Ptsd Is Real Quotes

On the 30th of April 1975, American helicopters flew out of Saigon in an ignominious retreat as the tanks of the People’s Liberation Army of Vietnam rumbled into the grounds of the American Embassy in Saigon.

On the 30th of April 1975, American helicopters flew out of Saigon in an ignominious retreat as the tanks of the People’s Liberation Army of Vietnam rumbled into the grounds of the American Embassy in Saigon. (A Gracious Enemy & After the War Volume Two)

King Norodom of Cambodia replied, “Lt. General Kawamura of the Japanese Imperial Army, It is my understanding that you Japanese are granting my people a partial freedom which is always subject to the approval of any laws we make by the Japanese Government in Tokyo!” (A Gracious Enemy & After the War Volume Two)

I also fear an attack directly upon us which shall be considerably aided by the French colonists! I therefore support your plan to act first and stage a preemptive strike against the French by launching “Operation Bright Moon”, which is now the code name for the Japanese coup d ětat which will disarm the Vichy French Forces by or during the 9th of March 1945!”   (A Gracious Enemy & After the War Volume Two)

US General Mathew Ridgeway was speaking about “Operation Vulture”. He said, “When the day comes for me to meet my maker and account for my actions, the thing that I would be most proud of is the fact that I fought against and perhaps totally prevented the carrying out of one of the most hare-brained tactical schemes that would have cost the lives of thousands upon thousands of men!” (A Gracious Enemy & After the War Volume Two)

Adversity has the remarkable ability of introducing the real you to yourself.

The only thing war will ever do (and do well), is decrease the world’s population of young men.

Bibliotherapy is a term that describes the very real process of being positively and therapeutically influenced by what you read. As stated earlier, when it is at its most powerful, bibliotherapy is also relationally healing. It can rescue you from the common Cptsd feeling of abject isolation and alienation.

I am stupid, am I not? What more can I want? If you ask them who is brave--who is true--who is just--who is it they would trust with their lives?--they would say, Tuan Jim. And yet they can never know the real, real truth....

You never predict that rapists are lurking in the sun, sky, and trees. In other words, humans are as they seem. Seeming is real. After a stranger ambushes you and assails your private parts, everything becomes new. Everything is reborn. Everything takes on a new hue, the color of rape. You look at the world through rape-tinted glasses.

Yes, the Darkness is real. I will show you the shattered and tattered and broken world. A world of fragmented ubiquitous iniquity. You are not insane. The world is. You are simply awake.

Somatic Symptoms: People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.

I want to forget this awful place. Yet, at the same time, I never want to forget the many lessons that enabled me to mature quickly from just a skinny kid with a scraggly mustache, into a young man working so hard to seem older than his few years, as he evolves into early manhood.

The observer self, a part of who we really are, is that part of us that is watching both our false self and our True Self. We might say that it even watches us when we watch. It is our Consciousness, it is the core experience of our Child Within. It thus cannot be watched—at least by anything or any being that we know of on this earth. It transcends our five senses, our co-dependent self and all other lower, though necessary parts, of us. Adult children may confuse their observer self with a kind of defense they may have used to avoid their Real Self and all of its feelings. One might call this defense “false observer self” since its awareness is clouded. It is unfocused as it “spaces” or “numbs out.” It denies and distorts our Child Within, and is often judgmental.

Many traumatized individuals are too hypervigilant to enjoy the ordinary pleasures that life has to offer, while other are too numb to absorb new experiences – or to be alert to signs of real danger. When the smoke detectors of the brain malfunction, people no longer run when they should be trying to escape or fight back when they should be defending themselves.

She never learns that real intimacy grows out of sharing all of her experience.

I wanted to have a make-believe world because I couldn't bear to live in the real one.

Something people don’t think much about when they write a soldier in a war zone is how much diversion can refresh the soul.

Would You Notice Me" is a beautifully intense read. The imagery is engaging....”the Merlot waterfall” and “confetti’d parts” lines for instance, and the the voice of the poem as a whole.

Narcissists play a public game and a private game which makes it harder to understand. Expressing your concerns suddenly turns you into the ‘jealous one’ and they make you doubt yourself. He/she becomes cold and uncaring almost overnight, this is when the “mask falls” and you see the real person. They make excuses and if we don’t except these excuses then you are the ‘crazy’ one. They are managing down your expectations from constant contact to crickets this verbally and emotional abuse hurts.

