Trying hard to win the war within yourself

Dear Bloggers,

My wife is going through some traumatic times as she is emotional abused for almost three years in a row by two psychopathic and narcissistic persons (managers) that did everything to bring employees down that didn't fit into their profile. The company gives them a lot of freedom and it is a very sick atmosphere. A lot of former employees signed for their resignation and got a few months pay so they agreed to keep their mouth shut. My wife wasn't in the flow for leaving the company as she enjoyed what she was doing and this was against all the expectations of her manager. He was not amused with the fact that she was putting up so much resistance to keep her job. 

She kept up the fight for three years and dragged herself to work everyday. I pulled the plug in February of 2014 and she was tired and mentally so beaten up. In the last two years we have been trying to get her back on her feet with psychological help and psychiatric assistance. She has been checked on a medical scale by a neurologist and she was tested on defects by a neuro psychologist, lucky enough that there is no damage found in the brain. She is diagnosed with Complex PTSD with a panic and a anxiety disorder. Our wonderful future has been destroyed by two bastards that should be held responsible. 
 
Post-Traumatic Stress Disorder, PTSD, is mostly associated with soldiers returning from war. After the horrors witnessed in such an unnatural setting, many wo/men have a difficult time returning to “normal” life, often suffering from flashbacks, panic attacks, and severe anxiety.

Contrary to popular misconceptions, Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (or Reaction) are not typical responses to prolonged abuse. They are the outcomes of sudden exposure to severe or extreme stressors (stressful events). Yet, some victims whose life or body have been directly and unequivocally threatened by an abuser react by developing these syndromes. PTSD is, therefore, typically associated with the aftermath of physical and sexual abuse in both children and adults.

Any traumatic event can trigger it. Rape, assault, acts of physical or verbal violence, even repeated emotional abuse or the sudden split of a significant relationship, especially if abuse was involved.

Repeated abuse has long lasting pernicious and traumatic effects such as panic attacks, hyper vigilance, sleep disturbances, flashbacks (intrusive memories), suicidal ideation, and psychosomatic symptoms. The victims experience shame, depression, anxiety, embarrassment, guilt, humiliation, abandonment, and an enhanced sense of vulnerability.

My wife is rather ashamed to admit that she has experienced them all. These last few weeks have made me realize just how deep the managers have traumatized me, she said. It was my husband who noticed, actually. He said that I was exhibiting symptoms of PTSD, and he was right. How embarrassing to be experiencing PTSD because of such a short-lived work-relationship. But all of a sudden there it is.

However, this reaction doesn’t reflect her or her ability to cope with it, as much as it speaks to the depth of the abuse. The depth of the trauma caused by emotional, cruel verbal, and even narcissistic pressure abuse, not to mention the sudden change in her personality and subsequent abandonment.

The first phase of PTSD involves incapacitating and overwhelming fear. The victim feels like she has been thrust into a nightmare or a horror movie. She is rendered helpless by her own terror. She keeps re-living the experiences through recurrent and intrusive visual and auditory hallucinations (“flashbacks”) or dreams. In some flashbacks, the victim completely lapses into a dissociative state and physically re-enacts the event while being thoroughly oblivious to her whereabouts.

In an attempt to suppress this constant playback and the attendant exaggerated startle response, the victim tries to avoid all stimuli associated, however indirectly, with the traumatic event. Many develop full-scale phobias (agoraphobia, claustrophobia, fear of heights, aversion to specific animals, objects, modes of transportation, neighbourhoods, buildings, occupations, weather, and so on). My wife has somethings the other way round for example she has no more fear of heights and isn't afraid of spiders anymore. Strange how the brain works

Her fear has been so great, that an email from him throws me into a panic attack, knowing that it just contains more pain. She doesn’t read them when they come in. In fact, she does not longer know if they are coming in or not, thanks to email filters that just delete them before we will even see them.
Thank goodness for technology.

Emotional abuse, like gaslighting as well as so many other insidious forms, is hard to recognize and even harder to prove. Let me first of all explain the gaslighting effect: “Gaslighting is an insidious form of emotional abuse and manipulation that is difficult to recognize and even harder to break free from. That’s because it plays into one of our worst fears – of being abandoned – and many of our deepest needs: to be understood, appreciated, and loved. The abuser is usually a very insecure person. He has a need to put others down in an attempt to make himself feel better. He must be seen as right at all times.” Often, the only indication that your partner is causing emotional damage is to trust yourself and how you feel.

