Thoughts on PTSD

I think most people are familiar with the term PTSD. Post Traumatic Stress Disorder. We’re familiar with the words but maybe not the meaning or a full understanding of what’s involved with that diagnosis. I have diagnosed myself, (because it saves time) with PTSD as a result of the traumatic fall I had November 10th.

According to the National Institute of Mental Health, PTSD requires exposure to an event that involved the actual, or threat of death, violence, or serious injury. The disorder develops in some people who experience a shocking, scary, or dangerous event. Either you experienced the traumatic event, you witnessed it, someone close to you experienced the event, or you are repeatedly exposed to graphic details of traumatic events, for example, first responders. The National Center for PTSD estimates that out of 100 people, 6 will experience PTSD at some point.

As I was reading this week, I was reminded that my PTSD started before last November. When I was in my 30’s I started working for the Denver Department of Human Services as a child protection caseworker. I had a caseload of families with children who had been removed from their homes because of child abuse and/or neglect. One winter morning I had gone to a school staffing at 7:00 am about 45 minutes from where I worked. When I left the school, it was snowing…more like sleeting. I was driving very slowly because the highway was icy. All of a sudden, I saw a pickup truck lose control on the other side of the highway. The truck spun into the grass median and then flipped over and over toward me. I thought I was going to die. I thought the truck would end up on top of my car…and me. I tried to stop but my car slid on the ice. I hit the pickup truck when it stopped flipping and the car behind me hit me. As the truck was landing the driver was ejected from the front seat and went sliding down the highway. He looked like he was just sleeping as he slid by. I tried to steer away from him but couldn’t because of the ice. I thought I ran him over. 

When everything stopped moving, I was really shaken up. I understand now why an “excited utterance” is an exception to the hearsay rule in court. There’s no time or ability to lie about anything. I understand this because pretty much as soon as a state patrol officer said “hi” I blurted out everything that had happened, including thinking that I ran the driver over as he slid down the highway. The officer told me I did not run him over. The “him” was a 17-year-old, who stole his grandfather’s truck. He didn’t even have a drivers license. It was so sad because he died at the scene. The officer was gentle with me and told me several times that that young man’s death was not my fault. I think because the truck was flipping down the highway at me, I knew it wasn’t my fault. 

That accident gave me PTSD and I still have it. I cannot drive in the snow or ice…well, I physically can but emotionally it’s a bad idea. I am terrified of snowy or icy roads. And you may think, “well I don’t like them either, no one does.” True…but I’m afraid I’m going to be killed at any moment. I’m terrified that a car is going to flip over and smush me…and I’ll be dead. I literally cannot be in a car, riding or driving, in those conditions. That was almost 30 years ago, and I remember it like it was yesterday. I still feel the fear of dying and I still see that young man sliding down the highway. None of those images have faded in all these years.

It is natural to feel afraid during and after a traumatic event. A diagnosis of PTSD requires symptoms that last longer than a month and that significantly interfere with aspects of daily living, like work, or relationships. Symptoms must be unrelated to medication, substance abuse, or other illness. PTSD also requires: at least 1 re-experiencing symptom, such as flashbacks, distressing thoughts, recurring memories or dreams; at least 1 avoidance symptom, like avoiding thoughts or feelings, staying away from certain people, places, or events; at least 2 arousal and reactivity symptoms, such as hyper-vigilance, being easily startled or frightened, difficulty with sleep and concentration, feeling irritable or angry, self-destructive behavior; and at least 2 cognition or mood symptoms for example, difficulty remembering key parts of the traumatic event, ongoing feelings of fear, anger, shame, or guilt, loss of interest in activities you used to enjoy, feeling isolated, difficulty feeling positive emotions, and ongoing negative emotions.

There are so many reasons for PTSD personally, as communities, as a country, as a world…9/11, school shootings, as well as shootings in churches, synagogues, movie theaters, and LGBTQ+ nightclubs. There are murders, car accidents, bad falls, assaults, and fucking Covid. And I’m just stopping there but the list of trauma inducing events goes on and on…wildfires, tornadoes, hurricanes, floods…you see my point. I wonder if there’s anyone out there who doesn’t have PTSD. After 9/11 I walked around watching the sky and waiting for the next plane to crash and the next building to fall. After Pulse Nightclub I felt, and still feel, hunted, as a member of the LGBTQ+ community. After the Columbine shooting, I questioned the wisdom of sending my kids to school. The pandemic made me want to put everyone I care about into plastic bubbles so they couldn’t get Covid…and couldn’t die.

I think we are a nation of collective PTSD, but we don’t know it. We don’t know because, instead of feeling all the pain and loss of those events, we shut down or we just get angry. It might be righteous anger but it’s still just one feeling, one reaction. It’s easier to feel anger than to feel afraid or confused, or loss, or sadness. There’s been tremendous loss and we should all feel sad, we should be heartbroken, but instead we just get angrier. We are a nation full of angry people…angry traumatized people. When we attempt to solve problems while we are angry our solutions can easily turn to violence…guns, tanks, bombs. We hurt and so we want them to hurt too…whoever “them” may be. They did this to us, so we’ll do this to them…upping the ante with every reaction. 

