THANK YOU FOR STARTING this important topic.
I feel like I am always "wearing the mask" unless I am alone, and even then I am often hiding how bad things are from myself. In therapy, I have been trying very hard to let her really see and know parts of me, but it is very difficult. My T watches me very closely and is one of the few people in my life that "really" listens to my words and looks past the false affect that is almost always smiling, laughing, and making light of the horrors I've been though. As I have begun to trust her more, she has started gently reminding me what I look and sound like when I describe events or daily life to her. She has been my mirror at times, quietly crying for me when I could not, or telling me that what I'm talking about IS NOT funny. It's a horrible thing to have lived through.
I also use the smiling, joking, everything is 'fine" mask to deal with my chronic pain from migraines and cluster headaches. It used to (and still does to some extent) make me angry with myself when someone could/can tell I am in physical agony. I always want to know HOW they can tell I have a headache; like F*#K, how did I screw up and allow them to "see" my pain. I think developing the mask was part of survival while I was working. If anyone could see my pain, mental or physical, it could affect my job. I was happy that my physical disability was a hidden one, because I didn't/don't want people to know unless I choose to tell them. I haven't been able to work (from my headaches, not my PTSD) for almost ten years now and it has just been in the past year or so that I have started to go out of the house using a cane when my balance is off due to days of unrelenting excruciating pain and the resulting exhaustion from the headaches. I just didn't want anyone to see me as disabled, or to accept that fact myself. I just got a disability parking placard this past month, so that when I am too exhausted or unsteady to walk more than 100 feet I am able to choose to park in a handicapped parking spot.
I hate using it and only do so rarely, but it does enable me to do errands when I really need to and find it does help some with conserving my energy. I've been able to be more open about my physical pain with some close friends, but it is hard because even though I want to share that burden sometimes, I don't want anyone to feel sorry for me or do things for me that I'm used to doing for myself. Luckily, I have two people in my life that I feel comfortable with enough to let them see me with an ice pack strapped to my head. (Great, so I look insane as well as disabled by pain). I think I have to laugh about my situation sometimes or I'd be crying all the time.
My family has exacerbated the problem, because if they can't actually see the pain, then it must not exist. For example, I scratched my cornea (extremely painful) during a visit once and told them I thought I'd done something "really bad" to my eye and needed to go to the ER. Because I wasn't screaming in pain or writhing on the floor in pain, they told me I was fine and ignored my repeated pleas for help. And, because it was my family and I am used to them ignoring me in times of need, I didn't think to call an ambulance (the cost of a cab was WAY beyond my means). I lived with that pain and the resulting migraine it triggered until the next day (Christmas) when my sister (who also has migraines, but not cluster headaches) either recognized the severity of what I was experiencing OR was finally able to listen to my words and took me to an urgent care clinic. They treated the migraine but could only give me antibiotic ointment and some ointment that lessened the spasms I was having in my iris to help with the pain. They could not give me any lidocaine ointment for it because they were afraid that without the pain I wouldn't go to the specialty eye emergency room that would be open the next day. I coped by isolating myself as much as possible from the rest of the family. No one even offered to help my sister help me to get to the hospital the next day. The scratch was on my left cornea and as I am legally blind in my right eye, the Doctor was very concerned about the state of my eye and told me I needed to have it looked at again to make sure it was healing within a couple days (after I got home; I was out of state). It just confirmed HOW screwed up and dysfunctional my family is and how much I need to learn how to trust people outside my family in case of an emergency. Not easily done, when I don't truly trust ANYONE due to childhood sexual abuse.
It's a catch-22 situation. I need to be able to trust a few people in order to properly take care of myself at times, but I don't trust anyone due to PTSD. Through therapy, I am starting to let some people in closer; but IT IS SO HARD TO DO when I don't really trust myself to make good decisions about who is trustworthy.
I don't know how much of this is really coherent, since it is past 3AM and I have a really wicked headache right now. I shouldn't really even be on the computer, but my headache woke me up and I'd been wanting to reply to this post since reading it yesterday.
Anyway thanks so much for listening and I think all of you who are struggling to live "as they are" without putting on a false face are extremely brave. I am trying hard to do this in therapy, but am too scared to try it with many other people right now. I am so grateful that I stumbled across this forum for some support.
I have more to say in reply to some of the earlier posts, but they'll have to wait until my head feels a little better.
Goodnight (hopefully) for now.
–S