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This is sort of the "best of" section where I'll link to the blog entries people seem to read the most. Perhaps I ought to have a page on "What is PTSD" but lots of others have already done that, so I'll just my favorite, a glossary from the Sidhran Institute [link checked 7/12/20].
Two notes before we begin. First, I am not a professional. I have kept this blog to share my experience with PTSD, but I cannot help you directly if you are suffering from PTSD. I only check in here intermittently and it breaks my heart to see someone plea for help and get no response. Please, if you are in crisis, call 911. If you are looking for treatment or direct help, please contact the Sidran Institute. They are an excellent resource and can help you find appropriate treatment. If you are finding out about PTSD in yourself or another and want to know what my experience has been, read on.
Second, if you make comments that contain negative statements about people at various facilities by name, I will not publish them. Stay general, and even say there are problematic people to avoid, but no names. Probably best to leave out names of people you consider praiseworthy too. Self-promoting comments or links to link farms or anything that is the least bit suspicious will be deleted. I err on the side of caution. That said, there is a wonderful compendium of knowledge and wisdom in the comments, so thank you to all who have shared there over the years, and please feel free to continue commenting as you see fit. They are one of the great rewards of writing this blog!
People in crisis often want to know where they can get help. Grounding exercises for PTSD can help get us through the short term. Here is a way of finding US and global treatment centers that specialize in PTSD. That is of course assuming you are privileged enough to have access to these resources. Not everyone is. And in case I forget next winter, here are some tips on PTSD and the holidays. One of the most disturbing symptoms of PTSD is flashbacks, especially when they result in "non-epilectic seizures" or what a doctor might have called "pseudo-seizures," though there is nothing "pseudo" about them.
If you are looking to help a loved one diagnosed with PTSD, you might want to read my open letter to someone looking to help a loved one with PTSD. My partner, who is a key part of my loving and supportive network of friends, has been absolutely critical to my ongoing recovery, and I share some of the ways she has both helped me when I could not help myself and some of the unfortunate costs she has paid as a result of my PTSD. It is a hard road, but we have come through stronger than ever, so there is hope.
Picking a therapist can be difficult for someone with PTSD, because often times the PTSD itself messes with our pickers. Through necessity and trial and error and generous borrowing of other people's wisdom, I've come up with a brief subjective guide on how to choose a therapist for ptsd. It contains links to some other, less subjective guides too.
Along with getting medical and psychological help, medication helped get me stabilized even though I was really resistant to it because of being a recovering addict. I wasn't resistant to trying Effexor, and kind of wish I had been (see Battle of the Effexor and Joy of Meds: Effexor withdrawal) I have quite a bit to say about PTSD and 12-step programs. While 12-step programs saved my life, I found that their one-size-fits-all model did more harm than good after the initial haze of the drugs and alcohol wore off. There is more than one type of addict (and some more on the subject here). And although it claims not to hew any one denominational line, it is based on Christianity in some ways that were harmful to my recovery. I finally decided to leave 12 step approaches, a difficult decision. In hindsight, however, some of the most exploitative folks I ever met were from the halls of twelve step rooms and the addictions recovery industry. Spiritual and psychological abuse are real and create huge barriers to recovery. Just to be sure, I tried a few alternatives to 12 step approaches that were promising but fizzled out, so I tried again, home group and everything, The results were the same, but magnified in a way that really drove the point home. For the past few years, I have found an Al-Anon home group that takes care to welcome everyone and not get caught up in "my way or the highway thinking. It turns out that my main problem, as long as I don't pick up, is not with substances, but with addicted dysfunctional people, so this Al-Anon has turned into a real home group for me. Might not work for everyone, but it is working for me.
Betrayal bonds form a major part of PTSD as I have experienced it, so I've spent a lot of time writing about them. You might have heard of this as Stockholm syndrome. They take a number of different forms. Fully understanding the nature and effects of betrayal was key to beginning my recovery from PTSD. While the guy who wrote the book on betrayal bonds associates them with sexual addiction, I have found this ain't necessarily so.
If you are interested, I can tell you more about my PTSD. Some days are still rough (skin-crawling, time-wasting, losing time, etc) but I have found a certain amount of recovery, and my life is once again bearable, even enjoyable on good days. And I'm still here, yes still here, and even now, still here. Partly it depends on which dogs I feed. It also helps to have a loving and supportive network of friends. Oh, and to stay far away from toxic relationships.
Showing posts with label betrayal. Show all posts
Showing posts with label betrayal. Show all posts
Sunday, August 13, 2023
Friday, March 13, 2009
exploitative folks in 12 step programs and elsewhere
Once again, somebody's comments sparked a post from what started as a simple response. Anon, thanks for your comments on this page and and on the "type A&B" page. In a nutshell, she said thanks for the heads up as she tended to trust 12 step folks blindly and had not realized there were some exploitative types in the rooms.
I really need to tread a fine line...AA and 12 step programs saved my life at one time, but nearly cost it another. I managed to get sober there when I could not under my own steam no matter how hard I tried. I'm forever grateful for that, because it has made the rest of my life possible, painful as parts have been.
That said, the most manipulative, scheming, two faced, fair weather friend type people I have ever met, straight or high, have been in 12 step programs or the addictions recovery field. I had the blind trust anon talks about -- after all, these people had literally saved my life and I knew it! And there are some great, decent, and honest people in AA. There are also used car salesmen (I bought a lemon from a guy who used 12-speak and AA "seniority" to get me to trust him when making a purchase I wished I hadn't), spiritual abusers ("when I f&%*ed you over it was God's will"), therapists ( did anyone ever notice that the word spells "the rapist?" -- just kidding sort of...while several of my therapists were akin to rapists, others I have learned to choose have been remarkably helpful) willing to rip up families to make a few thousand bucks, even to the point of driving the abandoned ones to suicide ("oh she was messed up...good thing he left her when he did!"), and this is before even getting to romantic relationships, where as I said, because of my tendency toward trauma repetition, and never having been around healthy people to know any better, and my blind trust in 12 step folk, I got involved with the sickest most twisted people I have ever met in my life. I'm still trying to sort it out 15-20 years later!
I would never tell anyone to avoid all relationships with recovering people...there are some healthy ones I am sure (plus I'm one!), but tread carefully! Trust slowly and cautiously if at all. Trust is earned and provisional, based on actions not words, and not granted eternally, just for now. Pay attention...don't disregard your common sense and intuition...a major part of my recovery has been to slowly reclaim those things...if it looks too good to be true, it probably is.
The thing is, I was so needy and vulnerable, even 5-6 years into recovery, that I ignored all this and rather than waiting and going slowly, I dove in and trusted blindly because I did not know how to develop earned trust over time rather than just give it or withhold it arbitrarily. As a result, I got in traumatic relationships again and again (twice in recovery, to be exact) that I am still struggling with much later. They very nearly cost me my life. They did cost hundreds of thousands of dollars in lost work time when I just could not function because of the results of them. They caused unbearable and completely unnecessary pain and a number of trips to psyche wards and a trauma treatment center. When I have told people the details, they have been amazed that I didn't pick up over this stuff...many just assumed I had. One person I respect a lot, an earth person (i.e., not in 12 step programs) said the last perpetrator was an emotional rapist.
But honestly, I don't know if I could have taken the advice I am giving now, because I was stubborn and thought if I did not get somebody *now* I'd be alone forever. Looking back, I would have been better off alone, but I needed to learn it the hard way I guess. And even today, knowing what I know, I don't know that if I were single and put in the same situation I wouldn't repeat my mistake again. I like to think I have learned better, but I don't know that. I am just glad I am in a healthy non-abusive relationship for a long time and don't have to face that particular weakness in myself.
It is a funny thing...the healthy relationship didn't come with all the drama, risk, and emotional highs -- or lows -- that the sick relationships did, so it took me literally years to figure out that all that drama and ball of hurt I was used to was not an intrinsic part of human relationships! I thought I was missing something and I guess I was. To be honest I missed the rush, just like a drug, but also to be honest, I have learned I certainly don't miss the consequences.
