Terapeut za traumu: kako da izaberešA therapist for trauma: how to choose

Posle traumatičnog iskustva važno je i to kako izgleda terapija, ne samo ko je vodi: tempo, osećaj sigurnosti i to da ne moraš da pričaš o svemu odmah. Evo kako da izabereš terapeuta i šta možeš da očekuješ.

After a traumatic experience, how the therapy is done matters as much as who does it: the pace, a sense of safety, and not having to talk about everything at once. Here is how to choose a therapist and what to expect.

Trauma i PTSP nisu istoTrauma and PTSD are not the same

Trauma je iskustvo koje je prevazišlo ono što se u tom trenutku moglo podneti: nesreća, nasilje, gubitak, bolest, ali i dugotrajno zanemarivanje ili strah u detinjstvu. PTSP (posttraumatski stresni poremećaj) je jedan od mogućih odgovora na traumu: nametljiva sećanja, košmari, izbegavanje svega što podseća, stalna pripravnost. Mnogi ljudi sa traumatskim iskustvom nemaju PTSP, a opet im terapija pomaže; mnogi sa PTSP-om godinama ne znaju da to imaju. Dijagnozu postavlja lekar, a terapija ima smisla u oba slučaja.

Trauma is an experience that overwhelmed what you could bear at the time: an accident, violence, loss, illness, but also long-term neglect or fear in childhood. PTSD (post-traumatic stress disorder) is one possible response to trauma: intrusive memories, nightmares, avoiding everything that reminds you, being constantly on alert. Many people with a traumatic experience do not have PTSD and still benefit from therapy; many with PTSD go years without knowing they have it. A doctor makes the diagnosis, and therapy makes sense either way.

Pravci koji rade sa traumomApproaches that work with trauma

• EMDR: pristup razvijen baš za traumu, u kom se sećanje obrađuje uz vođene pokrete očiju ili drugu dvostranu stimulaciju. Za PTSP ima jake istraživačke dokaze i preporučuju ga smernice britanskog NICE-a (2018). Na Koraku EMDR edukaciju ima 13 terapeuta.
• EMDR: an approach developed specifically for trauma, in which the memory is processed with guided eye movements or other bilateral stimulation. It has strong research evidence for PTSD and is recommended by the UK's NICE guidelines (2018). On Korak 13 therapists are trained in EMDR.
• Telesno orijentisana psihoterapija: polazi od toga da trauma ostaje u telu, pa radi preko disanja, pokreta i telesnih senzacija, a ne samo razgovora.
• Body-oriented psychotherapy: starts from the idea that trauma stays in the body, so it works through breathing, movement and bodily sensations, not just talk.
• KBT fokusirana na traumu: postepeno, pažljivo izlaganje sećanjima i rad na uverenjima koja je trauma ostavila ("ja sam kriv", "nigde nije bezbedno").
• Trauma-focused CBT: gradual, careful exposure to the memories and work on the beliefs the trauma left behind ("it was my fault", "nowhere is safe").
• Geštalt, integrativni i psihodinamski pristup: rade na tome kako trauma oblikuje odnose, telo i sliku o sebi, često kao dugoročniji proces.
• Gestalt, integrative and psychodynamic therapy: work on how the trauma shapes relationships, the body and your sense of self, often as a longer process.

Važnije od pravca je da terapeut ima iskustva sa traumom i da radi tempom koji ti možeš da podneseš. Na profilu svakog terapeuta na Koraku piše pravac i teme sa kojima radi.

More important than the approach is that the therapist has experience with trauma and works at a pace you can bear. Every therapist's profile on Korak shows their approach and the topics they work with.

Šta da očekuješ: sigurnost pre pričeWhat to expect: safety before the story

Dobar rad sa traumom ne počinje prepričavanjem najgoreg. Prve seanse su posvećene tome da se osećaš sigurno, da naučiš kako da se smiriš kada te preplavi i da ti terapeut objasni kako će rad izgledati. O samom događaju pričaš onoliko i onda kada ti odgovara; terapeut te neće terati. Ako ti bilo koji terapeut traži da "sve ispričaš" na prvoj seansi, u redu je da kažeš ne.

Good trauma work does not begin with retelling the worst of it. The first sessions are about feeling safe, learning how to calm yourself when you are overwhelmed, and the therapist explaining how the work will go. You talk about the event itself as much as, and when, you are ready; the therapist will not push you. If any therapist asks you to "tell everything" in the first session, it is fine to say no.

Koliko koštaHow much it costs

Seansa kod terapeuta koji rade sa traumom košta od 20 do 80 EUR, medijana je 40 EUR, isto online i uživo. Cena piše na profilu pre zakazivanja. Sve cene su na stranici koliko košta psihoterapija.

A session with a therapist who works with trauma costs from 20 to 80 EUR, with a median of 40 EUR, the same online and in person. The price is on the profile before you book. All prices are on the page how much therapy costs.

Kako da nađeš terapeuta za traumu na KorakuHow to find a therapist for trauma on Korak

• U pretrazi aplikacije otvori filter Teme i izaberi Trauma, PTSP ili oba. Ako želiš baš EMDR, u filteru Specijalizacije izaberi EMDR.
• In the app's search open the Teme (Topics) filter and pick Trauma, PTSD or both. If you want EMDR specifically, pick EMDR in the Specijalizacije (Specializations) filter.
• Izaberi online ili grad. U Beogradu sa traumom radi 62 terapeuta; online gotovo svi.
• Choose online or a city. In Belgrade 62 therapists work with trauma; almost all of them online.
• Pročitaj ličnu poruku terapeuta: mnogi tu napišu kako rade sa traumom i kojim tempom.
• Read the therapist's personal note: many describe there how they work with trauma and at what pace.
• Svakom terapeutu su pre odobrenja profila provereni dokumenti o psihoterapijskoj edukaciji. Kako to radimo, piše na stranici kako proveravamo terapeute.
• Every therapist's psychotherapy training documents are checked before their profile is approved. How we do that is on the page how we check therapists.

Kada ti treba i lekarWhen you also need a doctor

Ako ne spavaš, ako imaš napade panike koji te onesposobljavaju ili misli da sebi naudiš, javi se izabranom lekaru ili psihijatru; lekovi i terapija kod PTSP-a često idu zajedno. U kriznoj situaciji pozovi 112; brojevi linija za podršku po državama nalaze se u aplikaciji.

If you cannot sleep, if you have panic attacks that stop you functioning, or thoughts of harming yourself, see your GP or a psychiatrist; medication and therapy often go together for PTSD. In an emergency call 112; the support helplines for each country are listed in the app.

Često postavljana pitanjaFrequently asked questions

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