| 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 |