Statcounter

Showing posts with label cognitive behavioral therapy for trauma. Show all posts
Showing posts with label cognitive behavioral therapy for trauma. Show all posts

Wednesday, November 24, 2010

Snapshots: The Day Before Thanksgiving

Usually I take pictures when I do snapshots, and usually it is after a vacation, a rendezvous with my kids, the people that I let go, why, I'm still not sure. Something to do with autonomy, individuation, growth.

And no family business to fall back on.

Today I had absolutely no intention of posting, but when you go through a trauma, hey, you have to tell your friends.

The morning was okay. I started getting ready for an impulsive, fairly ridiculous Black Friday garage sale in my front yard, an event surely to take place in really, really cold, maybe even snowy post-Thanksgiving weather. It's set, the time and date, no turning back, but we're not. This is to divest of the many things my father left behind, New Old Stock from his gift shop, stuff people only use for Xmas, and being Jewish, how in the world can I possibly use any of it? Xmas plates, Xmas bells, Xmas figurines with kids on sleds. Stocking stuffers. By Friday afternoon we should have some remarkable deals, Black Friday virtual give-aways, minus the late night TV advertisement glitter. I have promised not to keep these things. A person has to let go.

Anyway, after sorting and bubble-wrapping, I take mom to the beauty parlor for a touch up, and while they all touch, I shop at Jewel, the Albertson's of Skokie. I buy things I never buy, things she needs, like Witch Hazel, something she never used when I was a kid, and a pencil sharpener, Kleenex, paper towels, bananas. Your usual shop.

Then off to score three dozen bialis and a dozen bagels at Bagel Country (don't ask why so many, not sure, these will go into my freezer, the winter is long). I drop off her slacks and sweater set at the cleaners, and wouldn't you know, she calls; she's ready. And wowzers, she looks great.

Everyone at the beauty parlor is thrilled to see me.

I drop her off at her senior living spa in time for lunch, shlep (you know this one, rhymes with rep) her stuff up to her apartment, unpack it, steal a piece of Fannie May from the freezer, and take off for work.

No surprises here, sad people, ordinary lives, my people.

I had had a little trouble turning off the car, actually, before getting to all of that pre-holiday angst, and this is a really busy street, where I work, the last really busy street with free parking, but it adds to my stress, cars whizzing past at forty miles per hour. Mine is a vehicle with a very cool ignition system. It's called keyless entry, but it seems a little funky, the system, like it's misbehaving. Ordinarily you push a button, the car starts. Push it again, the motor turns off. Leave your key in your purse, always know where it is. Like power windows, you don't look back.

But today, after turning off the car, the dash still seems lit in the mid-day gloom, not a good thing, but hey, you know who is important, not the dash, not the lights, but my 1:30 appointment. People, not dashboards.

There are days, honestly, even cold ones, you wish you rode your bike. Sure, we're taking a detour here, but bear with me. Picture it. The seemingly brainless biker in three layers, although how could you know this, nylons, flannels (could be pajamas, not sure) under rain resistant pants, skirt, a parka, a hat, another hat under a bike helmet. It's not so crazy. People ski and nobody says, "But it's so cold! You're crazy to ski in this weather!"

Today would have been that day.

So I leave the office at 6 pm, cold, because it really is sleet, I think, coming down, although it melts as it hits the street. A really thick, delicious, hearty soup, I'm thinking, nobody needs more than this. If soup is on by 7:00, it will be ready by 9:00, and this therapist will be in dreamland by 11, because it's been a long day.

But of course, the automatic car door does not automatically open, not as the automatic lock on the door of an automatic vehicle is supposed to do, and the cars really are whizzing by now. It is rush hour. I worry immediately, because it is rainy and sleeting and the wind threatens to blow me away, and how will we jump this car in the middle of this very busy street? At some point I reason, Try the old fashioned way, put the key into the lock. Except there is no key, only a button on a very expensive oval transmitter, we call a "key".

G-d is good, somehow the electronic ticket is cashed, somehow I get into the car, which of course, does not start. None of the other doors open, either, and I am afraid to let the driver side, the only door that is open, close. Because what if I get locked in the car? So I wedge a coffee cup between the door and the frame of the car, and it is really, really cold, that air that whistles inside. And the airfares to those people I let go, the ones in warm places, have burst through the atmosphere.

Needless to say, this comedy becomes ridiculous, and you don't need to know but I'll tell you that I lose the key altogether (find it later in a hidden pocket of my parka) and my son rescues me with jumper cables, his. Mine are in my trunk, a place inaccessible when all things electric go funky in a vehicle like this. And the driver of the lone SUV, the one parked in front of me, when I ask him for help, perhaps he could help me jump my car, condescendingly tells me: You just turn it, the key, two times. Turn the key like this (he demonstrates) and then like that. Two times.

Oy vey.

All this crazy car needs, we come to find out, is an electric pulse, a kiss on the cheek, really, not even a jolt. We don't even turn on the ignition on the Rescuemobile and my kid's electrodes send some special message, telepathy, perhaps, but affectionate, that reaches my battery terminals, the positive and negative, and a current, not even a spark, and the dash lights up like Xmas. It never looked so good, my dash, against the night. The door locks work, the car starts with the push of a button, as it should, as other cars, I suddenly begin to feel, never would, never could, not without the sacrificial groan, that ugly rev of the engine, that painful moan of the Rescuemobile. But mine does. What an automobile! What a vehicle! Gotta' love it. Better even, than a bicycle in the rain. Are we ever thankful!

