trauma

Back where I belong

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My first week in my new job has gone really well. Already it feels like the day is over before it began, even if I’ve just had three patients. But there has been meetings, conversations with lovely new colleagues and learning new routines. It looks like the patients I will have a myriad of issues that will challenge me in a good way. Since my area of expertise is trauma, my training in treatment models not pertaining to trauma-treatment is somewhat limited. But it still is exciting and probably even necessary. Having just traumatized clients can be taxing, since they require your full attention. Containing their feelings can also affect therapists in the long haul, so treating clients with different problems is advisable. The three clients I’ve met so far, have myriad problems. The first is there for a diagnostic evaluation and treatment of anger issues, the second most likely has Asperger in addition to personality disorders and the third depression and a eating disorder.

I knew it would be good to finally do clinical work again, but it was even better than anticipated. In addition the clinic I am working in is excellent. The employees are highly skilled, and to my utter amazement they are especially interested in trauma. I don’t think it could get better, but my gut feeling is that it will be.

I’m back where I belong and it feels like finally coming home.

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Protected: The eye of the storm

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The house of sorrow and opportunities

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We all have a house with different rooms. A house filled with memories behind every door. Some rooms contain memories we rather forget, some with past love and some with tools we need to walk into the rooms that scare us. It might be a torch driving away the shadows lurking in a corner. It can be a shovel we can use in the garden to bury what we don`t need anymore. How the house looks, varies. We all have different stories, and need different tools to get where we need to go. In one book about dissociation, they recommended creating a room the with everything you need to be strong. It could be potions filled with strengthening concoctions or impenetrable armor. You could then go into the room, take a mental sip of the potion, put your armor on and be ready for a battle.

  
What would you put in your house? Which rooms must be locked until you are ready to open them? What do you need when you go in there? Do you need to fill the house with people that can guide you if you get lost? Is there a dog sitting next to you in the couch, ready to defend you whenever you need it? And where is your room of past achievements? Where do you put your medals for getting where you are today, for winning the most important battles of all: Surviving another day.

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Protected: Summertime sadness

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Rest and digest

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The parasympathetic nervous system is the brakes in our bodies. It’s almost impossible to stress when the body puts on the brakes when we are deeply relaxed. Luckily, it’s possible to train our body and relaxation systems to become more active.

Right now I’m listening to ‘hardwiring happiness’ by Rich Hanson. 

Hardwiring Happiness lays out a simple method that uses the hidden power of everyday experiences to build new neural structures full of happiness, love, confidence, and peace. Dr. Hanson’s four steps build strengths into your brain— balancing its ancient negativity bias—making contentment and a powerful sense of resilience the new normal. In mere minutes each day, we can transform our brains into refuges and power centers of calm and happiness.

The take-home message from the book, is utilizing the positive experiences you encounter every day. When I listen, I feel irritation every now and then as his positivity triggers thoughts like “It`s not THAT easy”. But then I relax, and realize this is just one of the many fleeting thoughts and feelings that I need to notice, but not go into. When I take a deep breath to deactivate my sympathetic nervous system that always scans for what is wrong, the negative thoughts evaporates like dew in the sun.

The author have a wast knowledge-base this the draws from in the book. He gives a lot of examples from his own life, to show how it’s possible to hardwiring our brains to happiness. When we manage to turn on the ‘rest and digest’ system, we are more open to positive experiences. We can’t be relaxed and in a very negative mood at the same time. He continues, however, with saying that it isn’t enough to try to relax, we have to work actively with noticing and creating positive experiences. 

From his book: 

” As you read this, in the five cups of tofu-like tissue inside your head, nested amid a trillion support cells, 80 to 100 billion neurons are signaling one another in a network with about half a quadrillion connections, called synapses. All this incredibly fast, complex, and dynamic neural activity is continually changing your brain. Active synapses become more sensitive, new synapses start growing within minutes, busy regions get more blood since they need more oxygen and glucose to do their work, and genes inside neurons turn on or off. Meanwhile, less active connections wither away in a process sometimes called neural Darwinism: the survival of the busiest.”

Rick Hanson, Hardwiring Happiness: The New Brain Science of Contentment, Calm, and Confidence

So, update your brain AND your mind. And listen to the audiobook, off course.

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Dissociative Identity Disorder: A Personal Account

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A brilliant blog post from a woman with DID

Hello my cherished Otherbeasts! Here’s wishing you a happy week.

