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Were you diagnosed with another mental health illness before ptsd?

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My so was diagnosed with GAD about 10 years before his PTSD diagnosis. Ever since I’ve kno...
Hi! There are many studies done to understand what can predispose a child or adult to develop PTSD or other mental illnesses. Things such as adverse child experience, frequent or prolonged activation of the bodies stress response system in the absence of the buffering protection of a supportive adult relationship, low cortisol levels and structural changes in the brain. The perception of stress varies from child to child. Perceived threats may not disturb one child, while minor ones may be traumatic to another. The variability is multifactorial depending on a child’s previous trauma, social and emotional support and genetic predisposition. The prolonged kind of activation of the stress response systems can disrupt the development of brain architecture and other organ systems and cognitive impairment well into the adult years. Some traumatic sources of toxic stress may not be readily apparent to the clinician or therapists later in life.

Some factors that have a role in the development of PTSD or other mental health disorders are the level of exposure and duration of trauma, pre-existing psychopathology prior to trauma exposure, impact of trauma on a child’s social structure, biological factors contributing to a child’s predisposition to trauma resilience and subjective experience of potential harm (more than actual events).

It’s important to know that when it comes to trauma, it doesn’t necessarily have to be something like sexual, physical or emotional abuse. Neglect also can cause higher stress levels in a child. Also the “lack of” can have a negative impact on a child and having what is perceived as an unsafe environment or chaotic environment.

I’ve had to try to understand that for myself to have been traumatized as a child, it was the “lack of” having my emotional needs met as a child. Even in the mothers womb can affect a babies brain if the mother is constantly stressed because the stress hormone cortisol can also flood the babies brain which can shrink the hippocampus. Deficiencies of the hippocampus may reduce the memory resources available to help a body formulate appropriate reactions to stress. This is what can lead to anxiety and depression. Having a supportive and healthy attachment relationships with parents or family can make a difference in the resiliency of stress or other negative life experiences into adulthood.

That’s kind of the rundown of how early stress on a child may or may not affect him as an adult. I don’t believe that you necessarily have to have a mental illness diagnosis previous to PTSD but it is hard to diagnose because of symptoms such as anxiety and depression show up and is easily diagnosed as that. I might be off about this but the anxiety and depression part is the symptoms of PTSD which is the core issue that needs to be treated by therapy to relieve the symptoms. Of course they can exist on their own and may need medication to help with the anxiety and depression while working with the trauma that caused the PTSD. I’m just throwing ideas out there about some possibilities you want to research or talk to a professional about. Because everyone is different and we all react differently to life experiences.

I was born with an extremely sensitive temperament. I was already predisposed to being easily traumatized whereas my siblings wasn’t so much even though we grew up in the same household. I didn’t have a safe and secure environment growing up and my parents wasn’t emotionally available for me at all. I suffered from really bad depression as a child but my parents were dysfunctional and pretty much shut me down if I showed any emotions. I developed an eating disorder as a child and that was ignored by them also. There were many things that traumatized me growing up but I just tucked any painful experiences out of consciousness. Well, it was my defense mechanism that stored painful memories out of my conscience mind so I could “function” in the world. I didn’t get any help for my depression because I thought it was my fault and that I was weak for having it so I tried to hide it from everyone and tried to keep running from myself which obviously doesn’t work. By the time I got help I was diagnosed with depression then later on I was diagnosed with Bipolar. I had the bipolar diagnosis for many years but more diagnosis’s continued to pile on before I was diagnosed with Complex PTSD. I think that many people are diagnosed with other things before a therapist or psychiatrist realizes you have PTSD. Also, I could definitely be wrong on that but that’s my experience. It’s definitely a struggle but was also a relief to finally get to the core reasons for my symptoms of anxiety, depression, insomnia, OCD, ADHD, bipolar and now Complex PTSD.

I hope I helped somewhat to at least give you some ideas as to what to look for or research into some of these things. I’ve had to do a lot of research for myself to figure what was going on with me. You are a wonderful person to want to help your SO. Have a good day today and if you have any more questions I can do my best to answer them.
 