Right?

Happy Thanksgiving, dear friends. Soup's on.

therapydoc

Monday, November 02, 2009

Wanting to Kill Yourself, But Not Wanting to Kill Yourself

This is such a great topic and I've avoided it for too long. But a comment on an old post reminded me that you have to hear the other side of suicidal ideation. This is sanitized a bit. The bold font is mine.

I am a victim of a violent crime by a person in my family. Now I am planning on being a psychologist/counselor. I know that it will be difficult but I want to be there for those who have gone through this situation and I want to let them know that they don't have to let this ruin their lives. Depression is one out of many symptoms, I know, but is it normal to have the desire to kill yourself every time you remember your past? I have had trust issues because of this, so I sympathize with all the victims out there and only wish that I could bring forth justice in all their lives.

I'm not sure where, "Just shoot me," entered my particular vernacular. Some of us say this then put a cocked index finger to one ear, click, pretend to off ourselves, and everyone laughs.

Anyway, I've been saying it a lot when I hear about things in my personal life that leave me speechless, make me shake my head, as in, "What now? What next?" When I'm frustrated with people.

What's interesting about, "Just shoot me" is that the person who says it obviously doesn't mean it, is just signaling frustration with life's impossibilities. We can't control most of it, certainly not the behavior of other people. So we laugh it up, say, Shoot me.

I give up.

Which implies that someone else wins, but it's okay. We concede the victory with relief. Let it go.

I think this happens on a much deeper psychological level in trauma victims. If a person suffers a trauma, even secondary trauma (hears about someone's trauma and feels the pain), it can trigger suicidal wishes and fears.

Immediately after a trauma or during the trauma, the thought, I would be better off dead is seeded in some neuropathway. Then you get the emotion, the fear, the terror, or it's there first, doesn't matter. But the reasoning, the thought processing about the event becomes unconscious, and that happens rather quickly. All that remains for eternity is the conclusion, I want to die. Sort of stuck like a broken record. You can turn off the juice, but someone keeps turning it on when you least expect it.

And the fears remain, associated with the conclusion, better off dead. You never wanted to die, you never wanted to be raped, to use a common example, or sexually harassed, perhaps, but the thought and the fear originated at the same time, under heightened arousal, and became inextricably linked in the brain.

Our brains are simply out of control. You would think they would get a grip.

But no. Get a bad thought, link it with a negative event, and there's your negative thought, warmed over easy again and again with the thought of the event. And then, the evolved negative emotion, the depression that lingers beyond fear. Fear may have burnt itself out. Maybe not. Just shoot me.

If you grow up with someone who is suicidal you are literally fed this thought with every suicidal threat, wish. You could be a happy go lucky kid, someone with a fairly happy little neurotransmitter, and you listen to the gloym and doym and you think, Oh, for crying out loud. You don't get a corner on suicidal ideation, I have my own, damn it. And you do, not because you want it, because you breathed it.

Hard to be tough sometime, hard to have great boundaries, to know,in your heart,
This is not what I want, this is not who I am. This is merely something I thought once, under a great deal of stress.

Or

It's something someone else wanted, under stress. But it has nothing to do with reality, not mine. I really don't want to die, I certainly haven't the guts to kill myself even if I did.
But here are these stupid thoughts, coming home anyway.

So I wrote her back, said something like this:
Not to answer you personally, but hypothetically people do have what I call "normal" suicidal desires and fears, and these mean absolutely nothing, meaning, people who have these desires and fears would never in a million years kill themselves. You might be one of these people, probably are. That said, for sure, you gotta get therapy to work it out and you really can work it out. Reading about it on the Internet probably won't cut it.
So you want to know, don't you, what happens in a therapy that works it out?

You go over the trauma, for there usually is one, even if it is imagined. Some people have amazing imaginations and they make themselves upset with their own creativity. Doesn't matter if it's real or imagined, most of the time it's real. You go over it again and again, line by line, verse by verse, and examine your responses, how they were normal fear generated thoughts under stress and how wanting to kill yourself rather than face others in the shame of it all felt like a normal solution.

Then with your therapist you do a cognitive behavioral therapy. You challenge the date on the inserted thought.
Wait a minute. The date on that thought is August something, 2004! It's now November, 2009! That thought has expired!
And you let it expire, die a natural death.

You challenge your shame, you say,
And I did nothing to deserve this! Why should I kill myself over something that happened to me?
As my daughter is fond of saying, Most of the time things happen to us. And she's right. We can take responsibility, sure, and we should, and we should rectify whatever we can, make whatever amends are necessary, do whatever we can to right life, but owning things to the degree that they make us sick? Forget that.

Be charitable, pass them along.

therapydoc

More on Israel providing humanitarian aid

This is a Jewish value, assisting people in need. Israel is there, has been historically, for neighbors. All of them. To be accused of withh...