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What Criteria Would Have To Be Met for PTSD To Be Considered Curable?

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This is an interesting question to pose. When I first came to the forum, I was just at the tail end of the worst part of it all. I could see the light at the end of the tunnel. I was still on drugs, I still had a hard time sleeping, and stress was still a slippery slope down to relapse, but I could fee progress. Presently, I have been drug free for 7 weeks, and haven't had an anxiety attack for quite some time. Even during the birth of my son, I kept my stress under control. I never had an MRI (wait, I have, but for a concussion...), so I can't comment on actual proof. Frankly, I don't care. All I care about is how I feel and what I think my future looks like.

I think I'm about as close to a "cure" as I can get. Let's see if I can list reasons why:
1. I sleep well every night with no night terrors. I do have dreams that are disturbing, but not heart pounding, drench the bed with sweat type dreams.

2. I look forward to the day and enjoy planning it out.

3. I can look really far into the future...like, I can see myself growing old and hope that I get there.

4. Drug Free

5. I am no longer shameful of my past

6. No addictions (except coffee...lol)

7. I like what I've become and proud of myself for all that I've had to overcome. You know you're getting better when you'd rather be yourself than anyone else.

I'm not sure how long of a duration you have to feel this way. My trauma happened when I was very young (age four or so), but I didn't suffer PTSD until July of 2004. It's only been a little over three years, but I feel pretty confident that I will not relapse. I will do everything in my power to take care of myself to prevent that from happening.
 
I pretty much feel the same way.....

I have a job, and work everyday. I go out with friends. I shop. I enjoy doing things again. Hasn't always been this way......

I have very few symptoms. Some anxiety, some flashbacks at time, but nothing that just stops me.

It takes time, but with hard work eventually all of us get there.

I don't believe that I am cured, I don't believe there is a cure, nor do I think there will be in the near future, but there is hope, and you can manage very well with time and patience.
 
I have difficulty with ideas where the mind goes back to 'the way it was before' PTSD, as I don't have a frame of reference. I can't remember how I behaved when I was two, and I don't think I'd like to be like that again, lol. I don't know how the type and length of trauma endured would relate to the curability of PTSD, or how long it would take to get to a point where, and I think that for me this works better as a frame of reference, I hadn't had a relapse of symptoms in a certain period of time (years).

I don't know that I've ever focused on being 'cured' but rather healing, and getting to a point where healing the trauma and its effects isn't the focus of my day (or week, etc...).
 
I'm with you there. My father was a genuine sadistic nut-case. Physical abuse started before I was out of the crib, so I don't know have a frame of reference to know what it was like to not be mentally ill.
 
In my opinion, in order to address what criteria would have to be met, it would be helpfull to go back and examine what is the criteria that determines if a person has PTSD.
This is from the DSM IV Diagnosis and Criteria:
309.81 DSM-IV Criteria for Posttraumatic Stress Disorder

A. The person has been exposed to a traumatic event in which both of the following have been present:

(1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) the person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior.

B. The traumatic event is persistently reexperienced in one (or more) of the following ways:

(1) recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed.

(2) recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content.

(3) acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur.

(4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

(5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:

(1) efforts to avoid thoughts, feelings, or conversations associated with the trauma

(2) efforts to avoid activities, places, or people that arouse recollections of the trauma

(3) inability to recall an important aspect of the trauma

(4) markedly diminished interest or participation in significant activities

(5) feeling of detachment or estrangement from others

(6) restricted range of affect (e.g., unable to have loving feelings)

(7) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)

D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:

(1) difficulty falling or staying asleep
(2) irritability or outbursts of anger
(3) difficulty concentrating
(4) hypervigilance
(5) exaggerated startle response

E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than one month.

F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify if:
Acute: if duration of symptoms is less than 3 months
Chronic: if duration of symptoms is 3 months or more

Specify if:
With Delayed Onset: if onset of symptoms is at least 6 months after the stressor
 
Iris, thank you for adding the part about the DSM IV. After reviewing it, I have these for answers (I edited the DMS classification only for emphasis, the parts I clearly experience are in bold)-


309.81 DSM-IV Criteria for Posttraumatic Stress Disorder
A. The person has been exposed to a traumatic event in which both of the following have been present:
...(1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others
...(2) the person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior.
B. The traumatic event is persistently reexperienced in one (or more) of the following ways:
...(1) recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed.
...(2) recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content.
...(3) acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur.
...(4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
...(5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:
...(1) efforts to avoid thoughts, feelings, or conversations associated with the trauma,
I do the exact opposite as I learned first hand how bottling them up is destructive. Talking about them doesn't exactly help a lot either as those that don't know about PTSD don't understand, and those that claim they do really don't because they still don't understand.

