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To those who've been here over five years

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These are all such good posts. I hope mine makes sense because it's hard to cover it all, and without referencing.

I really like Thomas Merton. I read something he said recently: when someone makes their mind up to do something, and rolls over in bed and goes back to sleep, is he unmotivated? Lazy? Insincere? Uncommitted? Maybe- but likely he's just exhausted, leave it at that. It's our human nature to add more explanation and blame than is neither necessary, and definitely not at all helpful.

A few months ago I also started to look in to Compassion Focused Therapy for ptsd (Dr. Paul Gibson). I believe he said many people who have lacked self compassion use, (not necessarily his word- I can't remember) self-battery and perfectionism, because the fear of making a mistake (or preventing one) leads to less fear.

In his approach, people need to learn self-compassion, (and sometimes compassion for others, too). Then lots can become possible.

Then there are other things like, how do you define, for eg, 'getting dressed;? Does it have to include better clothing; make-up; nails; hair, or a 'particular' regimen? And therefore even the thought of the whole process is overwhelming? (Which is procrastination and overwhelm- not laziness). Or it can even involve triggers. Or something else.

One way to flip it, is to say, if now you have some support, some chance to have been off work to recover- well that is wonderful. You don't need the guilt. And anyone who loves you and is helping with that- it's something they can give. And for your part, 'the' motivation is for others (maybe for them as well and they feel good about that, to give to you?), and so it's not the 'only motivation' it is a 'great' motivation. And go from there. Breaking it down in to realistic smaller goals, and not beating yourself up for what isn't perfection.

Human beings are very very complex. If we save the energy from running ourselves down we will be happier and more capable of giving to others, too. Even if we give 'love'. We are human beings, not human doings. And today is all we've got.

And as @scout86 said, if we were able to draw self-healthy conclusions without any help or understanding why they aren't, of course we would. But that's not laziness, that's learning, even what is fear-loaded in overcoming.

And as @Mach123 said, I agree, whether someone else heaps on shame and abuse or we do it ourselves, to ourselves, we are left with bad consequences, and lots of despair.

Where would you be left, or how would you be left feeling, and what would you choose to do, if you stopped blaming yourself, for a few days or a week or 2? Would you find the blame is serving a purpose, or it's foreign to replace it with anything neutral? If it's me, I'm at a loss without knowing what else to replace it with, or replacing it with other's (non-abusive, encouraging, hopeful) words.

ETA- I do remember, because there are exercises with kindness meditatation (Re: CFT- modified- due to the obvious difficulties with self-kindness), where this Dr. Gibson says, what if you fall asleep (during)? (He says), 'Well then you need the rest'. I do recall he said he created it for people who weren't getting where they wanted to be with CBT, etc- the thoughts could be identified but people who couldn't 'believe' it all had the same quality or characteristic of lack of self-compassion (which, btw, is not their fault).
 
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I've progressed a long way. I am still progressing and I imagine that one can always improve more. I belong to the DBT SKILLS Group here and am working on a workbook I mentioned there. I just finished the section on SELF SOOTHING Skills. These help. That is just what I am up to this week. I am also in Trauma Therapy and have been for over a year, since my last in patient hospital visit. I have a Trauma Diary here too. A private one. Yes, it takes work. However, the work is well worth it. So I hope you will progress in your improvement. Even a small amount of effort can get you somewhere better off than you are. That is my experience anyway.
 
Why aren't you better?

Serious question - plenty of people apply all the tools and get better.

I am better but I still need to stay connected with peer support as I navigate situations that are difficult and uncomfortable so I don't regress.

You've been here that long or more? Why aren't you better? Are you? If so please discuss how.
 
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how do you define, for eg, 'getting dressed;? Does it have to include better clothing; make-up; nails; hair, or a 'particular' regimen? And therefore even the thought of the whole process is overwhelming?
I have worn make up three times in the last seven years. I don't even clean my nails, except they get cleaned when I wash my hair. I aspire to clean knickers and socks daily, but the rest of my clothes are just what I wore yesterday. I don't look in the mirror, so It doesn't matter. But yes, doing that much can be overwhelming, quite apart from the trigger of removing nightwear.

So yes, I have time off work to recover, but I'm not recovering.

if you stopped blaming yourself, for a few days or a week or 2?
I've tried it, but I don't perform any better. A stick seems more effective for me, without it, I'm fairly consistently inert.

I'll look into Gibson though - I have to do something productive.
 
I am glad you asked this question. I no longer get lost in deliver of others (an improvement in my PTSD)…I go for the contents knowing that you do not know me and there is no way you could be rude since absolutely you know nothing about me! A great improvement since I joined here!

With that being said, your question is valid and sound and honestly I wondered few times especially when I see some people that have been here for a long time and still extremely symptomatic. The only reason I did not ask this question (in my mind) was not to trigger others or make one person feel wow I have been here for a long time and still same level or something like that. I felt guilty.

