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Understanding Ptsd - By Anthony Parsons

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You can have endured the worst events as a child, which now affect you immensely in adulthood, however; a childhood brain is extremely resilient to trauma, what its not resilient to is the emotional impact of feeling betrayed and unprotected by family. This is usually the biggest issue in adulthood for PTSD with that type of trauma, just for examples sake. Heal that aspect, the trauma itself is normally irrelevant to many because they either don't remember the specifics or they aren't the worst part of the trauma for them, its the betrayal and lack of trust, protection, etc, from primary care givers.

A majority of these people can function in life, work, etc... but fall apart in relationships and socialising due to the childhood trauma and its real problems transferred into adulthood.

A very small percentage of these people would have lifetime PTSD, even though they may of been in therapy for 20 years... the core hasn't been solved. Solve the core, the majority can reintegrate into life and symptoms get less and less. Some, they will heal everything but still fall apart when integrating into life... hence, lifetime PTSD.

...and then fall completely apart. I guess I am finally getting more of exactly what I'm dealing with here. I've spent the past couple of days thinking about this article and what my tdoc said this week about PTSD Suffers have a lot of physical pain and she would be willing to work with a physical and myself. I realized I haven't been looking at this a whole, that everything is connected. I'm thinking I need to step back and rethink everything because having a team has been my plan all along.

I appreciate the clarification between the traumas and the fact that it's really not the trauma itself. I am concerned that I need to step it up but that my body is at war with me on that. The further I get into this the worse the pain is getting. I think it's a good time to take a good look at how much my PTSD self is doing this.

Did you go through that?
 
Anthony,

I was diagnosed by a Psychiatrist 2 years ago with severe PTSD which was supported by my psychologist. I have been through all the available tests, MRI, hormonal tests, biological and organic tests to rule out any other 'factors'. In the last 6 months, I have also been through all other 'generic' mental illnesses which have been disproved.

Although I have very good medical care (the best in the country in my mind) I value your opinion, so I'd like to ask, possibly a difficult question.... I have all the diagnostic symptoms of severe PTSD (originally determined by a psychiatrist and a psychologist), but is there any other mental illness, that you are aware of, which can mimic the symptoms of PTSD? I know that psychology is not an 'exact science', so I know that a diagnosis could be wrong.

Maybe I am a bit like zipperhead and Iam. Not sure. But you once said to me 'flashbacks are very rare'. If I don't have PTSD, then the only possibility is something that is very, very, very rare.....that mimics 'flashbacks' and all the other symptoms...what are your thoughts (if you are comfortable to share ideas) on the 'possibilities'?
 
...a The further I get into this the worse the pain is getting. I think it's a good time to take a good look at how much my PTSD self is doing this.
Did you go through that?

Hi Rain,
I know you were asking Anthony, but can I pop in with my experience. I too experienced tremendous pain and it got worse during therapy.

My Trauma T told me that the traumatic memories get stored in our muscles. We may not be able to cognitively remember what happened, but our muscles do and can cause us pain specific to that trauma. The other part of this is that we are not just constantly on mental high alert, our bodies are too. Constant muscle tension causes inflamation throughout our bodies. It effects the fascia encasing our muscles making the nerves super sensitized, hence pervasive pain. This stress can cause other illnesses too, cancer, ulcers, TMJ (which I had), blood sugar problems....on and on.

I too was (past tense) in a lot of pain. All over my body. FM type pain. It was to the point that I couldn't stand to cook or walk for long. To the point that I actually had to use a wheel chair at Disney world 3 years ago. I have spinal stenosis and thought that's what was causing all my muscle and joint problems. 6 months of physical therapy 3x a week relaxed my muscles enough that I felt like I had my life back. I still had pain, but nothing like it had been.

Then I started "mental" therapy and the pain started in again. The pain would get so intense during some of the EMDR sessions. It would hit me like a bolt of lightening and unfortunately stayed with me. That is until we processed one of the times I was raped when I was 7 years old. During that session it centered intensely in my left shoulder and shoulder blade, felt literally like someone was forcefully bending my arm backward behind my back further than it should go. I flashed on a new memory of the rapist doing exactly that. It hurt so badly it made me nauseous. I have had pain there as long as I can remember, even the PT didn't completely remove it. Once we finished processing that particular rape it was like the pain melted away. I realized when I was driving home that the knot in my left shoulder was gone.

I do still have some pain from the stenosis in my neck and lower back, the nerves are pinched so I have to be careful. I still experience pain during and after EMDR sessions. Sometimes is a sharp pain in the left side of my head which I find interesting given the way EMDR targets the left/right sides of the brain. The pervasive muscle pain, however, is largely gone now.

Sorry, long story, but I do hope it encourages you.
 
