PTSD is often a life sentence

Dear Bloggers,

PTSD is often a life sentence

Where are the therapies, the support, the compassion for those dealing with trauma?

Victims suffering from post traumatic stress injuries are not only members of the police or armed forces. Victims can be anyone; man, woman or child. Most of them struggle every day with their trauma. Many women who have suffered rape and other forms of abuse, suffer further from treatment from the courts. Interestingly, they are said to have post traumatic stress disorder (PTSD) while soldiers are said to have post traumatic stress injuries. 

Post traumatic stress disorder is a wrong name. It is an injury. Disorder suggests the victim is somehow responsible for not functioning normally. PTSD victims are frightened and powerless but not responsible for their injuries. Many (sexual) assault victims suffer from PTSD and seemingly insignificant incidents can trigger panic attacks and create difficulty in functioning. When someone with PTSD commits suicide it is because they can no longer cope with their injuries. Unable to receive satisfactory treatment they take the only way they see out of their suffering.

We like to make others believe that we treat everyone the same. We don't. In my own surroundings I did a bit of survey about 49 per cent said they would socialize with a person who they would call in their normal life a friend with a mental health issue. Only question is did all the respondents gave honest answers? About 51 per cent of people around us would avoid “friends” with PTSD.

Trying to have a normal loving relationship with any man is nearly impossible. Innocent of any wrong, they suffer for the rest of their lives. And even you have been together for many years they simply cannot trust you fully anymore.

People cannot gauge the victim's suffering. Even some doctors have difficulty dealing with patients with PTSD and only offer prescription drugs as a cure. Instead of being supportive, we compound their injuries.

Talking about the trauma may be an attempt by victims to heal, to be accepted back into society. They turn to friends and family for help, but all too often the emotional impact of the trauma isn't understood and victims retreat into their shell for self protection.

A simple incident, a voice, a word, a car, anything, can bring on flashbacks and trigger the victim into a panic. Days and nights are filled with nightmares, lack of sleep, sweats, and rage. The stigma attached to victims often prevents many from seeking help until it is too late and there is little or no chance of recovery.

Most serious is the risk of suicide. When every waking moment is spent feeling rejected and alone, in fear and exaggerated alertness, ready to run in an instant, thoughts turn to suicide as the only way to find peace. This is most of the times in the first phase of the traumatized person.

Unable to work, some eventually receive some social assistance, but it's seldom enough for them to live comfortably. Reduced to below-poverty existence and forgotten, these once-productive citizens become a troubled group in society.

Recently, EMDR (Eye Movement Desensitization and Reprocessing) a relatively new treatment has shown some promise. But where does a victim get this help? Only a few specialized psychologists and a couple of psychiatrists are registered with EMDR

Many victims, are losing their job and after two years of sick pay they will get unemployed and they are struggling to live on disability allowance. Instead of having a social life, they continue suffering, unable to contribute in any positive way to their own care, they depend on the care of their children or their families.

Where is the equal treatment for PTSD victims? Lucky us our insurance gives us kind of free health care? We cry out against human rights abuses in other countries but deprive our victims of their right to proper health care, to a life without fear, to security of their person? It's time we helped these innocent victims instead of adding to their abuse.

Traumatic life-threatening events often leave emotional scars, which, like physical scars, remain with an individual for the rest of their lives

I’m so tired of having PTSD…in fact I am so tired of forgetting for a moment that I have it only to have it come back and smack me in the face. That is what my wife tells me after a period of making a step back. I hate acknowledging it’s presence because then I have to accept that it is never going away and that's though as a spouse.

No matter how hard she tries, no matter how much work she does, PTSD will always be there. On some level I know it is about managing symptoms but tonight is a not to good one and I just wish it would go away.

She complained the other day to her therapist: I am so afraid of silly things and I am jumping at the slightest touch from my partner. I am not sleeping during the night and I am walking around the house. Either way if I sleep or walkabout, I wake up exhausted. I’m eating everything in sight that contains sugar and I am quickly rebuilding that wall that exists between me and the rest of the world. I want to return to old ways of coping…anything to feel comfortable in my skin. My partner is very patient but I am tired of him needing to be. I am tired of working so hard to do the right thing to only end up needing his help and support.

Luckily the racing thoughts are not back as full force as they once were and I am still able to outrun them by a bit. I am tired of living each day wondering is today the day I wont be able to manage the symptoms. Is today the day I have the meltdown that let’s the whole world know about my struggles with PTSD?

