Therapy failing

So I have now got official diagnoses of autism, CPTSD and EUPD. Been so badly bullied growing up and got harassed in the workplace so now my mental health is just too weak for everyday life. I’ve tried all sorts of private therapies but everyone has said they just can’t help me and drop me like a ton of bricks. I am aware autism is a different way of thinking but is autism the reason why I won’t recover and therapy isn’t working for me? NHS services only seem to be for short term care so that’s probably out the option too. I keep getting these “voices” in my head nagging me to punish myself and I’m not worthy due to what others have said and all I get told is to ignore the voices etc which is easier said than done for me personally. I am also unable to move on from all the trauma and bullying etc and everything is just racing a billion to the dozen and I can’t seem to move on. Am I doing something wrong? Does anyone have any advice or have been in my position at all?

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  • When you say voices do you mean your own voice or voices that you're hearing? As I think they are very different things.

    Certain types of therapy don't work well with autism. When you've had private therapy has it just been talking or have they tried a range of therapies with you?

    I've had issues with therapy myself. I've only been through the NHS and it's always been short term which doesn't work for me at all. The therapist I've just had is in the process of writing my discharge letter in which she is going to suggest to the NHS what I need in terms of long term therapy and see what they come up with. I'm not overly optimistic unfortunately.

  • Ahh I’m sorry to hear about this, I can understand why you aren’t optimistic, I’ll be honest I’ve always been let down by the nhs. 

    I have tried CBT, EMDR, hypnotherapy and even DBT. Admittedly I dropped out of DBT due to it being too expensive but other therapists have just dropped me saying they can’t help me anymore. I’ve even tried just talking therapy and again dropped like that. 

    As with voices it can be my own at times but more often or not it is these horrible people I’ve encountered, it’s bad enough they say it once but they kept repeating themselves and you could say it’s like all these horrible things have been planted in my head and have grown and I’d need like a weed killer but it’s finding the right one. Or like I’ve had these things tattooed in my head and despite laser therapy the things aren’t completely gone. Weird analogies I come up with but it’s how I can best describe it. 

  • CBT is well known to need adapting for neurodivergency so it's not a surprise that didn't work. I don't think just talking is always great with autism either. I've never tried any of the others to have much opinion but I just don't think you've found the right therapist and therapy yet. It isn't your fault.

    I'm not expert and can offer no actual advice but having an inner monologue and negative self talk is common with autism. But to be hearing the voices of other people sounds like more than that. Perhaps due to one of your other diagnoses, I don't know. When you were diagnosed with your other conditions do you talk about these voices?

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  • CBT is well known to need adapting for neurodivergency so it's not a surprise that didn't work. I don't think just talking is always great with autism either. I've never tried any of the others to have much opinion but I just don't think you've found the right therapist and therapy yet. It isn't your fault.

    I'm not expert and can offer no actual advice but having an inner monologue and negative self talk is common with autism. But to be hearing the voices of other people sounds like more than that. Perhaps due to one of your other diagnoses, I don't know. When you were diagnosed with your other conditions do you talk about these voices?

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