Monday, September 11, 2006

DEALING WITH POST-TRAUMATIC STRESS DISORDER

Many people have experience Posttraumatic Stress Disorder symptoms. One of my patients was in a highly abusive relationship with a man who physically beat her. This went on for some time as she allowed herself to remain in a pattern to be re-traumatized. Currently, relationships still terrify her. Due to mistrustful feelings, she pushes men away with her anger and rage. Then she becomes upset with herself for behaving in impulsive ways. The key to treatment for her is to isolate the traumatic feelings, explore the pain around them, and to teach her new ways of behaving that are based on rational thinking. She no longer needs to view herself as the victim in relationships. She needs to expand her psychic map to include new feeling, thoughts, and behavior. This exploration process is painful, but it will free her of the need to continue victimizing herself. She needs to flush out the negative energy that has allowed her to be re-traumatized. The cycle can be broken with proper therapeutic intervention.

Clients who suffer from Posttraumatic Stress Disorder experience the effects of psychic numbing. These people also tend to suffer from anxiety, depression, panic, anger and rage and startle response. A friend of mine, who was a Lieutenant during the Vietnam War, experiences features of this disorder. When the snowplows rumble through his hometown during a major snowstorm, it is not unusual for him to be awakened in the early morning by the sounds. Sometimes, he jumps out of the bed in total confusion and panic. It’s as if he back in the rice paddies of Vietnam waiting for the next mortar found to explode. What he is experiencing is the startle response or hypervigilence. Isn’t it amazing how the brain works? After thirty years loud noises still take him back to a place where psychic numbing was necessary for survival. All of the painful psychic energy is stored in our bodies and mind. Many times I recommend message therapy as an adjunct treatment to clients who have stored painful feelings, because it is one more entry point for ferreting out troublesome emotional energy.

It is important that we do not forget those of have been the victims of PTSD. Now that the dust has settled, do we still remember that we have an obligation as a country to treat those who have suffered for this disorder as a result of war and natural disasters? Let us not forget our families who have suffered from the ravages of our current struggle in Iraq, “the war on terror,” and those who endured Hurricane Katrina.


James P. Krehbiel, Ed.S., LPC is an author, freelance writer, and nationally certified cognitive-behavioral therapist practicing in Scottsdale, Arizona. His book, Stepping Out of the Bubble is available at www.amazon.com. Now you can “ask James” through his interactive forum at www.theparentstation.com.

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