I’ve decided to write a personal testimony about Dissociative Identity Disorder because I feel like there aren’t enough personal truths out there to help others. This is something I have never discussed with anyone I’m not close to, but I figured if it can help someone, then it’s much better than keeping it hidden in silence and shadows.

Dissociative Identity Disorder is defined by Wikipedia as: “Dissociative identity disorder (DID), also known as multiple personality disorder, is a mental disorder characterized by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a person’s behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness. […] Dissociative symptoms range from common lapses in attention, becoming distracted by something else, and daydreaming, to pathological dissociative disorders.
(Source and Citation: http://en.wikipedia.org/wiki/Dissociative_identity_disorder)

Now then, the story of how I came to have DID is a very lengthy one but it doesn’t involve being abused as a child (at least not by my own parents). But it does involve being abused in my early twenties; emotionally, psychologically, physically, verbally, and sexually. Long story short: First I was raped by a very trusted and close male friend (no longer my friend for obvious reasons) and second, I was unknowingly involved in a cult. Only after I managed to claw my way out with only my life did I realize it had been a cult and used every cult trick in the book. There. I said it.

The easiest way to describe having DID is that there is a fissure in my personality. There is an alternate side of me that handles the “burdens” of life or the things that are a bit too heavy for me to handle. Essentially it’s a beefed-up coping mechanism.

But first to clear up any misconceptions: no, I do not have a “split personality,” I do not have “multiple personalities,” I am not schizophrenic, I do not have borderline personality disorder or manic depressive disorder. I am aware when the alternate personality is in control, I do have lapses in memory but that could be attributed to my seizures.

Okay. That being said, you may have noticed that I mentioned that I am aware that an alternate personality is in control. Let me further define that for you and flesh it out a bit. That fissure or “crack” in my personality developed as a result of trauma. That portion of my personality that is still attached to the rest, but handles a different load, is assigned a name for an easier time of distinguishing me from that particular portion. That “crack” is referred to as “Shade.” Yes, I’m a nerd and one of my handles on the internet is ‘Cracked Mirror.’

Still fleshing out here, Shade is the one that hides in the shadows, she’s like a bodyguard: ready at a moment’s notice to take control of a situation and handle the emotional garbage that I cannot. When I said I am aware of the alter taking control it means this: I understand that I am acting differently, absorbing information differently, but it feels as if I am a passenger in a car – not actually driving or controlling the vehicle – but watching as it happens and just grasping onto the “Oh Shit Handle.”

I don’t lapse in and out of Shade’s personality and never remember it, but I will admit that I have a hard time retaining memories of events that Shade was present for. When my alter does take over, all of my emotions go on lock down, all information is processed logically, and the resulting effect is a hollow, capricious, and very callous nature – I hear things coming out of my mouth but I can’t stop myself from saying them or even checking them through a filter before they spew out – like I said, it’s like being a passenger in a moving vehicle while it’s on a collision course.

Before I knew what DID was or that I even had it, I had my own name for what would happen to me: I called it my “Kill Switch.” It was like all the humanity I had in my being would disappear or cease to function and what was left was the raw, reptilian brain, and the instinctual creature with just basic core components. A thinking zombie of sorts.

I did not choose to have DID, I don’t live in a fantasy world half of the time, it’s not something I fake to get attention; I have deeply hurt the people I love the most with vicious words and have not been able to control it or stop myself from doing it – I have felt helpless at times. To be honest, I really wish I didn’t have Dissociative Identity Disorder – it’s hell on my family and friends – and it makes my life harder. But part of me is thankful for the powerful coping mechanism because I shudder to think of might have happened to my sanity or psyche had I not developed DID.

For those of you that watch Dexter on Showtime, when he refers to his “Dark Passenger” it’s actually a very fitting description of what it’s like to have DID:
“Within all of our minds, there lies a place we rarely come in contact with. A dormant entity lurks throughout our thoughts and emotions quietly unnoticed – however, there are those of us who perceive this Passenger and learn to accept it as a part of ourselves. Dexter Morgan is one of these perceivers. He has come to accept the fact that he shares his mind with another. Over the years Dexter has come to call this unknown entity his Dark Passenger. As in all things active, a hunger dwells within the Passenger. A hunger that drives its host to the near brink. It is only through the deeds of Dexter Morgan that this longing can be calmed, yet never filled. When the need to feed is at its extremes, the Passenger takes over. Heightened senses, a quick step, and a will to succeed are all traits that come when the Passenger takes control. Though we all have this darkness within, many of us will never stumble across it.”
(Source and Citation: http://dexterwiki.wetpaint.com/page/The+Dark+Passenger)

