In the preceding blog, we considered the importance of recognizing medical illness as psychological trauma.

In this blog we report on an interview with Michele Rosenthal, author of the trauma recovery memoir, BEFORE THE WORLD INTRUDED, survivor, and host of ‘Your Life After Trauma’.  

Diagnosed with a rare disease, Stevens Johnson Syndrome, at age thirteen, Michele journeyed through two decades of undiagnosed PTSD to eventual recognition, recovery and support of many as the founder of www.healmyptsd.com.

What she offers in lessons learned is of value for parents of children who have faced illness, as well as adults who wonder how they will ever reclaim their bodies, heal their sense of self and take a new self into the future.

Michele, your journey from illness started when you were only thirteen. Parents suffer so much when they see their children suffer. How did your parents respond?

My parents were phenomenal! They were there in a very active way. Their presence next to me, their translation of what was happening to me, their role in helping the staff understand me in a certain way were all crucial to my safety and comfort.

Do you think you have an inflated sense of self?

Do you have positive illusions about the way you compare with others, make decisions, control your circumstances?

While this enhanced self-perception may not, particularly in the extreme, cause you to win friends and influence people – it may actually serve you well in buffering stress and coping with adversity.

A recent study by Gupta and Bonanno gathered longitudinal data to examine the relationship between self-enhancement and adjustment of college students to potentially traumatic events over their four years. It is the only study to date using on-going reactions instead of post trauma retrospective reports.

Knowing how much I love the warm weather and the beach, a friend recently asked if I wished I could I re-locate to one of those Caribbean Islands. Without blinking, the first words that came out of my mouth were, “No, not enough stress.”  WHAT?

Well, what I was thinking about was the adrenaline rush that makes life interesting – you know, the race to make the express train, the challenge of the new case, the arrival of last minute guests, the negotiations of pets and people over the holidays…

I wasn’t factoring in the anxious ruminations that keep us up at night, the pressured multitasking that results in lost car keys and misplaced cell phones, or the distracted thinking that equates to missed bill payments, migraines, and fender benders…. stress that spills ‘over the top.’

Numerous studies have identified exercise as a key factor in reducing depression symptoms. A recent study heightens the argument by finding that as compared to age, race, gender, body mass index cholesterol, blood pressure and diabetes, it was the sedentary lifestyle of a depressed person that alone accounted for about 25% of the risk of heart-related deaths. The message is that we need to move because our lives depend on it!

The problem is that when you are depressed often the last thing you want to do is exercise.

Given the despair, lethargy, self-doubt, exhaustion, disinterest in activities and shame experienced with depression, the suggestion to exercise feels like adding insult to injury. “I’m not exercising because I’m depressed.”

Knowing exercise could help, but feeling unable to do so often adds to the self-recriminations and low self-esteem of depression.  In one case, the more the young woman watched other family members exercise – the less possible it felt.

Depression’s Landscape.

Given the recent discussion of the pros and cons of medications and treatments for depression, it seems clear that people need to have information and treatment options. It also seems important to stack the deck toward feeling better with anything that might work for you. If you have wanted to exercise but find it impossible – here are some suggestions.

It is easy to feel happy, content and hopeful when things are going well. What about when life becomes stressful?

How do we hold on to positive feelings in the face of the unexpected diagnosis, the child with special needs, the job that disappears, or the deployment of a spouse?

The definition of happiness most agreed upon by neuroscientists, psychiatrists, economists, positive psychologists and Buddhist Monks is not of happiness as the state of bursting with glee but of happiness as a sense of well being, contentment, the feeling of living a meaningful life, of utilizing one’s gifts, of living with thought and purpose.

Positive and Negative Feelings Can Co-Exist

Research tells us and perhaps your personal experience confirms that positive and negative feelings can both occur during a stressful period of time.  That’s not to say that they occur at the same time or that you should “Smile when your heart is breaking.”  Rather, it means that tears and fears are not incompatible with laughter, enjoyment, love or mastery as we face life’s challenges.

Once again the recent holidays were pierced by the tragedy of a local high school senior who died by suicide. Having taken pills, she went to sleep. Her parents were sleeping in the next room. She never woke.

The reality of this type of event is horrifying.  Pain and grief reverberate on every level of the community. There are always unanswered questions that haunt family, friends, school and community connections. The unthinkable has happened.  Any parent, if only for a moment, dares to ask, “Could My Teen Commit Suicide?”

The Society for the Prevention of Teen Suicide (SPTS) would say that if that question motivates parents to learn more about the warning signs of suicide, find to a way to speak to their teens, and reach for help– it might be one of the most important questions they consider.

• “I love you but I don’t love that large Disney Sweatshirt.”
• “When did marriage mean you would stop shaving on the weekends?”
• “Everything you tried on looks great– why can’t you wear any of them?”
• “I think they said casual not throw-away.”

For most people, there was something about the physical characteristics of the person they fell in love with that tripped their chemistry into response. Should that stop mattering when the wedding is over, the kids are in school or the retirement is planned? Not Really.

This is a culture that pushes looks, youth, beauty and the icons that possess theme.  For those seeking a partner, there is a considerable amount of interest in what catches the attention of men when meeting women and what women find attractive in a man.

If you are human, you know about worry.  Worry is the state of negative thinking we engage in when we are faced with a real or anticipated threat. It’s the ”thinking” component of the physical heart racing and sweaty palms that make up anxiety:  “What if I get laid off?”, “Why did he say he was just too tired to make love?”, “How will I tell my wife I want the transfer?”, “ What if I miss my plane?”

Whereas a certain degree of worry can cause us to problem solve, ask for help, change behavior patterns, even enhance our attention to partners, excessive worry burdens us personally and interpersonally. In his book, Worry , psychiatrist Edward Hallowell, suggests that as compared to  “good worry” that leads to constructive action, “ toxic worry” can paralyze us.