We Can’t Keep Treating Anxiety From Complex Trauma the Same Way We Treat Generalized Anxiety

invisibledisabilitychameleon:

rapeculturerealities:

I’ve been living with the effects of complex trauma for a long time, but for many years, I didn’t know what it was. Off and on throughout my life, I’ve struggled with what I thought was anxiety and depression. Or rather, In addition to being traumatized, I was anxious and depressed.

Regardless of the difference, no condition should ever be minimized. If you are feeling anxious or depressed, it’s important and urgent to find the right support for you. No one gets a prize for “worst” depression, anxiety, trauma or any other combination of terrible things to deal with, and no one should suffer alone. With that in mind, there is a difference between what someone who has Complex PTSD feels and what someone with generalized anxiety or mild to moderate depression feels.

For someone dealing with complex trauma, the anxiety they feel does not come from some mysterious unknown source or obsessing about what could happen. For many, the anxiety they feel is not rational. General anxiety can often be calmed with grounding techniques and reminders of what is real and true. Mindfulness techniques can help. Even when they feel disconnected, anxious people can often acknowledge they are loved and supported by others.

For those who have experienced trauma, anxiety comes from an automatic physiological response to what has actually, already happened. The brain and body have already lived through “worst case scenario” situations, know what it feels like and are hell-bent on never going back there again. The fight/flight/ freeze response goes into overdrive. It’s like living with a fire alarm that goes off at random intervals 24 hours a day. It is extremely difficult for the rational brain to be convinced “that won’t happen,” because it already knows that it has happened, and it was horrific.

Those living with generalized anxiety often live in fear of the future. Those with complex trauma fear the future because of the past.

The remedy for both anxiety and trauma is to pull one’s awareness back into the present. For a traumatized person who has experienced abuse, there are a variety of factors that make this difficult. First and foremost, a traumatized person must be living in a situation which is 100 percent safe before they can even begin to process the tsunami of anger, grief and despair that has been locked inside of them, causing their hypervigilance and other anxious symptoms. That usually means no one who abused them or enabled abuse in the past can be allowed to take up space in their life. It also means eliminating any other people who mirror the same abusive or enabling patterns.

Unfortunately for many, creating a 100 percent abuser-free environment is not possible, even for those who set up good boundaries and are wary of the signs. That means that being present in the moment for a complex trauma survivor is not fail-proof, especially in a stressful event. They can be triggered into an emotional flashback by anything in their present environment.

It is possible (and likely) that someone suffering from the effects of complex trauma is also feeling anxious and depressed, but there is a difference to the root cause. Many effective strategies that treat anxiety and depression don’t work for trauma survivors. Meditation and mindfulness techniques that make one more aware of their environment sometimes can produce an opposite effect on a trauma survivor.  Trauma survivors often don’t need more awareness. They need to feel safe and secure in spite of what their awareness is telling them.

At the first sign of anxiety or depression, traumatized people will spiral into toxic shame. Depending on the wounding messages they received from their abusers, they will not only feel the effects of anxiety and depression, but also a deep shame for being “defective” or “not good enough.” Many survivors were emotionally and/or physically abandoned, and have a deep rooted knowledge of the fact that they were insufficiently loved. They live with a constant reminder that their brains and bodies were deprived of a basic human right. Even present-day situations where they are receiving love from a safe person can trigger the awareness and subsequent grief of knowing how unloved they were by comparison.

Anxiety and depression are considered commonplace, but I suspect many of those who consider themselves anxious or depressed are actually experiencing the fallout of trauma. Most therapists are not well trained to handle trauma, especially the complex kind that stems from prolonged exposure to abuse. Unless they are specially certified, they might have had a few hours in graduate school on Cluster B personality disorders, and even fewer hours on helping their survivors. Many survivors of complex trauma are often misdiagnosed as having borderline personality disorder (BPD) or bipolar disorder. Anyone who has sought treatment for generalized anxiety or depression owes themselves a deeper look at whether trauma plays a role.

damn, this is important!

We Can’t Keep Treating Anxiety From Complex Trauma the Same Way We Treat Generalized Anxiety

Why “doing something relaxing” does not help your anxiety

kipplekipple:

systlin:

tatianathevampireslayer:

lovelyplot:

merrybitchmas91:

A lot of the time when people give advice intended to relieve anxiety, they suggest doing “relaxing” things like drawing, painting, knitting, taking a bubble bath, coloring in one of those zen coloring books, or watching glitter settle to the bottom of a jar.

