The Realities of PTSD: Healing in Small Doses

I subscribe to the Psychotherapy Networker e-newsletter and just read a great article by Nancy Errebo, Psy. D., about using EMDR with a returning vet. Two quotes struck me:

While nightmares and flashbacks are very troublesome and painful, avoidance is by far the most dangerous aspect of PTSD - in fact, it maintains the fear and vigilance and the constant preoccupation with the war. "Avoidance also becomes a way of life," I said and described some veterans I know who'd spent many years avoiding almost everything and everybody in their largely unsuccessful attempts to stay calm. There's no healing without exposure to the memory and the emotions that go with it, I added.

The brain naturally tries to process trauma by reviewing experience, but the images and emotions are so vivid that nightmares and flashbacks result. So the opposite, also completely natural, tendency kicks in and the brain tries to avoid the pain by numbing the emotions. At this point, the information can't be processed, and the cycle just repeats over and over again-the natural healing process getting caught in a kind of gridlock. EMDR is designed to break the gridlock and keep the information processing system active so that healing can occur.

Comparing Types of Therapy for PTSD

This article also mentions EFT, Emotionally Focused Therapy for couples, one of the therapies I think is stupendous. Dr. Errebo wrote an article on that: "EMDR and Emotionally Focused Couple Therapy for War Veteran Couples" in the Handbook of EMDR and Family Therapy Processes. I belong to the International Society for Traumatic Stress Studies and often go to their conferences. I saw Susan Johnson, the developer of EFT, give a workshop on it and it was simply wonderful.

A lot of VAs do offer EMDR these days, and it works for many people. Processing the trauma may only be the beginning of recovery, however, if you grew up in a home where there was a war between men and women. EFT offers the chance to make your home a sanctuary instead of a battleground. So does applying the principles of Al-anon to life with PTSD, and I'm sure there are other effective therapies, but this is the one that I know about.

Another therapy that I attended a workshop on is ACT, Acceptance and Commitment Therapy. I felt that this was another one that I would like to see in every VA. If you Google "Steven C. Hayes" and "Sonja V. Batten" and "Acceptance and Commitment Therapy" you can find out more from the people who developed the concept. I think it pays to be an informed consumer of mental health and to speak up for what you feel would help you.

Finding the Right Therapy for You

By the way, none of the developers of these therapies think their way is the only way. When a therapist tells you that their therapy should have worked, that's when, instead of feeling like a failure, you need to find a new therapist. The failure is not you.

It's different if they say, "This doesn't seem to have helped you, so let’s try and find something that will, perhaps with another therapist." That is honest because people are best with techniques they know and love, as long as they don't imply that you failed.

Actually, I think I have to qualify that, too.

Healing in Small Doses

If you try to do therapy while drunk, stoned, in a food coma, etc. (all of which may be PTSD symptoms: efforts to avoid thoughts or feelings associated with the trauma) you can prevent your own healing. It is like the healing of any wound. Pain is involved. You went through hell, and healing it will hurt. So you heal in small doses with help. But if you don't feel, you won't heal.

I often say it is good to be able to go in and out of the numbing at will since the numbing is a survivor skill. But healing is something else, something beyond numbing. When you numb pain, you also numb joy...

And if your pain is intolerable, there are programs like Dialectical Behavioral Therapy, which teach you skills in tolerating painful emotions before you try to do trauma work. I don't know of a VA where they do that either, but I hope it will come.

Source: This article is a guest post from Patience Mason's PTSD Blog. It was republished on LivingWithAnxiety.com with permission.

Photo: Pixabay

Anxiety Support Groups

More Articles

A new study has successfully demonstrated the effectiveness of a novel treatment for post-traumatic stress disorder (PTSD). Using drugs that don't...

What is stress?

Stress is sometimes used to describe challenges or threats, like, “Kelly was under a lot of stress”, or other times to...

While many anxiety disorders are very responsive to treatment, compulsive hoarding is a unique disorder which defies classification and tends to...

One of the most prescribed drugs for the treatment of acute anxiety, valium has a host of other uses. It can treat alcohol withdrawal symptoms,...

Do you have trouble putting your worries and anxieties aside as you go about your day? If you find that they’re always on your mind, you may want...

More Articles

The antidepressant Nardil, in the class of antidepressants known as monoamine oxidase inhibitors (MAOIs), is also frequently prescribed as a...

Omega-3 fatty acids are thought to have a number of potential health benefits, from possible anti-cancer effects to improved cardiovascular health...

Have you ever heard the expression, “A cup of probiotic yogurt a day helps keep anxiety at bay”?

Not likely since it was just made up, but...

Social anxiety disorder, sometimes called social phobia, is a very common type of anxiety disorder that affects approximately 15 million adults in...

If you're feeling overwhelmed by constant anxiety, or even just bothered by occasional bouts of stress, there are some lifestyle and health habits...

Anxiety palpitations may be felt accompanying emotions such as excitement, stress, anxiety or fright. Normally a person is not aware of the...

Mental health disorders, particularly anxiety disorders, are very common and often quite treatable. However, many of them remain poorly or...

Social Anxiety Disorder, sometimes called Social Phobia or SAD, involves anxiety and an overwhelming constant self-consciousness in everyday...

Here is a simple relaxation exercise you can do while riding the bus or train to work, taking a break at work or school, sitting with your morning...

If you reach adolescence or adulthood with little or no self-confidence, what do you do? Faking it (confidence) until you make it is a stretch for...

You know that having an anxiety disorder affects your child’s peer relationships, but recent research indicates that not all anxious children have...

Fresh out of college and searching for her first real job, Lauren had interviews lined up and was ready to prove herself in the big leagues. Yet,...

Klonopin is the brand name of the generic drug clonazepam, a type of benzodiazepine. Benzodiazepines, which include drugs like Valium, Xanax, and...

Nortriptyline, marketed in the United States under the trade names Pamelor and Aventyl, is a tricyclic antidepressant approved by the FDA to treat...

If you have math anxiety, your issues with solving number problems may have nothing to do with your math capability or disdain of numbers.

...