Hypervigilance is a fixation on looking for danger that comes from excessive exposure to real danger. In an effort to recognize, predict and avoid danger, hypervigilance is ingrained in your approach to being in the world. Hypervigilance narrows your attention into an incessant, on-guard scanning of the people around you. It also frequently projects you into the future, imagining danger in upcoming social events. Moreover, hypervigilance typically devolves into intense performance anxiety on every level of self-expression.

It's not unreal to me yet, though it might get that way soon. It still feels very real. And not even horrible -- the dead are just the dead. I am convinced that the living people they once were would have been proud of their protective bodies hoodwinking their murderers to save someone else. [..] But it's not civilized. There is something indecent about it -- really foully indecent. The civilized Rose-person in me, who still seems to exist beneath the layers of filth, knows this. [..] I have become so indifferent about the dead.

Until all of the emotions are accepted indiscriminately (and acceptance does not imply license to dump emotions irresponsibly or abusively), there can be no wholeness, no real sense of well being, and no solid sense of self esteem.

Telling me my greatest fears aren’t real or going to happen doesn’t help me. I understand they can seem outrageous at times, but prior to my traumatic experience, had I told you something like that was going to happen, you would have said ‘no way.

You are going to war! It is no longer a question of if you are going to go, but a question of when. Look around! In a few years, or even a few months, several of you will be dead. Some of you will be severely wounded or so badly mutilated that your own mother can’t stand the sight of you. And for the real unlucky ones, you will come home so emotionally disfigured that you wish you had died over there.

Cptsd typically includes an attachment disorder that comes from the absence of a sympathetic caregiver in childhood. When the developing child lacks a supportive parental refuge, she never learns that other people can soothe loneliness and emotional pain. She never learns that real intimacy grows out of sharing all of her experience.

Home? What is home? Home is where a house is that you come back to when the rainy season is about to begin, to wait until the next dry season comes around. Home is where your woman is, that you come back to in the intervals between a greater love - the only real love - the lust for riches buried in the earth, that are your own if you can find them. Perhaps you do not call it home, even to yourself. Perhaps you call them 'my house,' 'my woman,' What if there was another 'my house,' 'my woman,' before this one? It makes no difference. This woman is enough for now. Perhaps the guns sounded too loud at Anzio or at Omaha Beach, at Guadalcanal or at Okinawa. Perhaps when they stilled again some kind of strength had been blasted from you that other men still have. And then again perhaps it was some kind of weakness that other men still have. What is strength, what is weakness, what is loyalty, what is perfidy? The guns taught only one thing, but they taught it well: of what consequence is life? Of what consequence is a man? And, therefore, of what consequence if he tramples love in one place and goes to find it in the next? The little moment that he has, let him be at peace, far from the guns and all that remind him of them. So the man who once was Bill Taylor has come back to his house, in the dusk, in the mountains, in Anahuac. ("The Moon Of Montezuma")

World salad is a circular conversation to avoid the real topic.

For most of the twentieth century, it was the study of combat veterans that led to the development of a body of knowledge about traumatic disorders. Not until the women's liberation movement of the 1970s was it recognized that the most common post-traumatic disorders are not those of men in war but of women in civilian life. The real conditions of women's lives were hidden in the sphere of the personal, in private life. The cherished value of privacy created a powerful barrier to consciousness and rendered women's reality practically invisible. To speak about experiences in sexual or domestic life was to invite public humiliation, ridicule, and disbelief. Women were silenced by fear and shame, and the silence of women gave license to every form of sexual and domestic exploitation. Women did not have a name for the tyranny of private life. It was difficult to recognize that a well-established democracy in the public sphere could coexist with conditions of primitive autocracy or advanced dictatorship in the home.

Premature forgiveness will prohibit us from showing the inner child that she had the right to be angry about her parents’ cold-hearted abandonment of her. It will stop us from helping her to express and release those old angry feelings. Premature forgiveness will also inhibit the survivor from reconnecting with his instinctual self-protectiveness. He may never learn that he can now use his anger, if necessary, to stop present day unfairness. As real forgiveness is primarily a feeling, it is - like all other feelings - ephemeral. It is never complete, never permanent, and never a done deal.

