I find it hard to say no to people in need because I know what it feels like to need help and not get it.
This is one of the places I still get stuck. It's a big one, but I'm getting better at it. Let's see if I can figure out how to explain how.
For one, I got taken advantage of a lot. Precisely because I know what it's like to be desperate for help, I tend to believe others needing help are in dire circumstances the way I may have been. It's hard but there are people who will take advantage of kindness and leave the giver with nothing.
Another thing is I did come to see that if I don't take care of myself, I will have nothing left to give. I came close enough to that being the truth that I learned the hard way that I do have to focus on me. Taking care of myself is not being selfish. The more work I do on myself, the more I will have to give others. It's like putting your life jacket on before helping others with theirs, you know?
And a third is I acknowledged that I am not the only person in the world who can help. Sometimes it will be me, sometimes someone else. But do I know for sure that no one else will come along and help someone I had to say no to? Of course not. I'm not responsible for the whole world, anymore than anyone else is. I think it's a good thing to question exactly how much we are responsible for. At the most basic, we are responsible for taking care of ourselves (and our children and pets if we have any) and for not hurting anyone else. Beyond that, it's up to us what we want to and are able to give. Many people struggle with that question, and that's where even though this is an issue much bigger than PTSD, where I can see we might have a bigger problem with it than most is in difficulty defining boundaries. That is, where do you end and others begin? If you are clear on that, you can give because you truly have something to give, and say no with compassion when you don't.
I also wonder as I write this, could giving to others while denying ourselves be a way of not looking at the extent of our own pain? A kind of dissociation almost?