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Ptsd Diagnosis As Enabling

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I think that the PTSD can enable you to give yourself the self-care you *Actually need* that you might otherwise deny yourself. :D

That's what I'm hearing from your post. It sounds like you needed to heal for a while. It is ok to have periods where you need to pull back from the world and recenter on you. Then you come out when you are ready. I think that having the periods where you stay home to calm down when you need to... you build yourself up so you are more capable when you come out again.

Personally, if I don't have periods of staying home and re-centering on myself... I get more and more frenetic. I lose my identity in service to "who I am" to other people. It really sucks. The PTSD diagnosis gives me language for why it is so hard for me feel solid on my own around people. I have a lot of boundary and attachment issues that aren't strictly PTSD related, but it complicates things.

I don't think of it as negative enabling unless you say, "I have PTSD therefore I'm allowed to take my rages out on anyone who walks by indiscriminately."
 
Yeah, I guess I should clarify that I don't think I was healing during that phase. Even though I focused more on my self, it was all negative -- I relapsed, drank heavily and told myself that was okay because I was broken and there was nothing else I could do. As many of you have mentioned, this might have partly been the shock of finally getting an official diagnosis. But I think that, for me personally, the diagnosis made me feel weaker than I actually was, like I was somehow capable of less in life. It was only temporary, of course, and the diagnosis also made me stop blaming myself for many things. So I don't mean to imply that the diagnosis was completely detrimental. I guess I am just thinking that, in my case at least, I wish therapy had been more empowering and less focused on how fragile I was. I suppose I just needed more of a tough love approach in dealing with the diagnosis. I did get that tough love approach from my former boss, and his perspective, though different from mine, helped me immensely. Rant over now.
 
I wouldn't use the word "enabling" either, but this is something I've thought about a lot. As others have said, it's both a fine line and a balancing act, finding what you CAN do, what you CAN'T do, what you THINK you can't do, etc. It seems like a "I'm broken, now I'm going to crawl in a hole and wait to die" reaction might not be unusual. I would hope therapy would actually help a person get past that.... I'm glad you got past it! I wonder if the issue was really the diagnosis or if it was more the quality of help you were getting at the time.

I think it can be easy to use this, or any other problem, as an excuse. One of my favorite quotes is "Argue for your limitations and they're yours". That's one of the many traps, or road blocks to healing, that's out there. IMO
 
The diagnosis can be demoralising because its being told you are officially not the same. It sounds to me like you were in a depressed grieving state post diagnosis. While turning to unhealthy coping mechanisms isn't ideal. That doesn't mean you didn't need to feel that shit and move through it.

Healing isn't just sunshine and rainbows. Feeling negative emotions (sadness, depressed, broken, ashamed) are part of the healing process. You have to feel it to move past it. They might not always feel helpful. Especially shame. But if we deny and surpress them it makes them worse. While I don't think that drinking and all that is healthy coping mechanisms, it was the begining of a path forward. Kind of like how denial is the first stage of grieving. It doesn't feel like it should be part of grieving or that its helpful. But it is.

I think I would be more shocked if someone went from getting the diagnosis straight to everything is awesome.

Ultimately, I think the most important thing is that you've moved past it. And you are at place where you can identify enabling.
 
I don't think I ever gave myself permission to not try to do what I have to, but it helped explain part of why I failed or why I felt so long the way I have or why some things were so very difficult. I find it odd my mom knew about things I didn't, or didn't share them with me. But if she had I would have felt worse (then). Finding things out after the fact, well the experiences of my life have shown to me I can't deny what I wish I could. Not sure if that's enabling myself or accepting my reality. The shame-based stuff (especially) can enable me to self-deleterious or final (no-turning-back) decisions, but the matter-of-fact realities are (somewhat) easier to stomach & find ways to work around (now).
 
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Was the diagnosis a shock/surprise.

I'm not diagnosed so I can't comment on how that would feel but I've been on this site for a year and my T has acknowledged that ptsd is relevant to me .... So it won't be a shock diagnosis if it happens.
 
From the following amaaaaazing article / thread:

Link Removed

Dares... The Art of Successful Recovery
Dares are the therapeutic antidote to the safety behaviours involving learning not so much at an intellectual but primarily at an experiential level, in the gut. Intellectual learning is very much hippocampal learning, where experiential is more at the amygdala based learning. Basically, if you look at how a young child can be taught to not be afraid of the water, they gradually increase the dares as such that are performed in learning to swim at the experiential level (doing) rather than the learning of physics principles, which is what then gives them the confidence to float at a basic level.

Dares are identified between closing the gap between current behaviours, opposed to pre-trauma behaviours. If you used to be capable to going to a crowed shopping centre, or standing in long waiting lines at the checkout, and now cannot, then these would facilitate the dares that you need to perform. These range across your entire behavioural patterns, and are not just limited to one or two of your symptomatic responses now. What must be stressed, is that experiential learning can only be accomplished by triggering the amygdala to the alarm position, which then the alarm rings and it will be quite uncomfortable to you, though afterwards the alarm will come back a notch. The payoff for the alarm coming back a notch is that you will begin to notice improved patterns, ie. sleep will improve with less need for sentry duty, concentration will improve with less effort focused upon your traumas, and the list carries on.

Dares must be timetabled, to prevent avoidance. For example, if you tell yourself your going to perform a dare by going into a crowded shopping centre at late night shopping, then something less trivial arises, you will talk yourself out of the dare. If you timetable yourself to meet someone, or have a coffee with your partner at a coffee shop within that crowded shopping centre at "x" time, you are then more likely to adhere to the appointment time, than talk yourself out of just going into a crowded shopping centre.

The intent of dares is not to be at ease afterwards, but instead disconfirm there expectations that you have created, and learn to tolerate rather than remove distressing emotions. Intentionally inducing the internal alarm to panic is so that the body and mind can see and learn that nothing terrible actually does happen. It is about beating your own thoughts and perceptions that you have now come to believe are reality, when in fact, they are just thoughts and perceptions, and not reality.
 
I guess my answer is it "depends." For me, I was functionally disassociative my entire life until I developed PTSD and got diagnosed (though I had some symptoms lurking in the background for many years). I know I am doing a fraction of what I used to do pre-diagnosis, but I'm still in the process of managing my symptoms and am trying to cut myself some slack.

Sometimes I'd rather go back to being without feelings and on auto pilot than deal with PTSD. However, in the long run, this diagnosis and the treatment of it will give me back some quality to my life. At least that's the hope.

(Sorry if that wasn't explained very well, I'm struggling with the right words.)
 
For me getting the diagnosis gave me an answer to all the things I was already feeling. Now I could feel something and look up ptsd symptoms and there were hundreds of others going through the same thing. I felt less alone and more understood. Yeah there are times I let myself feel bad or isolate and blame my ptsd but then again I did that before. The difference is I used to judge myself for being crazy or weak. Now I know why I react the way I do.
 
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