I joined recently (since I started therapy almost two years ago). The main reason I joined here was I found therapy to be the most difficult and challenging and unstable relationship I have ever been in. I seriously connect with people all over the world and yet in a room with a professional mental health, I just not only cracked (dissociation, avoidance, hate, rage etc) but I also completely lost into depression, and anxiety and extreme fear I never had.

Now I know this is the brokerage of the infant denial and the other side of dissociation.

Depression and anxiety are upgrade for me. It means I am feeling my feelings of (you can put a long list here starting with fear, sadness, etc etc even my happiness feelings are a bit happier) and not blocking them so I am depressed but happy…if that makes sense. The anxiety is high (sometimes higher almost panic like) but I have completely and bravely integrated that part. In my case I talked to the inner part that was absolutely most afraid and gosh was she ready to relax. So now whenever I am in panic like mood, I know I know another part needs serious attention for integrating.

What else changed since I opened the can of worms and joined this AMAZING WEBSITE.

I will list random improvements:

When others make an observation, I do not defend but keep an open mind – my biggest problem in PTSD was resist influence (makes sense right…I closed my mind to my mother) and I see a lot of people doing that on this site. So I learned this could be a big symptom of PTSD.

I used to feel I was right Internally often even if I agree with others on the outside – to keep peace in the world. Now I try to align internal feeling and external feeling as much as I can.

I am super grounded physically. I used to have knee, ankle issues weird but now I feel I am fully on the ground (this is extremely a delightful surprise of my recovery journey). It reminds me of chakras so maybe I am just starting.

I learned one reason I survived so long without much of impact (materially or externally) is that I am extremely hopeful and I find a lot of people here have that area impacted a lot _ so I know this also could be a sign of PTSD.

I speak more in kind and I am really getting good speaking to my inner child and seriously asking what can I do today to make you feel safe? And I get the answer every time…some times it takes a while but still.

I am super super aware of my gossipy mind – meaning, I condemn and put others down in my head which 100% means I rather do that than do that to me…but still I am injuring myself. THIS IS STILL WORK IN PROGRESS, but I have had many many glimpses. I say it out loud to myself now. She is fat. I feel fat! Etc. gets much less when directed toward me…same thing for therapist. She is not good at her job. Mmmm I am closing, myself to influence or I am afraid or I am ashamed or I am angry etc.

I love people more and I can help them more…meaning my empathy is increasing. Before it seemed like I would think more like you have PTSD cause you are not willing to help yourself out of it. Now I am along the lines of you are in progress toward greater health, you just around the corner.

I feel my somatics more and can read them better and this is what depresses me. I feel it will take a life time to become better and healther but I am getting older so that is that too. A bit of fear here.

I see few people here (I know their names) who are 100% on the right side of recovery and I read their comments and wisdom (abstract, barefoot precouschild, hithere, dharma girl etc) they are extremely on the right side of the track and I love their comments…they are life savers. I may be missing one or another. These people embed what they learned and they do not just write from the head. They write from the body and the heart. IMHO. They are my gurus on this site.

I could go on and on but I hope you get the gist.

It does take time and you have to read others to see what is happening and the road to recovery. I do not know I will be here forever but I may visit now and then. What brought me was therapy issues but so far I am also seeing therapy as positive representation or internalization now and finding I am not visiting this site as often but it was better than 5 therapists in my mind.
 
@Sandstone , I never thought lack of self compassion applied to me entirely, either, but even these things are common (apparently, including inability to self-soothe- obviously, as well as not thinking you're lacking, especially if you have empathy or compassion for others):

I don't look in the mirror, so It doesn't matter. But yes, doing that much can be overwhelming, quite apart from the trigger of removing nightwear.

and they ^^ sound like anything but 'lazy'. The only bad thing about characterizing it as such- if it's not accurate- is the solutions won't work. Which could explain the feelings of 'stuckness'.

o yes, I have time off work to recover, but I'm not recovering.
Well, you might be and not yet aware. Or be far worse without it. Sometimes you have to hold your ground. Sometimes, too, it's not the right time. I believe you have to be 'sick of being sick' -yes; but that's not to be confused with not finding your 'key', yet. Not recovering in the ways you hope to become- 'YET'.
t I don't perform any better. A stick seems more effective for me, without it, I'm fairly consistently inert.
^^Would this be what you would suggest to your son or daughter, or best friend, or spouse, or even sick dog or cat? If so, ok; if not, why not?

And, fwiw, even cleaning or filing one nail- is one nail more. Even every 2nd or 3rd day. Like @scout86 said, 'thinking' often can interfere; do without thinking. Do, using your motivation (others).

Each day is a journey @Sandstone . So just think, 'today', how wonderful your H loves you, how courageous to post; how lucky we all have this site; how much better things really can become. You probably are not seeing all the challenges you have, and do, overcome.
 
@Sandstone - are you receiving any kind of treatment or support for Major Depressive Disorder at the moment?