As a traumatized child, your over-aroused sympathetic nervous system also drives you to become increasingly hypervigilant. Hypervigilance is a fixation on looking for danger that comes from excessive exposure to real danger. In an effort to recognize, predict and avoid danger, hypervigilance is ingrained in your approach to being in the world. Hypervigilance narrows your attention into an incessant, on-guard scanning of the people around you. It also frequently projects you into the future, imagining danger in upcoming social events. Moreover, hypervigilance typically devolves into intense performance anxiety on every level of self-expression

Many fawn types avoid emotional investment and potential disappointment by barely showing themselves. They hide behind their helpful personas and over-listen, over-elicit and/or overdo for the other. By over-focusing on their partners, they then do not have to risk real self-exposure and the possibility of deeper level rejection.

A reluctance to participate in such a fundamental realm of the human experience results in much unnecessary loss. For just as without night there is no day, without work there is no play, without hunger there is no satiation, without fear there is no courage, without tears there is no joy, and without anger, there is no real love.

In movies, war only looks romantic. “Tell my gal I love her…” close-up shot, and fade out. It doesn’t work as beautifully and neat in real life. Flying chunks of human flesh and screaming orphans really put that Hollywood take into perspective and there is nothing clean or sterile about any of it. When people die, it’s fucking horrible.

After a while most people with PTSD don’t spend a great deal of time or effort on dealing with the past—their problem is simply making it through the day. Even traumatized patients who are making real contributions in teaching, business, medicine, or the arts and who are successfully raising their children expend a lot more energy on the everyday tasks of living than do ordinary mortals.

But I'd begun, slowly, to understand that complex post-traumatic stress disorder, or cPTSD, was different. It was particularly difficult to treat, because - like a flat landscape - it didn't offer a significant landmark, an event, that you could focus on and work with. Complex post-traumatic stress, according to the psychiatrist Judith Lewis Herman, is the result of 'prolonged, repeated trauma,' rather than individual traumatic events. It's what happens when you're born into a world, shaped by a world, where there's no safety, ever. When the people who should take care of you are, instead, scary and unreliable, and when you live years and years without the belief that escape is possible. When you come from a world like this, when all your muscles are trained to tension and suspicion, normal life feels unbearable. It doesn't make sense, getting up, going to class, eating lunch, returning home, sleeping. You don't trust it. It doesn't feel real. And unreality can hurt more than pain.

Healing childhood trauma is more difficult and complex because the child’s brain is not yet developed. And most children don’t have an adult nearby who is wise and supportive enough to help. On their own, a child will try to think his way out of the trauma, and that’s a task no child is up to. His mind can end up resembling a piece of twine that’s become hopelessly knotted and tangled. The child, and later the adult, will make twisted assumptions about himself, about the world, about life. He will blame himself for the events that caused the trauma. Ultimately, he will disconnect from himself and suffer from depression, dissociation, anxiety, insomnia, negative self-talk, and low self-esteem. Trauma specialists now believe that the experience doesn’t need to be a dramatic, life-endangering accident to cause post-traumatic stress disorder or PTSD. Growing up in a dysfunctional family can cause relational or attachment trauma and lead to complex PTSD symptoms. In a dysfunctional family marked by emotional abuse or neglect, as I have come to view my family, a child is often scapegoated. The family, overtly and covertly, blames a child for their problems as a means of deflecting attention from the real problems. Instead of a single traumatic event, a child in this role might experience a continual barrage of subtle attacks on his worthiness, sense of belonging, and even his very identity. These attacks might come in the form of gaslighting, verbal abuse, and other obvious forms of manipulation. But they also can come in the form of thousands upon thousands of subtle negative facial expressions and sarcastic put-downs over years or decades.

Like walking into the darkness our soldiers went their lives like cash haphazardly spent. Vietnam was a conflict that was no more than an experiment aimed at humanity's scientific evolution.

Today, I, and many others like me, still relive the traumas experienced during childhood, through dissociative (non-epileptic) seizures and PTSD, both of which cripple our lives into isolation, inactivity, depression and, often, total despair. Resulting psychological disorders like PNES are the mind’s way of protecting survivors from traumatic memories resulting from real and horrific childhood events.

I want to give a name to my would-be killer. What should I call him? Something that will ease his presence in my mind, make him look foolish, like he is of no threat and never was, which is in fact the truth. I don't want his real name, which is meaningless to me, but instead something I control, something I own, some way to own that piano-idiot who attacked me.

My mother describes me as 'a real hero . . . just like your grandfather'. But I do not know what to do with this accolade for her son, other than let her have moment, or it helps her back here.

