Living With PTSD – Not Like The Movies

I managed to go to service this morning, for the first time in a long long while. Last week I couldn’t go because I had managed to give myself a concussion, before then it was down to running a temperature, and before then – for many many weeks – it has been due to simply not being up to it; too depressed, too submerged in my life/death battle. And then there’s the PTSD. Post-traumatic stress disorder. The bane of my life. A big reason for previously mentioned life/death battle.

I feel that a lot of people don’t really understand what post-traumatic stress disorder is. Or, more accurately, they may not be aware of how it affects people. I think that, at least in part, media is responsible for this. People have generally heard of flashbacks as being one of the symptoms of PTSD, and you often come across storylines in which characters suffer from this disorder, and the viewers are treated to an insight into the flashbacks that they experience in a variety of ways. Only, there’s an issue with this: having a flashback isn’t like watching something happening on a film screen. It’s about feelings. About re-experiencing the traumatic event, as if it is happening all over again, and having an emotional response to it. Again and again and again and again.

In the most recent episode of BBC’s Silent Witness, the storyline followed a former soldier suffering from PTSD. It was explained that certain sounds and situation could trigger flashbacks for him. So far so good; this is all true for many people suffering from PTSD. Later on in the program we got to ‘experience’ a flashback alongside the character: he saw a person on the street, it morphed into a flashback person – someone who wasn’t actually there – someone who had been part of the trauma. All of this is fairly accurate, I think, for a lot of people: flashbacks can very well be triggered by someone who looks like someone who was part of the traumatic event, and flashbacks can absolutely cause a person to see someone who isn’t really there. Happens to me all the time.

But then the character talked to someone about his experience of having flashbacks, and when the person listening to him said something along the lines of “That must be really horrible” the character’s reply was “No, it’s OK. It’s actually quite nice.”

And this, to me, is a huge departure from what PTSD sufferers truly deal with. I have yet to meet a single person suffering from PTSD who would describe having flashbacks as ‘nice’. Because the disorder is caused by traumatic experiences, often very extreme ones, you are not likely to have an emotional response which could in any way, shape or form be described as ‘nice’. Having a traumatic experience is not nice, thus, the emotional response will probably not include positive feelings.

Let me illustrate: say your previously wonderful and perfect partner rapes you. Very traumatic, very hard to deal with, extremely emotionally damaging. Let’s say the effects of the experience go so far as to cause you to develop PTSD. You now have flashbacks of the event. This is hardly going to trigger emotions related to the rosy honey-moon period of your relationship. Whilst you may still – in your conscious mind – remember that time when your partner brought home a dozen roses and your favourite chocolates, and the lovely feelings that gave you, those feelings will not be triggered by a flashback to the rape. They just won’t. Those lovely feelings weren’t associated with the rape, and so can’t be triggered by flashbacks to the trauma.

When you have PTSD [as I understand it, and put in layman’s terms] the memories of the trauma are stored in a different part of the brain to where other, ‘normal’, memories are stored, and the response flashbacks produce completely bypass the part of the brain that is responsible for rational thought. Thus, even though some part of you may be aware that the trauma isn’t really happening right now, and most of the time you are able to remember both positive and negative aspects of a relationship [assuming there have been both], because rational thought is taken out of the equation, your emotional response to a flashback will be as if it the trauma had only just happened, and will involve the feelings you either had at the time, or the feelings you may have had to repress at the time in order to survive. It won’t involve feelings related to an entirely different situation.

I mentioned earlier that flashbacks are often caused by triggers. But there is more to it. While a majority of people with PTSD have flashbacks caused by external triggers [sounds, smells etc – things that in one way or another remind them of the trauma], some people – myself included – have flashbacks that are caused primarily by internal triggers. Internal triggers are tricky, because they are difficult to identify. And if you can’t identify triggers, it is almost impossible to avoid them.

For me, personally, it is often a case of one flashback triggering the next, in a continuous chain, and I am just as likely to have flashbacks if I am out having an absolutely fantabulous time ice-skating with my friends, as I am sitting with someone talking about really deep and difficult things. In short, if I’m going to have a flashback, it will happen, regardless of what I am doing, where I am or who I am with.

One of the first things people [professionals in particular, actually] tend to ask is “What do you do to stop the flashbacks from happening?” to which I answer “Nothing”. They will then in one way or another convey to me that I have a very negative and defeatist attitude which isn’t helpful. Or they will suggest that I do something nice and relaxing – light candles, have a bath, listen to music, and so on. So, I tell them, oh, I do all of those things. Because they are very nice things to do. But I will still have the flashback, only I will have it in the bathtub, with the music playing and the candles all around me. I then say “You know when you go to sleep..?” adding a pause to allow the person I am talking to to nod, since this is something everyone has an experience of, before continuing “Well, you know once you are asleep, yeah?” Another nod. “At what point do you choose not to have a nightmare?”  You see, I can’t choose to not have a flashback any more than you can choose not to have a nightmare. No amount of positive thinking or relaxation is going to change it. If it’s going to happen, it’s going to happen, and it simply isn’t caused by a defeatist or negative attitude. I know a million different grounding techniques to help me come out of a flashback, all of which I employ on a daily basis, and I am working very hard at finding ways to cope with the emotions the flashbacks bring out, but there is no way I can stop the flashback from happening in the first place.

I have somewhere between 30 and 40 flashbacks on an average day. On a particularly bad day, when it seems like one flashback triggers the next, I can have over a hundred. That means re-experiencing, re-living – the abuse over a hundred times in a day. It means dealing with the emotional impact a hundred times in a day. To me, the fact that I am still here, in spite of this, is proof that I absolutely do not have a defeatist attitude.