Or maybe this works too:

“I just know there’s something dark in me and I hide it. I certainly don’t talk about it, but it’s there always, this Dark Passenger. And when he’s driving, I feel alive, half sick with the thrill of complete wrongness. I don’t fight him, I don’t want to. He’s all I’ve got. Nothing else could love me, not even… especially not me. Or is that just a lie the Dark Passenger tells me? Because lately there are these moments when I feel connected to something else… someone. It’s like the mask is slipping and things… people… who never mattered before are suddenly starting to matter. It scares the hell out of me.” – Dexter Morgan
(Source and Citation: http://www.extratv.com/2010/09/26/20-favorite-dexter-quotes/#dark_passenger)

Now don’t you go and get the wrong idea, Dexter’s a vigilante serial killer and while he has some good explanations, I’m not a sociopath or a psychopath. I don’t murder people in cold blood, I won’t even kill an insect – unless it’s a spider, arachnids are just asking for it – and I am not crazy (my mother had me tested). Heck, when Dexter first came out on Showtime I wasn’t even aware of the show until 2009 and when I started watching it, I went, “Hey! That sounds familiar! He has DID.” Which, if you know anything about the show, (spoiler alert) he had a highly traumatic event occur early in his life that created a fissure in his personality. I am not Dexter Morgan (he’s an extreme character based in fiction and adapted for the television screen: it has to be dramatic and entertaining or else no one would watch it).

I’m perfectly normal aside of the DID; I have an IQ of 154, my parents never divorced (they’re still together 37 years later), I function quite well in society (though awkward at times), and I have a wide circle of friends. Shoot, I even have a boyfriend that I would take down the stars for – how and why he loves me is beyond my comprehension, but I am more than thankful to have him in my life. All in all I am pretty normal. Aside of having an autism spectrum disorder (Asperger’s) at least I can pass for ‘normal’ in this crazy world.

Symptoms and Applicable Information:
Some more Wikipedia info on Dissociative Identity Disorder from previously cited link:
-“Others have suggested dissociation can be separated into two distinct forms, detachment and compartmentalization, the latter of which, involving a failure to control normally controllable processes or actions, is most evident in DID.”

-“DID includes “the presence of two or more distinct identities or personality states” that alternate control of the individual’s behavior, accompanied by the inability to recall personal information beyond what is expected through normal forgetfulness […]

– “The level of functioning can change from severely impaired to adequate. […]”

– “Identities may be unaware of each other and compartmentalize knowledge and memories, resulting in chaotic personal lives.Individuals with DID may be reluctant to discuss symptoms due to associations with abuse, shame and fear. […]”

– “The primary identity, which often has the patient’s given name, tends to be “passive, dependent, guilty and depressed” with other personalities or “alters” being more active, aggressive or hostile, and often containing more complete memories. Most identities are of ordinary people, though fictional, mythical, celebrity and animal alters have also been reported.”

– “What may be expressed as post traumatic stress disorder in adults may become DID when occurring in children, possibly due to their greater use of imagination as a form of coping. Possibly due to developmental changes and a more coherent sense of self past the age of six, the experience of extreme trauma may result in different, though also complex dissociative symptoms and identity disturbances.”

– “DID must be distinguished from, or determined if comorbid with, a variety of disorders including mood disorders,psychosis, anxiety disorders, posttraumatic stress disorder, personality disorders, cognitive disorders, neurological disorders,epilepsy, somatoform disorder, factitious disorder, malingering, other dissociative disorders and trance states. Individuals faking or mimicking DID due to factitious disorder will exaggerate symptoms (particularly when observed), lie, blame bad behavior on symptoms and often show little distress regarding their apparent diagnosis. In contrast, genuine DID patients exhibit confusion, distress and shame regarding their symptoms and history.”

– “[DID] was changed [from “multiple personality disorder”] for two reasons. First, to emphasize the main problem was not a multitude of personalities, but rather a lack of a single, unified identity and an emphasis on “the identies as centers of information processing”. Second, the term “personality” is used to refer to “characteristic patterns of thoughts, feelings, moods and behaviors of the whole individual”, while for a patient with DID, the switches between identities and behavior patterns is the personality. It is for this reason the DSM-IV-TR referred to “distinct identities or personality states” instead of personalities. The diagnostic criteria also changed to indicate that while the patient may name and personalize alters, they lack an independent, objective existence.”

