ptsd

A woman in combat? Yes. Since when? Since Native American warrior Buffalo Calf Road Woman knocked that prick General George Custer off of his horse. Since Pantea Arteshbod propelled herself to become one of the greatest Persian commanders during the reign of Cyrus the Great. Since Hua Mulan disguised herself as a male to engage in combat and became one of China__ most respected heroines.

A moving target is harder to kill, and I didn't stop running, maneuvering, until I reached home base, where I could breathe between death-defying sprints. I just need to make it home alive, and this will all be over, I told myself. Home.

There are people who come home from war and want to talk about the pain, but no one wants to listen; there are others who want to keep silent and repress the memories, and all their family and friends want is to talk about it. I call this the war veteran reintegration paradox.

In World War One, they called it shell shock. Second time around, they called it battle fatigue. After 'Nam, it was post-traumatic stress disorder.

As a civilian, I know nothing about combat, the Marine Corps experience or modern man's struggle adjusting to peace after war. I only know what's been shared with me; confidences I would never betray, nor use as details in a novel.

We are Craiglockhart's success stories. Look at us. We don't remember, we don't feel, we don't think - at least beyond the confines of what's needed to do the job. By any proper civilized standard (but what does that mean now?) we are objects of horror. But our nerves are completely steady. And we are still alive.

Even in times of trauma, we try to maintain a sense of normality until we no longer can. That, my friends, is called surviving. Not healing. We never become whole again ... we are survivors. If you are here today... you are a survivor. But those of us who have made it thru hell and are still standing? We bare a different name: warriors.

A child's (or an adult's) nervous system may detect danger or a threat to life when the child enters a new environment or meets a strange person. Cognitively, there is no reason for them to be frightened. But often, even if they understand this, their bodies betray them. Sometimes this betrayal is private; only they are aware that their hearts are beating fast and contracting with such force that they start to sway. For others, the responses are more overt. They may tremble. Their faces may flush, or perspiration may pour from their hands and forehead. Still others may become pale and dizzy and feel precipitously faint.

Fear is the paralyzing emotion that inhibits or restricts normal feelings of love, confidence, and well-being.

By processing information from the environment through the senses, the nervous system continually evaluates risk. I have coined the term neuroception to describe how neural circuitsdistinguish whether situations or people are safe, dangerous, or life-threatening. Because of our heritage as a species, neuroception takes place in primitive parts of the brain, without our conscious awareness.

This book is a memoir - not of specific life events, but of the processes of dissociation, and of re-enlivening emotions that are shameful to admit or even to feel. It is an account of the altered states that trauma induces, which make it possible to survive a life-threatening event but impair the capacity to feel fear, and worse still, impair the ability to love. (292)

BEFRIENDING THE BODY Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies. Being frightened means that you live in a body that is always on guard. Angry people live in angry bodies. The bodies of child-abuse victims are tense and defensive until they find a way to relax and feel safe. In order to change, people need to become aware of their sensations and the way that their bodies interact with the world around them. Physical self-awareness is the first step in releasing the tyranny of the past.In my practice I begin the process by helping my patients to first notice and then describe the feelings in their bodies__ot emotions such as anger or anxiety or fear but the physical sensations beneath the emotions: pressure, heat, muscular tension, tingling, caving in, feeling hollow, and so on. I also work on identifying the sensations associated with relaxation or pleasure. I help them become aware of their breath, their gestures and movements.All too often, however, drugs such as Abilify, Zyprexa, and Seroquel, are prescribed instead of teaching people the skills to deal with such distressing physical reactions. Of course, medications only blunt sensations and do nothing to resolve them or transform them from toxic agents into allies. The mind needs to be reeducated to feel physical sensations, and the body needs to be helped to tolerate and enjoy the comforts of touch. Individuals who lack emotional awareness are able, with practice, to connect their physical sensations to psychological events. Then they can slowly reconnect with themselves.

PTSD is a whole-body tragedy, an integral human event of enormous proportions with massive repercussions.

we are threatened with suffering from three directions: from our body, which is doomed to decay..., from the external world which may rage against us with overwhelming and merciless force of destruction, and finally from our relations with other men... This last source is perhaps more painful to use than any other. (p77)

If the sound of happy children is grating on your ears, I don't think it's the children who need to be adjusted.

The Persian rug served as their country with people living injade green jungles and others living in an opal cream sky.They were so light. No one would ever be able to tell thatthey had lived there.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as __ppositional defiant disorder,_ meaning __his kid hates my guts and won__ do anything I tell him to do,_ or __isruptive mood dysregulation disorder,_ meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

The Persian rug served as their country. The brawnier toilet paper people opted to live in its jade green jungles while the more sensitive and reflective toilet paper people preferred hiding in its opal cream sky. They were so light. No one would ever be able to tell that they had lived there.