Dissociation may occur during abuse or trauma. When our world gets turned upside down, and we feel that we may crack if things get any worse, we dissociate ourselves from the moment. For example, during sexual assault, we may separate our thoughts from our bodies. We take ourselves mentally to another place so that we don't feel the physical and emotional pain of the moment.
We may later use dissociation to block out the memories of painful events or to numb our feelings long after the traumatic event is over. Dissociation protected our minds when we were trying to live with horrific circumstances. However, if we continue to use it as a means to forget the trauma or to avoid the strong feelings connected to the event, we may never recover.
Dissociation takes many forms. We may numb ourselves to all emotions or keep our distance from most people. Or we may dissociate from our feelings and memories by becoming hyper-involved in some activity.
We may over-work, talk incessantly, clean the house constantly, or jump into one volunteer activity after another. Remaining engaged perpetually in something that requires intense concentration prevents us from thinking about the pain of our past. It also leaves us feeling so physically and mentally exhausted that we can't work on recovery.
As a teacher, many of my students who were diagnosed with ADHD were experiencing abuse at home. All three of my children were misdiagnosed with ADHD, when, in fact, they were suffering from Post-Traumatic Stress Disorder as a result of abuse. PTSD symptoms look an awful lot like the ones associated with ADHD.
Do you consider yourself inattentive or hyperactive? Is it possible that these are symptoms of the dissociation which is common in survivors with PTSD? What memories or feelings might you be avoiding? If you think you may be dissociating months or years after a trauma, find a qualifed therapist to help you learn how to safely get back in touch with your feelings and memories.
Be still before the Lord and wait patiently for him...Psalm 37:7a
Showing posts with label ADHD. Show all posts
Showing posts with label ADHD. Show all posts
Thursday, October 6, 2011
Monday, June 6, 2011
Are You Suffering From PTSD?
We continue this week with my series, Confident in God's Hands. The purpose of this journey is to help readers identify why they lack self-esteem, and then to equip them to grow more confident. Last week, we took a look at anxiety and considered how extreme fears may be robbing us of the joy we would like to experience. Today, I would like to address the signs and symptoms of Post Traumatic Stress Disorder (PTSD).
What causes PTSD?
Any trauma can cause a person to develop PTSD, but not everyone ends up with this disorder. Childhood sexual abuse, rape, domestic violence, auto accidents, natural disasters, and war can all trigger PTSD. The illness can be accompanied by depression, substance abuse, or anxiety disorders.
When do symptoms of PTSD begin?
The symptoms of PTSD usually begin within three months of the trauma. However, some people don't exhibit them until years later. Sometimes PTSD is misdiagnosed as Attention Deficit Hyperactivity Disorder (ADHD), generalized anxiety disorder, or depression.
I wasn't diagnosed with PTSD until I was in my late thirties, nearly three decades after the first traumatic event occurred. At first, I was misdiagnosed with ADHD and depression. It wasn't until several years later that a psychologist well-versed in diagnosing PTSD figured it out.
What are the symptoms of PTSD?
In order to be diagnosed with PTSD, a group of some of the following symptoms must be present for at least one month. They include:
-exaggerated startle response
-loss of interest in usual activities
-trouble feeling affectionate
-irritability
-aggression
-violent outbursts
-flashbacks (reliving the trauma during the day)
-nightmares (dreaming about the trauma whenever sleeping)
-feeling emotionally numb, particularly with people who were once close
-avoiding situations which are similar to the trauma
-struggling with the anniversary of the trauma
My experiences with PTSD
If you interrupt me while I'm engrossed in something, you can clearly see what an exaggerated startle response looks like. Joe knows better than to sneak up behind me and tickle me. If he does inadvertently startle me, my heart pounds, my hands shake, and I feel as if I'm about to faint or throw up. For several hours afterward, I feel completely wiped out.
I have frequent flashbacks during the day, particularly if I'm doing something mindless, such as driving or washing dishes. Something inconsequential, such as the scent of the dish liquid, can trigger a flashback. My mind replays the traumatic event, and eventually I come back to present day with a sense that I've lost a chunk of time.
At night, my mind works overtime to warn me of dangers which are no longer present. I dream about the people who traumatized me in situations where I felt little or no control. Generally, I wake up feeling very helpless and depressed, and I have to remind myself that the dreams are not real.
What is the outlook for people with PTSD?
The course of PTSD varies. Some people recover within six months, while others have symptoms that last much longer. In some people, the condition becomes chronic.