And we are just reacting. When we’re traumatized, when we’re scared, when we feel threatened, our reaction is fight or flight. I am either gonna beat the shit out of you or I am gonna run the fuck away and hide. Those are the physical reactions our bodies automatically produce. We have a physical reaction but what is our response? Are we able to stop a moment, take a breath, and make a decision of how we will respond? Make a conscious choice. When a traumatic event occurs, our reactions are immediate, and they need to be so that we protect ourselves. When recurring fears and feelings are stirred up because of PTSD we need to find a way to respond. We need to be able to choose an appropriate response when we aren’t in danger, but we’re triggered. When I was walking my dog and I tripped, I was not in danger. Nothing happened to me. I was safe. But for example, if my reaction was to decide to never leave my house again, that might be a bit extreme. When triggered my reactions are not to actual danger but rather a perceived danger. I see danger everywhere because the world hurt me. The beach broke me, a car flipped in front of me, a dead body slid past me on the road…I was minding my own business, and the world got me. How did it get me? It reminded me that I am not in control. I’m not in control of the world or of people or even myself sometimes. Shit happens because I can’t stop it. I can’t stop it because I can’t control it…”it” being literally everything. Well fuck. People fall, cars crash, people die…life happens. Sometimes life feels a bit relentless. 

So, let’s be real…I have physically been put back together from the fall but mentally and emotionally, I feel guarded…maybe tentative is a better word. I feel tentative in my interactions with the world around me. So, what is a lover of the beach to do, especially since I’m scared now. I’m not exactly sure but I know one thing, sitting and being still with myself can only help. Sitting as in meditation or prayer or whatever reason causes you to sit alone and in silence. So, I’m gonna sit. Then, I’ll sit…and finally, I’ll sit some more. Because in a world that feels out of control, I can control that. I can control sitting myself down and meditating…or just closing my eyes and being still. Quiet, still, and by myself. 

So that’s my plan. To sit. Yep, that’s the whole plan. Call it meditation, call it relaxing, or call it laziness.  It doesn’t matter what you call it, it matters that you do it. So, I’ll sit 20 minutes a day…maybe only 10 to start. I’m not sure what to do with all these feelings. So, I’m gonna sit. I’m going to allow my much-feared feelings to arise as they want to and I’m going to sit with them. I’m going to stay with them. I am not going to interact with them, at least not now. I’m going to notice them in my mind, recognize them, notice them in my body, and then let them go. I’m going to notice, touch, and let go. And they will go…if I let go. I’m going to allow these feelings to come to me instead of trying to orchestrate how I’ll fix them without feeling them. Nothing needs to be fixed. All I need is to be aware.

Before I end here, I want to say that I am not writing this as a mental health expert or an expert in PTSD. I am writing as a fellow traveler on this journey with trauma. I’m reading and learning and sharing. This is not intended to take the place of any therapy. Only you know if you need therapy. If you think you might then you should. Therapy can be very helpful. 

If you are going to hurt yourself, call 911. If you have suicidal thoughts, get help right away. Reach out to a friend, a spiritual advisor, or someone you trust. Make an appointment with your doctor or therapist. You can contact the Suicide Crisis Lifeline 24 hours a day. Text 988 with any message you want and have a conversation with a counselor through text or chat. You can also call 1-800-suicide 24 hours a day, 7 days a week. Please reach out and get the help you need.

As a person who has experienced trauma, in relationships with people who have experienced trauma, in a nation that has experienced trauma, and as part of a massively traumatized world, be kind. Be kind to yourself. Be kind to other people. Lead with love in all your interactions. Because we need love to win. We need love to win everywhere. In the end, all that matters is how we love people. So, lead with love. Love is always the place to begin.

Floating and Falling

The Grammy Awards were last Sunday. I love Billie Eilish and that night she won “Song of the Year” for, “What Was I Made For?” If you haven’t heard it, you should change that…now. It’s an amazing song…in my opinion. She wrote it for the movie “Barbie” which I have not seen yet. Anyway, the beginning of the song says, “I used to float, now I just fall down. I used to know, but I’m not sure now….” As I’ve gotten older there are so many more things, I’m not sure of. Everything was so clear when I was in my 20’s…so simple…so black and white…so rigid.

When I was younger, I was an athlete. I played basketball, softball, and I swam…all competitively. I was coordinated. I could stumble and catch myself easily before I’d ever fall. I could run forward and backward…I thank basketball for that. When I went to college, the basketball coach was interested in me for the team. It was a very small school but still that was a dream come true. I ended up having knee surgery instead of trying out for the team (thank you field hockey…I should have never trusted a sport that makes you wear a skirt) and that was a big loss for me. Being an athlete was a huge part of my identity then. I think it was my identify. Everything in my life was connected to sports, all my friends played, and we spent our time together on and off the court. I had a basketball with me all the time and got really good at spinning it on my finger…I could even switch fingers and hands (my grandkids used to think that was very cool when they were little).

