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News Complicated Grief Needs Specific Treatment - Losing a Loved One is Not PTSD

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More than I've ever said in 30 years

Junebug, Congratulations! I feel the hardest part is we don't get to choose what arises or when! So sorry you had the experience but glad it is now possible to process.

I do not recall who did the research which was in the middle 80's in Boston, Mass. Most people do die alone, or the minute we leave the room. It was concluded there must be something with the dying not wanting their loved ones to suffer that last breath. When I read your post it reminded me that I am down to two relatives and no one has ever died in my presence! :hug: Whitney
 
Trauma needs to be taken seriously and recognized by the victim and supporters. Especially if the person suffering is young. Avoidance of emotions of that magnitude is very damaging to mental development. Everyone has trauma in some way or another, it's wise not to underestimate certain skills, like communicating, this can help us find a partner who listens, and opens up growth in the brain. It's easy to get mild depression as a kid or young adult, soon you pass up dates, gatherings, effects performance in school and getting to know people. Additional trauma could happen to anyone at any time. I am proof that it isn't always the trauma event that gives you the ptsd, its the way you learned to cope all these years later that can absolutely bite you in the ass later in life.

Not saying ptsd is always preventable but I am a true believer in getting to the bottom of the demons left behind after trauma to get your brain back on track as quickly as possible......autonomic memory is a real bitch. Even with early childhood trauma though, the breakdown panic attack was severe for me, thinking and feeling you are going to die and feeling the black dreadness that overcomes you....was terrifying. Technically that event was traumatic enough to trigger post traumatic stress and untreated later develop ptsd. Thinking you are going to die due to lack of oxygen caused me nightmares, odd waking terrors and flashbacks, later on my mind opened up some nightmares from my childhood.. Ignoring trauma is inviting it to stay, remember, acknowledge, talk, move on and that is what helps.

By the way, brains are extraordinarily complex, our very actions in response to situations change the way we think, reinforcing pathways in the brain. Forget about diagnosis, criteria and stuff THAT DOES NOT MATTER.
There are clearly different ways people respond to trauma, and not all brains are equal, for better or worse.
I believe you, you don't have to convince me or anthony that you have ptsd. Does it honestly matter what exact situation you were in and when? If anyone is at fault for your condition, try try try. The military has their own protocol and criteria...probably a good idea. Just hearing about some of the stuff my bud who was in the army had to go through is enough to feel like you need to talk to someone about it.

Weren't in the military? Then stop it with the criteria crap, they aren't going to pay for your treatment or diagnose you, a lot of us like me are S.O.L (something out of luck:} Trust me after serving their countries the last thing they need is civilian and other circumstance complaints about their criteria forms and getting diagnosis, its hard enough for them but the system is in place for them.

For the rest of us, the answer is the same. Seek treatment, open up, open up until you find a crack and expose it, say what happened, talk with someone who is supportive and understands. Don't shut down, because you will strain your supporter, conquer a fear, learn to not react the same old way to negative things. It is poison for the damaged nervous system, so is alcohol, so is pot. Your body doesn't naturally have pot in it, when you run out, believe me you will know it. Instead of scoring another bag, try your hand at a crossword or some drawing, learn to recognize things like obsession and avoid playing video games for too long. It is known to flood the dopamine receptors so much that too much makes you feel like crap and ruins sleep. Anything that is addictive throws up a red flag for me, but a little fun doesn't hurt. Try to live the best with what you got and strive for better, hell I think that works for people without ptsd as well. HaHa.
 
I would have to say it has to be sudden loss, an accident and you were present.
However a dying relative or loved one can be very abusive..... still it wouldn't cause yourself to go into shock or anything like that. Yeah grief and ptsd are far apart.
 
Look for me it is fairly simple, if you've not experienced exposure to a truly significant life event, then PTSD is a sketchy call at best. I was laughing today with my mother, I've got so many significant anniversaries nowadays (including for example, the fact I was actually on fire 3 years ago tomorrow), that I stumble over one or more virtually every month. I don't know, speaking purely for myself, I think that persistent flashbacks and nightmares are the crux of the illness, if you haven't woken up in a cold sweat and had the dreams continue while you are awake, you really haven't lived:(
 
Understanding ourselves and each other is not easy but helps us untangle that mess of flashbacks, intrusive thoughts and nightmares, therapy, talking about it, looking for solutions not just dwelling is important. Meds helped me out of the funk that had me tripping over the same thoughts and images, I take one for nightmares now.... my dreams just got way too freakin bizarre to cope with on a nightly basis. The major issue with PTSD I have is the comorbidity with panic disorder and in my unfortunate case I also have HVS. If I don't keep my issues in check, I get chest pain that squeezes, causes me cramps along my diaphram wall and back and even my ribs. It just makes breathing difficult and turns into a run away train of anxiety and panic which most of the time I have to subdue with meds if it occurs. If I didn't have meds for the occasional emergency I could easily end up in the hospital because my body doesn't know how to stop they cycle.... autonomic nervous system has its memory carved deep in my head, probably the hardest part of my recovery will be relearning so that my brain will allow myself to calm down.... I don't know. Also I hate what ptsd, the resulting pills and other conditions have done to my sleeping, I talk, pet imaginary animals, punch my pillow, throw my pillows on the floor and oddest of all sometimes when I wake up in the middle of the night, which is often. I will be laying on my stomach, my arms out in front of me and my head upright, not resting on anything. It makes me feel unrested.
 