This advice is always well-intentioned, and I’m not here to diss people who either give it or who benefit from it. But it has never, ever done shit for me, and this is because it goes about resolving anxiety in the completely wrong way.  

THE WORST THING YOU CAN DO when suffering from anxiety is to do a “relaxing” thing that just enables your mind to dwell and obsess more on the thing that’s bothering you. You need to ESCAPE from the dwelling and the obsession in order to experience relief.

You can drive to a quiet farm, drive to the beach, drive to a park, or anywhere else, but as someone who has tried it all many, many times, trust me–it’s a waste of gas. You will just end up still sad and stressed, only with sand on your butt. You can’t physically escape your sadness. Your sadness is inside of you. To escape, you need to give your brain something to play with for a while until you can approach the issue with a healthier frame of mind. 

People who have anxiety do not need more time to contemplate, because we will use it to contemplate how much we suck.

In fact, you could say that’s what anxiety is–hyper-contemplating. When we let our minds run free, they run straight into the thorn bushes. Our minds are already running, and they need to be controlled. They need to be given something to do, or they’ll destroy everything, just like an overactive husky dog ripping up all the furniture. 

Therefore, I present to you: 

THINGS YOU SHOULD NOT DO WHEN ANXIOUS

–Go on a walk

–Watch a sunset, watch fish in an aquarium, watch glitter, etc.

–Go anywhere where the main activity is sitting and watching

–Draw, color, do anything that occupies the hands and not the mind

–Do yoga, jog, go fishing, or anything that lets you mentally drift 

–Do literally ANYTHING that gives you great amounts of mental space to obsess and dwell on things.

THINGS YOU SHOULD DO WHEN ANXIOUS:

–Do a crossword puzzle, Sudoku, or any other mind teaser game. Crosswords are the best.

–Write something. It doesn’t have to be a masterpiece. Write the Top 10 Best Restaurants in My City. Rank celebrities according to Best Smile. Write some dumb Legolas fanfiction and rip it up when you’re done. It’s not for publication, it’s a relief exercise that only you will see. 

–Read something, watch TV, or watch a movie–as long as it’s engrossing. Don’t watch anything which you can run as background noise (like, off the top of my head, Say Yes to The Dress.) As weird as it seems, American Horror Story actually helps me a lot, because it sucks me in. 

–Masturbate. Yes, I’m serious. Your mind has to concentrate on the mini-movie it’s running. It can’t run Sexy Titillating Things and All The Things That are Bothering Me at the same time. (…I hope. If it can, then…ignore this one.) 

–Do math problems—literally, google “algebra problems worksheet” and solve them. If you haven’t done math since 7th grade this will really help you. I don’t mean with math, I mean with the anxiety. 

–Play a game or a sport with someone that requires great mental concentration. Working with 5 people to get a ball over a net is a challenge which will require your brain to turn off the Sadness Channel. 

–Play a video game, as long as it’s not something like candy crush or Tetris that’s mindless. 

THINGS YOU SHOULD DO DURING PANIC ATTACKS ESPECIALLY:

–List the capitals of all the U.S. states

–List the capitals of all the European countries

–List all the shapes you can see. Or all the colors. 

–List all the blonde celebrities you can think of.

–Pull up a random block of text and count all the As in it, or Es or whatever.  

Now obviously, I am not a doctor. I am just an anxious person who has tried almost everything to help myself.  I’ve finally realized that the stuff people recommend never works because this is a disorder that thrives on free time and free mental space. When I do the stuff I listed above, I can breathe again. And I hope it helps someone here too. 

(Now this shouldn’t have to be said but if the “do nots” work for you then by all means do them. They’ve just never worked for me.)

This would’ve been great an hour ago

If your anxiety includes rapid heartbeat for no reason then it may help to exercise! It helps for me because I’m focused on whatever moves I’m doing and breathing, and it gives my heart rate a reason to be that high so that I can start the slow cooking down process and (hopefully) bring that heart rate down with it. Look up a quick cardio workout on YouTube or something and just do it in your room!

This is so, SO true. 

All ‘doing something relaxing’ ever did for me was give my brain MORE free time to FREAK THE FUCK OUT. 

Drawing and making stuff does occupy my mind so I mean YMMV

azacake:

tag urself are u

– justin anxious (change in voice, can’t stop saying random stuff, may scream externally but definitely screaming internally nonstop)

– travis anxious (keep rehearsing diff versions of what you’re gonna say, prone to freeze up but if ur friend is anxious you get a boost)

– griffin anxious (hyperconscious on how u (& ur pals) coming off, quieter or snarkier than usual, seems chill but is actually most definitely not)