PTSD Articles

Gardening’s Unique Potential for Healing Trauma

Sunday, June 23rd, 2013

blueflowergardenThere is a good chance that you either are a gardener, you live with one or you know one. As such, you know that whether you are tending to potted geraniums on the deck, prizing the tomatoes in your yard or creating a lush horticultural expanse…there is something about gardening.


The Family Story of Trauma: Ways to Change the Legacy

Sunday, February 17th, 2013

family story of traumaWhether in the past or the present, a traumatic event experienced by one or all members of a family, impacts the entire family system. Be it the violent loss of a child, the devastation from natural disaster, the injury of a combat vet or the suicide of a family member, trauma assaults the lives of all family members and the legacy they share.

How Does a Family Cope?

One of the most important things a family can do in the aftermath of a traumatic event is to find a way over the days, months and even years “to speak about what happened.”

All families engage in story telling. Around the dinner table, in car pools, at holidays, in the middle of the night, family members share the day-to-day experiences of big and small events in their lives. Through the stories they tell, families create the fabric of their life and their legacy.

Why is it Difficult for Families to Speak About Trauma?

  • Families have a difficult time speaking about traumatic events because traumatic events assault the fabric of family life.
  • They are unexpected events that threaten, injure, and take the life that was known and the people that were loved.
  • They leave family members overwhelmed, frightened, angry, haunted with images, self-blaming, and bereft.
  • They are beyond what family members can physically and emotionally comprehend.
  •  Traumatic events feel “beyond words”.

Family Protection Through Silence and Avoidance

Given this impact of trauma, the inclination of many family members is to protect each other by not speaking about the trauma.In an effort to spare others from more pain, prevent the stirring of feelings, avoid contaminating with traumatic memories, or burdening the family with grief, both adults and children disavow history, deny feelings and often avoid connection. The myth is that “if we don’t talk about it we can live beyond it.”

Historically we know that the opposite is true. As  trauma expert, Cathy Caruth says, trauma “will out” in one way or another in spite of being silenced or denied. What can’t be said must be carried and acted out.


Understanding Anger in the Aftermath of Trauma and Disaster

Tuesday, January 22nd, 2013

“Is Anyone Else Angry?”

anger and traumaTrauma theorists tell us that while traumatic events are in themselves physically and emotionally assaultive, it is often the emotions suffered after the smoke clears and the media goes home that become painful and disruptive to our recovery. One of these is anger.

Anger in the aftermath of a traumatic event, be it the loss of a child, the destruction of one’s home, a life-threatening diagnosis or the sequel to combat stress is a common and complex response. It can be experienced as a physiological state, an emotion, a way of thinking, a behavioral response or a combination of these.

  • You are not alone if you feel angry about what has happened.
  • Essentially you are suffering. The problem is that when anger persists–it obscures everything else.
  • The ability to make meaning of it and redirect it, keeps it from holding you back and taking more from you.

Understanding some of the feelings and dynamics that underscore anger after trauma may be an important step in your journey forward.

Anger as Residual of Fight/Flight Response

It is to our advantage that our biological arousal system goes into survivor mode in face of danger causing an increase in heart rate, rapid shallow breathing, cold sweats, tingling muscular tension and often-antagonistic behavior.

The problem is that when the danger has passed, our body often remains in a state of hyperarousal, leaving us reacting with anger to what would ordinarily be mildly distressing stimuli.

  • We blow up at the relatives who keep asking if everything is starting to get easier.
  • We storm off the line that feels too long at Starbucks.
  • We find ourselves fighting over everything with our partner.
  • We are driving faster and yelling more than usual.

Because this is a physically driven anger, we need to work from the body out to bring it down. We need to re-set our body rhythms by moving, sleeping and eating well. Moving in any way (exercise, walking, re-building, cleaning, physically helping friends) is crucial.

One widow, who told me she was mad at God after 9/11, started walking and didn’t stop until the tears and …


Tattoos After Trauma-Do They Have Healing Potential?

Monday, December 31st, 2012

Whether you have many tattoos or would never consider getting one, you may be surprised to learn that 40% of Americans between the ages 26-40 and 36% between ages 18-25 have at least one tattoo.