Wow Iam, I never knew about the muscle memory. Unfortunately, I never received counseling from a trauma T. I look back now and wish I would have searched more for one when I was in therapy, but I do not wish to go back through anymore of that. At least for now, as it is a lot of work.
I have always had horrible muscle pain and body pain. I never felt like I could relax, so I am on some scale of tense. When my muscles are fatigued they will actually twitch or if I am stuck in a social environment. At night, it's almost impossible to go to sleep because my body is like a board! When I took medication it helped some, but I never really brought attention to the pain. It has been with me so long that I thought it was normal or there was no way to lessen it. And I had the engrained mind-set that if I was not well then to "buck up" and get over it. I had no idea the fascia was irritated making our nerves sensitive. It makes sense though. Sometimes it's too much for someone to even touch my arm, it makes me jump or if I am in a slight flashback for awhile it really hurts if someone touches my face or head at all. I really give it to those that are in relationships with us, it takes one strong individual to offer so much understanding.
 
Did you go through that?
I don't have any physical pain... physically, I am fit and healthy. I just did 20km's this week, speed walking and starting to throw in running again, which I haven't done in many years.

If I don't exercise and stay active, then yes, I do get sore. That isn't PTSD though, that is the human body. If we don't use it, it stops functioning as well. The evidence now keeping people alive longer by getting elderly exercising daily, is proof enough how much using your body is required to keep it going.

Some people have pain for different things though, ie. from accidents or genetic issues, and that is vastly different and legitimate. There is also somatic pain, which whilst rare, can be debilitating only due to symptoms based on trauma. For example, when a female is raped, it's not uncommon that when triggered and a symptom/s spike, they feel vaginal pain suddenly. Or if anal raped, anal pain.

If a person is over-weight, then its normal for them to have severe pain. When they lose that weight, they suddenly realise where that pain was coming from, being over-weight; as our body is not designed to carry excessive body fat.

All depends what pain is from...

My mother and two sisters, none of which have PTSD, all have pain because they're all obese. There bones are not capable to carry the weight they have... and whilst two of them make every excuse under the sun for the weight, you will often see them eating junk they have stashed away for late at night. They don't exercise and eat loads of junk. One sister is honest, she just enjoys fatty food and doesn't care about being obese... she likes to eat crap and can admit it. She simply says to me... I am going to die happy, eating and living my life how I enjoy. She isn't in denial... my mother and older sister, both in denial and go directly to the thyroid as an excuse for eating that packet of chocolate biscuits in 30 minutes.

Then you have age... the older you get the slower your metabolism typically... so you MUST exercise as you get older to keep weight off and maintain a healthy body weight, even though you only eat little food and good food... you can do both of those things, but as you get older your body will simply not process that little amount of good food as well, thus you will put on weight, hence you must exercise to aid your bodies metabolism to lose and maintain a healthy weight.

Where do you fit with pain Srain? Is it overweight or is it accident / genetic / age related, with medical validity?

I have all the diagnostic symptoms of severe PTSD (originally determined by a psychiatrist and a psychologist), but is there any other mental illness, that you are aware of, which can mimic the symptoms of PTSD?
No. There is only Traumatic Brain Injury (TBI), which is not mental, but physical, which mimics PTSD symptoms near exactly.

There are a lot of other disorders that cross over with symptoms. PTSD is given when it fits the best, being, you have endured abnormal trauma and exhibit the symptoms clusters within the diagnosis. You may cross into other diagnosis, but you will always fit one better than another. Further diagnoses are then given as comorbid, if relevant... which cover additional symptoms outside of PTSD.

That is until we processed one of the times I was raped when I was 7 years old. During that session it centered intensely in my left shoulder and shoulder blade, felt literally like someone was forcefully bending my arm backward behind my back further than it should go. I flashed on a new memory of the rapist doing exactly that. It hurt so badly it made me nauseous. I have had pain there as long as I can remember, even the PT didn't completely remove it. Once we finished processing that particular rape it was like the pain melted away. I realized when I was driving home that the knot in my left shoulder was gone.
Exactly... which all comes back to the trauma being processed. You can try every pain remedy you want for somatic pain that is related to a trauma, but unless you process and identify why that pain exists, if somatic based on a trauma, then that pain won't go anywhere.

Pain is an isolation game. If weight is not a factor, then past injury or medical must be ruled out, then you're left with psychological pain, which is far more difficult to find and treat than any other. Sometimes, it can be a combination of weight, past injury / medical and psychological.
 
I understand Lost. I always just bucked up and pushed thru the pain. As a result I have a very high tolerance to it.

My muscles used to twitch constantly. At night my leg twitching was so bad it made it hard to sleep. When very stressed I still get a twitch right below my left eye, something I've had since I was a young girl. 5 years ago my dr dx'd me wtih plantar faciaitis, carpel tunnel, tennis elbow, back problems and restless leg syndrome. Seriously.....all of them at one appt! Needless to say I found another dr LOL!