Receiving a diagnosis of PTSD isn't all bad. For me, it was a relief to understand that there was an underlying cause to the exaggerated startle response, depression, chronic flashbacks, and nightmares. Knowing what the problem was gave me the opportunity to work at getting better. Medication combined with extensive psychotherapy helped considerably.
I am much better today than I was ten years ago. And I anticipate that I will continue to improve with time. I believe the outlook is quite promising, provided we get appropriate treatment.
Today's Challenge
Are you suffering from exaggerated startle responses, loss of interest in your usual activities, trouble feeling affectionate, irritability, aggression, violent outbursts, flashbacks, or nightmares? Do you feel emotionally numb? Are you avoiding situations that remind you of a traumatic incident? Is the anniversary of the trauma still bothering you? If you answered yes to a number of these questions, you may want to consider seeking the help of a professional counselor. There is hope for recovery from PTSD, but it is important to get some support for it.
All things are possible with God. (Mark 10:27 NIV)
What causes PTSD?
Any trauma can cause a person to develop PTSD, but not everyone ends up with this disorder. Childhood sexual abuse, rape, domestic violence, auto accidents, natural disasters, and war can all trigger PTSD. The illness can be accompanied by depression, substance abuse, or anxiety disorders.
When do symptoms of PTSD begin?
The symptoms of PTSD usually begin within three months of the trauma. However, some people don't exhibit them until years later. Sometimes PTSD is misdiagnosed as Attention Deficit Hyperactivity Disorder (ADHD), generalized anxiety disorder, or depression.
I wasn't diagnosed with PTSD until I was in my late thirties, nearly three decades after the first traumatic event occurred. At first, I was misdiagnosed with ADHD and depression. It wasn't until several years later that a psychologist well-versed in diagnosing PTSD figured it out.
What are the symptoms of PTSD?
In order to be diagnosed with PTSD, a group of some of the following symptoms must be present for at least one month. They include:
-exaggerated startle response
-loss of interest in usual activities
-trouble feeling affectionate
-irritability
-aggression
-violent outbursts
-flashbacks (reliving the trauma during the day)
-nightmares (dreaming about the trauma whenever sleeping)
-feeling emotionally numb, particularly with people who were once close
-avoiding situations which are similar to the trauma
-struggling with the anniversary of the trauma
My experiences with PTSD
If you interrupt me while I'm engrossed in something, you can clearly see what an exaggerated startle response looks like. Joe knows better than to sneak up behind me and tickle me. If he does inadvertently startle me, my heart pounds, my hands shake, and I feel as if I'm about to faint or throw up. For several hours afterward, I feel completely wiped out.
I have frequent flashbacks during the day, particularly if I'm doing something mindless, such as driving or washing dishes. Something inconsequential, such as the scent of the dish liquid, can trigger a flashback. My mind replays the traumatic event, and eventually I come back to present day with a sense that I've lost a chunk of time.
At night, my mind works overtime to warn me of dangers which are no longer present. I dream about the people who traumatized me in situations where I felt little or no control. Generally, I wake up feeling very helpless and depressed, and I have to remind myself that the dreams are not real.
What is the outlook for people with PTSD?
The course of PTSD varies. Some people recover within six months, while others have symptoms that last much longer. In some people, the condition becomes chronic.
Receiving a diagnosis of PTSD isn't all bad. For me, it was a relief to understand that there was an underlying cause to the exaggerated startle response, depression, chronic flashbacks, and nightmares. Knowing what the problem was gave me the opportunity to work at getting better. Medication combined with extensive psychotherapy helped considerably.
I am much better today than I was ten years ago. And I anticipate that I will continue to improve with time. I believe the outlook is quite promising, provided we get appropriate treatment.
Today's Challenge
Are you suffering from exaggerated startle responses, loss of interest in your usual activities, trouble feeling affectionate, irritability, aggression, violent outbursts, flashbacks, or nightmares? Do you feel emotionally numb? Are you avoiding situations that remind you of a traumatic incident? Is the anniversary of the trauma still bothering you? If you answered yes to a number of these questions, you may want to consider seeking the help of a professional counselor. There is hope for recovery from PTSD, but it is important to get some support for it.
All things are possible with God. (Mark 10:27 NIV)
Thursday, May 26, 2011
Take Control of Your Time
We are learning this week about how to develop greater self-control as part of my series, Thriving in God's Garden. It is based on the fruit of the Spirit, which can be found in Galatians 5:22. Today, I would like to address the issue of time management.
Time can be a heavy burden.
I don't think I've ever met any active adult who tells me that they have too much time on their hands. Children may claim to be bored, and the elderly may feel the hours dragging in the loneliness of nursing homes, but the rest of us never seem to be able to keep up with all of the demands made upon us in the limited hours we have to work each day.
