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Recovery form alcoholism and PTSD can very well be similar in nature.

Let me start by saying this is only my opinion! I am also very long winded with words, much like my sufferer and as she says, sorry in advance : )

Look at the life of an alcoholic. He cannot control what he is doing. He has no control of the thoughts he has that drive his behavior. Otherwise he wouldn’t drink! I see this as well in someone I love who is suffering with PTSD. You don’t want to think that way and exhibit a behavior that is self destructive, but both have lost control of life and it is why we need to recover. So we can be normal again, we need to learn to think better, healthier so that our destructive behavior stops!

There is a day in each sufferer’s life when they realize they have a problem. It may be the day you are diagnosed with PTSD or the day an alcoholic collects his 3rd DWI… you are at a turning point of sorts. Both may continue to go on with life and do nothing about it for days, months, or years. Neither wants to but the ability to change is still beyond their control. Otherwise we would snap our fingers and be cured!

In the process we hurt a lot of people. Especially the ones who are closest to us! We drive away people who want to help, our behavior and thoughts controls us and people wear out, they don’t want to be pulled down by it and save themselves. We don’t see this at first, and most often it is too late when we do, the damage was done. Self pity will manifest itself – I didn’t set out to drink uncontrollably and you did not ask to be traumatized!

Both were out of our control because we were susceptible to it! So a day comes and we say ‘I need to change for myself, family, or anyone for that matter’. We can’t do it ourselves most times. We use therapists, drugs, and support groups.

Success is not guaranteed and relapses are all too common for both. We both will be that way for life. We went or are going down the same road, hurt the same people, and neither of us want to be that way!

Triggers are everywhere and we need to learn how to deal with them. I went for years walking through the grocery store and having a reaction when I passed the Beer aisle. Maybe the reactions for one won’t be the same but there are many drunks who will tell you that they start to shake, sweat uncontrollably, feel like they are going to pass out, stop ‘seeing’, and it is often overwhelming. Tons of anxiety! I avoided places that I used to drink, would drive a mile out of my way not to pass by them. A person with PTSD will do many of these things as well.

So with that I look at the AA 12 steps program. I will say I did not recover using this method but millions of us drunks have. I used the ‘rational recover’ process and the help of a therapist. I am agnostic therefore I do not like the heavy use of God in their program. But I do see my sufferer needing to work through a process similar in nature to each of these steps on her way to controlling her PTSD.

These are the original Twelve Steps as published by Alcoholics Anonymous:

1 We admitted we were powerless over alcohol—that our lives had become unmanageable. (a PTSD sufferer must also say this to themselves. They cannot change what happened to them, not by blocking it out or rationalizing it. Acceptance)
2 Came to believe that a Power greater than ourselves could restore us to sanity. (for those of religious faith I suppose, maybe that power is a therapist or medication, maybe even the love of a carer?)
3 Made a decision to turn our will and our lives over to the care of God as we understood Him. (to me this says I admit to myself that I need help and am now open to getting the help! An God can be whatever you find helps you get to your goal)
4 Made a searching and fearless moral inventory of ourselves. (my sufferer does this without realizing it, she tells me she now understands that she didn’t do this to herself now, that she is not worthless and see’s thing clearer if that makes sense)
5 Admitted to God, to ourselves, and to another human being the exact nature of our wrongs. (We admit our mistakes, we make appologies - I’m sorry I treated you that way, you didn’t do this to me but I absolutly took it out on you. We must own our behavior)
6 Were entirely ready to have God remove all these defects of character. (open to change and ready to walk through the metaphorical door to recovery. Willingness)
7 Humbly asked Him to remove our shortcomings. (Again more of the same and I hate the use of God in these steps, I really do because it tends to make you feel someone else will fix you)
8 Made a list of all persons we had harmed, and became willing to make amends to them all. (Our behaviours hurt people and making these amends will lift guilt off your shoulds hopefully. We have to accept that we did those things to others, doesn’t matter why we did it)
9 Made direct amends to such people wherever possible, except when to do so would injure them or others. (Again, more of the same. We have to accept that we should try and fix what damage we caused. I myself am depressed these days and it is affecting others in my family. My sufferer pointed this out to me tonight, I am hurting my daughter because I am tired and lost in the turmoil of my reationship with my sufferer. I’m at my wits end and have lost the will give love to my daughter, especially in the presence of my sufferer for some reason. One day my sufferer will need to acknowledge her roll in this and if she can fix it, she will feel the uplifting benefit it will have on her emotional health and progress her recovery)
10 Continued to take personal inventory and when we were wrong promptly admitted it. (very important to both processes!)
11 Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out. (Again with the God thing… he works for those with faith thought, can’t argue it)
12 Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs. (I’d say a very good example of this is PTSD forum)

