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General New Member Seeking Guidance For Friend With Combat Induced Ptsd

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SkaakS

New Here
Hi everyone,

I've recently become friends with a fellow (Mr. E) who is suffering from combat induced PTSD, and I'm looking for a bit of guidance as to how to help support him. I've only recently met him, however he seems to be fairly comfortable with my wife and I, and has really poured his soul out to us in several lengthy conversations about his experiences and what he's dealing with on a day-to-day basis. We've never had any experience with this sort of trauma, however, and are trying our best to help without saying the wrong thing or doing something to betray his trust in us.

His main struggles seem to center around his fear that he is guilty of something and that someone is out to get/kill him, but he does not know what that something might be. He doesn't remember any specific events for which he should be in trouble, however he is having difficulty distinguishing which of his memories are real and which are most likely fabrications of his mind. He's talked at length about quite a number of different 'memories' that he has of meeting people he's never met before, being in fights with people he's never fought with, seeing things that seem imaginary, etc. He has even gone so far as to call nearly all of his prior acquaintances to ask them if they know of something bad he has done, but no one has confirmed his suspicions.

He has received professional psychiatric help in the past, as well as more recently, however he seems to be extremely suspicious of them. His main worry is that if he is to open up and talk about everything that they will turn him in for something he says to them. Again, he is worried that his guilt for some unknown event will come to light as part of his treatment, and his wife and kids will be taken from him and he will be punished as a result. I can't say for certain exactly what kind of treatment (and how often) he's been receiving, but as I said he's mentioned that he doesn't really trust the doctors he's been seeing.

He is 100% convinced that he has done something wrong, and he seems to mistrust anything or anyone which says otherwise. It almost seems as if he's desperately seeking something/someone, real or otherwise, to confirm the guilt he feels deep inside. For example, he was extremely upset the other day when another friend of ours got teary during the conversation, because he inferred that he must have known this person at some point in the past and that something he said reminded them of something bad he had done to them in the past.

I am very eager to try to help Mr E in whatever way I can, however I'm just not sure of the best way to do so. I've tried to encourage him to continue his sessions with his psychiatrists, but as I explained it seems as though he is not very open to their help. I know that I, as a friend, can hopefully help him get to a point where he feels he can trust the true professionals, but how do you go about doing that? How do you even begin to try to convince someone that you've only recently met that their doctor is not the enemy? Are there certain topics/ideas that I should try to talk to him about regarding this?

I am very willing to sit down with him and try to be understanding/supportive of what he's going through, however I'm always so afraid of saying the wrong thing or somehow betraying his trust in me. Should I avoid asking questions or making suggestions of what might help? Are there specific topics that I should avoid all together? Is just having someone who listens more important that someone who can help determine what's real or not?

Thank you for your wonderful community!
 
Welcome! I'm so glad you found this place and can rely on the resources and companionship it offers.

My husband suffers from CPTSD as well and I know all to well the large role guilt plays in those instances. Aside from that, there isn't much I do know about the paranoia it sounds like your friend is dealing with. However, I can offer that all supporters are constantly afraid of saying the wrong thing and making the wrong move. If I counted up a list of the times I'd made the wrong choice I'd look like a disaster! Good for you for coming here and seeking advice. I wish I had learned more about PTSD when I first found out about it and not when it had gotten so bad everything was chaotic.

Sorry not much advice here in response to your questions. I do believe (and have been told by my sufferer) that having someone listen is better than having someone who isn't qualified to fix you attempt to fix you. However I don't necessarily know if it is the same thing when dealing with issues of understanding the difference between reality and imagination. It sounds like trust is the big issue here and I would focus more on support than fixing at this point. He does need help as he has to be miserable (and I feel for his wife and children as well!) but I just don't have experience dealing with paranoia on that level.
 
Thank you so much for taking the time to respond! It's always encouraging to hear from others who've gone through it, even if the situation is not exactly the same.

I think your advise is very well founded. I've been thinking a good deal today about everything, and I think I agree that listening and building his trust is the best thing I can do, since trust is the thing he really needs to be able to do in order to receive the professional help he needs.

