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About PTSD

There are a lot of things to do in the mix of healing the symptoms of posttraumatic stress disorder (PTSD). Some treatments for PTSD require lots of time, money, support and attention. Those are the "big" moments of recovery that we research, save or borrow for, and place a whole lot of hope in the results we expect. Balancing out all of the necessary big gestures in healing, however, are the small, free, solo actions we take when we're all alone. One of those options is a little thing called a meditation practice which you hear talked about all the time, but probably just as often don't commit to doing faithfully every day.
People deeply involved in any way of looking at the human world tend to take that worldview with them wherever they go. So it is both with those committed to a religious tradition as well as those committed to evidence-based psychology and psychotherapy. Each of us will tend look at serious human problems from our respective viewpoints. This can get confusing. An excellent example of this came up recently with a question posted to Google+  for general comment by HealthyPlace.com: Is forgiveness an important component of healing from trauma? I suspect that individuals committed to both worldviews reacted to this question in fairly predictable ways. I know I did. My reaction was immediate: "Important? Absolutely not. Useful? It can be, but not in the way religious people tend to think." As I discussed the matter with a thoughtful and articulate individual, a richer picture emerged which is worth bringing to this venue, and elaborating on, for many reasons.
It's winter where I live. Apparently it's winter lots of places right now - a time for dark days and dark thoughts. I know a lot of people who are in trouble right now, and tempers are just a bit short, mine included. And now we have to deal with horses. It's about "healing" PTSD, you understand. Oh, you don't? Yeah, I have the same problem.
While PTSD recovery spans a slew of areas and requires many choices and actions; I’m always looking for ways to chunk down the work so that it’s more manageable. Recently, I spoke with trauma expert (and survivor of childhood sexual abuse) Bill O’Hanlon about his ideas for three simple ways to help you thrive after trauma. While you will have your own unique healing timeline, O’Hanlon suggests powerful areas to develop that will both deepen your healing and strengthen your ability to move forward. In sharing the general concepts I’m adding my spin to their definitions so that you can conceptualize the ideas, imagine applying them to your healing process and have some simple steps to get you started.
Using your brain and body in PTSD recovery is critical. It isn't one or the other but both that contain important elements of healing: messages, ideas, options and opportunities for success. The following healing stories were shared with me as I interviewed one of our national treasures: Dr. Bernie Siegel. Don't know him?  He's an American writer and retired pediatric surgeon, who writes on the relationship between the patient and the healing process. Known for his best-selling book, Love, Medicine and Miracles, Bernie is a unique presence in the trauma world because he's a doctor (a/ka/, a person trained to believe "the mind and body are completely separate") who believes that not only  are the mind and body connected, you can use your mind to heal your body.
In my previous post, I looked at the question of whether or not your therapist was doing "the correct thing" in treating your PTSD. I suggested that this is an ambiguous question, for what is correct from her or his point of view is usually related to the treatment model they are using, while for YOU it is not about that at all. So, we really have two questions to look at. I suggested previously that assessing whether or not your therapist was doing the correct thing was basically beyond the capability of most psychotherapy clients, with the probable exception of a client who was themselves a psychotherapist, and who uses the same treatment model. Finally, I suggested that it was actually quite sufficient for you, as the client, to deal simply with YOUR part of this question. That question, as I have thought of it, forms the title of this post: Is your PTSD therapy giving you the results you want?
So many times I've heard civilians say, "You mean, major trauma that leads to PTSD happens outside of the military?" The answer, of course, is a big, resounding, YES! The problem is that we don't have enough sources demystifying trauma and PTSD so that it's easy to see where it comes from and how it happens (Finding Meaning in Trauma and PTSD).
One of the biggest problems in my PTSD experience and my recovery from PTSD was how fragmented I was and felt. Do you know what I mean? It seemed like I had slivers of memories, a shattered sense of self and random sprinkles of what it meant to live a healthy, 'normal' life. Healing PTSD, to me, became finding a way to pull everything back together. It meant re-integrating who I had been with who I had become, with who I wanted to be. (PTSD and Integration: The Path To Healing) Whew, that was a big job! And back then, I didn't have the benefit of Dr. Daniel Siegel's input - but you can!
The beginning of my PTSD recovery looked like this: Force me to go to therapy for one hour, once a week. I show up and expect the therapist to do all of the work. For the rest of the week, I pretend there’s nothing else to do and just try to limp through the days coping with symptoms of PTSD. Why did I pretend there was nothing else to do? Because if you’ve ever, for a second, struggled with the effects of trauma or PTSD, you know what it feels like to be sleep-deprived, depressed, emotionally volatile, powerless, hopeless and sometimes, just downright utterly despondent. In that state of mind, I often believed there was no way to save me. I was crazy and would remain so forever.
A reader recently asked me a very important question. Speaking of her therapist, she asks "How do I know that what he is doing therapeutically is the correct thing?" This is a surprisingly complex question. I will point out the major issues to address in coming up with an answer, then describe my own preferred way of dealing with this question. However, there are two aspects to consider here - your therapist's viewpoint, and yours. It is quite possible for your therapist to do the "correct" thing, but not to get the results you want. Because each of these considerations deserve careful thought, I will address my reader's question in two posts. This first one  will consider how to think about your therapist. We must begin by asking: What determines "correct" for your therapist?