4th of July Fireworks – No Party for Veterans with PTSD

The country is about to celebrate it’s birthday, the 4th of July and while many people are happily planning outdoor gatherings and evening barbeques topped off with a healthy dose of colorful fireworks that sparkle and sizzle, crackle and BOOM, the men and women who have served this country with great love and commitment may be dreading this evening as a living nightmare.

For Veterans suffering from Post Traumatic Stress Disorder (PTSD), the 4th of July fireworks can trigger the emotional and physical responses commonly seen in PTSD.

This includes:

·      Exaggerated anxiety

·      Negative changes in behaviors and thoughts

·      Panic attacks

·      Heightened startle response

·      Flashbacks of traumatic events including nightmares.

·      Avoidance

The U.S. Department of Veterans Affairs reports that the number of Veterans with PTSD varies by service era. However, somewhere between 11% -30% of Veterans have PTSD in a given year. While exposure to trauma doesn’t mean you will get PTSD it does put you at higher risk. Clearly combat Veterans have higher exposure to witnessing traumatic events and are subsequently at a higher risk for developing PTSD.

Make sure you hug the people you love and whole-heartedly thank those who have served this country. For some we will never know the price they continue to pay. 

Many Veterans and others who experience PTSD may anticipate and prepare for the 4th of July by taking distance from the noise or using headphones to muffle the sounds. They may stay indoors and opt out of large gatherings.

As family members we can support the people we love by also being sensitive to these triggers.  Some Veterans may experience shame around this disorder and may not take the precautions they need.  Keep in mind, it’s been reported by Veterans that another big problem is the smaller random fireworks used in the days leading up to and after the 4th of July. The sudden unexpected explosions can re-trigger memories of life-threatening moments. 

For couples, families and individuals seeking support and relief from PTSD, contact a licensed therapist who specializes in trauma and has been trained in Eye Movement Desensitization and Reprocessing (EMDR).  

For further information on EMDR:

http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199

http://www.emdr.com/general-information/what-is-emdr/what-is-emdr.html

After the Boston Marathon – The Emotional Trauma

The recent explosions at the Boston marathon may cause a ripple of trauma through our nation.  For those people that were physically present during the explosions, we expect that they may experience trauma symptoms.  What we can’t predict, is how it will impact the people who were not physically present, but watched as the news unfolded on their local TV stations or CNN.   

Traumatizing events, like the Boston Marathon, are events that disrupt the normal regulation of the nervous system. Essentially, they can be thought of as events that catch us off guard, that happen unexpectedly, that make us feel in fear of our safety and sometimes our life and in that moment, we feel powerless to prevent.  

It’s been reported that over 1500 changes occur in the body when we shift from feeling safety to feeling a life threat.

Everyone has experienced trauma at some point in their life. Some have experienced big trauma (car accidents, physical assaults, disasters, terrorism, tragic accidents, health diagnosis and even divorce) and others small trauma (being unprepared for an event, a brush with disaster, bullying) most of the time, we process trauma through to “full resolution” – meaning, in a reasonable amount of time, it becomes a story we can tell without an emotional response. But sometimes, trauma gets stuck and does not get processed through to full resolution. This is can be very evident when people can’t tell the story without having a visceral, or body response.   

Anyone can become traumatized with primary, secondary, or vicarious trauma. This includes, people standing on the finish line of the Boston Marathon, the first responders to the event, the people who only heard the sirens, and the millions who watched it on the news. How the information will get processed depends on an individual’s history, coping skills, their larger meaning of the event, and the reactions of their family and friends.

Symptoms of trauma are never a sign of weakness.

• ·         Decreased social interaction
• ·         Increased startle response
• ·         Stomach/digestion issues
• ·         Excessive sweating or chills
• ·         Increased heart rate
• ·         Intrusive imagery in waking and sleep
• ·         Inability to sleep
• ·         Anxiety
• ·         Depression
• ·         Headaches
• ·         Moodiness
• ·         Memory problem
• ·         Inability to stay focused

Before they can be effectively treated, a person should have their basic needs met of water, food, and a place of safety. Then, adults and children need resources around them to process and integrate the event = people & information.  If after a couple of weeks, these normal trauma symptoms persist, a person should reach out to a trauma specialist for additional help.

Contemporary developments in the healing of trauma have shown to be less medication driven and more inclusive of neurology and psychology.  This includes therapies that combine psycho-education (educating people about normal body and brain responses) with talk therapy. Therapists like myself, who work with trauma, find that when people are educated about what’s normal, they are relieved to discover they too are often normal.  

For additional information:

American Psychological Association

http://www.apa.org/helpcenter/recovering-disasters.aspx

Eye Movement Desensitization/Reprocessing (EMDR)

http://www.emdr.com/

Secure Attachment = Happier Relationships.

Secure attachment, answers these questions in the affirmative; “Do I matter to you? Will you be there for me if I fall? Will you hold my hand if I'm sick?" According to Dr. Sue Johnson, secure attachment is a natural element in healthy relationships. 

Think of happy children. They have secure attachment to their parent(s).

However, without secure attachment in our intimate relationships, the alarm system in our brain  continuously goes off, causing us to feel “in danger.” This alarm signals the rest of the body to be on high alert, to fight or flight. Our response to this internal warning may be to become demanding and clingy or withdrawn and detached from our significant relationships. However, at the core we're yelling, "I need you, please be with me" or  "I’m going to protect myself and I won’t let you hurt me."

Lack of “secure attachment” can be the cause of many presenting issues that walk through my therapy practice doors. It drive people to marriage & relationship counseling and individual therapy. But,  it’s often disguised as something else: anxiety, worry, fighting or depression.

Often when couples and individuals come to therapy, they ignore their normal human need to be emotionally close, as this might somehow define them as co-dependent, needy or weak. Instead they focus on the actions or re-actions that present from their insecure attachments ie. anger, fighting, bad communication, anxiety or depression.

Once we understand the importance of our attachments, we can begin to make significant changes in our life and relationships.