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Sufferer Ptsd For Almost 10 Years Now Following A Sexual Assault

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Shulamit

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Hello,

I am a 24 y/o from Canada. I've had PTSD for almost 10 years now following a sexual assault.

I've done the whole therapy thing, but have found medications more helpful personally. Problem with therapy is that I've never been able to open about anything related to the assault. I have never given any details to any family or friends or acquaintances or therapists.

I was happy to find this site. It seems like there are not very many support forums.
 
Hello Shulamit. I'd like to say that if you are here now posting this, you are also seeking other forms of help for your PTSD, and firstly that is to be highly commended. It's not an easy step, one I hope you are proud of.

The one piece of advise I can give you is, try as hard as you can to be open with your therapist. They won't be able to help you if you can not open up to them. It's very scary, especially since we all tend to have a crazy knee-jerk reaction to fear. I've found notes help me a lot.

It's also important, in my opinion, that you have a therapist who's focus is PTSD. For a long time I had focused on therapists that mostly focus on my alcohol problem, and found that they just didn't seem to understand that the...root cause, if you will...of my alcoholism is this unbelievable fear I seem to have all the time.

I too have not found many support forums, I suspect is may have a lot to do with how afraid we are to open up, given our trust issues. I'm very new to this forum myself, but in the few days I have been here I have found a kinship with people that I really didn't think I ever would.

It was brave of you to take this step. It's also proof you are brave enough to continue taking more. I am glad you are here and hope we can all continue to share and help each other.
 
Thank you, both for responding and the support.

I just feel like I haven't talked about it this entire time, and I've hidden my diagnosis and gone to extreme lengths to do so. I don't even know where to start if I wanted to open up with a therapist. I currently only have a psychiatrist who only asks me one question at every visit - do I have hobbies. He's really of no help. I see him for 5 minutes once a month.
 
I am not very familiar with ptsd nightmares as I only began having them six weeks ago and am in the middle of year 5 since the main trauma. My peaceful sleep is definitely increased by anti-depressants. In fact they make sleep so peaceful I have preferred it to wakefulness, often sleeping days at a time.

Now in my nightmares, although the details are different, the premise is always the same, a male perpetrator confronting me at a door. There is no build up to the confrontation that I recall, but once confronted I physically react, attack, protect myself in and out of the dream. I have kicked my little dog off the bed a few times now, since she sleeps cradled in my knees under the covers. I am, of course, jolted awake as well.

This is the first time I have experienced anxiety when dozing off. So it must be awful for you and I am sorry.



 
Recently I was experiencing night terrors and flailing in my sleep. I realized it was a result not of any one trigger, but I had placed myself in an unhealthy environment. I had to take a lot of steps I didn't want to and was afraid to, but I removed myself from that environment. It has helped a great deal.
 
I recently thought about where to start with my therapist too, as I haven't seen him in a while and am going back. I decided that I am just going to tell him what I have done, bad or good, tell him how I feel about it, and go from there. It is a big leap of faith, but one I think both of us want me to make.
 
Regarding therapy, as I read back...

With my PTSD...I have to have a therapist. Not just a guy that sees me once a month and gives me a drug prescription, but a person I can talk to for about an hour a week (sometimes more) regarding how to make sense of all these thoughts. I would recommend that on top of seeing your psychiatrist, you also see a therapist on a weekly basis and see how that goes for you as well.
 
Now in my nightmares, although the details are different, the premise is always the same, a male perpetrator confronting me at a door. There is no build up to the confrontation that I recall, but once confronted I physically react, attack, protect myself in and out of the dream. I have kicked my little dog off the bed a few times now, since she sleeps cradled in my knees under the covers. I am, of course, jolted awake as well.

This is the first time I have experienced anxiety when dozing off. So it must be awful for you and I am sorry.

The anxiety before sleep really started about a year or more ago. I'm not sure why - I think it was around the last anniversary and just didn't stop when the nightmares mostly receded. It's been absolutely intolerable at times.

A useful technique I was taught is called the "7/11s". When laying down to sleep, breathe deeply for 7 seconds and exhale fully over 11 seconds. Repeat about 10 or so times, the reduce to 6 in and 10 out, then 5 and 9. It has really been helpful - instead of absolutely unmanageable anxiety attacks, I have smaller ones that don't scare me as much. It might be worth trying for you.
 