Breathing is one thing I use for anxiety, that and relaxation, but medication is about the only thing which can touch the dreams when they get going. I still hate the nightmares that come despite the pills, on the plus side I don't recall the content (I can be pretty sure which dream it is though) and they don't persist when I wake, but the adrenaline overload and the resultant shithouse feeling the next morning is still there. I'm trying something different with both CBT and EMDR, so we'll see if that helps. I'm also going to groups and seeing a therapist regularly, so perhaps I can control it. What I would really like is not to constantly wonder what the f*ck is going to happen next, I don't know how many people have recurrent, episodic exposure to severe trauma, I cannot be the only one.
 
I wonder if a drug called Gabapentin will help restore signals neurologically, that might help more medications have effect on you, perhaps there is some degradation that is preventing the action of the drug....like I said some drugs can interfere and have that effect.. I don't know of any off the top of my head. Perhaps the drug just isn't good forever. Seems like our brains would rather repair themselves and can sometimes resist medication treatments after awhile.
 
This episodic trauma you are exposed to everyday.... is it akin to intrusive thoughts or is it more like having to drive everyday. Do you know what I mean? Some things we have to get used to through exposure and if its too much, move slower but do move forward. Avoidance is a possibility if applicable to a point, it will take alot of thought time and again... One day we all ready ourselves to do on purpose what hurt so much. There is no bad reason for it, testing your mettle and failing is still progress. Are you on an SSRI? maybe the dose is too low anymore? It is common to have to stop taking those kinds of meds or upping the dose under direction of a doctor. Sometimes you don't know how borderline depressed or anxious you are until you switch or up the dose. It can drastically improve sleep, maybe enough for the prazosin to actually work. Up that dose as well if you have to. If you dont make progress to solve your issues, day to day, week by week, it does not get better.

What you describe is either a schedule of events which are the same, but involved a trauma, which is re exposing you literally every day. Or you are having flashbacks and intrusive thoughts, it's a big deal because it is as if there is no room in your head to live and think. Room to room as you walk the events of the trauma unfold in your head. So which is it?
 
No, I have been exposed, partially due to being a dickhead, partially due to risktaking behavior and partially down to luck, to severe trauma on more occasions than most people (in fact on more occasions than anyone I know, especially as a civilian). I'm not quite sure what I've done to deserve such luck, but I have to be fatalistic about it, it is obviously happening to me because I can cope.
 
I stopped my flashbacks. I did it by writing down the events in order, go slow and focus on what you were feeling, thinking, any sensations. If its an issue of remembering, just go slow and focus on how the events in your memory effected you, it is just as important and is part of the traumatic event as the things beyond your control were. Remember that how you felt, your reactions, your thoughts is where your ptsd has hidden bits of memory also the feelings surrounding the memory will come to light. Events without emotion dont tell the story, the more you remember totally about the traumatic event, the more pent up feelings inside will come out. For me yes I was suffocating, but that's not the real meat of my story, its about acknowleging what you will leave behind, admitting that if im calling an ambulance, theres a chance I could die. The blackness of the feeling, I could only describe as dread... The fear of death and how my body reacted, How I was not going to be able to see Amanda again, and the impact on her life... those are the important parts of my traumatic event. I was not able to breathe, is pretty scary. But there is little understanding in it for me to cope with the event. All the other stuff I described I can think about, I can talk about directly to Amanda or my therapist. A higher level of understanding of the event will put it in the forefront of your mind in a good way, and expose it for what it is....something you wanted to hide forever because it has devastated you....but you want understanding, you want the traumatic event still effecting you to become a traumatic memory that you have come to terms with....and can now rest instead of hide in the back of your mind.......I do feel for you.
 
The biggest aspect that symptom tick and flickers miss when self-diagnosing and / or are diagnosed by incompetent / sympathetic believers, is that the severity has to also be present, not just the trauma. You cannot use an individuals gauge of severity, in that what they tell you. That is where a trained physician will come into their own, being able to substantiate verbal with physical. High anxiety has physical attributes, as does major depression, as does sleeplessness, severe dissociation, etc.

If a person has these things, it still doesn't mean they have PTSD. The severity has to be present at around a 7+ for each criterion. When you have these symptoms, yet no longer the severity, diagnostically, you no longer fit the criterion for PTSD, thus you no longer have it. Hence... treatable. Another event, a highly stressful work environment, etc etc... for some symptoms may return, thus PTSD is back because the symptoms have remained longer than a month at the required severity.

There is simply so much information required to make a diagnosis, which is not included in the online diagnostic symptom lists. They are just that... symptom lists. They are not diagnostic assessments nor the criterion for which diagnosis is made.

Which brings me back to severity. A person stating they're having severe anxiety, and lets say... the most they experience is restlessness. Whilst to them that may be severe because they haven't had severe anxiety, it is not severe. It is near non-existent, normal anxiety, that most people will have during their lives. Severe, is when you experience a lot of the symptoms and also the behavioural / physical symptoms. That is severe anxiety. Symptomatology severity is not individual, it's already known and well established. Because someone is having an individual hard-time with a mild anxiety symptom because their best friend died, does not make it PTSD, nor even complicated grief (when released). It is just normal.

I think an even better discussion would be societies view and relentless appeasing of politically correctness, trying to apply severity to minor issues.

You only need to look at discussing ethnic colour to see many issues. People become offended if you call a person black... usually white people. Yet a black person calls a person white without issue, or feeling bad, because that is the colour of the skin... white. White, black, tanned, etc etc... it isn't wrong to use these terms, yet PC inference from social pressures try to dictate otherwise, as though its racial.
 
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