I just have to say, over the few years I have intermittently written this blog, I have been continuously gratified that there are other people who understand. One of the worst parts of my PTSD was thinking I was alone and hopeless and crazy. So thank you to all of you who have commented over the years. You keep me thinking and writing about this stuff, which helps me work stuff through, and I am grateful that something helpful to others has come out of something so insufferable.
I really need to tread a fine line...AA and 12 step programs saved my life at one time, but nearly cost it another. I managed to get sober there when I could not under my own steam no matter how hard I tried. I'm forever grateful for that, because it has made the rest of my life possible, painful as parts have been.
That said, the most manipulative, scheming, two faced, fair weather friend type people I have ever met, straight or high, have been in 12 step programs or the addictions recovery field. I had the blind trust anon talks about -- after all, these people had literally saved my life and I knew it! And there are some great, decent, and honest people in AA. There are also used car salesmen (I bought a lemon from a guy who used 12-speak and AA "seniority" to get me to trust him when making a purchase I wished I hadn't), spiritual abusers ("when I f&%*ed you over it was God's will"), therapists ( did anyone ever notice that the word spells "the rapist?" -- just kidding sort of...while several of my therapists were akin to rapists, others I have learned to choose have been remarkably helpful) willing to rip up families to make a few thousand bucks, even to the point of driving the abandoned ones to suicide ("oh she was messed up...good thing he left her when he did!"), and this is before even getting to romantic relationships, where as I said, because of my tendency toward trauma repetition, and never having been around healthy people to know any better, and my blind trust in 12 step folk, I got involved with the sickest most twisted people I have ever met in my life. I'm still trying to sort it out 15-20 years later!
I would never tell anyone to avoid all relationships with recovering people...there are some healthy ones I am sure (plus I'm one!), but tread carefully! Trust slowly and cautiously if at all. Trust is earned and provisional, based on actions not words, and not granted eternally, just for now. Pay attention...don't disregard your common sense and intuition...a major part of my recovery has been to slowly reclaim those things...if it looks too good to be true, it probably is.
The thing is, I was so needy and vulnerable, even 5-6 years into recovery, that I ignored all this and rather than waiting and going slowly, I dove in and trusted blindly because I did not know how to develop earned trust over time rather than just give it or withhold it arbitrarily. As a result, I got in traumatic relationships again and again (twice in recovery, to be exact) that I am still struggling with much later. They very nearly cost me my life. They did cost hundreds of thousands of dollars in lost work time when I just could not function because of the results of them. They caused unbearable and completely unnecessary pain and a number of trips to psyche wards and a trauma treatment center. When I have told people the details, they have been amazed that I didn't pick up over this stuff...many just assumed I had. One person I respect a lot, an earth person (i.e., not in 12 step programs) said the last perpetrator was an emotional rapist.
But honestly, I don't know if I could have taken the advice I am giving now, because I was stubborn and thought if I did not get somebody *now* I'd be alone forever. Looking back, I would have been better off alone, but I needed to learn it the hard way I guess. And even today, knowing what I know, I don't know that if I were single and put in the same situation I wouldn't repeat my mistake again. I like to think I have learned better, but I don't know that. I am just glad I am in a healthy non-abusive relationship for a long time and don't have to face that particular weakness in myself.
It is a funny thing...the healthy relationship didn't come with all the drama, risk, and emotional highs -- or lows -- that the sick relationships did, so it took me literally years to figure out that all that drama and ball of hurt I was used to was not an intrinsic part of human relationships! I thought I was missing something and I guess I was. To be honest I missed the rush, just like a drug, but also to be honest, I have learned I certainly don't miss the consequences.
I just have to say, over the few years I have intermittently written this blog, I have been continuously gratified that there are other people who understand. One of the worst parts of my PTSD was thinking I was alone and hopeless and crazy. So thank you to all of you who have commented over the years. You keep me thinking and writing about this stuff, which helps me work stuff through, and I am grateful that something helpful to others has come out of something so insufferable.
