Monthly Archives: May 2016

How to Avoid Traumatic Stress Disorder

Most of us build our lives around the belief that we will be relatively safe. Granted, normal daily life involves many stressors, especially in these hectic times, but we expect these pressures to happen and we become accustomed to handling them. The more flexible we are and the more we know ourselves and are in touch with our abilities, the easier it is to deal with normal everyday stress.

Sometimes, however, any of us could be subjected to catastrophic stress. Our feeling of safety in these circumstances can vanish. We could experience terror and a complete inability to know how to handle these situations that are outside of the ordinary realm of experience. These catastrophic events can include rape, physical or sexual abuse, physical attack, mugging, car-jacking, natural disasters (earthquakes, hurricanes, tornados, floods, etc.), fires, car accidents, plane crashes, hostage situations, school shootings, military combat, or the sudden death of a loved one. It is not only the victims of these events, but also witnesses, families of victims, and helping professionals who can develop severe stress symptoms which can last for months or even years after the event.

Post-Traumatic Stress Disorder (PTSD) is the term used to characterize people who have endured highly stressful and frightening experiences and who are undergoing distress caused by memories of that event. It is as if the person just cannot let go of the experience. The event comes back to haunt them. The anxiety experienced during or immediately after a catastrophic event is called traumatic stress. When the symptoms last several months after the event, it is called post-traumatic stress. PTSD can last for years after the original trauma and may not become evident initially. For example, an individual may witness a murder as a child, but not experience the associated stress until mid-life.

Some people are more likely to develop PTSD than others. Experts are not sure why some people develop PTSD after a relatively minor trauma while others exposed to great trauma do not. Those who are very young or very old are more vulnerable. Individuals who already suffer from anxiety disorders, some personality disorders or depression seem more likely to get PTSD after extreme trauma. It seems that the more vulnerable one feels in dealing with the world, the more likely one is to develop PTSD.

Trauma of great severity is more likely to produce PTSD than lesser traumas. For example, it was found with Vietnam War veterans that prolonged combat with sniping and air bombardment produced PTSD more often than brief exposure to combat with few weapons. It has also been found that traumas between people (such as sexual assault and muggings) are more likely to produce PTSD than natural disasters like earthquakes or floods.

Symptoms of PTSD

People can be considered to have PTSD when they have been exposed to an extreme trauma, the symptoms last at least a month in duration, and the symptoms cause excessive distress so that social functioning and job performance are impaired. One sign of PTSD is that the traumatic event is relived repeatedly in the person s mind and this appears in the form of flashbacks, recurrent images, thoughts or dreams about the event…and even nightmares. Reminders of the event can cause distress so many people go out of their way to avoid places and events that remind them of the catastrophic occurrence. Many people experience anxiety, restlessness, concentration difficulties, decreased memory, irritability, sleeplessness, hypervigilance, or an exaggerated startle response. Some people even experience what is called survivor s guilt because they survived and others did not or because of certain things they may have had to do in order to survive.

There are three main clusters of PTSD symptoms, and all three of these groupings must be present for a diagnosis of PTSD.

Intrusive Symptoms: Intrusive and repetitive memories which stir up negative feelings experienced during the trauma can overwhelm a person. These memories can appear in the form of:

  • flashbacks (a feeling of reliving the trauma)
  • frequent, distressing memories of the trauma
  • nightmares
  • emotional and physical distress when traumatic memories are triggered.

Arousal Symptoms: PTSD sufferers experience physiological reactions, which indicate that they don t feel safe and they are physically on the alert to deal with danger. These can include:

  • being easily startled or feeling jumpy
  • hypervigilance (feeling on guard even when the situation is safe)
  • concentration difficulties
  • outbursts of anger and irritability
  • problems in falling asleep or staying asleep.

Avoidance Symptoms: People suffering from PTSD go out of their way to escape the overpowering memories and arousal symptoms. This pattern of behavior can include:

  • avoiding places, people or situations that serve as reminders of the trauma
  • avoiding thoughts or feelings associated with the trauma
  • memory loss about some aspects of the traumatic event
  • feeling emotionally numb
  • feeling estranged or detached from other people
  • feelings of hopelessness and helplessness about the future
  • decreased interest in pleasurable activities.

There are other emotional and physical problems that may accompany PTSD. Unfortunately, some people seek relief from these symptoms without dealing with the root cause so that the symptoms persist. These problems may precede PTSD, in which case they become exacerbated, or they might develop after the onset of PTSD. The emotional problems include panic disorder, agoraphobia (fear of being out in public), social anxiety (speaking in public), depression, obsessive-compulsive disorder, sleep disorders, suicidal thoughts and substance abuse (drug or alcohol abuse). The physical problems can include skin problems, pain, gastrointestinal disorders, fatigue, respiratory problems, low back pain, muscle cramps, headaches, and cardiovascular problems.

It is important to remember that PTSD is a normal reaction to a very abnormal situation. There is no shame in experiencing these symptoms, nor is having these symptoms a sign of weakness. Help is available from trained professionals so that in most cases, with the appropriate effort and courage, the symptoms can disappear completely, or at least substantially decrease and become more manageable.

Communication will Solve Broke Relationship

Michael and Gwen enter the counselor’s office and nervously take their seats. Michael fidgets and stares at the floor while Gwen sits upright, looks toward the therapist and utters the words that marriage counselors hear so frequently, they can almost say them in unison, “Doctor, we’re not like most of the couples you see… we don’t have any really serious problems; he doesn’t drink or beat me or chase other women—nothing like that. Our problem is that we just don’t communicate.”

“We just don’t communicate.” The cry is frequent and the assumptions are clear: Communication means a better marriage; more conversation means more connection; increased interaction means increased intimacy. It all sounds logical enough—or does it?

Brace for fallout

In the past, I might have rushed in with a glut of techniques to help a couple like Michael and Gwen accomplish their stated goal of better communication. But over the years I’ve learned that working to improve marital communication is a lot like exploratory surgery: The risk of what might be exposed is fraught with peril. Couples need to brace for the potential fallout that better communication may bring before they recklessly plunge ahead with the scalpel.

Good communication involves both partners being aware of their own thoughts and feelings and expressing them in an open, clear way. When a person communicates effectively, there is congruence between their inner experience and their outward expression. However, even an increase in direct and consistent communication doesn’t insure that a relationship will improve.

Let’s take television’s Cleaver family, for example. If Ward started to be more open with June, maybe he would finally tell her that he doesn’t like her award-winning meatloaf or share the fact that he’s still upset about her quitting her job last year. He might even confess that he just lost half of their savings by making a bad investment. If June risked better communication, she might reveal her dissatisfaction with their sex life, complain about Ward’s low income or disclose the fact that his inebriated brother made a pass at her last Thanksgiving.