• Are you asking yourself if you’re crazy?
• Are you questioning reality?
• Do you feel blamed for everything in the relationship?
• Do you feel unsafe to talk with your partner about anything? 
  
  
  
   
  

Certainly not all charming people are predators or abusive, but it is something of which to take note, especially if they are particularly charming. Please, please look closer, or perhaps, take a step back and look at the bigger picture. Find out about their past relationships. How many? How did they end? Do they take responsibility for their actions? Their words? Are they relatively consistent in their words/actions?
indication: They don’t take responsibility for their own actions.
Please believe me when I say that these actions are insidious. I mean it. They are so subtle and often covered up by grand gestures of love and excessive affection. It is very intoxicating and convincing, but beneath it all there might be a constant assault on your sense of self through gaslighting and other forms of covert abuse.

The first step is recognizing abuse as abuse. One very surprising thing I learned about this over the past few weeks is that some types of emotional abuse feel like love. Another reason the trauma is so deep: it’s not just the damage , but it is unhealed damage from a lifetime of emotional abuse.

Research PTSD and Emotional Abuse. If you are exhibiting any of the signs, you might be trapped in a betrayal or trauma bond with the abuser. This makes it even harder to get away and heal.

Let us all learn how to protect ourselves from such people, for in this society, there is no other recourse. No way to prove it. No way to make them accountable for the damage they cause. Our only hope of defense against this type of abuse is to recognize the danger early, reinforce our armor, and get away before a trauma bond can be created. Slowly we start with counseling. To me it’s an interesting one, and it might be helpful to you, reading this blog, as it shows how one is in so much denial at first because of the shock and disbelieve, and how, if you commit to healing, you can uncover some pretty horrific things and extensive PTSD.

My wife quotes: “I might never be working again and damaged for life. Still, I’d rather know, accept, and heal than to fall into the same trap with another predator”.
Let's hope the future brings better times.



The Old Sailor,

The scars on my soul are telling a story

Dear Bloggers,

I'm having trouble working out where I am and who I am. Somehow, this isn't disturbing, it's simply puzzling to me. I'm in a puzzle and need to put together the clues to work out what this is all about.

Images are popping up in my mind and somehow the pictures are mixed up and there are people who have never been there before and that makes it complicated. I'm sitting in the centre of a row of beige plastic chairs. When I turn my head, I realise that my wife,is sitting next to me. A ring of beige chairs also lines the walls. Other people, scattered around the room, are sitting here with worried faces some of them are crying or looking down and shuffling their feet. I get the feeling that they don't want to be here.

A beeping sound is coming from somewhere. To my right, people are moving through an automatic door. I look up and see a young woman behind a glass window. She seems to be mentally losing it, as they just confirmed that her boyfriend has died in the chaos that is out there, and her dark hair hasn't been brushed recently. She's on the phone and taking notes. All of a sudden a few people show up to me and I realize that I can not see there faces and I frown when they approach me, as I don't really want to speak to them. I am not the one that should give them answers, I send them over to the other side of the room and I see them sitting down with the policeman who has a copy of the passenger list and they are being desperate for good news.

We seem to be in some sort of waiting room, but I don't know why. I am wearing my military camouflage uniform sitting with my helmet in my hands. We are sitting in a sports hall which has been decorated as a waiting area with here and there a few tables where policemen are trying to give as good and as bad information . For most of the survivors the waiting is hell.

The sunlight is slanting through the windows on the far wall is soft; it must be the morning light, then. My dear God we have been here for hours and still they are bringing people in. Local cops, people from the Red Cross and other persons like psychotherapists, priests,ministers. The major is running the operation. And our duty has been taken over by the own countries army and we are waiting to get the clearance that we can go back to our base

In one corner of the room, on a low table, there are piles of magazines. I walk over to pick up a crying girl and then sit down with her again. This is a young woman I guess in her late teens or early twenties approximately my own age but she has lost everyone that she was with. My heart breaks when I see her and send my buddy to find someone to comfort her. As for us it's about time to leave.