Monday, December 08, 2008
toxic relationships
Well, this started as a response to a bunch of comments but turned int my first post in a while, so thanks to the anonymous poster who made the comments referenced below.
anonymous said:
It is a slippery and seductive slope though. Most traumatized people hold it in til it blows up, which I did, or find constructive ways of dealing with it, which is what I try to do now. But when things blew up, I hurt those around me, the closer and more supportive they were, the more so. I realized this and it was a major incentive to get better so that I would not continue to have the stuff come out sideways and hurt the ones I love and who love me. I can see though, that had I just felt entitled to what I was doing rather than being appalled at it, it would then be but a short drive to perp-dom. So I have understanding, but no tolerance or forgiveness for abusers.
I am grateful for being able to break the cycle in my own life but it has come at great cost. My tendency was to buy into the perpetrator's version of the story and see myself as defective or the source of whatever problems they blamed on me. I promised myself when I was a little kid that I would not do to my kids what was done to me. My latest greatest abuser played into all my fears and insecurities (and ignorance about boundaries!) and after I got totally screwed over, the person convinced me that I was the abusive one (I hesitate to even write this for fear that whoever reads it will side with my abuser too!) by invoking what I had recognized as lies a previous toxic person had accused me of.
The latest, greatest one knew my feelings and insecurities about this because I told her all about them. Rather than realizing "wow, what a sick person, trying to justify her abusive behavior by flinging that stuff at me," I thought "well that's twice in a row...maybe I'm as blind as my parents were to their abusive behavior and just cannot see it." As a result, I decided not to have kids, because I took my childhood promise to myself seriously, and until I could see how it was I was being abusive I would do what it took to make sure I didn't pass it on.
This was my backwards sense of boundaries, where I thought they were to keep me walled off from doing harm from others rather than to protect myself from toxic abusive people. Years later, the person admitted I had not been anything close to abusive and that she made it up to justify her actions, but by then it was too late to start a family and the harm had been done. Because a life of traumatic relationships with everyone from parents to siblings to strangers to lovers, my belief in myself and my own feelings was nil. This is perhaps the greatest thing I have recovered in getting better from PTSD, my trust in myself as a basically good human being. I had to learn what most people learn as children, how to tell what's mine from what's not, and that has made all the difference.
anonymous said:
My story was a string of "moderately traumatic" events that left me feeling constantly on edge, ready for betrayal or chaos at any moment, completely in physical and emotional pain for years.Yes, I know that feeling well, that there is no safe place, the world might give way under foot at any moment. Finding ways of being and places, even imaginary ones, that are safe has been a big part of recovery for me. EMDR, which I have been thinking of writing a post on for a very long time but haven't gotten around to it, was helpful in doing this. I started out with an imaginary safe place, but also learned to trust that loving and supportive network of friends, which has been a challenge, but also tremendously rewarding as far as recovering goes.
anonymous wrote:I think awareness is a crucial first step. All the toxic people who were in my life surely had their own unaddressed trauma issues, I know this for a fact. I think perpetrators of abuse are traumatized people who feel entitled to take out revenge for their trauma on the world around them. Its their way of dealing with it, but it creates more trauma, passing it along to new people. Most traumatized people won't turn into abusers, but I bet 99.9% of perpetrators come from traumatized backgrounds. Its important to reiterate that this is not a fait accompli.
The supportive, loving people I have new relationships with don't deserve to deal with my insecurities from the manipulative, destructive people in my toxic past.
It is a slippery and seductive slope though. Most traumatized people hold it in til it blows up, which I did, or find constructive ways of dealing with it, which is what I try to do now. But when things blew up, I hurt those around me, the closer and more supportive they were, the more so. I realized this and it was a major incentive to get better so that I would not continue to have the stuff come out sideways and hurt the ones I love and who love me. I can see though, that had I just felt entitled to what I was doing rather than being appalled at it, it would then be but a short drive to perp-dom. So I have understanding, but no tolerance or forgiveness for abusers.
