The Cure for PTSD Terror: you’re soaking in it

This post may trigger PTSD sufferers.

In our search for mental health care, we once sat in a Kern County, California, mental health clinic listening to a psychologist exclaim that our patient could not have PTSD because she had never served in the army.

In fact she had been conscripted at birth as all the rest of the family had, and our sergeant major was a bat-shit crazy man, known initially as daddy and later as grandfather. His sadist attacks were so traumatizing that we dared not reveal them even had we been able to remember. So it was that the patient had been repeatedly taken back to that house of torture by her mother, the author of this blog.

(To be fair, mother could not recall that her own life had almost ended when the b-s crazy man raped her as a child. And she has spent the last 30 years since b-s crazy man died and she did remember, in profound guilt and grief. But enough of personal angst.)

Suffice to say Dad could have given the North Koreans or even the CIA lessons in torture or a 2.0 course in mind control. He himself had rather an unpleasant death, which I describe at the end of my e-memoir, Never Tell, recovered memories of a daughter of the Temple Mater. joycehowe.com

That’s the back story as to why the patient developed suicidal impulses and then intractable insomnia. For most of her life, she was able to repress the trauma, going so far as to contend that the rest of us experienced it, but she didn’t. This was lucky, because by then we had put in years of dealing with it, worn out therapists and come to realize that terrifying as it is, the past is dead and gone.

As, by the way, were quite a few people outside the family, who encountered our very own psychopath. And, no, a million dollar police investigation, involving three police forces couldn’t prove that.

How to deal with such insomnia? Even the strongest drugs couldn’t put her to sleep for long. In one 5 day hospital stay, five other drugs were tried. The fifth one precipitated a heart attack. So we cast about for other methods.

Finally last April, I concluded she couldn’t sleep because she was afraid to dream.

At one point, she fled to Toronto and her loving mother’s arms. I would sit at her bedside until she fell asleep, sometimes for 90 minutes. It is a moving experience to sit in the dark beside someone you love as she does her best to sleep. Going to sleep for her isn’t easy, but it is easier than staying asleep. I wasn’t up to being there at 4 a.m. when she usually comes wide awake. Or 3 am or 2 am. Sometimes she doesn’t sleep at all, just lies in a semi-conscious state, which surprisingly can generate bad dreams.

While I was studying the NICABM (National Institute for the Clinical Application of Behavioral Medicine) Treating Trauma Master Series , I came across the idea that therapists don’t do their clients any favours by trying to make them feel safe. That is a technique that Grandad and hosts of his fellow abusers use. Trying to make the trauma survivor relax is an immediate trigger – they want to run a mile.

Our patient came at the idea from a totally different angle. She watched a terrifying movie, went to bed late and slept like a baby.

We reached the conclusion that, instead of avoiding fear, she (we in fact) had to soak in it – like that Palmolive dish detergent commercial years ago where the woman is in the nail salon -“You’re soaking in it”. https://www.youtube.com/watch?v=_bEkq7JCbik

We are in the research phase. Our patient has spent the last several months reading about psychopathic serial killers and watching shows like The Mindhunters. The Mindhunters interview serial murders in prison in order to understand them. Patient reports that the single scariest scene so far was one in which the woman on the mindhunter team was at home in her apartment at night wearing only a long  man’s shirts and pouring herself a glass of wine at the kitchen counter. She was at the left of the shot. The right side showed the rest of the kitchen and hall, an empty floor. An absolutely terrifying space. Into which something could suddenly come. I myself found the next scene where she goes down to the building’s laundry – still dressed only in the shirt – and while the washer starts, hears a cat meowing outside the open basement window and decides to feed it her leftover tuna. I will not divulge what eventually comes through that window.

Who says recovering from PTSD can’t be fun?

I’ve always hated Hallowe’en and horror shows, but now I begin to see their value. We can’t evade our terror. It may be buried, but it’s there, so we might as well face it, embrace it as far as possible. We don’t need to defy it. We can acknowledge it and even say this is what made me who I am. We can say, ‘I have been to the edge of death more than once, but I can still permit myself to sleep’. At least six hours most nights.

