trauma actually mean, the power of curiosity as a self-protective tool, plus other resources you can access if you resonate with these definitions.
 As is true for many of my colleagues, my experience with burnout and vicarious trauma (VT) was one of learning through hardship rather than preparation. While I was still earning my degree, I got my feet into the human services through work at crisis lines, shelters, group homes, and other non-profit work. Looking back with what I know now, I see indicators that were clear signs the work was affecting me.
 As a psychologist, one of my practice tenets is that healing trauma is possible. I'm a big believer in our natural resilience, and my goal is to support that resilience—especially because trauma healing is best done with support. November is Family Violence Prevention Month in Alberta, which has the third highest rate of self-reported spousal violence among Canadian provinces, and it’s also National Domestic Violence Awareness Month. This is why in this post I wanted to offer 7 tools to heal the trauma of Intimate Partner Violence (IPV).
 In Canada, June is an opportunity to celebrate and learn about Indigenous history. At the same time, though, we're coping with a profound national grief. Some people are coming to terms with the truly devastating realities our Indigenous communities have faced and continue to face for the first time, while others have expressed that they are saddened but not surprised by the ongoing news. The mass graves found at the sites of former residential “schools” are painful reminders of not just a historical trauma but also the current and ongoing impacts of intergenerational trauma, cultural genocide, and persisting systemic racism. Instead of celebrating Canada Day this Thursday, here are 3 calls to action to honour Indigenous peoples.
Before we dive in, for any Indigenous community members who have been affected by this news, please know that there are resources available to support you, as listed on SACE’s website.  It’s hard saying no. For a lot of new therapists, we really struggle with the idea of disappointing someone in our care. It can be easy to feel that because our clients need something, we need to be the one to give it to them. I hear new therapists say things like “but they need evening hours – they can’t make it during the normal workday“ or “they need a sliding scale – they can’t afford the full fee”.
When I saw Dr. Gabor Mate - author and renowned addiction expert - speak in October 2012, he gave a definition of trauma that I wrote down, and since then I’ve been collecting other definitions. I think it’s important to have a clear understanding of what it is we’re trying to heal. Dr. Mate would say that trauma is the suppression of natural fears and emotions, and that all mental illness is an attempt to get away from ourselves.
I'm currently reading Peter Levine's "Healing Trauma" and feeling SO GRATEFUL that he's written out a handy list of words to describe bodily sensations. When I work with clients, I often ask them to describe thoughts, feelings, and bodily sensations of any given experience - and a lot of folks struggle with this! Most of us live in our heads and have a difficult time finding words for these other, equally important, parts of ourselves. So the next time your therapist asks how you are, instead of "okay" or "not so good", try asking yourself what sensation in your body tells you you're feeling that way.
Working in the area of sexual violence has taught me that for many folks, understanding our experience and having a name for it can help us heal from it. Knowing the definitions of sexual assault and consent and being able to claim the word "survivor" can be extremely powerful.
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AuthorNicole Perry is a Registered Psychologist and writer with a private practice in Edmonton. Her approach is collaborative and feminist at its heart. She specializes in healing trauma, building shame resilience, and setting boundaries. About the Blog
This space will provide information, stories, and answers to big questions about some of my favorite topics - boundaries, burnout, trauma, self compassion, and shame resilience - all from a feminist counselling perspective. It's also a space I'm exploring and refining new ideas.
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Stay in Touch!I'd love to give you the chance to get to know me better before choosing to work with me. One of the best ways to do that (in addition to making your way through all the resources I've posted right here on the website) is by signing up for my newsletter.
Once you sign up, you can expect to receive newsletters about every two weeks with handy guides I've created, information about the latest workshops or groups I'm offering, and a curated collection of the best articles and resources related to mental health from a feminist counselling perspective. You are also welcome to sign up as a fellow helping professional or just because you have an interest in mental health! I'd love to connect with you. |
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