The second factor helping to bring the dissociative disorders back into the mainstream was the Vietnam War. For sociological reasons originating outside psychology and psychiatry, the Vietnam War and the posttraumatic stress disorder (PTSD) that arose from it were not forgotten when the veterans returned home, as had been the case in the two world wars and the Korean War. The realization that real, severe trauma could have serious long-term psychopathological consequences was forced on society as a whole by Vietnam. Once this principle was accepted, it as a short leap to the conclusion that severe childhood trauma might have serious sequelae lasting into adulthood.

When we are not allowed to remember, to express our feelings and to grieve or mourn our losses or traumas, whether real or threatened, through the free expression of our Child Within, we become ill. Thus we can consider viewing a spectrum of unresolved grieving as beginning with mild symptoms or signs of grief, to co-dependence, to PTSD.

Docs say PTSD is a real thing, and I will take their word for it,” Hurndon said. “I’ve been in quite a few firefights, and it hasn’t affected me, but maybe it will later.

Colonel Nguyen Van Tan said, “Sauget et Sang, you shall start making amends by confessing your crimes in public here, in this courtroom when the reporters from news services around the world arrive!

Trauma results in a fundamental reorganization of the way mind and brain manage perceptions. It changes not only how we think and what we think about, but also our very capacity to think. We have discovered that helping victims of trauma find the words to describe what has happened to them is profoundly meaningful, but usually it is not enough. The act of telling the story doesn't necessarily alter the automatic physical and hormonal responses of bodies that remain hypervigilant, prepared to be assaulted or violated at any time. For real change to take place, the body needs to learn that the danger has passed and to live in the reality of the present.

Except in the case of PTSD, dreams almost never replay real memories exactly—but they draw heavily from our waking lives, spinning the threads of personal experience into a tangled web of present and past.

Real- this was real. The horrors- those were nightmares. I was out; I was alive; I was safe.

We thought we'd seen it all. The real horror of war is always waiting for you at home. It's waiting, I tell you. We were so damned happy when we got back. We'd made it. We survived. But it's always waiting. Waiting. You let down your guard. And there it is. You can't ever let up. Give up.

In his recent guest editorial, Richard McNally voices skepticism about the National Vietnam Veteran’s Readjustment Study (NVVRS) data reporting that over one-half of those who served in the Vietnam War have posttraumatic stress disorder (PTSD) or subclinical PTSD. Dr McNally is particularly skeptical because only 15% of soldiers served in combat units (1). He writes, “the mystery behind the discrepancy in numbers of those with the disease and of those in combat remains unsolved today” (4, p 815). He talks about bizarre facts and implies many, if not most, cases of PTSD are malingered or iatrogenic. Dr McNally ignores the obvious reality that when people are deployed to a war zone, exposure to trauma is not limited to members of combat units (2,3). At the Operational Trauma and Stress Support Centre of the Canadian Forces in Ottawa, we have assessed over 100 Canadian soldiers, many of whom have never been in combat units, who have experienced a range of horrific traumas and threats in places like Rwanda, Somalia, Bosnia, and Afghanistan. We must inform Dr McNally that, in real world practice, even cooks and clerks are affected when faced with death, genocide, ethnic cleansing, bombs, landmines, snipers, and suicide bombers ... One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.

In 2006, there is no army of recovered memory therapists, and Dr McNally’s assumptions about patients with PTSD and those working in this field are troubling. Owing to past debates, those working in the PTSD field are perhaps more knowledgeable than others about malingered, factitious, and iatrogenic variants. Why, then, does Dr McNally attack PTSD as a valid diagnosis, demean those working in the field, and suggest that sufferers are mostly malingered or iatrogenic, while giving little or no consideration is given to such variants of other psychiatric conditions? Perhaps the trauma field has been “so often embroiled in serious controversy” (4, p 816) for the same reason Dr McNally and others have trouble imagining the traumatization of a Vietnam War cook or clerk. One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.

But the pain, the tearing blackness, the white heat of his uncontrollable fury, the terror that made him run from himself, the sweats and the shakes, and the dull ache in his head, they were all too real. ~~~~ She kissed him to stop the words babbling out. She was in love. “Jack,” she said, because it was all she could trust herself to say. “Jack.” She loved him. She kissed his eyelids. She loved him.