...(2) efforts to avoid activities, places, or people that arouse recollections of the trauma
Same as the last response, experience. Best way to confront your fears is to confront them.
...(3) inability to recall an important aspect of the trauma
Unfortunately I recall them all too well.
...(4) markedly diminished interest or participation in significant activities,
...(5) feeling of detachment or estrangement from others
...(6) restricted range of affect (e.g., unable to have loving feelings)
...(7) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)
D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:

(1) difficulty falling or staying asleep
(2) irritability or outbursts of anger
(3) difficulty concentrating
(4) hypervigilance
(5) exaggerated startle response
E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than one month.
Does 'daily" suffice?
F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
I'll have to think on this one so I can understand what it's saying.
Specify if:
Acute: if duration of symptoms is less than 3 months
Chronic: if duration of symptoms is 3 months or more
Specify if:
With Delayed Onset: if onset of symptoms is at least 6 months after the stressor
 
CJ, I like the way you did that. :clap: So I copied your style a little bit, and came up with this. I put my responses in bold print, I'm not sure if show up here or not.
------------------------------------------------------

A. The person has been exposed to a traumatic event in which both of the following have been present:

(1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others
(2) the person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior.
I experience intense physical, emotional, and verbal abuse starting at a very early age. In addition I witnessed this with other members of my family, until I was 16.
B. The traumatic event is persistently reexperienced in one (or more) of the following ways:

(1) recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed.
BEFORE: my mind spent more time reliving traumatic things that had happened, than it spent in the immediate present. I was powerless to stop it. Reliving those events was very painful, and was so realistic to me, it was if it was indeed physical reality. One counselor had told me she thought I processed less than 10% of the things happening around me.
AFTER: Those events seldom cross my mind. If they do, it is not distressing in the least, and I can stop my mind from doing this if I choose.

(2) recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content.
Before: Nightmares were very common, many times I have physically reacted in my sleep, such as jumping out bed, yelling, swinging, and kicking. A few times I actually hit my wife.
After: I have not had a nightmare for about 3 & ½ years.

(3) acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur.
See #1.
(4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
BEFORE: There were a number of sights and sounds that were bad. I remember that some violent scenes in movies were very disturbing. Torture scenes were excruciating to watch. Ex. Walking Tall, had a scene where a prostitute was tortured. There was a POW movie from the Vietnam war that was horrific. It was called “When Hell was in Session”
In treatment centers and psyche hospitals I could not discuss the childhood trauma without falling apart, and experiencing the worst possible anxiety and fear.
AFTER: A couple of months after I told my wife I no longer had PTSD, we went and watched “Passion of the Christ”. He got beat to a pulp in that movie. To be honest, I sat through the whole thing, and on an anxiety scale of 1 – 100, I felt about a 3 or 4 at most.
IN ADDITION:
I had a discussion with Dr Frederick Schiffer several months ago. He is the author of several books on the subject of PTSD.
We discussed PTSD for about 30 – 45 minutes. During this time we discussed some specific childhood events, which I was OK with. He had me cover my right eye, and restate what happened. I did feel some anxiety, about a 6 or 7 ( on a scale of 1 – 100), and I told him so.

(5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
Before: commonplace in my everyday life. Once in treatment center, I had a nightmare involving my dad, that I shot and killed him. I woke up in a state of sheer terror, and I did not recover from this for about 6 hours. Oddly, the staff did nothing to help, diagnose, monitor anything. They just told me I had pinpoint pupils (which is opposite of what you would expect), and my eyes were about to bug out of my head.
After: Just does not happen.

C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:

(1) efforts to avoid thoughts, feelings, or conversations associated with the trauma

(2) efforts to avoid activities, places, or people that arouse recollections of the trauma
I do not recall avoiding things.
(3) inability to recall an important aspect of the trauma
Both before and after, I have this. To the best I can come up with, there are 3 events that I have a partial or entire blackout to. Family members can remember details of these 3 things, I can not. One was with myself, I can remember events leading up to a beating, but not the beating itself. Another was with a brother, another with my sister.
(4) markedly diminished interest or participation in significant activities

(5) feeling of detachment or estrangement from others
All of my life.
(6) restricted range of affect (e.g., unable to have loving feelings)
Before and after, I care about and love my family more than I can express.
(7) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)
Before: I knew I would have a shortened life.
After: This took a while, but I no longer feel this way.