King Solomon wrote in Proverbs 3:1 (NIV), There is a time for everything, and a season for every activity under heaven. Since this Biblical truth applies to all of us, it stands to reason that we should all be figuring out how to best manage our time to carry out the activities that God has planned for us.
Time can become a heavy burden if we don't make daily plans to use it wisely. We can either fritter it away or fill it with too many activities. Both extremes will leave us feeling dissatisfied at the end of the day.
Take control of time, or it will control you.
I have found that the best way to manage my time is to chart out my day the night before. I make a list of all the things I need to do at home, the errands I need to run, and the phone calls I must make. Before I go to sleep, I put my list in order and note a time frame for completing each task.
While I'm sleeping, my mind is working on tomorrow's tasks. When I do this, I find myself waking up with an answer to a question, or I dream about characters and plot twists for my novels.
Live by your list.
Writing a list the night before makes the entire day flow more smoothly. I live by my list, checking off each task and bearing in mind how much time I have remaining before I must move on to the next one.
I rarely leave home without my list. If I forget to take it with me, I inevitaby wander aimlessly through stores, unaware of the time or of the list of tasks that need to be accomplished.
Perhaps all of this list-making sounds a bit controlling. Maybe some of you prefer to live more vicariously in the moment. That's great, provided you actually get anything accomplished.
I suffered a closed-head injury a number of years ago that left me with deficits in the area of the brain that governs management of numerous tasks. Without my lists, I'm lost. Many people who suffer from ADHD or PTSD have similar issues with time management.
But I don't see this need for lists as a stumbling block in my life. In fact, I'm glad that God allowed me to brain myself. At the end of the day, I can look at my lists and feel really terrific about all that I've accomplished. Without my lists, I can't remember what I've done.
If I keep my lists in a journal, I have a long record of how I filled my days. I enjoy going back through my journals to see that I actually did something worthwhile with my time.
Expect interruptions and delays.
If you've ever flown on a jet, you know that there are often delays which can leave you stranded in airports or hotels in strange cities far from home. Like airline delays, our daily schedules can be delayed by numerous interruptions, such as phone calls, requests for help from friends, the dog running off, or a kid scraping a knee.
If we plan extra margins of time around all of our scheduled activities, we will arrive at the end of the day feeling less stressed. In other words, if we think it will take an hour to do the grocery shopping, we should plan to take an hour and a half, just in case the clerk is slow, traffic is backed up, or we spend too long selecting a birthday card or trying on clothes.
Prioritize your tasks.
For those of us who are over-achievers, the habit of making lists can get us into trouble. I may go into the kitchen to write a grocery list, and I wind up making a separate list of all the things in the room that need attention...the knife drawer needs cleaning out, the curtains need washing, the light bulb is burned out, and so on. That leads me to the next room, and the next, until I've got a fistful of lists, each several pages long. How do I get all of this done in one day?
The answer is that I don't! I must decide whether it is more important to wash the curtains or to buy groceries. If I don't have time today to do both, I can set aside my kitchen-maintenance list until another day when I have fewer demands on my time.
Learn to say NO!
Many people feel harassed by the clock, because they don't know how to say no. Every time someone makes a request of their time, they say yes. At first, they feel good about themselves, because they are helping someone else. But after a while, they begin to resent people asking for help. They develop burn-out in their careers, their volunteer work, and their marriages, simply because they say yes to everything.
If you're stretched too thin because you've agreed to help everyone who has ever asked you, start backing out of some of your commitments. Remind yourself that you're giving another person the opportunity to be helpful in your place, and you're making a better life for yourself.
Live on your own time one day every week.
I believe it is imperative for all of us to carve out a little time each week to just be. When Joe and I first got married, we used to go to a park after church and lie down on a blanket. We listened to the children laughing on the playground, watched the clouds floating by overhead, or closed our eyes and snoozed. This habit really helped us to recharge our batteries for the week ahead.
God commands us to rest on the Lord's day, and I believe there is great wisdom in following this law. Rest isn't just about sleeping. It's about forgetting the time, the lists, and all of the responsibilities that belong to the rest of the week.
Today's Challenge
How are you doing with time management? Are you making lists, planning your time, working your list, providing extra margins of time for interruptions, prioritizing tasks, resistng the urge to over-commit, and resting one day each week? Try following these suggestions next week and send me a comment to let me know if this helps you to be more self-controlled.
Time can be a heavy burden.