I am grateful for being able to break the cycle in my own life but it has come at great cost. My tendency was to buy into the perpetrator's version of the story and see myself as defective or the source of whatever problems they blamed on me. I promised myself when I was a little kid that I would not do to my kids what was done to me. My latest greatest abuser played into all my fears and insecurities (and ignorance about boundaries!) and after I got totally screwed over, the person convinced me that I was the abusive one (I hesitate to even write this for fear that whoever reads it will side with my abuser too!) by invoking what I had recognized as lies a previous toxic person had accused me of.
The latest, greatest one knew my feelings and insecurities about this because I told her all about them. Rather than realizing "wow, what a sick person, trying to justify her abusive behavior by flinging that stuff at me," I thought "well that's twice in a row...maybe I'm as blind as my parents were to their abusive behavior and just cannot see it." As a result, I decided not to have kids, because I took my childhood promise to myself seriously, and until I could see how it was I was being abusive I would do what it took to make sure I didn't pass it on.
This was my backwards sense of boundaries, where I thought they were to keep me walled off from doing harm from others rather than to protect myself from toxic abusive people. Years later, the person admitted I had not been anything close to abusive and that she made it up to justify her actions, but by then it was too late to start a family and the harm had been done. Because a life of traumatic relationships with everyone from parents to siblings to strangers to lovers, my belief in myself and my own feelings was nil. This is perhaps the greatest thing I have recovered in getting better from PTSD, my trust in myself as a basically good human being. I had to learn what most people learn as children, how to tell what's mine from what's not, and that has made all the difference.
Thursday, November 10, 2005
ptsd and me
OK, the description by the title says a lot about what I want to do here, but let me tell you a little about me. I'm a white guy (but a bit of a race traitor), mid-40s, good job that I'll never get rich from but pays the bills and is fun. I'm happily married, live in a beautiful place, and life is pretty good -- when I can be present for it.
I also have severe, chronic, complex, delayed onset ptsd. It makes my life challenging, but now that I know what it is, I at least have a handle on what was and is happening to me. PTSD is of course, post-traumatic stress disorder. Let me go through the other parts.
Severe? The last major run-in with it put me out of work for over a year. I had about 120 flashbacks over the course of about seven weeks, what get called pseudo-seizures -- they look like regular seizures but I remained somewhat conscious and aware of my surroundings, though sometimes delusional about that. When I came out of them I wouldn't know what day it was or be able to remember how long ago they happened. Maybe I'll go into more detail about them sometime, but they totally freaked us (my wife and me) out. We had no idea what these were or what to do about them at first.
There was more: intense crying jags, incredible bodily pain (I had an operation for hemorrhoids, which is supposed to be about the most painful recovery you can imagine, and ptsd was worse -- though I wouldn't want to repeat either), and something called intrusive thinking...memories of traumatic events triggered by anything, everything, and nothing; lost forty pounds, couldn't sleep, sex life totally fucked up (part of my trauma is sexual abuse, something I'm still trying to deal with), couldn't focus enough to read, self harm (ripping chunks of flesh out for example), and there was probably more I cannot remember. Ummm, no fun.
We (actually, mostly my partner) did a lot of research when the flashbacks started and I ended up in a treatment center for ptsd (Here's another good one, and a comprehensive list for the US). It didn't cure me, but it gave me some tools to help manage things. Slowly, with lots of medication (which I struggled against), therapy, and lifestyle changes, some of the harsher symptoms have gotten better over the past few years.
Chronic? I have come to realize that I have had some version of ptsd for most of my life, but it has been treated and mistreated and outright abused under a bunch of different names.
Complex? Well, let's see...It starts with childhood sexual abuse (which I still struggle with identifying because as a kid I normalized it and my family of origin is in complete denial -- so much so that I am no longer in touch with them -- too crazy-making), neglect, emotional and verbal abuse, depression, and substance abuse. I left home at a young age and added physical abuse and more sexual abuse onto that from street life. I developed a nasty drug and alcohol addiction, something pretty common for ptsd sufferers (I've been clean now for more than twenty years, but other addictive behaviors have haunted me) and became occasionally homeless. The depression continued, I was suicidal. Substance addictions, sexual acting out (nothing violent, but stuff that I'm ashamed of) combined with intense isolation and loneliness contributed to having a really miserable existence.