A useful technique I was taught is called the "7/11s". When laying down to sleep, breathe deeply for 7 seconds and exhale fully over 11 seconds. Repeat about 10 or so times, the reduce to 6 in and 10 out, then 5 and 9. It has really been helpful - instead of absolutely unmanageable anxiety attacks, I have smaller ones that don't scare me as much. It might be worth trying for you.


I have the nightmares more toward morning hours it seems and it is usually going back to sleep when I feel the highest anxiety. Have you ever had to do the exercise a few times a night?
 
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Welcome to the forum! I've only been a member for a short time, as well, but I've experienced real relief, just in these few days--I'd not only given up hope for such, but forgotten what it felt like.

I understand completely regarding not being able to open up to a therapist--or general-in face-to-face interactions. I came from a family where to do so, at all, was attacked as weakness.

In fact, I was so without any such concept, or frame of reference, that I was immediately "fired" from each therapist I began seeing--I didn't even know what I was doing wrong, and none ever told me. That's how "sealed off" I was.

In periods when I was in a "decompensated state" (I now realize) on the other hand--what flooded out of me was simply too much...and I was fired for that immediately.

So it was either one end of the spectrum, or the other. In other words, I understand.

In my experience, those who have the most difficulty "opening up" have the most trauma to deal with (although it can often be cultural, as well, as some of my own was).

I don't know what your culture-of-origin is, of course, but it may be worth considering trying to find a therapist of the same or similar cultural background. That was crucial to me, I now realize--though it took a long time for me to put that together.

With severe trauma, there can initially be a kind of "opening of the floodgates" phenomena, which can be debilitating, in itself. That's why it's important to have the right kind of guide, and a competent one. I'd encourage you to not take personally any inability to open up to a particular therapist, or consider it as a sign that "therapy is impossible for me". For people with serious trust issues, it really is a matter of finding just the right one...and not stopping until you do, due to discouragement at not having found that person, so far.

It's not easy. It naturally seems easier to go on the way you have (a natural human fear of the unknown, of course)...but I've learned that if you have symptoms serious enough to affect your quality of life at any point, keeping at it with purpose is preferable to merely continuing on, and remaining "stuck"...It's often only a matter of time until a breakdown occurs, of its own, under such circumstances. And years of just barely existing can be wasted in the meantime. I know that was the case for me.

I wish I were speaking from experience as "one who made it through to the other side". However I'm only now beginning this journey, myself. But I'm relating to you what I've learned from much reading, in the meantime, and hope it's taken as supportive encouragement, rather than as someone suggesting that "you're just not trying hard enough", or that it should be easy.

I, too, have had violent nightmares, as well as numbing, and intrusive thoughts, all my life, and it's not easy--either to stay there, or take the risk of moving forward, and experiencing more the pain of opening yourself up to confronting such feelings head-on.

I'm very sorry for your experience. I do know how hard it is. I'm glad you've found the forum, somewhere for support that can make you feel less alone and uniquely damaged. I know it's been very helpful for me, even in a short time.

Take care, and best wishes
 
Hi Shulamit,

Welcome to MyPTSD forum! :)

Medication is a great tool for helping a person manage symptoms and maintain stability. Like the 7/11's, there are also many other tools that help with symptoms and improve a person's ability to cope. But to get better and really make long term progress, it ultimately requires the processing of the trauma in whatever form works for you.

There are many members here who have started a trauma diary and have found that writing out their trauma has been beneficial. Even writing it out and sharing it with a therapist has been approached that has worked for others. Find out what is comfortable for you and then start. It does require a personal "push" to process it and sometimes just a series of pushes gets it all out.

I hope you find the information and support here helpful to your healing.

Take care.

Debbie
 
Thank you for all the welcoming and encouraging replies.

After 10 years, I don't think it's anymore possible now for me to open up to anyone. I've tried on a couple occasions and it's like my throat is closing and I've forgotten how to speak. I'm also not a very open person. I bet a lot of people have these same problems, but it just feels like something I won't overcome regardless of how hard I try. I just can't talk about the specifics.
 
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