Archives for posts with tag: when symptoms flare up

One of the big motherfucker’s of PTSD is the lasting impact, the lasting change to cognition, implicit memory, patterns of thought – all the things that make up the “D” (disorder) in PTSD. It’s hard. Recognizing the damage done, and the way it holds potential to “call our shots”, in the moment, is one of the enormous challenges involved in healing. It’s a lot of work finding – and maintaining – perspective and balance. I don’t point these things out as someone who has found her way, or has some solution, or is “over it. I point them out because I am still affected, even 39 years later. The worst of it, in the here and now, is the way it affects relationships with people dear to me who were in no way involved in the damage done, who mean me no harm, and indeed wish me well and want to share some piece of life’s journey with me.

Fuck PTSD.

It’s a major “begin again” moment, right here. My symptoms flared up completely “out of nowhere” (by that I mean, “predictably, but I wasn’t watching for it because I made foolish assumptions about my current emotional wellness, generally”). I certainly could have handled myself much better than I did. A chill calm morning shattered by tense voices, hurt feelings, frustration, irrational fears… it can feel like ruination. It can feel like more damage is done. It can feel like “spreading it around”. It definitely isn’t “fair”. There is guilt and shame beginning to try to fill the space where those irrational fears had been acting out their moment of drama. It’s fucking hard. It’s very very real.

Mental illness – and mental wellness – may not conform to our idea of what they “should” look like, who “should” be afflicted, or how we think such things “ought to” progress. I’ve learned a handful of things over the time and distance this healing journey has covered, though. Mental illness is commonplace. We’ve all got problems. We all hurt sometimes. No one is immune to communication challenges, or emotions.

I take a deep breath. I exhale. I relax. I let it go. My Traveling Partner alerts me he is going to soak in the hot tub. His tone is no assurance that I’m actually welcome… so I choose to do the hard thing; I open myself up to potential hurt feelings, and suggest I’d like to join him. He doesn’t say “no” or set a boundary. I take a deep breath… and begin again.

We soak together, listen to birds sing, and let the day begin.

It’s some time later, now. Feels like a mostly ordinary, pleasant morning, aside from the very deliberate gentleness and care we are taking with each other as we move on from a difficult moment. Do you love someone with PTSD? Complex PTSD? Bi-polar disorder? Depression? Anxiety? It’s hard, right? It’s not your “fault” – it’s also not their “fault”. Mental illness is hard work for the one afflicted – and hard work for the people who love them. Take a breath. Get some distance if you need it. Ideally… don’t punish each other. I know. Hard. All of it is hard. Good practices help – they take actual practice, and consistency, and they do help. A lot. Good therapy in the care of a qualified clinician helps (not always easy to find the right therapist, and it can be costly, I get it). Working to avoid compounding mental illness with “second dart suffering” and further inflicted hurts unwittingly delivered on each other is so important… and again, so much work. I can only say “keep practicing” and “begin again”. Yes, my results vary. No lie. Sometimes I fall short of my best self. I may never be wholly “well” in a reliable way that I can casually trust – my vigilance (regarding my symptoms) and (good) self-care practices are one thing I can offer my partner(s) to prevent doing them further damage. It’s not always enough… but I can’t take that personally.

I begin again.

So, I’ve got this day ahead of me, and things to do with it. I’ve hit the reset button, and the rest is a big pile of verbs. It’s up to me which of those I grab onto and apply to the day. 🙂

What about you? Are you ready to begin again? You’ve got this!

Not my alarm – I woke up ahead of that one, this morning. We had a fire alarm go off in the office yesterday and evacuated the building. Turned out to be a mistake by a construction worker, I heard. These things happen. What came next was hard; it had triggered me.

My anxiety and symptoms of my PTSD flared up. The noise of the alarm itself worked my nerves over as I calmly and efficiently left the building with haste. What got me, though, was “civilian behavior”. My anxiety continued to increase the longer I was exposed to the chaos and disorder of folks ambling down the stairs in distracted confusion, chatting about the day, and milling around outside very close to a building they had no reason to believe was still safe. I began scanning the crowd for an unseen enemy – we were all so exposed, to vulnerable, they seemed so unaware. The hyper-vigilance lasted the remainder of the day. My startle reflex was turned way up. My chest felt tight. My mood had become detached and mildly aggressive, “battle-ready”. By the time the all clear was given, I was no longer “safe for work” in some difficult to describe way, but had meetings left in the day, and workload to attend to.

I did my best. I went home as soon as I could. The commute was just more verbs and more practice. My startle reflex is dangerous in commuter traffic; cars or people approaching from my periphery reach my consciousness as an imminent threat. My hyper-vigilance combined with my agitation, anxiety, and aggression, result in a seething mess herding powerful machinery capable of killing, down crowded streets, too slow to feel satisfying, frustratingly slow, and being wholly made of human, I really just wanted to go home and cry quietly until the feelings passed.

My face still hurts this morning from gritting my teeth the whole way home.

I’m okay. I did get safely home. No one got hurt. No fender bender. No angry tirade – either on the road, or in the office. I managed to keep my shit together, and that’s something to pause for, to be aware of, to value – and this morning I sip my coffee focusing on the recollection of what worked, and how well, and less on the alarm itself, or the “civilian behavior” – people are people. My coworkers are not machines. They are not soldiers. This is not (no, seriously, it’s not) a war zone. My coworkers were the ones being rational; there was no cause for (the) alarm. 🙂 Admittedly, I still think they would do well to move with purpose in an emergency, to gather in an organized fashion and take a count of folks on their teams to be sure every is safely away from danger… but… they’ll probably need to actually experience danger to understand how important that actually is. So. There’s that.

This morning is so much more ordinary. I take a moment to be mildly irked with myself that my mental health situation last night threw off my timing getting ready for the weekend. I’m behind on my “to do” list. lol I’ll get over it. Yesterday was hard. I’ll get over that, too.

The sun is not yet up… I think I’ll get an early start on a new beginning. 🙂