After getting clean in 12 step programs, my attraction to sick, twisted people (also part of my ptsd) caused more trauma, some of it worse than the substance abuse addiction. Cult abuse, some serious, life changing betrayals by people I trusted and opened up to, suicide attempts, two three-week stays in the loony bin: I wasn't getting the "happy, joyous, and free" promised by 12 step programs. For their part, 12-steppers (and I guess my own internalized twelve step training) often blamed me when things didn't work, saying I was just not doing things right somehow rather than seeing something was wrong that the program couldn't -- and wasn't designed to -- fix.
Severe spiritual and therapist abuse compounded the traumas rather than treating them. This has been a major challenge in my recovery from ptsd. Trust is a problem. A lot of times I don't even trust that the world is not going to disappear beneath my feet. On bad days, every step is an adventure, like walking on a rotted out rooftop or thin ice.
So yeah, its complex.
Delayed onset? The flashbacks started nine years after the events that caused them, long after I was supposedly "over it." In hindsight, I was displaying symptoms of ptsd the whole time, but no one recognized them as such. I got diagnosed with depression, obsessive-compulsive disorder, and a few other things and got put on whatever drugs the pharmaceutical companies were plugging that week with awful results.
I thought I was a sex addict and went to those meetings for a while, but they all had sex with other people. My problem was with porn and compulsive masturbation. I used this as a painkiller because nothing else worked and I was not about to give up sobriety -- too scared of people to act out any other way. Sometimes internet porn would eat up whole days every day. It is something I still struggle with and will write about more, but I didn't feel safe or supported in the twelve step rooms for sex addicts. My sponsor there was hitting on me under the guise of male intimacy and spirituality and others were perpetrators of stuff that I had been a victim of and were having a hard time seeing it as a problem. Not a safe place for me.
I'm actually pretty fed up with twelve step programs even though at the time I got sober they no doubt saved my life. Here's what one study (.pdf file) has to say about it:
I also have severe, chronic, complex, delayed onset ptsd. It makes my life challenging, but now that I know what it is, I at least have a handle on what was and is happening to me. PTSD is of course, post-traumatic stress disorder. Let me go through the other parts.
Severe? The last major run-in with it put me out of work for over a year. I had about 120 flashbacks over the course of about seven weeks, what get called pseudo-seizures -- they look like regular seizures but I remained somewhat conscious and aware of my surroundings, though sometimes delusional about that. When I came out of them I wouldn't know what day it was or be able to remember how long ago they happened. Maybe I'll go into more detail about them sometime, but they totally freaked us (my wife and me) out. We had no idea what these were or what to do about them at first.
There was more: intense crying jags, incredible bodily pain (I had an operation for hemorrhoids, which is supposed to be about the most painful recovery you can imagine, and ptsd was worse -- though I wouldn't want to repeat either), and something called intrusive thinking...memories of traumatic events triggered by anything, everything, and nothing; lost forty pounds, couldn't sleep, sex life totally fucked up (part of my trauma is sexual abuse, something I'm still trying to deal with), couldn't focus enough to read, self harm (ripping chunks of flesh out for example), and there was probably more I cannot remember. Ummm, no fun.
We (actually, mostly my partner) did a lot of research when the flashbacks started and I ended up in a treatment center for ptsd (Here's another good one, and a comprehensive list for the US). It didn't cure me, but it gave me some tools to help manage things. Slowly, with lots of medication (which I struggled against), therapy, and lifestyle changes, some of the harsher symptoms have gotten better over the past few years.
Chronic? I have come to realize that I have had some version of ptsd for most of my life, but it has been treated and mistreated and outright abused under a bunch of different names.