So, in conclusion, having DID is both a blessing and a curse (for more info read above paragraphs) but I’m doing better about controlling the “switches” and the “triggers.” While I feel it is still too taboo and would make me extremely vulnerable to go into the gritty details of what caused my DID, I can share what I do know about it and what it’s like to have it in order to help others and let them know that they aren’t alone and that they aren’t “crazy.” Society likes to label people with disorders as outcasts or derelicts, which simply isn’t nice.

As far as ‘Dissociative’ as it applies to me personally, I tend to disassociate from my emotions most often, the two most catalytic emotions being sadness and anger. Now, this isn’t just a severe form where I “turn off” at the first sign of the emotion, no, I manage sadness and anger pretty well most of the time. If anger and sadness were rated on a scale as 1 being the least sad/angry and 10 being the most, I can only handle up to a 7 or an 8 – then, and only then, does my alter take control and I seemingly “shut down.”

I’m not dead set that on the idea that I have DID, in fact, I’d rather I didn’t have it, and because of that I’m open to other possibilities such as Complex Post Traumatic Stress Disorder, Poor Emotional Self-Regulation: Emotional Suppression, or Depersonalization Disorder. However, DID seems to be what it is and I can only pray that it improves or goes away. I hope that this helps you or someone you know, provokes you to research possibilities, or even seek help… shoot even talking to someone about it may help. You’re not alone.

The Truth About How I Came To Have Dissociative Identity Disorder (Click.)

Until Next Time,
❤ Shade

P.S. Below is a poem I wrote describing how it feels to live with Dissociative Identity Disorder and

Evasion With the Stone Mason

Evasion is the easiest thing to do,
It allows me not to think
Of all the times I’ve been hurt
And with evasion I can just sink

Into my own world of protection
That hardened outer shell
Enveloping the soft inner core
And shielding it from the hell

Of this world’s cruelty
The chaos and the misery
That will bind and find
Every last soul and mind

Into a miasmatic atmosphere
Of pluralistic ignorance
Of pleonastic fools and fakers
Engaging in brute malevolence

From all this I seek blind refuge
Solitary recourse behind a dark mask
Valiant attempts at self deception
Leading me with Amontillado’s Cask

Into the dark hollow alcove
Where I can hide and obfuscate
While my stone mason will toil
With building a thick wall to sate

The anguish and the despondency
That rips and claws at my heart
My caliginous architect at the parapet
Refusing to move or take it apart

Guarding with hollow stares
And a crepuscular expression
As I safely nestle in the retreat
Gazing up at the last impression

Of one last notch left in the wall
Light pouring through in a lone beam
My last aperture to the exterior
An insurmountable task it would seem

To possibly overcome and be released
Would require my own tears and hard work
To take down that impenetrable impediment
Brick by brick to expose soft skin

That would be at risk of ripping again
Vulnerability makes me apprehensive
Frightens me and unnerves me to the core
It’s death hold and vice make me defensive

Until I can summon the courage and the will
That iron mason stands strong and sure
Allowing me to practice tactical evasion
Path of the least resistance will endure.
(c) Stacey L. Staudt

Can trauma have genetic effects across generations?

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 The Truth and Reconciliation committee has shed light on the horrors of residential schools in Canada. Dr. Amy Bombay explains the effects that trauma can have over multiple generations in relation to Canada’s First Nations people.

Can trauma have genetic effects across generations? – Home | Day 6 | CBC Radio.

A woman wipes a tear during the closing ceremony of the Indian Residential Schools Truth and Reconciliation Commission, at Rideau Hall in Ottawa on Wednesday, June 3, 2015. THE CANADIAN PRESS/Sean Kilpatrick

A woman wipes a tear during the closing ceremony of the Indian Residential Schools Truth and Reconciliation Commission, at Rideau Hall in Ottawa on Wednesday, June 3, 2015. THE CANADIAN PRESS/Sean Kilpatrick (Sean Kilpatrick/Canadian Press)

http://www.cbc.ca

June 5, 2015

The Truth and Reconciliation Commission’s report on residential schools in Canada laid out the neglect and abuse aboriginal children and youth were put through. Studies have shown that trauma might have an affect not only the person experiencing the trauma, but also subsequent generationsvia their DNA. Brent speaks with Amy Bombay, assistant professor of psychiatry at Dalhousie University, on the possible implications of the field of epigenetics for First Nations people.

This conversation has been edited for length and clarity.

How exactly could a traumatic experience change a person’s DNA? 