It can be quite challenging to constantly remind ourselves that the reality we experience is merely a construct of our own minds. Despite our efforts to ground ourselves in the present, we often find ourselves getting caught up in the illusion of this fabricated world. However, it is imperative that we do not lose sight of the fact that none of this is real. The material possessions, societal norms, and societal expectations that we often place great value on are merely man-made constructs. It is crucial to maintain a sense of detachment and perspective, and to remember that ultimately, true reality lies beyond the physical realm.

We subsequently secured funding from the National Institute of Mental Health to compare the effects of EMDR with standard doses of Prozac or a placebo.2 Of our eighty-eight subjects thirty received EMDR, twenty-eight Prozac, and the rest the sugar pill. As often happens, the people on placebo did well. After eight weeks their 42 percent improvement was greater than that for many other treatments that are promoted as “evidence based.” The group on Prozac did slightly better than the placebo group, but barely so. This is typical of most studies of drugs for PTSD: Simply showing up brings about a 30 percent to 42 percent improvement; when drugs work, they add an additional 5 percent to 15 percent. However, the patients on EMDR did substantially better than those on either Prozac or the placebo: After eight EMDR sessions one in four were completely cured (their PTSD scores had dropped to negligible levels), compared with one in ten of the Prozac group. But the real difference occurred over time: When we interviewed our subjects eight months later, 60 percent of those who had received EMDR scored as being completely cured.

There is no question traumatized people have irrational thoughts: "I was to blame for being so sexy." "The other guys weren't afraid - they're real men." "I should have known better than to walk down that street." It's best to treat those thoughts as cognitive flashbacks - you don't argue with them any more than you would argue with someone who keeps having visual flashbacks of a terrible accident. They are residues of traumatic incidents: thoughts they were thinking when, or shortly after, the traumas occurred that are reactivated under stressful conditions. A better way to treat them is with EMDR....

On the 30th of April 1975, American helicopters flew out of Saigon in an ignominious retreat as the tanks of the People’s Liberation Army of Vietnam rumbled into the grounds of the American Embassy in Saigon.

For just as without night there is no day, without work there is no play, without hunger there is no satiation, without fear there is no courage, without tears there is no joy, and without anger, there is no real love.

People with C-PTSD might have an outsized, gnarly freak-out about a cockroach in the house or a flash of anger on someone’s face. But in times of real danger—when someone furious is coming toward us with an actual machete in their hand, ready to kill—we face the problem head-on, while everyone else is cowering. A lot of the time, we’re the ones getting shit done.

It is a great, sexist irony that in our society, PTSD is generally considered a male condition. It is the warrior’s disease, a blight of the mind that must be earned by time in battle, in some dangerous overseas desert or jungle. But the real statistics suggest the opposite: Women are more than twice as likely to have PTSD than men. Ten percent of women are expected to suffer from PTSD in their lifetimes, as opposed to just 4 percent of men. But even after #MeToo, a global movement to recognize the legitimacy of women’s trauma, treatment for this trauma remains a half-assed endeavor, an afterthought in the shadow of the glory of war. And it has always been this way.

Her rage pumped through her, so loud Nesta could barely hear the real fire before which her sister paced. Was glad of the roaring in her head when the sound of wood cracking as it burned was so much like her father's breaking neck that she couldn't stand to light a fire in her own home.

The main cause of DPD, according to research, seems to be subtle forms of childhood maltreatment, in particular emotional abuse and neglect. Whereas physical and sexual abuse seem to be specifically linked to PTSD, Complex PTSD and dissociative identity disorder (DID), lower intensity but chronic childhood trauma such as emotional abuse and neglect seem to more commonly result in DPD. Diagnosis issues

The inner critic is the superego in overdrive desperately trying to win your parents’ approval. When perfectionist striving fails to win welcoming from your parents, the inner critic becomes increasingly hostile and caustic. It festers into a virulent inner voice that increasingly manifests self-hate, self-disgust and self-abandonment. The inner critic blames you incessantly for shortcomings that it imagines to be the cause of your parents’ rejection. It is incapable of understanding that the real cause lies in your parents’ shortcomings.

As a traumatized child, your over-aroused sympathetic nervous system also drives you to become increasingly hypervigilant. Hypervigilance is a fixation on looking for danger that comes from excessive exposure to real danger. In an effort to recognize, predict and avoid danger, hypervigilance is ingrained in your approach to being in the world. Hypervigilance narrows your attention into an incessant, on-guard scanning of the people around you.