If you would like to know what it is like [for me] to have flashbacks, there is a drawing (What Words Can’t Express – A Visual Representation Of Sexual Abuse Flashbacks) that I posted a number of years ago, trying to visually explain that sense of being in two places at once – the past and the present, simultaneously. I feel pushed to warn, though, that it is somewhat graphic, and could be potentially triggering.

I want to make it clear that I am in no way an expert on PTSD, and what I have written here is based on my own experience of living with flashbacks, and on what others with PTSD have told me. Of course, as with anything, different people react in different ways, and there may very well be PTSD sufferers out there who disagree entirely with my take on what PTSD is like. And that’s OK. I just wanted to offer my view of what it’s like.

 

All the very best,

xx

 

PS. In case you happen to know me, I’ve recently added a little section on the right, appropriately called “For People Who Know Me”. You may want to check that out. Not in any way saying that you can’t check it out even if you don’t know me, it just won’t be all that relevant to you. :)

Kill It. Cut It. Use It. – Making Ethical Choices

Sitting here, thinking I really ought to update my blog, yet at the same time not really knowing what I want to write about. I’ve got that feeling where you know there is a lot of stuff buzzing around your brain, yet you can’t quite be still enough to figure out what it is. Thoughts and emotions doing this strange little dance, a bit too quick to really figure it out. So I think I’ll just write whatever comes to mind, and we’ll see where that gets us. [If anywhere!]

Have settled into my new place reasonably well by now. Still hate the shared space, I mean, there’s no getting away from the fact that the bathroom and kitchen are both minging. But I feel OK in my room, don’t actually mind the small size of it much at all.

Bought myself a small fridge the other week, because the ones in the kitchen are kind of icky and way too small for five people. And if my landlord won’t supply us with adequate fridges, I’m just gonna get my own. [It’s rated A for energy efficiency, so I don’t feel too bad about the extra electricity, since it’s about as ‘green’ as they come]. Also, being fully vegetarian, I just really don’t like the idea of my stuff sharing a shelf with meat based food. Having been vegetarian for quite a few years by now I’m a bit funny about keeping my food separate from meaty stuff. I also have my own pots, pans and crockery which have never been used for meat. This isn’t a bid to keep kosher; I just prefer things this way. I’ve no problem going to people’s house and eating from dishes that have been used for meat, I regularly get vegetarian food from places where they also do non-vegetarian food, but at home I prefer to keep things separate. There’s no logic to it, I’m the first to admit that, but it’s how I like it, so why not?

Been watching “Kill It, Cut It, Use It” on BBC iPlayer this week. For those of you who haven’t seen it it’s a series about how animal by-products are used in things we use every day. I personally think that to a large degree it’s better to use waste products from the meat industry, rather than to just chuck it, and have found it really interesting to learn about how there are animal products in just about everything. I was never a vegetarian because I felt that it’s wrong to kill animals [although I’m all for treating animals with respect] so I’ve no real problem using washing powders, cosmetics etc which contain ingredients derived from animal by-products. That said, if I have one hand cream which states “suitable for vegetarians” and one which doesn’t say either way, I’m much more likely to go for the former. Again, no logic – but it works for me.

What I do take issue with are products made from things where the primary reason for killing the animal was to get the “by-product”. Think ivory and fur etc. Or cosmetics which have been tested on animals. [Still undecided on how I feel about medicines which have been animal tested]. And although my knowledge and understanding of these processes is undeniably limited I do try to make ethical choices when shopping.

There are lots and lots of things that I don’t know about, and reading ingredient listings often feels like trying to read a foreign language – especially with the industry being very very good at masking ingredients – but I try. I try to educate myself, try to do what I can to make good choices, and I guess that’s all I can really do.

At J-Prep someone crowned me “eco-warrior princess” because I would always carry my empty bottles and cans back home with me, to make sure they went in the recycling bin in my borough [it’s a very good borough for recycling compared to the one where my shul is], and although my classmates would give me a bit of friendly stick about it, I wouldn’t have it any other way.

I know that what I do won’t change the world, but maybe, just maybe it makes a tiny little bit of difference, just the same.

And if you think I’m a bit OTT – well, you should see my sister!

xx

Clip from “Kill It, Cut It, Use It”

Alice in Wonderland, Jefferson Airplane & The Lighter Side of Grammar

I just finished watching the Royal Ballet’s version of  “Alice’s Adventures In Wonderland” on the BBC, and it reminded me of how I always loved the hookah smoking caterpillar from Lewis Carroll’s wonderful story, who – in the midst of all the wondrous madness – stops to ask the very sobering question: “Who are you?” A question most of us spend our entire lives trying to answer.

One of my bosses insists on calling myself and one of my other workmates Tweedle-Dee & Tweedle-Dum, but, really, in terms of Alice-in-Wonderlandness I would say that I am a lot more like the aforementioned caterpillar, sprouting questions which at first look may come across as utter nonsense, but on closer inspection has the potential to make us look at ourselves more deeply.

I wrote in another post about question marks and exclamation points, and if I remember correctly, I said something along the lines of finding it easier to live with exclamation points that question marks, and while that is certainly true, I do still like my questions. I like the idea of knowing that I don’t know everything, and I love how one question leads to another, like pearls on the string of life.

While exclamation points can be exciting statements about yourself, a question mark asks you to look further, to get under the skin, to think harder.

That said, my favourite punctuation mark is, by far the semi-colon. Not quite as open as a colon, nor as characterless as the common comma, a semi-colon stands out as strong and purposeful, challenging us to say more.

Anyway, that’s my two pennies for this beautiful sunny morning.

All the very best and more,

xx

On the Alice theme, one of my favourite songs of all time; White Rabbit by Jefferson Airplane.