Have you tried meditation? I found taking a pi-yo (pilates yoga) class very helpful. You can actually by recordings that take you thru relaxation exercises, or make your own. I liked the pi-yo class because it combined stretching yoga exercises and relaxation with core strengthening. It won't take all the pain away, you'd really need to do trauma therapy to get to the core, but it will help tremendously.

Wishing you the best,
Lauren
 
Pain is an isolation game. If weight is not a factor, then past injury or medical must be ruled out, then you're left with psychological pain, which is far more difficult to find and treat than any other. Sometimes, it can be a combination of weight, past injury / medical and psychological.

I agree with Anthony that the physical must always be ruled out first, but unfortunately drs seem to have a dx for everything. As I stated in a a prior post, when I told my previous dr about all my different pains, she literally dx'd me with carpal tunnel in my wrists, plantar fasciaitis in my feet, tennis elbow and restless leg syndrome.Of course there were meds I could take for all of them which I refused. I found a new dr who was a MD, DO who put me into physical therapy. The muscle and ligament pain and tension were real, which is why intensive physical therapy helped. But what caused all of it in the first place? I've had many injuries including whiplash. I have stenosis in my spine. All of which I am sure contributed. Complicated by the fact that if you are injured and it isn't fixed we compensate using other muscles and after time everything is out of whack. Then add in somatic pain and just plain stress cause by PTSD.

Apart from injuries and actual somatic pain from trauma, muscle tension from stress can and does cause the same thing, e.g you clench your jaw when stressed. If you're stressed long enough that clenched jaw is going to effect your head and neck, if it continues your shoulders will start to react. After a long period of time....all of your muscles are effected. PTSD causes stress and if internalized physically, with nothing being done to relieve it (proper exercise and stretching) it can result in overall pain.

I happen to be in very good physical condition, with excellent muscle strength and yet I still had pain because I was never able to relax. I was always on high emotional alert.

I guess all that to say that I agree with you Anthony, it can be caused by individual injury, medical conditions, psychological problems or a combination of any/all of the above.
 
If you go to a doctor, they will find something physically wrong. If you got to a psychologist, they will find something psychologically wrong. If you go to a naturopath, they will find something spiritually wrong. Find a GP who uses the best of all worlds as a common sense medical solution versus a GP who's only focused on physical medicine.

Most forms of medicine are trial and error, whether you know it or not, that's what it is.

Pick your poison. I can't stress enough to people to research, research, research and use common sense.

Don't become a doctor by reading the Internet, but find relevant information on possibilities before you only seek out one source or another, as things are never just cut and dry, especially when abnormal trauma has been present and you have PTSD as a result. It's not that simple... you MUST use common sense and research, and lots of it.
 
Anthony and Iam, I truly appreciate your thoughtful and careful answering,thank you.

Iam, thank you for sharing what you did. I'm sorry for what you've been through and I'm grateful you are feeling and doing better now. It helps so much to know that the process is what I thought, it just gets frightening sometimes in the middle of the night and reassurance that I am still on the right road helps, so thank you very much.

I agree Anthony, that research is a great idea but will only you get so far and sooner or later you have to see that professional.

I am calling the best center in town later today, as I did my research and found that even a select few there will take my lousy insurance ;) yeah!

I understand about the pain, Anthony. This is what my tdoc was saying to me and seeing mine as a combination of psyche and physical(adhesions bands caused by surgeries) they both have to be treated. But my hope is that the adhesion (scar tissue) can be eased by easing my psyche pain as well . As the surgeon said there is nothing left there so maybe it is my psyche and as Iam experienced it is my past now grabbing me by the gut....literally.

As to your question on physical health, I don't consider myself old though aarp does, I'm 53, slightly underweight, usually reasonably active, don't smoke or drink. I just want to get better.

Thank you so much, really! :)
 
No. There is only Traumatic Brain Injury (TBI), which is not mental, but physical, which mimics PTSD symptoms near exactly.

There are a lot of other disorders that cross over with symptoms. PTSD is given when it fits the best, being, you have endured abnormal trauma and exhibit the symptoms clusters within the diagnosis. You may cross into other diagnosis, but you will always fit one better than another. Further diagnoses are then given as comorbid, if relevant... which cover additional symptoms outside of PTSD.

Thanks for your insight Anthony. As always, much appreciated. Co-morbidity, yes, I have been reading a lot about this. We have ruled out 'generic' co-morbidity possibilities. Only one other possibility left really which is much rarer. Planning a meeting with some academics to explore this possibility presented to me by my Ts....what an incredibly complex world PTSD is!!
 
I'm curious, does anyone know the statistics of relapse into full blown PTSD once you've become relatively symptom free?
 
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