Well this is something that we really only uncovered in the past ten to fifteen years through the study of epigenetics, which is basically the study of how environmental factors and experience can alter how genes are expressed without altering the underlying DNA sequence.

So it’s not the DNA code itself that’s being affected, it’s something else? 

That’s right. We’re all born with our with our DNA and we used to think that wasn’t changeable and it’s not. But what we know now is that experience can make certain kinds of these DNA “tags”, which is the unscientific way to talk about it, that can tag onto our DNA. Those little tags can basically turn the gene on or off. And so while the same gene is still there, it could be not functioning or functioning differently and therefore the functional aspects and roles of that DNA are different.

So why would your body do this? What’s the evolutionary advantage?

I think it really depends on the situation. Just to give you an example, the research on the long term effects of the Holocaust might help explain this. We know those who experienced chronic stress, they tend to show lower levels of the stress hormone cortisol, which helps our body return to normal after trauma. Those who have things like post-traumatic stress disorder, they have these low levels of cortisol and so it’s not completely clear why this is the case in survivors. But Rachel Yehuda’s team recently found that these survivors seem to be making lower levels of an enzyme that breaks down this cortisol. So this could be considered to be an adaptation to keep more free cortisol in the bodies of these people who are being starved, which would allow their livers and kidneys to maximize their stores of glucose and all of these other things that would actually help them in response to prolonged starvation and other types of stress. But that same response is not going to be adaptive for the next generation who are trying to recover in a normal environment.

Continue reading:

Can trauma have genetic effects across generations? – Home | Day 6 | CBC Radio.

P for psychopath

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I have always loved words and language. Today, I participated in a “word-game” on Facebook. You get a letter, and must answer questions with that letter. Mine was P. The annoying thing is that my brain won`t stop, It still works with Producing P-words, in Norwegian, German and English. Instead of letting those P`s scream for attention, I thought I`d give them a task.
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Dear Psychopath

Your playboy personality drew me in. Your pothole brain predated on mine. Palavering on my pain, pleased you. You planned your performance with no pity. I was your prey, and you the player. You paralyzed me. Your penchant for being a person everyone praised, was always present. Picking me apart, was what you did as a part-time job. Poking holes, prodding my weak points while plotting your plan. Protesting when I tried to pin down what was wrong. You never learned from the past, and proclaimed this with pride. Perfect people let the past go. Pulling away and letting go, was how you preached. You provided nothing, just your own perfection. Pleasing you was all I should do, participating in your priceless pandemoniums. I was your private party-planner. The picture you could mold and proudly present. I played along, until I almost passed out. But I promise you: I will never perform on your playing field anymore or provide my love. Predator, become my past.

Your Princess. images-16

Healing the trauma of war

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Trauma of war

This month I found an article on national geographic that I wanted to share with you. It is about war victims and their way to healing, and the therapy is using art to do so. I have worked together with an art therapist, and know its potential. Recently I also read a book by Norwegian art therapist working with eating disorder. Since trauma is what I work with the most, this article was very relevant. Not only relevant, but well-written with beautiful pictures. I have included parts of the article, but to get the full experience follow the link on the top.

Brain injuries caused by blast events change soldiers in ways many can’t articulate. Some use art therapy, creating painted masks to express how they feel

“I THOUGHT THIS WAS A JOKE,” recalled Staff Sgt. Perry Hopman, who served as a flight medic in Iraq. “I wanted no part of it because, number one, I’m a man, and I don’t like holding a dainty little paintbrush. Number two, I’m not an artist. And number three, I’m not in kindergarten. Well, I was ignorant, and I was wrong, because it’s great. I think this is what started me kind of opening up and talking about stuff and actually trying to get better.”

Hopman is one of many service members guided by art therapist Melissa Walker at the National Intrepid Center of Excellence (NICoE), which is part of Walter Reed National Military Medical Center, in Bethesda, Maryland. Images painted on their masks symbolize themes such as death, physical pain, and patriotism.

“I THOUGHT THIS WAS A JOKE,” recalled Staff Sgt. Perry Hopman, who served as a flight medic in Iraq. “I wanted no part of it because, number one, I’m a man, and I don’t like holding a dainty little paintbrush. Number two, I’m not an artist. And number three, I’m not in kindergarten. Well, I was ignorant, and I was wrong, because it’s great. I think this is what started me kind of opening up and talking about stuff and actually trying to get better.”

“I think he was one of the first patients I’d ever had to ask me to let him die.”

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