D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:

(1) difficulty falling or staying asleep – always had trouble with insomnia, no longer an issue.(2) irritability or outbursts of anger
(3) difficulty concentrating - had it bad, I don’t pay much attention to this, but it does not seem to a problem
(4) hypervigilance –
(5) exaggerated startle response **IMPORTANT**
BEFORE: I will use a description from my own story, I Believe PTSD IS Curable, posted on this forum:
“It was also determined that I seemed to suffer from an "exaggerated startle response". Brother, you could have said that in lights. I didn’t need a psychological evaluation to tell me that. I was slightly aware of this. Loud noises, people walking behind me, sudden events would trigger this, like the hair trigger of an atom bomb. The worst thing was a door opening. It did not matter if it was opened slowly or quietly. When a door opened I felt as though a high-voltage shock went down my spinal cord, and down to my toes. Instantly hands would come up in self-defense, and at that moment I would have been capable of striking out, although I never did. Strangely enough, I would have the same response if I consciously knew beforehand someone was about to come through a door. For example, if I saw a person approach a door, maybe seeing the person walking to the door, through an exterior window, I would know in advance a person was about to open that door. I would consciously brace myself. When that door opened, I would still completely jump out of my skin. I could not prevent this, even with the most determined effort.”
After: This simply does not happen. I am 100% positive, I have been subjected to loud noises, etc. This response just isn’t there.



E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than one month.

F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Before: This was an area I was hard hit. Putting it simply and mildly, I was socially and emotionally immature. I had almost no ability to connect with others, and to behave and respond appropriately was just not on the map.
After: I’m not about to have my own TV show or anything, but I’m MUCH better than before, MUCH, MUCH better. It did not happen overnight, but it has happened, and I believe I continue to get better.

Specify if:
Acute: if duration of symptoms is less than 3 months
Chronic: if duration of symptoms is 3 months or more
Duration was about 44 years. I am 48 now.
 
I believe PTS is curable, because I once had it, and I have not had any symptoms of the disorder for about 3 & 1/2 years. My life situation has not exactly been stress-free during this time.
I REALLY want to word this to the best of my ability, so that I can relate my experience.
There were 2 phases:
1) I tried to learn to play a stringed instrument for 20+ years, but I never really caught on to it. Then, in late dec 2003, I started playing left handed. Almost from the start, I was aware I "felt different", but I dismissed it at first. I continued practicing right and left handed daily, believing it was going to improve my musical ability. After 3 months, in March 2004, I made the connection. My mind was clear, I was not having uncontrolled flashbacks, my mind was not spinning out control, and I really just felt good. I even told my wife I no longer had PTSD. But that was just the start.
2) Whithin a day or 2 of making the connection, another process started. When I awoke in the morning, I could feel a POWERFULL AND PROFOUND process occuring. It was like floodgates opening between right and left brain. So I would just stay in bed, and let it happen.
Even though previously it had taken a while to make the connection, I understood what was happening in this case, right away. I made arrangements at work to work a slightly different schedule, from 10am - 7pm, instead of 8am-5pm. I could wake up, but stay in bed for an hour, in order to let this process continue.
Then I practiced right handed for an hour, lefty during lunch.
This continued for about a year. My belief is that REM sleep also plays a major role in what I am describing.
In this thread and many other threads throughout this forum, it is acknowledged and understood that there is an "imbalance" in people who have PTSD. It is conventional thinking that this is irreversible, and in fact, except for my experience, there is probably little scientific evidence to suggest otherwise.
But this DID occur, with me, in my case.
 
:think:Cured?

To simply be: present, able to feel all of my body, relaxed, able to trust, able to feel energy without anxiety, asleep without med's, at ease.

To have a quiet confident mind with contentment , creativity and clarity.

To have a relaxed body that is fluid and strong.

To have a spirit that feels a deep sense of connection with the Universe and feels joy.

Screeeeeeeeeeech!!! Oh , sorry folks I must have fallen asleep. I just had the most impossible dream. You'll laugh when I tell you.
 
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