You lost touch with the real you. The person you become when with a narcissistic abuser is very different from the person you were before you got involved with them. They’ve turned you into who they want you to be, making you feel lost and insecure with no sense of true purpose.

After a while most people with PTSD don't spend a great deal of time or effort on dealing with the past--their problem is simply making it through the day. Even traumatized patients who are making real contributions in teaching, business, medicine, or the arts and who are successfully raising their children expend a lot more energy on the everyday tasks of living than do ordinary mortals.

was exploring something called Decoded Neurofeedback. It resembled old-fashioned biofeedback, but with neural imaging for real-time, AI-mediated feedback. A first group of subjects—the “targets”—entered emotional states in response to external prompts, while researchers scanned relevant regions of their brains using fMRI. The researchers then scanned the same brain regions of a second group of subjects—the “trainees”—in real time. AI monitored the neural activity and sent auditory and visual cues to steer the trainees toward the targets’ prerecorded neural states. In this way, the trainees learned to approximate the patterns of excitation in the targets’ brains, and, remarkably, began to report having similar emotions. The technique dated back to 2011, and it claimed some impressive early results. Teams in Boston and Japan taught trainees to solve visual puzzles faster, simply by training them on the visual cortex patterns of targets who’d learned the puzzles by trial and error. Other experimenters recorded the visual fields of target subjects exposed to the color red. Trainees who learned, through feedback, to approximate that same neural activity reported seeing red in their mind’s eye. Since those days, the field had shifted from visual learning to emotional conditioning. The big grant money was going to desensitizing people with PTSD. DecNef and Connectivity Feedback were being touted as treatments to all kinds of psychiatric disorders. Marty Currier worked on clinical applications. But he was also pursuing

When we learn about threats as children, and they are accompanied by strong emotions such as fear, they can remain embedded in the neural circuits of the hippocampus for life. Neuroscientists call these “deep emotional learnings.” Like the old posters, they may have no use in the present. They may even be triggering us to react to threats that are entirely imaginary. Yet once learned, and reinforced by conditioned behavior, they are hard to change. Like the dusty posters in the pubs, they may hang around long after they’ve outlived their usefulness. When the hippocampus isn’t sure what to make of a piece of information, it refers it to the brain’s prefrontal cortex (PFC). That’s the brain’s executive center, the seat of discrimination and knowledge. It takes incoming information from the hippocampus and determines whether the apparent threat is real. For instance, you hear a loud bang and are immediately alarmed. “Gunfire?” wonders the hippocampus. “No,” the PFC tells it. “That was a car backfiring.” The reassured hippocampus then does not pass the alarm to the amygdala. Or perhaps the PFC says, “That group of young men hanging out in the parking lot looks suspicious,” and the hippocampus then signals the amygdala, which puts the body on Code Red. Using that path from the emotional center of the brain to the executive center is crucial to regulating our emotions. Because it involves a feedback loop with information going first to the PFC and then back to the hippocampus from the PFC, it’s called the long path: hippocampus > PFC > hippocampus > amygdala > FFF. The long path is the default for people with effective emotional self-regulation. 3.8. The long path. 3.9. The short path. In people with poor emotional self-regulation, such as patients with PTSD, this circuit is impaired. They startle easily and overreact to innocuous stimuli. The hippocampus cuts out the PFC. Instead of referring incoming threats to the wise discrimination of the primate brain, where the bang can be categorized as “car backfiring,” the hippocampus treats even mild stimuli as though they are life-threatening disasters and activates the amygdala. This short-circuit of the long path creates a short path: hippocampus > amygdala > FFF. The short circuit improves reaction speed, but at the expense of accuracy.

which is essentially the bible of mental health: If it’s not in there, it ain’t real. There was an effort by a group of mental health experts to include it in the DSM-5, which was published in 2013, but the faceless arbiters of mental health behind the DSM—a group of psychiatrists I envision as a society of hooded figures chanting around a sacrificial child star—decided that it was too similar to PTSD. There was no reason to add a “C,” no need for a distinction between the two. It’s worth mentioning, however, that the U.S. Department for Veterans Affairs and the United Kingdom National Health Service both recognize C-PTSD as a legitimate diagnosis.

Real. This was real. I had survived; I'd made it out. Unless it was a dream- just a fever-dream in Amarantha's dungeon and I'd awaken back in that cell, and- I curled my knees to my chest. Real. Real. I mouthed the words. I kept mouthing them.