I don't think I've ever met any active adult who tells me that they have too much time on their hands. Children may claim to be bored, and the elderly may feel the hours dragging in the loneliness of nursing homes, but the rest of us never seem to be able to keep up with all of the demands made upon us in the limited hours we have to work each day.
King Solomon wrote in Proverbs 3:1 (NIV), There is a time for everything, and a season for every activity under heaven. Since this Biblical truth applies to all of us, it stands to reason that we should all be figuring out how to best manage our time to carry out the activities that God has planned for us.
Time can become a heavy burden if we don't make daily plans to use it wisely. We can either fritter it away or fill it with too many activities. Both extremes will leave us feeling dissatisfied at the end of the day.
Take control of time, or it will control you.
I have found that the best way to manage my time is to chart out my day the night before. I make a list of all the things I need to do at home, the errands I need to run, and the phone calls I must make. Before I go to sleep, I put my list in order and note a time frame for completing each task.
While I'm sleeping, my mind is working on tomorrow's tasks. When I do this, I find myself waking up with an answer to a question, or I dream about characters and plot twists for my novels.
Live by your list.
Writing a list the night before makes the entire day flow more smoothly. I live by my list, checking off each task and bearing in mind how much time I have remaining before I must move on to the next one.
I rarely leave home without my list. If I forget to take it with me, I inevitaby wander aimlessly through stores, unaware of the time or of the list of tasks that need to be accomplished.
Perhaps all of this list-making sounds a bit controlling. Maybe some of you prefer to live more vicariously in the moment. That's great, provided you actually get anything accomplished.
I suffered a closed-head injury a number of years ago that left me with deficits in the area of the brain that governs management of numerous tasks. Without my lists, I'm lost. Many people who suffer from ADHD or PTSD have similar issues with time management.
But I don't see this need for lists as a stumbling block in my life. In fact, I'm glad that God allowed me to brain myself. At the end of the day, I can look at my lists and feel really terrific about all that I've accomplished. Without my lists, I can't remember what I've done.
If I keep my lists in a journal, I have a long record of how I filled my days. I enjoy going back through my journals to see that I actually did something worthwhile with my time.
Expect interruptions and delays.
If you've ever flown on a jet, you know that there are often delays which can leave you stranded in airports or hotels in strange cities far from home. Like airline delays, our daily schedules can be delayed by numerous interruptions, such as phone calls, requests for help from friends, the dog running off, or a kid scraping a knee.
If we plan extra margins of time around all of our scheduled activities, we will arrive at the end of the day feeling less stressed. In other words, if we think it will take an hour to do the grocery shopping, we should plan to take an hour and a half, just in case the clerk is slow, traffic is backed up, or we spend too long selecting a birthday card or trying on clothes.
Prioritize your tasks.
For those of us who are over-achievers, the habit of making lists can get us into trouble. I may go into the kitchen to write a grocery list, and I wind up making a separate list of all the things in the room that need attention...the knife drawer needs cleaning out, the curtains need washing, the light bulb is burned out, and so on. That leads me to the next room, and the next, until I've got a fistful of lists, each several pages long. How do I get all of this done in one day?
The answer is that I don't! I must decide whether it is more important to wash the curtains or to buy groceries. If I don't have time today to do both, I can set aside my kitchen-maintenance list until another day when I have fewer demands on my time.
Learn to say NO!
Many people feel harassed by the clock, because they don't know how to say no. Every time someone makes a request of their time, they say yes. At first, they feel good about themselves, because they are helping someone else. But after a while, they begin to resent people asking for help. They develop burn-out in their careers, their volunteer work, and their marriages, simply because they say yes to everything.
If you're stretched too thin because you've agreed to help everyone who has ever asked you, start backing out of some of your commitments. Remind yourself that you're giving another person the opportunity to be helpful in your place, and you're making a better life for yourself.
Live on your own time one day every week.
I believe it is imperative for all of us to carve out a little time each week to just be. When Joe and I first got married, we used to go to a park after church and lie down on a blanket. We listened to the children laughing on the playground, watched the clouds floating by overhead, or closed our eyes and snoozed. This habit really helped us to recharge our batteries for the week ahead.
God commands us to rest on the Lord's day, and I believe there is great wisdom in following this law. Rest isn't just about sleeping. It's about forgetting the time, the lists, and all of the responsibilities that belong to the rest of the week.
Today's Challenge
How are you doing with time management? Are you making lists, planning your time, working your list, providing extra margins of time for interruptions, prioritizing tasks, resistng the urge to over-commit, and resting one day each week? Try following these suggestions next week and send me a comment to let me know if this helps you to be more self-controlled.
Subscribe to:
Posts (Atom)
Posts