One other thing I've been thinking about is trying to get him involved in some kind of activity that might help at least take his mind off things for a bit. We both play guitar and have talked about getting together to play. Should I be concerned at all about encouraging distraction from his issues? I know personally that I sometimes just need to get away from things in order to cope with what's going on, but I don't know enough about how something like that might affect him.

Thanks again!
 
Playing the guitar (or any instrument) can be very therapeutic in it's on way. Sometimes the best we can do for those who are suffering is do things they love to do with them. I can't count the amount of times I've played a silly video game with my husband because I know he loves it, it calms him, and he is spending time with me. I'd say go for it!
 
Hi SkaakS.

Firstly, a big warm welcoem to you to this wonderful forum, where you will find a lot of support, wisdom, guidance and shared experience of both sufferers and supporters. It says a lot about your calibre as a person and your care as Mr E's friend that you have taken the time and effort to logon and write here. I think he is lucky to have you and that your potential to be a positive and stabilising influence on his life right now is enormous.
I also just wanted to really strenuously say how much I support your two suggested courses of action above. Remaining a solid, reliable, supportive and trustworthy friend to him right now is your most critical role. It isn't your role to try to offer substitute professional help or to do any other than encourage him to seek it (which I think is important by the way).

You can offer him every bit as much stability as the professionals can by just being you, being his friend and, leading to your 2nd point, helping him to engage in enjoyable activities, with safe people, in nonthreatening situations.

As a sufferer, I cannot tell you how difficult it can be to initiate activities on my own, or to follow through with them when left to my own devices. Having someone to give me a "kick up the butt" and to participate with me in these activities is worth more than words can say. So in summary, absolutely bite the bullet and encourage him to get involved in the guitar with you.

I truly believe that recovery is aided enormously by a balance of professional intervention and personal support, and he is halfway there in having you by the sounds of it.

Perhaps with a little extra personal security he will feel more able to engage with the professionals, so I would continue to encourage him, without unduly pressuring, and remember that at the end of the day this has to be his decision and his responsibility.

Again, welcome, thank you for your care and compassion, and please do join in around here as much as you wish.

Maddog
 
Distraction through some constructive and / or creative activity is a good thing.

I'd be curious to know whether the medical professionals he is seeing have expertise treating combat ptsd and trauma. If they don't, it may be that they're not helping. On the other hand, if they do, once you read around more you will find that trauma therapy can be difficult and scary for the sufferer and that it takes real work that can be challenging and painful. That may be a source of his resistance. On the other other hand, even if they do have the right experience and expertise, they may not be a good match for your friend, or they may be suggesting things (e.g. medication) that he is not comfortable with.
 
Just a thought, could you persuade him to come to this forum?

He could lurk and look without joining, no names, no commitment, no risk. If he felt brave enough to sign in, a pseudoym can protect his identity. Also, he could start "looking" using your computer and that would make it doubley "untraceable" to him - or he might use a library or internet cafe, again keeping him safe.

Paranoia is a tough one to conquer. Best of luck.
 
Hi everyone,

I've recently become friends with a fellow (Mr. E) who is suffering from combat induced PTSD, and I'm looking for a bit of guidance as to how to help support him. I've only recently met him, however he seems to be fairly comfortable with my wife and I, and has really poured his soul out to us in several lengthy conversations about his experiences and what he's dealing with on a day-to-day basis.....

I am going to come across as a complete dick here maybe and I apologise straightaway, but I can't comprehend that. I realise everyone is different and I have no learning or knowledge on the theory behind PTSD or how it is for others, but being ex-military and current sufferer myself I can't even speak to my wife, solid friends since childhood and therapist about what you describe. It took me years to even start.

The only people I could do so with at a push about the impact and experience are those who were there with me. He obviously trusts you alot, but I'd go careful. Listen to him, when he talks but there are no right or wrong responses you can give from where I sit. I'd be extremely suspicious. Something doesn't add up...and I apologise if I am coming from way outside etiquette here but you did ask for feedback...so there's mine! :)
 
Sometimes it's easier to talk to a stranger than to a friend or family member. If there's no relationship at stake, there is less risk in revealing rough stuff that might scare the listener.
 
Jibby, I can't see opening up like that either, just with 'regular' ptsd, not even combat related. Unless someone is about to have a breakdown.
 
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