Off to my left, a child is whining. I turn to see a man and a woman, both big, with a girl aged four or five. They look tired, as parents do when they've been up during the night with a grumpy and worn out child. Soon I am absorbed by their interactions; it's like watching a show. The father lifts the girl on to his lap, looking strained. The mother holds up a children's book, reading to her. The child listens for a while, fidgets, and cries again. The mother tries to interest her in one of the toys from a box in the corner, but it doesn't work. Now I know what this is like; I'm a parent, too. They're doing their best in this bad situation.

How did I get to this room? A fragment comes into my mind, a dreamlike image of driving us to the chaotic scene and me being impressed by the sea hawk helicopters that are flying on and off. It is what I can see from our military vehicle window. Did this really happen, or am I imagining it?

I turn to my wife and see that she's crying quietly: her cheeks are pink; the rims of her eyes are red. She's sad about something, but I don't know what. I put my arm around her shoulder and pat her gently. "It'll be all right," I say. She quiets a little. All the other things are in some kind of blurred image. And I wander what her problem is, somehow I cannot reach her. It is a disturbing feeling and I feel powerless. How in the hell can I help her when I am in this state of mind.

As we sit there, I feel as if I'm in a sound bubble, into which the surrounding noises don't intrude. The crying girl doesn't irritate me as I think she might have at another time. Instead, I feel a well of stillness inside. I keep turning the pages of this story of my life. Get up soldier it is time to stand up to your troubled mind and help the one you love with all your heart. The road will be long and tough sometimes inhospitable sometimes, but she is not afraid as she has a well-trained soldier at her side. But there is no way back and it looks like our horizon on fire as the sun goes down slowly.

As far as I can tell, it's not long before we are taken through a door. It opens, like magic, into a wide, yellow corridor with a side table, a high metal chair, and shelves along the walls. Have we really been here? Did we do anything good for those people? And why am I mixed up with all those emotions. And why am I dressed in full combat gear with a loaded machine gun? I left the army in the autumn of 1987 that is more then 25 years ago.

A young military man who says he is a doctor asks us to sit in the chairs while he stands before us. He's wearing ordinary clothes and looks tired, speaking slowly and softly. He probably wants to go home. The doctor would like to thank us for the quick responding to the scene. And gives our sergeant a phone number for the ones who might need help. At the moment we do not need anything but want to go home. We are all trained to kill people but in this case this were civilians who just had a good time and were killed in a weird kind of disaster. In this case we could not save them. Man this has impacted our team the guys have gone quiet as we have seen all to much.The guys are all silent and some are staring with bowed head to the floor. the situation we ended up in was totally insane. And no one had the strength to say anything. It was quiet and lonely it felt like a slap in the face.

Memories lost: I don't know how long I'm with the doctor perhaps one or two minutes and when I look up he's gone. There's that puzzling feeling again: was he real, or am I in a dream?

Back in the corridor, a man and a woman tell me I am to have a EMDR session. The thought excites me. I don't think I've ever had one before, but I know what they are: I've read reports from EMDR patients as psychology fascinates me because the brain is something very special, detailing the effects of a brain that is able to send people in the right or wrong directions. They have a lounge chair and mentally they push me into another corridor of my mind. In and out of the disaster we go. It is sad and reliving it is absolute no fun.

They say the session is over, but I don't remember having it. How odd! I'm walking with a woman, also dressed in blue; she's told me that I'm having the next session next Thursday. I'm not sure if I've been in state like this before, but I'm so tired that I think it would be great to get my life back and being able to sleep without nightmares again.

The next morning is different from the day before. It feels as if I've woken from a dream. I'm sure now that I've been there and that woman next to me in my memory is not my wife but my late buddy who died of cancer a few years later in hospital, and that something really has happened to me. I remember more clearly the whole situation was so crazy before we came in. I'd woken with a headache, walked to the kitchen, taken a Panadol, and gone back to bed. That's the last memory I have on this weird mixed up dream.

The phone beside my bed rings, interrupting my reverie. It's traffic control if I could work today. “And I respond yes of course what time should I start?”

