What is PTSD?
PTSD is a reaction to being exposed to an event which is outside the range of normal human experience. Sometimes it is referred to as post traumatic rape syndrome too. It is a normal human emotional reaction to an abnormal situation. Everyone reacts differently to different situations and it doesn't have to be a life threatening experience for someone to respond in this way. It just has to be perceived by the victim as a traumatic event. It is a psychological phenomenon. It is an emotional condition, from which it is possible to make a full and complete recovery.
PTSD affects hundreds of thousands of people who have been exposed to violent events such as rape, domestic violence, child abuse, war, accidents, natural disasters and political torture. It is normal to be affected by trauma. There is help, and it is ok to ask for help. PTSD is not rare. It is not unusual. It is not weak to have PTSD.
Traumatic experiences bring to the fore survival skills which are valuable and useful at the time of the trauma, but which usually become less valuable, less useful and less effective with time. Sometimes survivors become stuck in problem behaviours when their pain is not acknowledged, heard, respected, or understood. Denial plays a great part here (it didn't happen, or it shouldn't affect you). Put-downs, dismissal of the pain, mis-diagnosis and other forms of secondary wounding keep survivors stuck.
Symptoms may come on soon after the trauma or fifty years later. That is what is meant by the post in PTSD. It is normal too for symptoms to come up again when faced by further trauma and in very stressful times. It is normal to be affected by trauma.
Society has it's own way of dealing with trauma which can both be belittling or denying. For a survivor to be told that what happened to them wasn't that bad, or was no big deal or continually being told it was time that they were over it, or just try and forget it ever happened cause secondary wounding in trauma survivors. It reinforces the mistrust of everyone and everything that trauma evokes in all survivors who no longer can believe that the universe is fair or just.
This ability to do whatever it takes to survive is instinctive. We all have it, and in traumatic enough situations, it will come out or we die. Extreme situations which trigger this reaction again and again may cause survivors to do things in order to survive which can be hard to look back on later.
Similarly shutting down feelings in order to do whatever it takes to survive, or do your job and help others survive, is a reality based survival skill. Numbness is the answer. It is effective. It will help you live.
Unfortunately when survivors numb their fear, despair and anger, all their feelings, even good ones, are numbed. Numbness is comfortable. Thinking about what they have been through is so painful survivors wind up avoiding thinking about, feeling, or doing anything that reminds them of the trauma. For example, if they feel the trauma was their fault they may spend the rest of their life having to be right so they won't ever be at fault again. If they were happy when the trauma hit, they may avoid happiness forever.
Recovery
Recovery is a slow process which doesn't come easily or without pain. The survivor must be heard, feel they are understood, believed and find the ability to reconnect to a community. Recovery takes time. The survivor sets the pace. Recovery is not a race, and can't be given a set time limit. Recovery doesn't erase the trauma as if it had never happened, it just makes it easier to deal with.
Further trauma will always affect survivors. PTSD symptoms may come back during times of further stress, but the negative effects can be minimised as the survivor learns what they are and feels able to take care of themselves.. True healing is knowing it is okay to ask for help again.
Recovery is about learning better ways of coping with trauma and letting go of fear, even fear of change. Slow growth is good growth.
You can't rush survivors and we must not dismiss their pain. Instead of comparing pain, survivors and survivor groups are encouraged to respect each others pain and to focus on what they have in common and to share recovery. Each person's unique experience and pain is respected.
PTSD symptoms, numbing, hyper vigilance and flashbacks, are strong hints that you need to get help! They helped you survive, but they do not go away by themselves. People have to alter their lives to control them. They can become both ineffective and a source of constant pain.
It takes time to get better. Getting better is the reward for taking the time to recover. Getting better, however, is a slow process. The state of almost constant physiological arousal which many trauma survivors live in makes it difficult for them to take in the kind of information needed to heal. This is part of the brain chemistry of survivors. It is not resistance or stubbornness on their part. People can talk about changing but all survivors may see is their lips moving. The words and concepts make no sense. They are incapable of taking what is being said on board because they are too busy taking in information for their survival. Things like who is in the room, where are they sitting, where is the door, which is the quickest way out, do they look hostile or friendly, how are they reacting to me?
Until they start to feel safe a survivor won't be able to react to anything or anyone. They have to feel safe and feel as though there is an element of trust there. When they have been treated with respect, not discounted, not pushed to hurry up and recover, which are secondary wounding experiences and make PTSD worse, they will feel safe and know it because they will be able to hear and understand what the therapist or group is saying in a new way.
When they can hear, survivors can begin to work on safety issues. They can begin to understand and protect themselves from triggers. They can learn to handle emotions such as anger and fear. Survivors can develop the capacity to respond rather than react, like having a pause button instead of an on-off switch.
Searching for the right help is important. You need to be comfortable enough with the therapist or group. On the other hand searching for the perfect group or a therapist who will never make a mistake can put off recovery for life. The therapist or group is not going to fix you. They will however provide you with information and a variety of coping skills, but it is you who does the work and heals.
Each person heals in their own way, there are no hard and fast rules, just as there is no pill that can cure PTSD. Yes drugs can be used to help with the side effects of PTSD, like helping sleeplessness or hyper arousal. Unfortunately there is no simple clear cut solution for such a complex phenomenon. I firmly believe that survivors have to confront what has happened to them, and by repeating this confrontation, learn to accept the trauma as part of their past. There is no magic wand. However counselling and therapy can help to find an easier path through the trauma and set you on the path to healing.
No comments:
Post a Comment