Once associated with marginalized, oppressed, victimized or transient groups in the population, tattoos are increasingly part of mainstream culture.

Americans spend $1.65 billion dollars annually on tattoos.

While the reasons for tattoos are as varied as the people who choose to get them, certain trends have been identified. One is the choice of a tattoo in the aftermath of trauma.

  • Across generations and wars, those in the military have used tattoos as tributes to fallen comrades.
  • In the aftermath of 9/11, civilians and firefighters throughout the world choose tattoos as an indelible reminder of the  terrorist assault, the courage of First Responders and the loss of so many.
  • Sociologists, Glen Gentry and Derek Alderman estimate that there are thousands of Katrina and New Orleans-related tattoos reflecting both horrific images of crumbling buildings and gushing floodwater, as well as signs and symbols of a beloved city.
  • In the wake of the unprecedented destruction from Hurricane Sandy, tattoos and tattoo fundraisers have emerged. The message of one seems particularly meaningful- “ Hold Steadfast.”

Do These Tattoos Have Healing Potential?

A close consideration suggests that both the reasons and the choice of tattoos reflect many of the factors associated with recovery after trauma.

Healing From the Body Out

  • Whether a traumatic event involves a car accident, escape from freezing floodwaters or the loss of a child, it is registered in our body in terms of the survival reflexes of fight, flight and freeze.
  • Encoded under these conditions, our memory of the traumatic event is not registered as narrative, but as fragments of highly charged visual images, bodily feelings, tactile sensations or sensory reactivity to reminders of the event.
  • As such, trauma experts encourage us to work from the body out in the course of recovery and healing—to attend to the sensations, senses, and images that carry the imprint of trauma.

The tattoo’s use of the body to register a …


Finding The Way Home From War: A Promise and a Process

Saturday, November 10th, 2012

The war in Iraq has officially ended and the president promises to bring the troops home from Afghanistan by the end of next year. For all of our military and all of their families, finding the way home from war is a treasured event and a complex process.

For families, homecoming involves readjustment  in terms of time, space, roles, and expectations. For couples, homecoming means finding a way to integrate all that has happened to each partner and the relationship they share. Whether one or both have been to war, on many levels both partners have to “come home” together. For couples that means coming to know themselves and their partners in old and new ways.

How Does that Happen?

Couples do this in their own way, in their own time, knowing that they are not alone. They often find that even more complicated than the hours waiting to be rescued, the hours of driving in the dessert, the flight from Bagdad, and the applause and embrace of those waiting, is the journey home they will take in the many months that follow.

Considerations:

Listed below are some considerations gleaned from others who have traveled this path as well as from those who have worked with and guided them home.

The Excitement and Fear of Homecoming

  • It comes as a surprise to realize that for as much as everyone is counting the moments to be re-connected with his or her partner, many are also very anxious about homecoming – “Will he still love me?” “Will I still love him?” “Will she expect me to be the same?” “How much will she have changed?”
  • You are not alone if you are both excited and nervous. If you can, savor those first Kodak moments of connection. You will build upon them as you get to know each other again.
  • If those first moments just don’t unfold as dreamed, give yourself time and trust your coping skills and support networks.

Emotional Time Warp

In some ways homecomings throw you into an emotional time warp.  One day you are military serving with dust, death, comrades and combat and then -You are …


It is Time to Talk About Rape…For the Victims

Tuesday, August 21st, 2012

Whenever the topic of rape comes to the forefront and is central to political contention, those who have suffered watch and wait. They wait to see if the reality and consequences of this horrendous crime will get lost in the details.  They wait to see if the victims will get lost in the details.

In this case, the question raised is whether “legitimate rape” physically precludes the likelihood of a pregnancy.

Notwithstanding the important verbalized medical opinions asserting no solid evidence of reduced pregnancy after rape, the implication for the pregnant rape victim is emotionally and physically dangerous. In addition to whatever care she needs, what she does not need is to question the legitimacy of being raped! No one does.