"I'm woolly in the head, as if I'm not sure I'm really here," I reply to my wife. "I've got a mild headache, too." and still you are going to work she says. I call it therapy as my brain has to work in a different way. I jump out of bed and head for the bathroom. Brushing my teeth, shave and hop into the shower.

It's three months after my initial psychologists admission, and two months after I was formally discharged from therapy again, where I spent eight unsettling and confining sessions. It's mid-afternoon and I'm reading a book. It's easy to follow, and it doesn't matter if I've forgotten some of the earlier details. I like the way of writing, and I am fascinated by the story: I'm not the only one on a path of survival. Initially I tried reading a story of a deeply harmed woman that has survived a war, but it was like struggling through thick, deep mud.

I would read a page, and by the time I reached the next, I'd forgotten what the previous one had said. I go back to reading, settling comfortably into my chair; the idea of seeing the doctor slips into my back pocket. But my brain continues processing this information in its own way.

Then, a thought comes suddenly to my mind: if I've had a set back, and that's not physical… I haven't had a mental breakdown. It all came up again due to a very different situation. They harmed my wife and the killing machine was woken up from the dead end corner of my brain. I was going to take this bad ass out of his magic life. And everyone that would be in the way. The bastard has been lucky that he wasn't home as I had figured out were he was living. I couldn't stop the blindness and the deep angered soldier that was taken over. Lucky part of the situation was that he was not home as I still see him as the enemy. Thank God I did not harm anyone. Relief floods through me. Fucking fantastic.

Recovery: All of this happened on the evening hours of the 6^th of March 1987 But cue seven months of visits to doctors psychotherapists and a series of tests. I've been told that I should exercise, walk on flat ground if I go for a walk, read nothing harder than the newspaper. I try to follow doctor's orders to take it easy and avoid stress. The stress thing is a process of discovery. The invisible hole in my head is a trickster; I don't know when or how it's going to trip me up next. My body's not behaving properly either. And that came up years later due to a stressed life.

I'm anxious to get on with my recovery, and the more I read, the more it seems like a computer-based cognitive training program is what I need. The program should concentrate on building the basic auditory skills first, and then the components of speech and finally comprehension.

Now the situation has stabilized and I am calm again, yet I must give closure to the old situation and learn to live with what happened then. Furthermore, I will have to build on a completely new start for my wife because she never will be the same again and will have to learn to live with her post-traumatic stress disorder. Will I ever find the peace and able to deal with the false world that simply seeks to amass money and is not looking for happiness.

It is the time that heals all wounds, but there is always a scar on my soul and that scar will fade with aging. Sometimes it will itch and sometimes it will be hurting and feel like stabbing but it will never disappear. It's something you learn to live with and gradually no one is sensing that you have a scar. "In peacetime you are much more affected by the war." said an old veteran a couple of weeks ago.

 

The Old Sailor,

When is it time to give up the keys?

Dear Bloggers,

This blogs subject is about driving and Parkinson's Disease

As baby boomers age and life expectancy rises, increasing attention is turning on how to determine when and if older people and people with severe health problems should stop driving. This topic is especially important in light of a agtng group in our country as a lot of them are on the search for injury prevention and we should get in control that our elderly people are involved by vehicle injuries. As the number one cause of injury related deaths for people aged 65 to 74, and the number two cause (after falls) of injury

related deaths for those aged 75 to 84. The issue that hits home for people with Parkinson's since both the symptoms of the disease and the medications designed to ease them can affect driving ability. If you are struggling with the decision of whether or not to stop driving, or if you are a caregiver for someone who is wrestling with this problem, this blog may help you explore your options.
 

 
How does Parkinson's disease affect driving?

People with Parkinson's disease may eventually experience a decline in both motor skills and cognition. These problems can make driving unsafe. For example, a decrease in visuospatial skill. Let me explain:This is the kind of skills that are necessary to determine distance and distinguish shapes which is not uncommon in Parkinson’s Disease. A driver with decreased visuospatial skills may be unable to gauge the distance to a stop sign or a traffic light or keep a car in the correct lane. Some people with Parkinson's also may have cognitive difficulties and at times become confused. 