And of course, we can refuse to put ourselves in real life situations with people that scare us.

See also https://115journals.com/2013/10/18/the-cure-for-pain/

 

 

 

 

 

 

 

The Cure for Fear

Okay, I should be asleep. I need to be. I want to get up early. Things to do. May actually be getting something, (When am I not?) But I have this great opportunity, which I am going to lose tomorrow. I am uncertain and afraid. Tomorrow I will call my oncologist. If my appointment is moved forward to next week instead of the week after, I know the lump that we’ve detected needs further study.

Blake and I were sitting in Starbucks in the lobby of Toronto General, gazing back at the Art Deco facade of Princess Margaret Hospital from which we had just jaywalked.

“Even if I do get an immediate call-back it could still be A or B. That would have to be determined,” I say.

“Or it could be C,” Blake quips.

“Oh, it could very well be C,” and I have to laugh.

Yes, well,  we have just spent two hours waiting to hear Blake’s test results with regard to C. They weren’t bad, but then they weren’t good either. It’s the usual seesaw game of prostrate cancer. Knock down the PSA score and the testosterone with hormones. Ease off. Watch the PSA rise again. Today, it was decided that it was time to go back to the heavy ammunition. Not easy news for the manly Blake, but excellent news in that the drugs have improved since last time and he is line to get this extremely expensive medication for free.

Not many men in the clinic bring along their ex-wives probably, but Blake’s young second wife was carried off by cancer two years ago. So he and I are embarked on this mutual study of mortality.

Much else has been happening this week. My brother Rob underwent knee replacement in Brussels. My daughter and her husband declared bankruptcy and their home is about to be foreclosed on. True this “disaster” has opened up their lives and led them to a prospective mountain home. My grandson, Leo, who has to get his driver’s license or lose his job, has his own test redo to deal with. I had enough fear to go round.

So I kept up my mantra, “I love you and I trust you.” Initially, I just mouthed the words, but gradually I realized what they meant. Driving down to the hospital today, I found it had morphed into, “I love you. I know you are pure love. I trust love.”

Blake and I, out of nothing but pure love, created a home, two children and careers that supported us. An excellent foundation for this present project.

At home, afterward, I read Rumi’s poetry (Rumi: The Book of Love, trans. Coleman Barks). One section is called “Tavern Madness” and the poems in it are about the ‘drunkenness’ of the overwhelming contact with the divine. Dinners in our home were full of such non-alcoholic ‘drunken’ conversations, full of revelation and confidence in our vision of life.

Rumi says: I didn’t come here of my own accord
                  And I can’t leave that way.
                  Whoever brought me here will have to take me home.

I love the way, poetry lets you work things out for yourself. And I love the idea of surrender to the steady shoulder that is capable of supporting my staggering self.

In another poem, Rumi says, I am the clear consciousness core of your being,                                              The same in ecstasy
                                             As in self-hating fatigue.

And so, I came around to an open heart and fear dissolved.

How To Be in Response to Terrorism

It’s tempting this morning, the day after the bombing of the Boston Marathon, to sink into despair, to tighten up in fear. Just what the terrorists had in mind.

So what is my responsibility at this moment?

Of all the images that have burned into my mind, I need to chose the image of people “running toward the fire”, the people tearing down the barriers to get to the wounded. There were many more helpers there than destroyers – bystanders, marathon workers, police, soldiers, security staff, medics, nurses, doctors, hospital staff. There were those who documented events and brought what they witnessed to us.

And yet, the overwhelming pity we feel for the victims’ pain and loss threatens to outweigh the good. They are in the thick of it, but most of us are not. I am not. I have distance. My job is not to add to the thought-form of terror and despair. What I need to do today is not just to “keep calm and carry on”, but to focus on goodness and light, not in some airy-fairy new age way but at a very concrete level. I, personally, can do that by remembering how parents and uncles and aunts and teachers and all the others who “run toward the fire”, outnumber and more than balance the deluded bombers. I cannot and never could afford to give in to terrorism.

What works for me isn’t necessarily going to work for someone else. You may use some other method of restoring your positive outlook. It might be compassion or faith in God or something else. Feel free to share it.