Rape is a violent crime that brutally assaults the victim’s core self, both physically and psychologically. Research tells us that nearly one in five women has been a victim of rape or attempted rape and one in 71 men reports having been raped or the target of attempted rape.

In reality, it is likely that such numbers under-represent those who have suffered, as men and boys tend not to report being raped and ¾ of all rapes are committed by a known person. That often equates to silent pain and anguish with no one held accountable.


Recognizing and Understanding Depression After Trauma

Thursday, August 9th, 2012

depression after traumaDisaster and trauma studies often focus on identifying the incidence of PTSD as the sequel to traumatic events.

Early interventions with those affected after a disaster or traumatic event increasingly utilize psycho-education to clarify and normalize common post-traumatic stress reactions and coping strategies.

While mentioned as a possible response, the high incidence of depression after trauma is less delineated and often goes unrecognized by those suffering.

Depression Occurs after Trauma:

  • A Rand corporation study reports that nearly 20 percent of military service members who have returned from Iraq and Afghanistan – 300,000 in all – report symptoms of Post-Traumatic Stress Disorder or major depression.
  • In the first long-term study of the health impacts of the World Trade Center (WTC) collapse on September 11, 2001, findings indicate that seven percent of police officers were diagnosed with depression, nine percent with PTSD and eight percent with panic disorder. Twenty eight percent of other rescue and recovery workers had symptoms of depression.
  • A survey of survivors from the Oklahoma City bombing showed that 23% had depression after the bombing.
  • Depression affects approximately 15 percent to 25 percent of cancer patients.
  • After a myocardial infarction, the incidence of major depression is from 15 percent to 20 percent, and an additional 27 percent of patients develop minor depression.

Both major depression and Post-Traumatic Stress Disorder (PTSD) occur frequently following traumatic exposure, both as separate disorders and concurrently.

Depression is the most common disorder suffered in conjunction with Post-Traumatic Stress Disorder.

Depression is nearly three to five times more likely in those with PTSD than those without PTSD.


Does Hope Really Make a Difference? Scientific Findings

Thursday, July 26th, 2012

Almost everyone has some experience with hope: We hope for the best. We hang on to hope. We despair when we lose hope.

It would seem that hope, which is broadly defined as an emotional state that promotes the belief in a positive outcome, is in inherent in human nature.

Reflections of the importance of hope are found in early mythology, religion, philosophy and literature.

Pandora, although forbidden, opened the box given to her by Zeus, and in a moment, all the curses were released into the world and all the blessing escaped and were lost- except one: hope.

“To have faith is to be sure of the things we hope for, to be certain of the things we cannot see.” ― The King James Version of the Bible

“Hope is a waking dream.” –Aristotle

“Where there is no hope, it is incumbent on us to invent it.” -Albert Camus

“Hope is that thing with feathers that perches in the soul and sings the tune without the words and never stops — at all.” -Emily Dickinson

Clearly we need hope, but even as we embrace it we often wonder – Does hope really make a difference? Is it myth, fiction, collective denial?

There is actually increasing scientific evidence that hope changes us psychologically and physiologically – that it makes a difference.


Healing Together
for Couples


Archives



Subscribe to this Blog:
Feed


Or Get a Single, Daily Email (enter email address):

via FeedBurner



More on
Relationships


Healing Together

Suzanne Phillips, Psy.D., ABPP & Dianne Kane, DSW are the authors of Healing Together: A Couple's Guide to Coping with Trauma and Post-Traumatic Stress. Pick up the book today!

Subscribe to this Blog:
Feed


Or Get a Single, Daily Email (enter email address):

via FeedBurner



Recent Comments
  • Leticia: Some people are more complicated in my experience than this more average cheater. And the women who cheat...
  • Tina: I was involved with an extremely jealous controlling abusive man. He claimed that I was not showing him respect...
  • yax51: I also suffer from this. Been doing things like this on and off for a little over a year, and was recently...
  • Lin August: Thanks for sticking your neck out about this subject. Women worry about losing their children, money,...
  • janedoats: My husband is easily offended. I don’t know what I’ve done “wrong” most of the...
Find a Therapist
Enter ZIP or postal code



Users Online: 12240
Join Us Now!