Choosing a Therapist as a TTI Survivor

There’s a deep seated distrust that arises from having been involuntarily forced into methods of “therapy” that were more harmful than helpful, and had lasting impacts. As TTI survivors, it can be really hard to trust therapists and therapy, even though many survivors feel overwhelmed by extreme trauma symptoms and desperately feel the need for relief. At the same time, therapy, when performed ethically, consensually, collaboratively and from a perspective of strength and empowerment can provide much needed support, care, and adaptability. This article is meant for troubled teen industry survivors who may be wondering whether therapy could help them, but have fear and uncertainty about how to explore it.

 Here are some things to consider or look for when looking into therapist both on the TTIRN directory, as well as other avenues: 

• Free Consultation. Most therapists offer a free consultation call where you can feel them out and ask any questions you have. This is a great opportunity to see how comfortable they are for you and assess whether you think they’re the right fit. It’s also a great way to dip your toe in and see if you’re feeling ready to start therapy!

• Trauma Specialization. Do they specialize in complex trauma? Not all therapists are trained and suited for trauma work. Find a specialist!

• Safety. Does the person seem like someone you could potentially trust? How is your body reacting to them? Be mindful of your triggers. If they’re really setting off your alarms (for example, they remind you too much of your dad or that one counselor who really made your blood boil, or you’re feeling invalidated or unseen when speaking with them) it’s OK to look for another that feels more comfortable for your nervous system and feels safer. One of the most important predictors of success in therapy is called the “therapeutic alliance”, which is a term to describe the relationship between the therapist and the client, and that they are working together toward the same goals (as decided by the client). Your therapist should be a collaborator. Remember, as an adult, while you are reaching out for professional support and expertise, you are ultimately in control of your treatment, and can withdraw consent at any time, unlike when you were younger. Also, you are welcome to address and explore the power dynamic in the room in therapy, which is actually a really impactful intervention for those who have been in high-control environments, such as TTI institutions. 

• Modality & Style. What is their modality or approach to therapy, and what is their style? Ask them to tell you about it and see if you are comfortable with it. Again, now that you’re going into this voluntarily, you get to choose what sounds good to you! There are so many effective types of trauma therapies, and not every type is for everyone. For example, some trauma therapists use yoga and body movements, some guide you through eye movements to neutralize the intensity of memories and body sensations, some use talk and insight focused discussions. But remember, you’re never required to use a style of therapy that doesn’t feel right for you or one that was misused on you during your experience of institutional abuse. You can also ask about the research behind your clinicians practice, if it is important to ensure that you are receiving evidence-based treatment.

• Credentials. Many troubled teen industry survivors received "therapeutic support" from staff who were unqualified to practice in the mental health sphere, because they lacked formal psychological education and verifiable professional credentials. You are absolutely allowed to ask about your potential provider’s credentials and level/type of training. 

• Relationship to TTI. While not all therapists are willing to disclose personal information such as being a TTI survivor or knowing one, you are still welcome to ask (especially when using the TTI Resource Network Directory) a clinician’s relationship to the TTI and how they feel about it. This also includes finding out if a non-TTI Resource Network therapist is aware of the TTI, and what their understanding is. If it is important to you that you are working with a clinician who has not worked in a TTI facility, that’s something you can ask about.

It can be really scary diving back into therapy, but hopefully the discussion points listed above can help you re-center your own power in exploring your mental health support options. Remember, you’re the one doing the hiring now and you get to pick what feels right for you!