POST TRAUMATIC STRESS DISORDER...HOW REAL IS IT?
The
truth about our trauma/stress is stored up in our body; and although we
can repress it, we can never alter it. Our
intellect can be deceived, our feelings manipuated; our perceptions
confused and our body tricked with medication.
But
someday our body will present its bill, for it is incorruptible as a
child, who, still whole in spirit, will accept no compromises or
excuses, and it will not stop tormenting us until we stop evading the
truth. Alice Miller
Post
Traumatic Stress Disorder is a condition where you bury what you don't
want to live with, you cannot live with and continue to function in the
real world; so you bury it, dissociate it and compartmentalize it until
you are SAFE enough to live and work through it.
And
for many trauma/stress survivors, it may mean until you are away from
your family of origin, your abusers, out of present day
trauma/stress...whenever you feel safe. Stress/trauma
is cumulative and continued stress/trauma adds up.
It can be caused by trauma/abuse, extremely stressful
situations, hospitalizations or natural disasters.
There are symptoms of PTSD...you may
have all or several of them. In
order for you to be diagnosed with PTSD, you must have several symptoms
operating at the present time and the symptoms interfering with your
daily functioning. I believe
that PTSD is the
umbrella for many of the coping skills that were normal/useful at the
time of the trauma, but have outgrown their usefulness.
These include addictions, compulsive behavior, depression,
anxiety, etc. Studies
have shown that soldiers with childhood trauma are more likely to have
more severe PTSD symptoms; referring to the cumulative affect of stress.
People often function until their
coping skills no longer work and the trauma/stress begins to surface. It
may surface in feelings (depression or anxiety) or it may surface in
flashbacks and flooding of memories (hallucinations and blips) or
insomnia (nightmares of memories). Generally,
the trauma will not surface until the person is able to look at
it...not particularly WANTING to look at it, but CAPABLE of doing so.
What
is necessary to know is that our past affects our present and our
future and without knowledge of our past, we may continue repeating
dysfunctional behavior and patterns without knowing why. The
process of knowing our past is not to know every little detail of our
trauma/stress, but important information that affects our present life
and possibly our future health. The
goal in
therapy/healing process is for us to know enough about our history that
we won't be REACTING, BUT HAVE ENOUGH KNOWLEDGE TO BEGIN PROACTING.
Working through memories will often
make you feel worse before you feel better.
You will often feel as you did while in the
trauma/stressful events occurred and that may feel life threatening. You
need to remind yourself that the trauma/stress is no longer occuring
and you have lived through it once, you can live through the memory of
the trauma/stress. From the
soldiers view point, it was life threatening.
NO ONE DIES FROM FEELINGS...IT IS
WHAT WE DO WITH THEM. A
feeling is a feeling is a feeling is a feeling.
We may not be comfortable with the feelings, but THEY JUST
ARE.
The most common feelings that we have
avoided are fear, aloneness, helplessness, sadness and hopelessness. We won't die from any of these
feelings...again, what we do with them.
Some
of the trauma/stress is so intense that you may feel that you are
reliving it...we call those "flashbacks" or "abreactions." While they seem to be coming out of
nowhere, there is usually a build up to the memory flashbacks or
abreactions. There is
generally a period of high unexplained anxiety, sleeplessness, anger,
sadness, far or unexplained marks on the body.
Actually the flashbacks or abreactions are not as random
as they seem to appear. There
is often a trigger for them and that is often accompanied by a period
of dissociation, unreality, fear, terror or being out of the body.
We
are blessed with a Higher Self or Spiritual Guide or our Divine Source
or God that knows what is best for us and usually we are not given more
than we can handle. The
conflict within most of
us, is that we do not want to believe that terrible things happened to
us but it was a part of our job, protecting our country, etc. We do not have to like what we are
remembering but the most difficulty is caused when we fight the
memories or the information. Once
we have embarked on the journey of self knowledge/healing, it is
difficult to shut it off or to decide to censure what we want to know
and what we are willing to accept. The
whole
unvarnished TRUTH is difficult, but freeing, and often helps us to make
sense of things that haven't made sense in the past.
So
many people are relieved that the past makes sense of what is currently
happening or the feelings that seemed to make no sense.
Flashbacks or abreactions are
frightening until you know what they are. They
are being in the past and present at the same time and being in the
memory so that you can process it, in a safe place.
It is the psyche's way of healing the memory. It may be condensed, selective to
what you are supposed to know about how it still affects you. There
are four parts to the memory ... feeling, body sensation/memory,
knowledge of what happened or what was programmed and the behavior that
it affects today.
Because you have lived through the
memory/trauma/stress before, you will live through it again.
Although, you may feel that you will
die from memories, you will not. They
are, in fact, part of your history and your past.
You
will often feel you need to numb the feelings again, but you can
facilitate the process by not numbing, as you did in the past. You
can decrease the intensity of feelings by making collages, drawing,
painting, journaling, talking to your support system and nurturing
yourself. When you lived
through the trauma/stress initially, you were emotionally alone; now
you are not. That
is why it is important to have a support system. Even being trained to
kill/protect still makes it difficult to process in the psyche, because
war wasn't something most of us grew up with.
Even
in countries where war is a fact of life, continued stress/trauma has
taken large tolls on the health and well being of the citizens. Trauma
is cummulative.
Going
back to the original quote from Alice Miller, I have found that the
body is often the part of you that will be present information to work
on. It can begin with pain
that isn't caused by a current event ... unexplained bruises, marks,
etc. We call these body
memories and the body will often pace the information.
Another
way that memories can be found is through dreams ... sometimes they are
symbolic dreams and sometimes they are actual memory dreams. You will soon learn what type you
are getting and probably will be getting both types of dreams, while
you are doing this work. You
will also be given hopeful, healing dreams to let you know that there
is an end to the intensity of the process.
