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.

In this era of advanced medical detection and intervention, the medical care of patients and the reduction of mortality for life threatening illness has never been greater.  Against this backdrop of success, however, what is often overlooked by professionals, family, even patients, is the experience of medical illness as psychological trauma.

• While some efforts like the emerging field of Psycho-oncology are starting to address the totality of the patient and the American Psychiatric Association now officially considers “ being diagnosed with a life –threatening illness” a potentially traumatic event, it is perhaps most important that patients and families understand why and how medical illness often brings with it- anxiety, anger, depression, panic and post-traumatic stress symptoms.
• Understanding, normalizing and validating common stress reactions can demystify and lower anxiety at a time when so much feels beyond understanding or out of control.
• Given that the experience of trauma is a function of many variables including age, nature of trauma, duration and personal meaning, people will differ in their psychological response to medical illness.
• Some may experience a few symptoms which abate within months, others will deal with a delay in the experience of depression or anxiety until well after the medical crisis, and for others the persistence of emotional distress may warrant professional help.

Recently, we again witnessed the dismantling of a celebrity marriage with the exposure of an affair. As always, the world watched, condemned, condoned and debated the question: Can a marriage survive an affair? 

The fact is that whether celebrity or not and regardless of what the world thinks–only the couple can decide if their marriage will survive an affair.

In my work with couples standing in the emotional debris of an affair, I have found that if both partners want to recommit to an exclusive relationship and have the courage to trust and reignite their love – they can rebuild a marriage.

Difficult Beginnings are Understandable

Rebuilding sounds good but at the beginning – it is not easy. Often, no one is sure of anything but the wish to make the pain “go away.” Emotionally, the feelings of devastation, anger, betrayal, guilt and blame, don’t just go away.

The news of Bin Laden’s death has erupted on national and international levels in a mix of feelings. Attached to the thrill of justice served and military courage recognized are shadows of fear and the pain of catastrophic loss.

For survivors and the thousands who lost so many loved ones on 9/11 this is not only long awaited news, it is a déjà vu of that September day.

Once again there are ongoing calls of condolence and remembrances, non-stop media reports, and the visceral pain of losing a Dad, a child, a partner, a firefighter, a friend, a community, and the illusion of safety.

What Does this Mean for Emotional Healing?

It Invites Revisiting:

Highly charged events like Bin Laden’s Death are quite likely to trigger traumatic memories that unlike ordinary explicit memory for daily events are encoded under fight/flight conditions in those centers of the brain dealing with sensations and emotion. They can be sequestered for years – untold, intrusive as nightmares and flashbacks, haunting but never integrated into the story of one’s life.  While this event might trigger pain, it may offer an opportunity to bear witness, to share and transform traumatic memories.

Who let the dogs in? Many people from members of Congress to advertising executives have welcomed dogs into the workplace and for good reason.

Historically we know of the value of dogs in firehouses, on police canine teams, on farms, ranches, and certainly as companion dogs to those with physical disabilities.

Recently the diversity of workplaces that benefit from pets have expanded and while cats, and some birds have an important place next to the many professionals and business owners working from home, dogs seem to have found their way into the office.

• “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.

Facing a Cancer Diagnosis as a Couple

• “I heard the word malignancy but I couldn’t take it in. I didn’t cry until I told Jack.”
• “I could tell from her eyes that she was trying to be strong for me. I think I was trying to be strong for her.”

A traumatic event is defined as one that is life threatening, unimaginable and unexpected. It is an event that can assault your body, your spirit and your life as you know it. For a couple, a medical diagnosis of cancer is a traumatic event for both partners – the one diagnosed and the one standing by their side.

As discussed in the book Healing Together, one of things we learned working with partners who have courageously faced the terror and challenge of cancer is that when a couple understands each others’ burdens and recognizes each others’ strengths, they have a physical and psychological advantage in the journey they never expected to take.