Unfortunately, patients with dementia may not realize that their driving has become a problem and must rely on a physician, family members and friends to bring it to their attention. Another common symptomatic problem for people with Parkinson's is muscle tightness, which can make reacting quickly difficult. Delayed reaction time is dangerous because drivers need to be able to react swiftly, both mentally and physically, to avoid accidents and adapt to changing traffic patterns.

Additional complications come from the medications that are used to treat Parkinson’s Disease. Common medications including carbidopa/levodopa (Sinemet), amantadine, dopamine agonists and anticholinergics may produce side-effects such as sleepiness, dizziness, blurred vision and confusion. Anticholinergics are especially dangerous as they can cause confusion and sedation along with memory impairment. However, not every patient experiences these side-effects and they may be decreased with simple adjustments in dosage. You should note any changes and report these to your physician. It is your life and you decide.

 Assessment options for people with Parkinson's

It is important to remember that while not every person with Parkinson's experiences problems with driving, disease symptoms and treatments can make driving dangerous for you and others. Driving is seen as a priveliged right of independence and freedom and you may be reluctant to stop, but being responsible is also important. To help you determine your driving risk, the medical association advice is to report your Parkinson’s at CBR (the Dutch bureau for driving licences) Especially for older drivers with difficulties in traffic and they can give extensive information about diseases that may affect driving ability, such as Parkinson's. Although these guidelines were developed primarily for doctors, it will help laypersons to make their own assessment of their driving ability and determine a course of action.

The question is: “Am I a Safe Driver?” If you just take a driving lesson just to help you evaluate your driving. If you score poorly on this and you are still reluctant to stop driving, refer to the driving school to get some tips for safe drving and really consider speaking with a doctor about the issue. The doctor can run some tests on cognition, mobility, reaction time and visual ability for physicians to perform on patients to determine if a person is driving safely. Yes you might not only kill yourself but also someone else!

A less costly, although less thorough, option is to enroll in a driver safety class, such as the driving  schools are offering to elderly people. While these classes are not specifically tailored for people with Parkinson's, they can provide helpful tips for safe driving. An instructor will lead the class through various ways of enhancing driving skills and safety but often will not make individual assessments.
Finally, you can always visit the CBR and ask to take a driving test. Of course, if you were to fail the test, your license would be revoked.

What can family members and friends do to help?

Understandably, most people are reluctant to give up the opportunity to drive. Because of this, it is often up to family members and caregivers to spot a problem first. If you are a family member or caregiver for a person with Parkinson's and you think it may be time for them to stop driving, remember that this is a very sensitive issue and you must help the person see that his or her driving has become dangerous. Before bringing up the subject, look at the possibilities how to help this older driver, being prepared as they have a million excuses to keep their freedom which is extremely relevant for Parkinson's patients. This can help you determine if your concerns are valid and how you might address them.

Another way to help your loved one with this decision is by stressing that giving up driving does not mean giving up mobility. Your support is crucial in helping a person with Parkinson's admit that his or her skills have decreased without feeling stripped of power. To help people with Parkinson's with their decision to stop driving, provide them with transportation alternatives. The Getting by Without Driving tip is to highlight all other possible modes of transportation, including a partner that is still able to drive, taxis, buses, subways and getting a ride from family members. Some cities also provide travel assistance for people unable to use public transportation. (We got something that is called the Plusbus.) If you know someone with Parkinson's who has had to give up driving, provide him or her with bus routes, taxicab phone numbers, and offer to give rides. For more transportation alternatives, check on the internet for options in your region.This may help a person with Parkinson's to adjust and realize that stopping driving does not mean losing independence.

What's the bottom line?

Having Parkinson's does not necessarily result in giving up driving. However, whether you are a person with Parkinson's or a loved one, it is important to be responsible and remember the potential dangers that Parkinson's presents to driving. Ignoring the effects of the disease and its medications on driving will only create a more dangerous environment for you and other drivers. The best way to be a responsible driver is by paying attention to your driving skills and reporting any changes to your physician. If you have concerns, don't avoid voicing them out of fear of losing your license. Doctors and family members are often happy to help you exhaust rehabilitation options before asking you to give up driving. If it does come to the point where family, doctors and driving coaches ask you to give up your keys, realize that it is in your best interest to stop driving and explore other transportation options. They love you and don’t want to loose you.

The Old Sailor,