Hi,

Supporter here too.

From her teens, my wife was diagnosed depression, then Bipolar, then BPD. S...
I know you read my comment but I am so very passionate about this and can’t stress enough that the word trauma is mostly thought of the most extreme cases of abuse that we have been “brainwashed” into believing is unthinkable physical and sexual abuse. Those are horrendous traumas that I cannot comprehend how people do such horrible things to other people and children. But, because we think that those are the only ways to be traumatized, it leaves many other people confused as to why they are suffering so deeply if they haven’t had the same childhood experiences. I actually have Dissociative Identity Disorder. I say Complex PTSD sometimes because somehow some people don’t believe that it exists (because of all the misinformation and hype surrounding the diagnosis) and that includes the psychiatric community. I can tell you that yes, it does exist but everyone is different in how we experience our realities. It’s with any diagnosis. That’s what is so frustrating with the psychiatric and medical community is that they have to put people into these nice, neat boxes expecting everyone to “fit” into their ideas of what the diagnosis should be. I have been traumatized over and over again by psychiatrists and many therapists because they will not listen to me and what my reality is. That’s why I didn’t get into treatment for such a long time because none of the diagnosis’s fit. Some of them was bound and determined to make crap up that wasn’t true about me so I could make sense to them. I am 43 years old now and I have been suffering since a child and like I said before, I had gotten help in my 20’s because of my eating disorder and depression. I did see a psychiatrist and he diagnosed me with bipolar and I took the medication for maybe 6 months and saw a therapist but talking didn’t do anything because I was in a constant state of dissociation but I didn’t know that I was dissociative because I have never known anything different. Because I didn’t have a history of sexual or physical abuse as a child (I was raped when I was 16 so that was obviously traumatic) it was still overlooked. I experienced many traumas throughout my adult life but I always was a very good “actress” to hide all the terror happening inside me and also the dangerous environments I constantly put myself into that kept me being traumatized over and over again. The only reason I seriously started seeing a psychiatrist and a therapist was because I was caught shoplifting when I was 33 years old. I never wanted me to ever do that again so I finally got help. Yes, I had the bipolar diagnosis but throughout the years pretty much I had every diagnosis including PTSD. The thing that changed was that I finally interrupted my therapist (she loved talking a lot about herself more than what was going on with me) and asked her why she always looks like she is so far away like in a tunnel and my surroundings are always moving and I really don’t listen to her or hear her. She immediately stopped and asked how long this has been happening and I said it’s all the time. I still had no idea what dissociation was or really know what PTSD was. She sent me to a counselor who specializes in trauma therapy and I took this long test with over 200 questions which he then put the answers into a computer program that then showed charts of my levels of dissociation and they were extremely high. I’ll hurry through this so I can make my point. I’ve been living on my fight/flight survival mode for so long that it was impossible for me to grasp anything. I didn’t understand anything. I was later diagnosed with DID which I had never heard of before but when I was researching what it was, it became evident that to have that diagnosis, you basically have to have extreme physical and sexual abuse as a child. But I found really good blogs with people who have DID and I learned about all the myths surrounding it and through more of my own research into trauma and child development, everything started to make sense. That’s why I’m so passionate about getting this information out there about how every child and adult experiences trauma differently than other people. I’m just going to quote different people on other websites and hopefully that will help with what I want to get out there.

<mod edit - copyright material removed>

I can go on and on but maybe this can help in some way. Also, with PTSD and what ever causes the hijacking of a persons nervous system and figh/flight response, many therapies won’t work because of this.
 
I know you read my comment but I am so very passionate about this and can’t stress enough that the w...

Thanks so much Fiona

It all helps. I really think if my wife could write it all down like u did, she would say very similar things.

I'm still learning, so I can help her as much as possible. Because, inbetween her traumatised self, she is AWESOME. And I just do my best to remind her of that. And of how much she is loved. I hope u can remember that too.

Take care
 
Nope.

***

3-4 maaaaybe interesting things of note

1- It’s so common for their to be preceding childhood trauma that some people have theorized that there HAS to have been childhood trauma for PTSD to happen. There doesn’t. Lots of people with PTSD had golden childhoods. But it really is that common.

