Hi Junebug!
It is a great pleasure and I certainly don't know how much use it is but much that you say often resonates with me and seems to be similar to some of my ways of functioning. But I of course can't know and so will just share some of my experiences and you can see if any of it resonates or seems useful.
Like you things have felt like a struggle for almost a lifetime. For me that is vague as my memories are patchy but I still have a general sense of that.
SU (S) was a constant thing for me and it was just a matter of degrees. For me I was unable to be assertive or know how I was feeling and absolutely unable to share about anything that happened to me or the SU with anyone. For one thing there was noone I would have felt OK to share it with. I was just plodding along. Not knowing how I was feeling or being able to express it or to put my needs first or know how to set boundaries (as I had never been allowed them) put me in harms way even more. I had been trained to not be able to protect myself essentially and would freeze up mentally or physically when danger came around.
Essentially I think a lot of things come along with complex trauma. The inability to look after myself and the dissociation and terrible self judgements and self hatred and shame. The distortions in how I saw and see myself myself and am able to care for myself.
I think (missing memory) that the flashbacks etc have got much much worse in recent years but despite this I have learned certain things that have made such a difference to how I feel and am able to live regardless of the PTSD stuff. In many ways I guess maybe I have gone closer from complex trauma (or whatever is now called) symptoms to being closer to normal PTSD symptoms.
Because my style of thinking, looking after myself, setting boundaries and self care, and self awareness has improved so much everything is easier to deal with. Also having an eating disorder and learning to deal with that and recover (which took me almost 30 years to do) has been a very graphic and clear way of monitoring the effects things have on me when I otherwise would not have known better.
Because of these I have realised that certain things have a direct affect on my mood and stress levels and the amount of stress makes the PTSD cup fuller and symptoms worse.
...people I know call me a 'cool girl' or 'so much fun'. ....My sister routinely alternates between being loving and abusive- she and her bf seem to think the 'answer' to all that is 'wrong with me'... They are all wrong, it's like there is a 3rd reality that is the actual truth, of what I think, or how I am. I cannot be 'me', or it's not acceptable to be me. :(
For me these are all key issues and any one of them leads to major increase in SU, increased hopelessness as well as longer term increase in PTSD symptoms.
For example: someone without PTSD but with depression would usually find that these things would be some of the key issues that cause and worsen depression. Stopping these has not saved me from SU feelings as they come up with re experiencing but I will say that they are much improved in general.
I needed to have less disconnection between who I really was and who others saw me as. To feel and be more authentic. I needed to be able to set boundaries with people who are abusive and with most family that has meant a certain amount of distance. And to have them know that don't accept their judgements that I am somehow deficient. I have also had to learn how to manage rest, work, personal relationships and many other others things. Included in this I have had to learn how to be angry.
I don't want to give the wrong idea. I am a total wreck and am really struggling in so many ways. I just know that for me these things make it much worse if they even slip for one minute. I am not at all saying you don't do them as there is no way I would know but I am just putting it out there. PTSD can come with a lot of depressive symptoms as you know. I find managing these as best as possible helpful for me.
I hope this makes some sense and apologies if it is totally irrelevant.
If you want to share then how much therapy have you had and what type?
Much:inlove: