I did not medicate, so I can't speak to that, but maybe there is something in my experience for you. I tried so many things, threw away many, and kept many.
For me, the shift from acute PTSD was tiny and gradual--barely perceptible (in fact, because the sleeplessness over months and months made me so tired, I felt like I was getting worse even as my T saw me learning skills and changing my thinking) and then BOOM, I was much better and improved fast. It was a culmination of dozens of things that each helped a little, many of which I had to practice and learn over time. Most of the techniques I trained myself to during my acute suffering continue to help me perceptibly on this side of things, when things are calmer--staying out of severe periods, climbing more quickly out of those that happen, etc.
I will second internal family systems (IFS). It helped and continues to help me face and ultimately care for parts of myself that I want to push away, suppress, or reject.
Self-hypnosis also helped me. There are many CDs and youtube videos out there to try and see whose voice and manner you like. I like and use Dan Jones a lot for sleep help especially (he is on youtube).
Meditation has helped me over time. I use two kinds:
1) Mindfulness, to help train my mind to be in the present, whatever that present is (helps with tolerance of acute suffering and with grounding)
2) Mantra meditation. I like singing and chose this mantra (I don't know what it means):
I sang it while meditating every day for five minutes for many weeks engaging enjoyable chanting/singing. Now, if I see a stressor coming at me, I can sing this mantra to myself and it grounds me. I can get through the stress. (Only works before I am set off, not after).
Tai Chi, Qi Gong and gentle yoga asanas helped me know my body and come back into it.
Massage and chiropractor visits helped me manage the muscle and nerve pain as I moved myself through months and months of anxiety and tension. My chiropractor helped me discover where my nerves were getting pinched by chronically tense muscles, and my massage therapist worked on releasing those muscles as well as soothing all of my muscles.
The key, though, was not to be afraid of my symptoms. My therapist told me this first, but I had to test and observe. Everything else was managing the situation. For me, the suffering was quite severe and near-constant. I went to sleep scared with my heart pounding, woke up scared with my heart pounding, nightmares, constant hyper-vigilance with anxiety spikes at slammed doors or honked horns or anything moving suddenly--even my thoughts. Suicidal ideation dogged my spirit. I was exhausted. Near-constant fight-or-flight negated sustained concentration or long-term memory formation. Over two years, I came to believe, through observation, that my fear of my anxiety aggravated and increased my anxiety. I had to accept--intellectually, emotionally, and in my actions--that it was safe to remain present with the pain and suffering, despite the terrifying sense of danger/need to escape. Accept. Tolerate. Comfort. Again and again. Again and again. Yes, today too. Once I accepted the pain and agreed to be present with it, neither feeding nor resisting, opportunities to truly shift arose.
I was in constant severe anxiety for over two years (it took time for me to be wholly convinced and to shift enough mind and body aspects into being present and grounded while feeling so scared), and as I write today I have rare spikes.
This is a highly recommended program that I have not been able to go to, but is supposed to be excellent. Maybe someday. [DLMURL]https://www.umassmed.edu/cfm/stress/index.aspx[/DLMURL]
You wrote, "The last thing I want to do is bring unbearable sadness upon others. Family, friends and others helping. It's not my nature."
A couple things on this. Your pain is not a personal act of aggression toward your loved ones. You did not even chose to have it. It is not personal against them. Pain, suffering and trials are part of the deal on this earth for them as with you. Our lives present us with lessons. Most of these lessons, we do not chose. Your loved ones are presented with an opportunity to learn new skills around differentiation and handling sadness--which is absolutely bearable, by the way. You are presented with an opportunity to learn the new skill of accepting help. These skills--differentiation, tolerating difficult emotions, and accepting help--are skills for humans living in human communities.
Take heart. Keep trying stuff. Hang in there. (((hugs)))
Mary