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.
Kai Raines 