Well hope I didn’t ramble too much. I try to think of my sufferer now with this in mind. It has helped me forgive and wipe the slate clean better than in the past. My anger at her is so much shorter lived when I think through this procees and where she is at now. I say to myself ‘ I remember being this way too’. It is very familiar to me and maybe another drunk out there in our unique situation can share more on this .

Again, if my sufferer is still animate about me deleting my account i will… I’d rather loose my voice here than cause more tension at home.
 
Hi to you both.

I am sorry to tell you both, your account cannot be deleted. Once you register and post on the forum, all posts then belong to the forum. This was the same in the old forum, and is still the same on this one. There are various reasons for this, including the disruptions of threads which would make no sense what so ever if any account were to be deleted.

Amethist
 
Dear Ef2511,

That was much work you put into expressing ptsd's relation to the 12 steps, or a 12-Step Program for ptsd, as it were.

I realize this is only my opinion also, but I am familiar with both living with ptsd and AA's 12 Step Program (as well as Al Anon's), and for the life of me although I cannot find the words there is something that in my experience does not 'fit', in comparing them across-the-board. Perhaps it is because drinking can lead to an escape from reality, whereas ptsd is equivalent to NOT being able to escape from reality? I am sorry-this is an incomplete thought- but something is 'different', I can't put my finger on it, there are similarities but something HUGE is different or 'omitted' (JMHO).

P.S- Many years ago I applied the 12 Steps to ptsd-related depression, it was helpful but not complete.
 
It's like, to me, a worsening of the symptoms of alcoholism leads to less and less reality/ more denial, whereas a worsening of the symptoms of ptsd seems to be associated with more-and-more (too much) reality, does that make sense?
 
Ef2511,

I think a possible difference may be :

Whilst alcoholism leads to feeling of lack of control (alcohol is now the boss, and not you, etc) with PTSD there is a sense of powerlessness from the word go. People with PTSD really were trapped in a feeling of helplessness and powerlessness in an abnormal situation which was in no way, shape or form their doing. I don't want this to be misinterpreted as 'well you chose to take your first drink so don't come crying to me when you wake up one day and you're an alcoholic'. I don't mean it like that. Alcoholism is a genuine problem too and I admire people in recovery from it, etc.

But it is different. Someone with PTSD has endured an extreme situation. Something in which they felt their very being was threatened by something completely out of their control, and very often unforeseen. That's a possible difference in my mind.
 
Yes, Superjen, and do you find that it is as a consequence (of what you described) that a person with ptsd is now left 'as they are', that is, the changes are within their very being? So whereas ('we') are still responsible for ourselves/ actions/ reactions/ thoughts/ seeking help etc, we actually have to try to learn to 'let go' of what we are or were not responsible for, to be 'less responsible' for that part?
 
Sort of like saying, I don't want to run away (personally- though don't get me wrong I've used alcohol to 'escape' before), I just want to learn how to live despite feeling devastated. But the issues don't arise when I 'escape'- the issues are always there, because they are from a past that has become 'present'.
 
9 Made direct amends to such people wherever possible, except when to do so would injure them or others.

Exactly Junebug - I think point 9 is the biggest difference. Often there is a sense of misplaced guilt with PTSD. We shouldn't have to feel this sense of having to run around and make amends for a cycle which honestly began as a consequence of something completely out of our hands. Yes, as all human beings should be, we are responsible for the way we treat others and we grow and learn to not continue the cycle.