Recovery work is work and should be
treated with the same respect and honor that we treat other work with. It is hard work and honorable work;
to be working on your recovery and memories and recovering your history. That means that if you are working
on other endeavors, you should make time for this work.
It may mean an hour a day, but setting aside some time
frame. Otherwise, it will
interfere with your regular functioning. People
often notice that on therapy day, the stuff becomes focused and they
start feeling nauseated, tired, angry, sad or out of sorts; all of this
is not unusual. Honoring that
and knowing that,
you will want to nurture yourself for that day; that is respecting the
work, and, frankly, makes it easier on you.
Trauma keep us stuck in emotional
states and we might call Ego states. We
compartmentalize the Warrior, the Killer, the Stealthy One, and it is
up to us to validate and nurture those wounded selves.
Going
out in Nature, finding a way to play as an adult, taking relaxing baths
and exercising and other ways of nurturing yourself is absolutely
necessary in this process.
If
feelings of suicide and self abusive feelings and wanting to act out on
them, we need to keep ourselves safe, but calling a support system or
telling someone what is going on. We
don't allow abusive behavior, but we provide alternative nurturing
activities to be available. Again,
it is a reminder that feelings are feelings and normal for the things
that have happened to us; but it
is what we do with those feelings.
The
intensity may be overwhelming but acknowledging them and not denying
them and keeping ourselves safe is the best way to get through the
process. The intensity is
related to the fact that we had to turn off the feelings while we were
doing our jobs in the war.
People
who take advantage of their support system by talking, going to
meetings, doing 12 Step work, finding a spiritual framework, all find
doing this recovery process easier with less internal conflict. It
is also recommended that you find someone to do bodywork with ...
chiropractor, massage therapist, acupuncturist, Reiki healer, etc.
helps the Mind, Body, Soul connections.
The trauma/stress creates symptoms
that are normal for the abnormal situations that you were in. The symptom checklist might make it
easier to understand what is going on with you.
While
you should not diagnose yourself without a professional, it may help
you make sense of what is going on. If the symptoms are interfering
with your daily life, it may be time, to go for support and get
professional help.
- hypervigilence:
hiding, sitting with back to walls, feeling watched, startle response,
fear of being alone, constantly alert...fight or flight mode
- alienation
from body: not at home in body, no sense of body image, avoidance of
mirrors, layers of clothing, extremely private, manipulating body
weight to avoid intimacy, often numb, detached in body
- dissociation:
splitting from event, removing self from feelings/emotions/pain,
feelings of viewing self, physical numbing, depersonalization of
memory/pain, feeling like watching self on video, getting so focused on
something can tune everything/everyone else out, inappropriate behavior
(laughing at funeral/someone's pain), driving from one place to another
and not remembering how got there, losing time
- anger
issues: inability to recognize/express own anger, fear of someone's
anger/rage, hostility towards certain people (reminder of other side in
war), constant anger, fear of losing control, triggered into anger with
various voices, colors, smells, etc.
- suicidal:
ideation/attempt, obsessive thoughts about suicide, self mutilating
behaviors, daring the fates with high risk behavior, accident prone
- sense
of pervading fear: no sense of power, victimology, inability to set
limits, fear of being left, phobias, compulsive behavior about locking
doors, checking rooms, paranoid
- addictions:
behaviors to cover pain/fear/anger/sadness/helplessness, driven
compulsive behavior may be acceptable in workaholism, but still being
used to numb out
- memory losses: blocks of any part of history, not explained
by coma
- feeling of awful secret: feeling shame of having done
something and can't share and others wouldn’t understand
- anxiety/panic
attacks: heart speeds, chest feels pressure/squeezed, can't breathe,
feeling dizzy/light headed, total debilitating fear/immobilization,
feeling like dying, periodic or constant attacks
- sleeping
disorders: night terrors, nightmares, awakening nightly at the same
time, fear of dark, fear of falling asleep, doing things to avoid
falling asleep, waking up screaming/yelling/ body jerks/movements while
asleep, never getting REM sleep, sleep deprivation, waking up still
feeling tired
- depression: periodic or constant
sadness that feels bottomless, seeing only the negative in
people/events, feeling helpless, worthless and not wanting to wake up,
but no active plan of suicide, radical change in eating/sleeping
habits, feeling hopeless, jaded, cynical, bored with no joy
- trust issues: mistrusting or trusting indiscriminately,
feeling isolated an different
- self
esteem: low self esteem, intense shame, need to be invisible, feeling
bad for being alive, feeling useless, feelings others are more worthy
and more important, behavior puts self second or last, arrogance and
facade of feeling superior, feeling like a victim or perpetrator
- body memories: unexplained pains, bruises, marks, splotches. Body
somatizes the trauma/stress ... Chronic Fatigue Syndrome, fibromyalgia
and other autoimmune diseases may be escalated by intense stress/trauma
- feeling crazy/different: feeling like an outcast, unreal,
create fantasy world/relationships, desire to change name or identity
- physical
signs: gagging response, swallowing constantly, lower immune system,
constantly sick, aches, headaches, having somatic symptoms that can't
be explained by the doctor
- flashbacks/abreactions:
reverting to other places, reliving a memory, being triggered to a past
time frame of trauma, hallucinating which can be done visually,
olfactory, auditorally, tactile or taste (metal, blood, etc.) Flashbacks can be done in blips ...
pieces of feelings, pictures, sounds, tastes, etc.
Finding
self hiding under a table, closet, shaking uncontrollably, body
jerking, falling into a trance state, agitated body movement, looking
around and not recognizing where you are, feeling different in your
body, feeling transported in time
- eating disorders: not wanting to eat, no joy in eating,
bulimia or anorexia, overeating, binge eating