2 - Not everything within the DSM / ICD is categorized as mental illness. Neurodevelopmental Disorders, in particular (ADHD, Austism, Dyslexia, Deafness, Intellectual Disability, Motor Disorders, Speech Disorders, etc.), as well as a few others in scattered categories are rarely considered mental illness.

There’s a truism in Psych = All Roads Lead To Psychosis.

As a rule of thumb, if a neurological condition cannot rise to psychosis? Like being deaf or dyslexic? It’s not usually considered mental illness, but instead as a neurological condition.
https://www.psychiatry.org/psychiatrists/practice/dsm

3a- People who have a history of being treated for other things are more likely to seek diagnosis for new problems. It’s not as much of a bias as asking how many Christians there are in a Catholic Church, but people are a lot more likely to seek psych help for new problems (like PTSD) if they’ve already seen a counselor for psych help in the past. Whether they saw a counselor when their parents got divorced, or speech therapy as a kid. So if you already have a psych history? You’re more likely to add onto it, than someone who has no history of seeking psych services. Regardless of what their problems are.

3b - Not only is misdiagnosis common in psych, but one of the symptoms of PTSD is avoidance. Like not discussing trauma histories during intakes leaves a clinician with a host of symptoms easily explained by a LOT of other disorders & conditions. So people are often initially seem/diagnosed by their symptoms; depression, anxiety, insomnia, eating disorders, substance abuse, etc. before their trauma history comes out and the entire constellation of their symptoms suddenly make much more sense in the context of PTSD, than as other stand alone or comorbid disorders. But the history of having been dx’d with other disorders? Will stand / still be there.

3 = It is in no way inaccurate to say that other psych conditions are often present, but there’s a data bias that also has to be accounted for.
 
I was diagnosed with GAD as a child and depression when I was a teen. My childhood home was dysfunctional and I experienced neglect and witnessed abuse. I’ve had 4 specific traumatic events since age 15 till now in my late 30s. Those 4 events, and not really dealing with the first two before the last two happened got me the cptsd diagnosis.

I think my GAD and depression are independent of my PTSD. I had signs of them before my parents divorced and my childhood became crap. My PTSD definitely has made them worse at times, yes.

Unfortunately the environments many of us find ourselves in are dysfunctional and abysmal. To say the least. It’s often a chicken or the egg question with many of us.
 
Thank you all for sharing your stories. It means the world to me. I get to learn so much from kind individuals yourself. If people on this forum wasn't willing to share then I would have been extremely lost in this process.

Many thanks x
 
Sometimes I feel like a walking case of mental illness. I was diagnosed with bipolar, borderline, generalized anxiety, eating disorder, and of course, PTSD. I think the hard part for me is differentiating which one is messing with me in the current moment, but these days it’s mostly my PTSD and bipolar that have taken over. It’s hard not letting them define you
 
I suspect I've had PTSD since I was very young, but was diagnosed first (and also) with major depressive disorder, DID, anxiety, and OCD. The PTSD was diagnosed just a year or so ago.
 
I suspect I've had PTSD since I was very young, but was diagnosed first (and also) with major depres...

That's so weird that you were diagnosed with DID before being diagnosed with PTSD. I've never met someone with DID who didn't have PTSD. Can a person even get DID without trauma?
 
Over the last 16 years I have had several different diagnosis about my mental health.16 years ago I saw a incident on a train which I never really got over ,then I got severe PND,then after that I was diagnosed with everything from depression to GAD to schizophrenia then eventually with therapy this time my T recognised I have got PTSD from the train incident and that I have got CPTSD due to my childhood.
 
That's so weird that you were diagnosed with DID before being diagnosed with PTSD. I've never met someone...
I agree that that is interesting to not being diagnosed with PTSD before a DID diagnoses. I was diagnosed with everything for many years before it was recognized that I had DID. Some professionals still aren’t convinced it even exists which is upsetting to say the least. Maybe it all depends on what symptoms are manifesting at the time of seeing a therapist who can identify what is going on?
 
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