But often (in my opinion) a huge factor in the healing of PTSD is reaching a point where the sufferer can truly say to themselves and believe the statement :

It wasn't my fault. My guilt is irrational.
 
There's an old thread on this from last year sometime. I remember trying to put my finger on why I liked part of the whole 12 step thing, but most just plain didn't feel right. The guilt which necessarily happens- that was part of it, but I couldn't get any further than that. I forget which member was arguing the point, but I didn't have anything but just KNOWING it didn't feel like it could/should be applied to PTSD across the board. Well that's not helpful! You guys just filled in the fuzzy blank in my head- this is exactly right, I think.

It's also not going to work since we can't remember anything past 3 or so, but that's a whole new thread.
 
I agree anni - a lot of the 12 step program seems to be about apologising - whether it be for who you are (shortcomings), what you did, etc etc.

Why should someone with PTSD have to apologise for who they are when they are reacting to something that was abnormal or disturbing, and maybe there's actually nothing about themselves to apologise for (?). No shortcomings, no 'but I should have/could have'. Just reaching a point where they can accept that it truly was never their 'shortcomings' in the first place.

No 'I accept the fact I screwed up and I need to change' - but an acceptance that you never screwed up in the first place. You're reacting the best you can as a good person to something outside of you that was indeed quite screwed up.
 
That's what it is- thank you again- will like to see Junebug's next reflection then, also. You guys have the take there- which has words to that 'thing' I feel about the whole idea. It makes us feel awful ( awfuller? That even a word?) - guilt, fault- apologizing - like we tend to do for BREATHING most days. I've always, always accepted that Im the one who married that *sswipe, I DID that-I have a terrible-TERRIBLE time accepting the rest really isn't also my fault anyway.Others here have traumas way LESS under their own control. I married my trauma out of free will! Logically, rationally- no it's not but a couple decades later- I STILL SUCK and I've had tons of good solid therapy.No sob story there- the self image takes a bad hit, through time.I did not make him do those things- and then my head takes over with 'yes but YOU... '. Sigh. It feels like one would be reciting 12 ways of saying the same sort of thing to oneself every day, you know? Clarity- badly needed in making one's head take the necessary stand with this stuff. Yes of course-and going back to the original point, we do have to take responsibility for our PTSD, not PTSD all over others, stay well when we can. I don't have a 'wrap it up well' final sentence on that ( suspect you or Junebug can find something cohesive ) but the 12 step thing just feel like the wrong way to go to get there.
 
You can't correlate PTSD with alcoholism, it is just trying to stuff the proverbial round peg into a square hole.

Substance abuse and addictions are just ONE aspect of PTSD. Lets face it, this disorder encompasses depression, anxiety, OCD behaviors, suicidal tendencies, DID behaviors, and probably a whole bunch of other things that are each given their own diagnosis and treatment plans in the DSM. I haven't even touched on some the the physical affects of PTSD.

There are things that we all do to manage it better. Medication, therapy, CBT, EDMR, ECT, EFT, lifestyle changes, meditation, anger management, grounding, etc., etc., etc. Even then, as Anni said, after twenty years of treatment, it can still bite you in ass and put you back to a place where you began.

PTSD is caused by BRAIN DAMAGE! We are all working hard on trying to LIVE, and depending on the day, we may be throwing every tool in our tool box at PTSD just be able to get through the next five minutes. There are times the emergency tool kit can stay in the garage for days, weeks, months, or years.

For those that do not have PTSD, recall the times in your life you have been anxious, depressed, obsessive, terrified, had suicidal thoughts, etc. Try to imagine those feelings at their worst. Then imagine living with that daily to varying degrees. Now imagine battling daily to managing these feelings. This is the closest I can describe PTSD to someone that doesn't have it.

Yes, yesterday I may have gone to work, paid bills, cleaned a house, taken care of children, etc. etc. etc. But today, maybe the most I can do is a shower and remembering to eat. However, I made it through each day and I am still alive. Living is our greatest accomplishment.

So what I wish for all of us at Christmas, is that we make it through the holidays. Our symptoms are not too out of control. That we find moments of happiness and peace. That each of us has at least someone to love us, just for who we are.
 
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