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Better to avoid or to force triggering?

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Shervin

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Hi, I'm trying to work through my CPTSD after roughly 30 years of not knowing I had it. I know I get quite triggered every time I go around lots of people such as in a pub or in a school. But I'm wondering if I'm better off completely avoiding all busy places, or if I should do the opposite, force myself to go to busy pubs very often and slowly find ways to better deal with my CPTSD while I'm at the pub?

Basically, I'm not sure if each time I get triggered if it has a long lasting impact making me worse over time, or its just a completely temporary thing where is OK to get triggered a few times per days as long as I eventually find a way to not get triggered around people?
 
Thanks Freida, I'll see if my psychologist has had any experience with exposure therapy. I didn't know I had CPTSD so I'd been forcing myself to do this for decades, but now starting to question whether I should or not.
 
I agree with working with a therapist to support your process. Avoidance keeps triggers in place, but also makes life less painful. If you do exposure you eventually see the situation that triggers you isn't like the original situation. But it can take time and with complex PTSD can be even more complicated.

If you are in a situation that triggers you, but the bad thing doesn't happen, it will start to train your neural networks to be open to different outcomes. But it can be a painful process and if you don't have good coping skills in place it can be really overwhelming.
 
If you are in a situation that triggers you, but the bad thing doesn't happen, it will start to train your neural networks to be open to different outcomes
Just to mention, I think that is also provided you feel the fear/ don't block it out (chemically or otherwise). ^^

Also, I don't think it has to be black-or-white; graduated exposure is another option.
 
I already was forcing myself to go into triggering situations (eg: going to pubs) for decades, so I'm not expecting my subconscious brain will suddenly form major new connections just from me doing this again. But maybe if I try various techniques I might eventually find something that works for me while I'm triggered, and then I'll be able to use it as my main tool going forward. Yesterday I went to a pub and was panicking the whole time, I tried focusing on my breath while deep breathing, and I tried rolling my shoulders & telling myself "I am brave, I am strong, I am safe", and I tried specifically looking at where all the exits are if I had to suddenly escape, and I tried just reminding myself that I'm triggered and it's just cos of my PTSD but that's OK and it's going to pass once I leave. None of those techniques worked yesterday, even though they have all helped me at times in recent months when I was only a little triggered.

But atleast I found a scenario that has nearly always triggered me quite strongly for decades (being sober in a pub with lots of people my age), that's why I thought maybe I can use this as a testing ground. But thanks to all of your suggestions, I'm going to read up on the links and then discuss exposure therapy with my psychologist to see if she thinks it might help me :-)
 
Do not force... i tried many times and backfired putting me out of service and regression.

Micro doses of exposure and debreifing with therapist helps understand situational triggers and nervous system responses.

I cannot stand crowds and noise, smells, being startled, it makes me want to hit people or hurt myself. I am in dbt to manage distress. I think plan is when i am more stable my trauma T will work on exposure with me.

Forcing triggers did more harm than good for me....
 
Oh thats a shame to hear, but thanks for the advice! Yeah my T says I need to take bits of exposure slowly and not rush things
 
When PTSD symptoms were at their worst, I was in seclusion-in my locked bedroom that had all the amenities and I ate in bed. I never made the bed.
I decided I needed a life, so I started making the bed, and made a rule that unless I was sick, 8pm was the earliest I could retire for bed.
Then I looked in the mirror ever so briefly, and decided to get my toes painted.....the foot massage was wonderful. Not long after, I went to the hair dresser and she washed my hair....that felt nice too....I started looking for things that were fun or made me feel personally better to go out and do. I decided I needed more of a life than going to the hairdresser and nail place, so I picked one new thing I wanted to learn-how to draw people and looked locally for a teacher. I took a small class lesson for 4 weeks, and was always afraid of not doing well enough. This was stressful, so I took private lessons for 1 hr. every other week, and practiced in between sessions then the next group lesson of 5 people was productive and less stressful. Learning something new was fun, productive, and I got positively reinforced by the teacher which was nice.
Next, I wanted to improve my photography skills, so I started making plans to go out to parks, trails, hikes, and demonstrations where there was not a crowd-a few people but I did this alone. I would plan my own day, around what I wanted to photograph, but I eventually ended up meeting others with similar interests and joined the local nature club-which has a lot of people, and I don't attend regularly-yet but that is a goal. I also signed up for a photo workshop when I was on vacation.....glad I did and I got some great photos and learned a lot.
I was asked to teach a musical instrument to a neighbor-again, one new person and something fun. She's a real character and has ADHD, and this experience is teaching me tolerance, patience, and social skills: we now take a 20-30 min. walk before music to get out the wiggles (and some aerobic exercise, too). But as I have done each new thing, I am slowly increasing my social circle and deciding which people have other interests that are similar to mine......When I first moved to my new house, my local personal community was 5, and only 1 person was nearby, and after going no contact with my family, I was very lonely.
Now I go to shamanic journey in a group of 5-7, or take a workshop without worrying about how good I'll do, how others perceive me, or worry about safety. I worked to create safety in fun situations starting with low numbers of people.

Groups are only shaky now the first time I go, but now......I'm enjoying getting out and doing new things. I took my first vacation on a cruise with one good friend, flew on a plane for the first time in 25 years alone, drove across country and hiked the Rocky Mountain National Park, and the little experiences improved my experiences so I'm now more comfortable in new settings. So, my advice-start with fun things and low numbers of people, get to know them to increase your community, avoid making food/alcohol the center of your social interactions, -but start out with one or two people and test the waters if isolation has been your way of life as it was mine. Good luck!
 
Thanks for your detailed response, it's good to hear you've been finding a path that's been helping you :-) I've also been trying lots of new things in the last several months and trying to enjoy life and just have raw fun by myself every once in a while.
I've been walking through nature 40 minutes each day, at first I was forcing myself and it was a struggle, but now I really enjoy it and see it as the highlight of my day :-) And I've started climbing trees, since that's one of the few things I genuinely liked doing in the past.
But I seem to have problems specifically with lots of people looking at me, that I guess makes sense now that I think about it, since one of my traumatic childhood experiences seems to be of getting raped while lots of people were watching me. I'm just starting to realise that this explains why I'm scared to be around lots of people and why I try to be so invisible. But since my PTSD symptoms are fairly subtle except for when I'm around lots of people potentially looking at me, I want to work on this directly rather than continue hiding from anywhere that has lots of people.
 
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