For just as without night there is no day, without work there is no play, without hunger there is no satiation, without fear there is no courage, without tears there is no joy, and without anger, there is no real love. Most people, who choose or are coerced into only identifying with “positive” feelings, usually wind up in an emotionally lifeless middle ground – bland, deadened, and dissociated in an unemotional “no-man’s-land.

1.          They were perfect… initially. We’ve discussed this one, but it’s worth mentioning again. A narcissist wants you to believe they’re totally into you and put you on a pedestal. Once they have you, though, they stop trying as hard and you end up being the one working to keep them. 2.          Others don’t see the narcissist the way you do. It’s hard enough to see it yourself, but when those around you, especially their friends and family, make excuses for them, you start doubting yourself even more. Stick to what you see. 3.          They’re making you look bad. In order to maintain their facade of perfection, they make you look like a bad person. Usually this involves spreading rumors, criticizing you behind your back, or creating lies you supposedly told. The worst part is that when you try rectifying the situation, or laying the blame where it should belong, the narcissist uses your defense to back their own lies. It’s frustrating because the generous, wonderful person they displayed initially is what those around you still see, even if you see them for who they really are. 4.          You feel symptoms of anxiety and/or depression. The toxic person may have caused you to worry about not acting the way you’re expected to, or that you haven’t done something right or good enough. In making this person your entire world, you may lose sleep, have no interest in things you used to or have developed a, “What’s the point?” attitude. You essentially absorb all of the negative talk and treatment so deeply, you believe it all. This is a dangerous mindset to be in so if you feel you’re going any steps down this path, seek outside help as soon as possible. 5.          You have unexplained physical ailments. It’s not surprising that when you internalize a great deal of negativity, you begin to feel unwell. Some common symptoms that aren’t related to any ongoing condition might be: changes in appetite, stomach issues, body aches, insomnia, and fatigue. These are typical bodily responses to stress, but if they intensify or become chronic, see a physician as soon as you can. 6.          You feel alone. Also a common symptom of abuse. If things are really wrong, the narcissist may have isolated you from friends or family either by things they’ve done themselves or by making you believe no one is there for you. 7.          You freeze. When you emotionally remove yourself from the abuse, you’re freezing. It’s a coping mechanism to reduce the intensity of the way you’re being treated by numbing out the pain. 8.          You don’t trust yourself even with simple decisions. When your self-esteem has been crushed through devaluing and criticism, it’s no wonder you can’t make decisions. If you’re also being gaslighted, it adds another layer of self-doubt. 9.          You can’t make boundaries. The narcissist doesn’t have any, nor do they respect them, which is why it’s difficult to keep them away even after you’ve managed to get away. Setting boundaries will be discussed in greater detail in an upcoming chapter. 10.    You lost touch with the real you. The person you become when with a narcissistic abuser is very different from the person you were before you got involved with them. They’ve turned you into who they want you to be, making you feel lost and insecure with no sense of true purpose. 11.    You never feel like you do anything right. We touched on this briefly above, but this is one of the main signs of narcissistic abuse. Looking at the big picture, you may be constantly blamed when things go wrong even when it isn’t your fault. You may do something exactly the way they tell you to, but they still find fault with the results. It’s similar to how a Private feels never knowing when the Drill Sergeant will find fault in their efforts. 12.    You walk on eggshells. This happens when you try avoiding any sort of conflict, maltreatment or backlash by going above and beyond to make the abuser happy.

PTSD – recurrent and uninvited memories that are distressing, all-too-real flashbacks to traumatic events, and severe emotional distress (or even physical reactions) when they are reminded of the event.

[T]he study of trauma has become the soul of psychiatry: The development of posttraumatic stress disorder (PTSD) as a diagnosis has created an organized framework for understanding how people’s biology, conceptions of the world, and personalities are inextricably intertwined and shaped by experience. The PTSD diagnosis has reintroduced the notion that many “neurotic" symptoms are not the results of some mysterious, well-nigh inexplicable, genetically based irrationality, but of people’s inability to come to terms with real experiences that have overwhelmed their capacity to cope.