I wrote about my accidental fall, surgery, and ongoing recovery a couple weeks ago. I wasn’t really planning on writing anymore about it because it was done. Right? Then I was walking my dog and I tripped on my crutch and that whole accident came crashing down on me. I was back on the beach as if it was happening again right then. I saw myself fall. I heard and felt the crunch and snap of my arm breaking. My heart started racing and I felt the warmth of tears welling up in my eyes. I felt overwhelming fear and sadness, even though I was fine in that moment. I did not fall. I did not even come close to falling. I just tripped. I was so afraid.

I used to float…I’m not sure I ever floated but I didn’t fall. I wasn’t clumsy. I was coordinated. Now I just fall down, randomly and for no reason or that’s how it feels to me. And worst of all, I don’t know how to stop it. Missteps that I could have easily corrected in the past, knock me to the ground now. And I am afraid. Afraid to live in my body. Afraid to feel in my body. Afraid to fall in my body. How can I mentally feel like I’m 40 and physically move like I’m 90? That’s fucked up. I feel like everyone treats me like I’m fragile and about to break. But I’m not…okay I did break but I’ve been put back together with metal and cadaver bones. Just missing duct tape.

“I don’t know how to feel but I wanna try.” Feelings are hard for me. As a child, I was encouraged not to have them. Feelings are messy. No one wanted to know how I felt. How do I know this? No one ever asked. No one cared how I felt. If I was angry, I got in trouble, even though anger seemed like the go to emotion for my parents. And if I was sad or cried, I was teased or taunted. I felt humiliated. I decided emotions were way too much trouble for me.

Let me be real… I don’t know how to feel because I’m having difficulty being in my body right now. I was learning to be present in my body and feel my feelings and then I fell…my catastrophic fall. I feel fragile and I am not a fragile person…so that pisses me off…which I’m sure is helpful. I am not fragile. I’m fucking Superwoman. I deal with, manage, and take care of tons of shit every day. I am not fragile. Fragile feels bad to me, weak. I am not weak. I can’t be weak.

I don’t know how to feel…that’s true two ways. The “I don’t know” as in I don’t recognize the feeling, and/or the “I don’t know” as in I can’t decide, too many choices. I’m with number 2. I can identify feelings, I’m better at it with other people’s feelings but I can get to mine…it may take a minute. I have a master’s degree in counseling…I know lots of feelings…a grade 18th’s worth. But it’s not so much that I don’t know how to feel as I don’t how I can manage all these feelings. I have a fucking tsunami of feelings.

You see, it turns out I have all the feelings. So many feelings. I have spent years learning to feel my feelings…years. And convincing myself to stay present in my body, even when my body hurts. To stay with the physical pain and any feelings that arise from it. I feel afraid of all the feelings inside me. Afraid of being devoured by them. I’m afraid and sad. I feel diminished by falling. I became a fragile and weak person in other people’s eyes, and they question my capabilities…and their doubts eat away at me…and so do mine.

Now let’s be real…I might have some PTSD, just a tiny bit. I’m afraid. I’m afraid of being me and living in this body. I feel fragile and vulnerable in a predatory way…like my body is out to get me. I don’t know how to be in my body right now, it feels complicated. I’m afraid of my body, as if it’s separate from me, and can damage me on its own. I feel breakable in a new way since I fell. And it’s not so helpful that my mom tells me I need to stop falling because I’ll end up in “bad shape,” basically dead is what she means. If it was as simple as deciding not to fall, then it would never happen again. It’s not that simple. I’m careful and I fell. I’m careful and I’m afraid. 

It feels strange to say that I am scared of myself. Makes me feel a little bit like I have multiple personalities and I’m afraid of one of them…the one making me fall. I don’t know exactly what to do. I can pretend that there was no impact on me from the fall but the the slightest misstep or stumble and my insides collapse. Physically being put back together didn’t fix my fears. My bones have healed but not my heart.

 Let’s be real…I can’t outrun my feelings. I actually can’t outrun anyone, except maybe my English Bulldog. And neither of us believe in running. What’s the worst thing that can happen if I stay with my feelings? Allow myself to sit with my fear and sadness? I suppose I’ll feel way more than I want to but what else? What’s the worse thing that can happen if I feel…feel it all? And what’s the best thing that could happen if I allow myself to feel that whole tsunami of feelings? They are messy and I am messy, but would I learn to believe? Believe in myself. Believe in my ability to handle anything that comes up for me. Believe I can feel a tsunami and survive. Believe I am bigger and stronger and smarter than my fear. Believe in myself and my potential just like I promised myself I would. Perhaps practice what I preached just a month ago…there’s a whole lot of believing that’s ready to go on here…and all I have to do is stay, relax, and feel. So simple and so scary. Until you do it…until I do it.

Post traumatic stress disorder is a big topic so next week I’ll talk more about PTSD and the fear and sadness that can accompany it. In the meantime, I’m gonna practice what I preach and I’m going to love. I’m going to love myself and the people around me. I’m going to practice a loving attitude toward the world. Love will keep me a glass half full kind of person. It’s all in my perspective…so I’m keeping mine focused on love, because in the end all that matters is how we love people…including ourselves.