P.T.S.D. Part two

Thanks to those who responded to my last posting about Post Traumatic Stress Disorder. Evidently it had meaning to a few of my readers... To elaborate on major symptoms mentioned in previous post. Intrusive thoughts and flashbacks... Flashbacks are the reliving of the traumatic experience, just as if you were back there again. This can be brought on (triggered by): certain sudden explosions, helicopters or motorized heavy equipment, the smell of human waste, decay or blood, diesel or jet fuel, dirty canvass, driving down a dusty or sandy road (especially if you've been in a war zone)...people screaming, crowds, hot, dry days...etc. Only you know what your trigger might be. Isolation and avoidance... You may subconsciously be trying to avoid activities, places or people...things which "might" be a trigger to arouse bad memories. The desire to become a hermit by leaving all behind only takes you further away from the objective to re-integrate into normal social situations. In this case it might be necessary to limit your exposure to people and events and try to use good judgment of when to avoid and when to engage those around you. Emotional numbing... Distancing oneself from a topic of conversation, a situation, person or potential trigger which reminds you of a traumatic event. The fear of losing control emotionally, which causes you to deal in negative, aggressive way. This is why war veterans (or the victims of any trauma) have a hard time talking about their experiences. It brings back too many bad memories, which they believe, should be avoided. Depression... Overwhelming sadness and fear that the feelings your experiencing will never get better. A depressed person can feel helpless, hopeless and unworthy of being loved. A big warning sign is sleeping to excess. This is a way of escape for a lot of people, unless sleeping brings with it nightmares, which is often the case. If that is the case, the person who is depressed often "self-medicates" by excessive drinking or drug use. Depression can be totally overwhelming and anyone experiencing symptoms of depression should be encourage to reach out and get help. Seek out help...find something, anything...to look forward to. Learn to practice self-care. Get a time-consuming hobby. Learn a new skill, spend time with an animal friend, get some good, old-fashioned exercise, find a trusted friend or family member you enjoy being with. Get yourself on a schedule, forcing you to get up, take a shower, get motivated, even if it's just a small thing...set some goals... Anger.... You are angry that you have had to experience what you have experienced. Anger reflects a variety of feelings such as betrayal, lack of trust, frustration, sadness and guilt. Anger is a way of "acting out" frustration, leaving you and those around you stunned and afraid. Often this anger is taken out on loved-ones and can end up in domestic violence. Realize that at the bottom of your anger and frustration is the fact that most of those around you don't understand the depth of the trauma and have no ideal, or reality, as to what you have experienced. Sometimes this anger is the reason for "road rage", a form of acting out your aggression. I talked a bit about this in my last blog. The soldier coming home from Iraq who is used to driving in a convoy that is always hyper vigilant when it comes to driving in traffic. Being cut-off, or rear-ended by another car can be an explosive trigger that can lead to an episode of road rage. Some suggestions that have worked for other veterans are: Physical exercise that is appropriate for your physical limitations Reduction of caffeine, alcohol or drug use Relaxation/study/meditation Well-balanced diet and getting appropriate amount of rest If these are things you can't do on your own or with the help of a close friend or relative, it is critical that you get professional help in this area. Contact the Veterans Administration and they can get you the right help to begin dealing with these issues. We will continue to look at more symptoms of P.T.S.D. next week. As I mentioned before, for war veterans, a great resource is the book, "Down Range...To Iraq and Back" by Bridget C. Cantrell and Chuck Dean. Even though the book deals with the Iraq War, it is relevant to the veterans of any war or military action. Also, a good resource is a video series called "The War Within", ...contact Day of Discovery, P.O. Box 2222, Grand Rapids, MI 49501-2222 or on the web at: www.rbc.org