Complex? Well, let's see...It starts with childhood sexual abuse (which I still struggle with identifying because as a kid I normalized it and my family of origin is in complete denial -- so much so that I am no longer in touch with them -- too crazy-making), neglect, emotional and verbal abuse, depression, and substance abuse. I left home at a young age and added physical abuse and more sexual abuse onto that from street life. I developed a nasty drug and alcohol addiction, something pretty common for ptsd sufferers (I've been clean now for more than twenty years, but other addictive behaviors have haunted me) and became occasionally homeless. The depression continued, I was suicidal. Substance addictions, sexual acting out (nothing violent, but stuff that I'm ashamed of) combined with intense isolation and loneliness contributed to having a really miserable existence.
After getting clean in 12 step programs, my attraction to sick, twisted people (also part of my ptsd) caused more trauma, some of it worse than the substance abuse addiction. Cult abuse, some serious, life changing betrayals by people I trusted and opened up to, suicide attempts, two three-week stays in the loony bin: I wasn't getting the "happy, joyous, and free" promised by 12 step programs. For their part, 12-steppers (and I guess my own internalized twelve step training) often blamed me when things didn't work, saying I was just not doing things right somehow rather than seeing something was wrong that the program couldn't -- and wasn't designed to -- fix.
Severe spiritual and therapist abuse compounded the traumas rather than treating them. This has been a major challenge in my recovery from ptsd. Trust is a problem. A lot of times I don't even trust that the world is not going to disappear beneath my feet. On bad days, every step is an adventure, like walking on a rotted out rooftop or thin ice.
So yeah, its complex.
Delayed onset? The flashbacks started nine years after the events that caused them, long after I was supposedly "over it." In hindsight, I was displaying symptoms of ptsd the whole time, but no one recognized them as such. I got diagnosed with depression, obsessive-compulsive disorder, and a few other things and got put on whatever drugs the pharmaceutical companies were plugging that week with awful results.
I thought I was a sex addict and went to those meetings for a while, but they all had sex with other people. My problem was with porn and compulsive masturbation. I used this as a painkiller because nothing else worked and I was not about to give up sobriety -- too scared of people to act out any other way. Sometimes internet porn would eat up whole days every day. It is something I still struggle with and will write about more, but I didn't feel safe or supported in the twelve step rooms for sex addicts. My sponsor there was hitting on me under the guise of male intimacy and spirituality and others were perpetrators of stuff that I had been a victim of and were having a hard time seeing it as a problem. Not a safe place for me.
I'm actually pretty fed up with twelve step programs even though at the time I got sober they no doubt saved my life. Here's what one study (.pdf file) has to say about it:
Messages in substance abuse treatment such as Dont work on the PTSD until youve been clean for a year or Substance abuse is the only problem you need to focus on, while well-intentioned, can be perceived as invalidating of clients trauma history. . . clients and clinicians report that when a client has PTSD, getting clean and sober is a bigger hurdle and such traditional methods may not work as well. For example, the tendency for PTSD memories and feelings to worsen as clients get clean is a common phenomenon. . . . Sadly, clients with the dual diagnosis of PTSD and substance abuse have worse outcomes than those with either disorder alone, and may internalize a sense of failure when they do not succeed in standard treatment programs that work for others. Feeling crazy, lazy, or bad is common-- a sense of demoralization, self-blame, and a feeling of something being terribly wrong with them. . . . initial evidence suggests that working on PTSD and substance abuse in an integrated fashion results in positive outcomes in both of these disorders, as well as related areas. Contrary to older views, treating both PTSD and substance abuse at the same time appears to help clients with their substance abuse recovery, rather than derailing them from attaining abstinence.
I got sober under the "older" model. Against the odds, I didn't pick up. When people at the treatment center heard my story, they were amazed that I stayed sober through it. But drugs and alcohol were a hell I didn't want to go back to.
Anyway, that's a little of my "war story." One last thing for now: I have talked to people who have combat ptsd, and the symptoms don't seem a whole lot different, even if the causes seem different. My ptsd is pretty un-macho, though, so if that offends or you can't deal or you think I just need to get over it, maybe you need to look elsewhere or start your own blog. I have no desire to play the ptsd version of what Elizabeth Martinez calls the "oppression olympics."
I guess the next thing I'll do is post some links. Leave a comment if you read this, let me know someone is there.
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