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Bi-polar Disorder & PTSD

Question:
Is there a positive possibility that I will get well? I have been struggling with Bipolar I and PTSD for 20 years. Treatment has been inconsistent--actually non-existent for most of those years. I would think at 38 years old I would not come apart when threatened by memories and people from the past trauma--but I do and to the extent I was hospitalized after a very serious and bloody suicide attempt. I have read that the counseling that usually aids PTSD patients is ineffective so many years afterward because the trauma and emotions have become so engrained in the person--it is a part of who they are. I feel that way. I believe what they are saying. But I'm also hoping I can find help and not go through this dark, terrifying ordeal again.

Response:
Bipolar and PTSD are ABSOLUTELY TREATABLE.  However, it takes time, and your commitment to treatment is necessary.  It is also painful as you have to work through the trauma.  But it is absolutely treatable with a combination of medication and psychotherapy. 

The memories and flashbacks are the subconscious mind's way of drawing your attention to issues that you need to work on.  Once your fear of those memories are addressed and you are able to separate past from present... you will see that the bipolar symptoms will reduce in intensity also.  When you get in touch with your strengths as an adult, and create an emotionally safe environment for yourself, you will be able to help the inner child overcome the fears and trauma. 

It is important to realize that people re-create and reinforce their trauma through their life choices... so that a similar abusive situation is experienced.  Survivors learn to abuse themselves in almost the same manner that they were abused.  ie: objectifying themself, disrespecting and devaluing their life, abusing their body, not trusting themselves and not setting appropriate boundaries, etc.  Everyone develops a belief system based on his or her experiences, so if your experience is of abuse, then it follows that your belief system about yourself is abusive. 

Therapy will help you identify your belief system and the choices you make that are harmful to you.  And help you get to the point that you can love, respect and value yourself, regardless of the past.  The results are worth it, YOU are worth it.  You deserve to heal and create a beautiful life for yourself.

A good book to start with is: 'The Courage to Heal' by Bass and Davis

Regards
Uzma


Follow-up Question:
What is an emotionally safe environment? And how can this be achieved when
 one cannot control the actions of others? Past & present are closer than some might think and inexplicably intertwined. The threat to my person has not been eliminated. I have received phone calls from the perpetrator within the last several years. The trauma occurred over 20 years ago, but the threat continued through my early 20's and even my early 30's. I am 38 now.
Does "non-professional" counseling count for anything? Because I have very painfully re-lived this horror under the loving and 24 hr care of my Pastor & his wife, my dearest friends on earth, B & L.  Stayed in their home for 6 months. I was very manic-depressive-mixed-agitated-night terrors-hallucinating-psychotic-violent-suicidal. Hospitalized Feb 98.
Can you just give me a clue as to what issues I need to work on?  I don't see
 the validity of dealing with fears I'd just soon keep. I am afraid. You might be too in my circumstance. Single, live alone, etc.. Afraid is good.
 online about stuff. I can be more open and unfettered writing in my own environment. Drs offices make me nervous.
Hope you can reply. If not please redirect me to possible source. Thank you very much. You gave me a lot to think about in your letter.

Follow-up Response:
Hello
Please understand one thing... Since you did not give any details of your situation, my suggestions are based on general ways of dealing with abuse... not your specific situation.  You do need to work with a psychotherapist and psychiatrist with whom you can feel comfortable and share details.

The reality is that we can never control the other person's actions. An emotionally safe environment is created internally when one is able to overcome their fears.  As long as one is scared one gives one's power away.  If the perpetrator knows that you are scared then of course he is going to intimidate you.  We create our own emotionally safe environments.  Survivors have to learn how to think and feel safe, despite the trauma.

Non-professionals cannot substitute for counseling... they can be great, safe support system, help you vent your feelings, encourage and nurture you... but there is more to therapy than just supportive listening.  Most survivors develop delusional thinking patterns that must be identified, non-professionals are not trained to identify delusions, nor can they help you out of it.  The connection between thoughts, feelings and actions, patterns of behavior, etc. have to be identified and replaced with healthier ones.

Just to give you and example... you say 'afraid is good'... that is unhealthy thinking, being cautious in some situations makes sense, being afraid all the time does not.  There are many single women living alone who have a history of abuse and they learn to overcome their fears and not allow it to control their entire life.  I am not trying to be insensitive to your situation, but it is important to see that you may be reinforcing the fears beyond what is healthy.  

I can answer some of your questions online, but therapy involves more than just reading the written word, body language and facial expressions, tone of voice, etc. are all important clues to a client's state of mind and emotions.  Without that therapy is not too effective. 

Now, why do doctor's offices make you nervous?  There must be enough professionals there to deal with any situation or condition you might get into.

The main issue for you seems to be fear, and learning to think/feel safe... before you even start working on anything else.

Regards
Uzma Mazhar