She does sometimes get to a point where life is good and she feels strong and in control of her symptoms. Today is not one of those days. I do understand that the PTSD is the result of managers abuse that I endured for 3 years. I also understand that the psychological abuse was not my fault. And in this case I could not see what was happening and even though I advised her to knock on some persons doors, none of them stopped the abuse as nobody did stop the psychological abuse he was such a “good guy” he had a free hand. What I don’t understand is why it came with a life sentence.

I think PTSD is different for everyone who experiences it. All the emotions that accompanied the original trauma were as fresh as the day you experience them. The worst part of PTSD for my wife are the nightmares, the hyper-vigilance, the adrenalin rush and the stress of always being focused on my surroundings. PTSD is, more than anything, an in-your-face realization of your own mortal nature and of the fragility of life itself. Headaches, fatigue, discomfort in places where there are large numbers of people (7-10 and up), fully hit by panic attacks, anxiety disorders, emotional numbing and inability to have close relationships can be a problem as well.

Typical phrase from my wife: "Therapy, re framing, EMDR, and a variety of techniques have worked well for me, but I admit, there are many days it is just a relief not to have to leave the house."

The Old Sailor,

A trauma is something horrible to live with

Dear Bloggers,

Let me start this story with a bit of introduction of who I am in my daily life. I am a person with a wide range of humor and I am also pretty down to earth. I am not known for being high emotional or quickly into panic. Unfortunately I blew my fuses out a while ago. This was a weird roller coaster ride of old memories that were buried a long time ago. As this state of mind might become dangerous I took a step towards a psychologist to find out why this part of my memories took over the main control. 

A trauma brings with it flashbacks of memory and strong emotions, which are often uncomfortable and difficult to cope with. Typically these symptoms are followed by the fight or flight response…. This is just natural; as instinct tells us to do everything we can to avoid pain and discomfort. Unfortunately, avoiding trauma symptoms can be detrimental instead of helpful. Resisting and avoiding trauma symptoms often brings on more intense emotions as well as increased frustration, anger, and panic.

I often use this analogy to explain why this happens: Imagine you are out in the ocean, far from shore. Giant waves are coming, very intimidating and scary. The first instinct is to fight, to swim as hard as you can back to shore. However, unless you are a physical anomaly, you only end up exhausting yourself and don’t get closer to your goal of safety. When exhausted, you are at higher risk of drowning. Thus, survival experts advise that the best thing you can do in this type of situation is to allow your body to relax to conserve energy, floating instead of fighting. This gives you a better chance of getting through the ordeal and allows time to calm yourself so you can think clearly about what to do to in order to survive.

I was advised to do the same thing when I am experiencing traumatic symptoms. On many occasions during my life, I have seen shock and confusion on their faces when I tell them to stop fighting their symptoms and to just go with them, instead of making them worse, but also not fighting or avoiding. It sounds absurd, I know, how to advise others against fighting panic, awful memories, intense emotions, and flashbacks. After all, don’t we want relief from those symptoms? Of course we do. It is natural to want to be without pain. I was asked by my therapist to take the risk and try just riding the waves of my own symptoms, experiencing and observing them without feeding into them and making them worse and especially all the while not trying to make them better, either.

When we try to make our symptoms better by fighting or avoiding them, we are often fighting a losing battle. The body and brain are amazing. They know what they need to do to work through trauma, and we often get in the way of that process because it is uncomfortable and sometimes downright painful. Healing often involves pain. Think about a time you had an injury of some sort (a broken bone, sunburn, a cut, or any other physical ailment). Think about the healing process and how it wasn’t always comfortable. Often there are uncomfortable or painful sensations that come as a result of the body trying to heal itself.

The same is true when we have experienced a traumatic event. Our brains need the chance to process what has happened. When we fight or avoid the discomfort, not only do the symptoms last longer and become more intense, but we become frustrated because we were not successful in getting rid of the symptoms as soon as we wanted to. 

The good news is this my therapist said: “I have seen the awe on the faces of people when they allow themselves to experience and observe their symptoms, and find that it does indeed work to decrease the intensity and duration of their emotions, flashbacks, and panic. They find that their symptoms have far less power over them and they are able to increase their ability to function in their lives.” This is what riding the waves is all about. The goal is to decrease the suffering in a way that is conducive to healing.

To learn to do this, I would advise that someone experiencing a trauma to reach out for professional help for a few reasons. First, this process can be scary, and a professional can give you the support and monitoring necessary while you are developing this technique. Also, additional coping skills are helpful and necessary when one is learning to ride the waves of their symptoms. Lastly, a professional can help you to develop a comprehensive treatment plan for trauma that will be tailored to your individual needs so you can get the best outcome possible.

Believe me it is better to find help than to drown in your own emotional sea.

The Old Sailor,