Biologists marvel at the elegant efficiency with which the brain stores fear-laden memories, which provide a superb defense system against external attacks and an amazingly fast and effective system for physical self-preservation. But they warn that these same kind of powerful memories turn out to be extremely difficult for the brain to process when life is no longer in danger and the person desperately needs to extinguish the memory and break the cycle. The hippocampus, a small part of the brain that would ordinarily help integrate information, has a very difficult time processing the fear-imprinted memories because of the high degree of physiological stress those memories trigger. People suffering from PTSD, including some cutters, are in a sense trapped—hardwired. Their terror-bound memories can return or be reactivated by other stimuli, but they are never able to effectively process the original emotional memory for reasons that are physiological. When the door opens with a loud bang, to continue the analogy, what is replayed in their minds is a startingly real experience of a ferocious tiger charging at them.

The outer critic typically arises most powerfully during emotional flashbacks. At such times, it transmutes unconscious abandonment pain into an overwhelmingly negative perception of people and of life in general. It obsessively fantasizes, consciously and unconsciously, about how people have or could hurt us. Over the years these fantasies typically expand from scary snapshots into film clips and even movies. Without realizing it, we can amass a video collection of real and imagined betrayals that destroy our capacity to be nurtured by human contact.

The neurological disorder of oversensitivity to touch, which Nietzsche posited to account for Jesus' hate of reality, seems far-fetched. As a diagnosis of Jesus, these quotes are not very convincing; yet as an admission of Nietzsche's problems in intimacy, these words are suggestive. In fact, Nietzsche describes himself almost in the same way. The themes of depersonalization and derealization appear in other places too. Zarathustra said, 'To men, I am still the mean between a fool and a corpse' and as was mentioned before 'as my own father I am already dead'. Nietzsche wrote in similar terms about Jesus himself as living outside of reality, which brings up back to the dissociative phenomena in PTSD. Dissociation is the most direct defense against overwhelming traumatic experiences, consisting in symptoms of derealization (feeling as if the world is not real), and depersonalization (feeling as if one self is not real). Experiencing the world and the self from afar, enables victims of abuse, torture, and war, to escape from an unbearable and unavoidable external reality, on the one hand; and the internal distress and arousal, on the other hand. It somehow allows them to continue to live and function. In the follow comment, Nietzsche connected his disassociation, his being 'beyond life', with cryptic reference to his father: 'I regard it as a great privilege to have had such a father: it even seems to me that this exhausts all that I can claim in the matter of privileges-life, the great yea to life, excepted. What I owe to him above all is this, that I do not need any special intention, but merely patience, in order to enter involuntarily into a world of higher and finer things. There I am at home, there alone does my profoundest passion have free play. The fact that I almost paid for this privilege with my life, certainly does not make it a bad bargain. In order to understand even a little of my Zarathustra, perhaps a man must be situated much as I am myself with one foot beyond life.' Mind you, in fact, thanking his father for almost losing or ruining his life! We arrived at a secret again and have only hints that Nietzsche dropped such as 'What was silent in the father speaks in the son, and often I found in the son the unveiled secret of the father'.

With PTSD, the brain stays locked into amygdala hyperdrive. Failing to bounce back to baseline, it loses the ability to distinguish between a real and a perceived threat.

[S]he couldn't shake the feeling this was all her fault. That if she were more spiritual, she could overcome these demons, whether they were real or figurative. Dominic had never said so, but his steadfast, unwavering faith made her feel ashamed that she still hadn't found her perfect healing. Then there were people like Sandy, people who assured her that God could heal her completely if he wanted to, but if he wanted to, but if he chose to let her PTSD remain, it was so that through her weakness, the cross of Christ would be lifted up for all to see. Kennedy was all for God getting the glory, but wouldn't he receive that much more glory and praise if he just snapped his fingers and took her trauma away?

without night there is no day, without work there is no play, without hunger there is no satiation, without fear there is no courage, without tears there is no joy, and without anger, there is no real love.

Turning around on Everest was tied to very real PTSD from the avalanche on Gasherbrum II and I was in deep emotional distress, but it wasn’t a panic attack. It was a way out. I was having trouble breathing, but I could’ve stopped it and I knew it. End of story. I didn’t have enough courage to say what needed to be said: “This is all too much. I’m terrified.” I make no excuses. The news crew packs their white van and I wave. Mom calls and says, “It’s okay.” “No, it’s not.” She thinks we’re talking about a panic attack. “We love you.” I hang up annoyed. For now, I’m the survivor mistaking hubris for courage, unable to see that the most courageous thing can be reduced to a single word: help.