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Trauma therapy has three components: safety from continued abuse, stabilization/resource building/(co)regulation, and confrontation. It would be ill-advised indeed to start confrontation when the other two are not in place, however it is perfectly possible to use trauma therapeutic methods for stabilizing, also for patients with psychoses.

Build a stable base camp. No need to go in deeper yet. But if you are preparing to go in and face the truth, you cannot do it with meds that blind you.