ETA: there’s no judgement in that question, just concern. The distorted, soul-crushingly hopeless thoughts and behaviours you’ve described are consistent with a person experiencing a Major Depressive Episode. If that’s the case, it’s not a condition that you can ‘think’ you way out of, it requires treatment.
 
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No, it has never been considered. I was treated with four different anti-depressants over the first couple of years, with effects varying from nothing to strange to dangerous. The pyschs concluded it wasn't worth trying anything else. I've always thought I was distressed, rather than depressed. And at the moment I'm not hopeless, I'm angry with myself.

I think my thinking is probably consistent with the "consistently negative self-image" referred to in teh Complex PTSD criteria. And of course it s very variable. I still laugh at things, and can be exhilerated by things. Two weeks ago I was quite active - cooking for the freezer, making curtains. Now i'm being brought face to face with my lack of progress again.

I'm surprised you describe "soul crushingly hopeless thoughts and behaviours" It all seems pretty normal to me, consistent with my life experience.
 
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Why haven't I done enough to recover? Because I just don't want it badly enough.

I am far better and I float in and out. I'm here when I have time or when something has bothered me, this place helps me sort it out.

But I think you make a good point...my therapist and I talked once about lack of progress, long term support groups etc. She felt there is a tipping point where a person can immerse and over identify and "stay stuck". She had more to say and more eloquently but her point was long term lack of progress should be dealt with.

As for not wanting....when my PTSD unraveled I wanted it gone more than anything but I was stuck. Very. Deeply. Stuck.

I had an elephant sucking the oxygen out of the room and I couldn't begin to heal or breathe until it was gone. I was doing the work but it fell flat due to my exhaustion and preoccupation. Once my elephant was gone I flung open the windows and life is a very different place.

Perhaps you have an elephant of your own?

Interesting thread.

Whirlwind
 
It all seems pretty normal to me, consistent with my life experience.
It’s a question of degree. Particularly with complex PTSD, it’s common to have elements of both depression and anxiety present. But there seems to be a marked change in your thinking, as well as the behaviours you’re describing, which goes beyond the typical elements of depression that many of us struggle with as part of our trauma condition. So, absolutely this may seem like your norm, but as an observer, there does seem to be some notable changes in the way you’re experiencing thoughts and behaviours, motivation levels, hopelessness, etc.

Is it worth perhaps speaking to your local doctor about whether you might benefit from a review of your situation? If you’re experiencing a Major Depressive Episode, then the things you need to do to ‘get better’ from your ptsd are going to be impossibly hard. It’s not about laziness, it’s about your mental health, as it is presenting at the moment...
 
Because I just don't want it badly enough.
I always forget there are people out there who think you can have something just by wanting it.

It falls under my (once I realize they’re not joking/being sarcastic) “blink fast and decide quickly if they’re f*cking with me” category, right along with Life is/should be fair, and a few other things.

IDK... Maybe it’s a survival tool some people use, or the foundation of hope, or something. The idea that you can change something just by wanting it hard enough. Or as a way to deal with disappointment or envy; other people have something because they wanted it more, want it more and you’ll have it too; so there’s no need to be disappointed or envious, because if they wanted it more, they deserve it and you don’t. Not yet. But when you do deserve it, you’ll have it?... I really don’t know. It’s about as hard for me to wrap my mind around as believing someone when they swear they can fly. It’s not that I don’t believe you believe it, it’s that I can’t -or at least don’t- understand it.

Having something just because you want it and work for it? I mean, that would be great, and all. But so would flying.
 
I want to first say -- anyone who reads this as a personal attack -- you have an issue right there you need to work on. That is you, not the OP with the question. You choose how you interpret and respond to everything in life.
Why aren't you better?
I think the answer to this is simple, and complicated, depending who answers and their specific situation.

For me, it comes back to the basic treatment and recovery stats for PTSD.

Approx 60% will fully recover in the first year and go on with life.

Approx 34% will recover to no longer meet diagnosis within a 10 year time frame. There are groups in that, but that is not the topic.

Then you have that approx 6% of sufferers that will NEVER recover and always meet diagnostic criterion, EVEN after full / ongoing treatment.

That bold statement of statistical fact is a significant enough number to represent the small portion of people who are still on this site seeking ongoing help, after 5 years. Let alone the actual larger number in the world. Even if you recover fully to no longer meet criterion, having PTSD means you are susceptible for life. IMHO, taking measures to ensure you don't bottle things up, you don't fall into bad habits or other negative aspects, by seeking help in any method that befits you, is just smart and good self management.

I fit into the 6% that will never recover, yet I am much healthier today, PTSD wise, than I was a decade ago, even though I still meet criterion month to month. After all the work I've done, it is what it is.

I've helped people in my past that were in treatment for a decade or more. Within a few years of getting serious about helping themselves, realising that nobody else could actually help them and do the work, they improved their life more in a short period than a longer period of treatment.

People move at their own pace. Some people take their own lives. Others do little. Others do a lot to help themselves.

Each to their own.

A good question IMO, and that is my take as an opinion on it.
 
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