PTSD & Depression Mix & Match in DBT
I was diagnosed with depression months ago. Not surprised. Iāve lost everything Iāve called home slowly and surely over the past several years. Iāve stood grounded in my power to continue despite my levels of security. Iāve had solid support, even when I felt my weakest. And I could do anything in love, with love, and because of love.
Then love failed me. Enter PTSD.
In a shattered world, I work on recoveryā¦ for me alone, for me as a mother, for my children, for my future, and for the chance for love to come again.
Itās interesting diving into therapy because I use the word trauma often enough, but Iāve been quite defensive about my recent diagnosis of PTSD. Heroes battle PTSD. And we feel awful and grateful for them at the same time because of their inner demons.
I am no hero. I am a mother who chose to upend the lives, worlds, and safety and security of my children to give them a joint love theyād not had before. A choice that took them from me ā me from them. A choice that rocked their foundation to the core. But one with a promise that weād slip onto a stronger foundation togetherā¦ until we lost that too. The shame I carry for trusting love to remain secure as I whipped my childrenās lives through immense change is enormous. And itās mine to own and mine to carry.
Forgiveness is hard, and itās hardest to grant ourselves.
As I travel this transparent journey, with the hope to uplift others along the way, I notice more and more my personal triggers, the beauty in life around me, and what sends me spiraling down. Iām learning to recenter, build again, stand up and dust myself off before jumping on again. And, trust me, that last bit is the toughest because running is damn easy.
Today, I sit in a quiet space of writing, building, and reflecting on change as I lost sleep again last night in fits of nightmares and eyes wide open. I could easily push newness away because itās uncertain. Itās not safe; its rocky terrain more familiar than hiding under my blanket fort of misguided protection. And I ask myself to recenter.
Accept that which I cannot changeā¦ the choices taken from me.
Relish is that which I can controlā¦ to let newness in, to wrap it in insecurity and gratitude for being exactly where I am.
To forgiveā¦ well, thatās a bit much for a Monday, after all. But I hope to be there one day. For now, I recognize Iām still running from the raw pain ā because trauma response is natural, but once we recognize it, we can begin to tame it.
There is a term in DBT [therapy] calledĀ Coping Ahead. This is the state of being mindful of where we are, what may come, and how to use our current coping skills to reduce harmful or trauma impacts ahead of time. Iām not there yet. I know this because I still sit in trauma response. I avoided a party this weekend, one I wanted to attend because this is my world (dammit), but I was mindful of the trauma response Iād have should I run into everything taken from me in one fell swoop. So, I guess, in a way, I did cope ahead. I made other plans, spent time with other people, and wondered if I was missed or not noticedā¦ or how easy it was for lost love to be fully present in this new life without me. And letās not forget how sad it is that lost love was able to move so quickly past me into the new and unknown without us while I sit back here in piles of pickles and peppers cleaning out before I can begin to think about moving on. Thatās angerā¦ and for another day. See? This is depression and trauma response mingling together, creating a full-on cocktail of anxiety and bewildering loss. Identifying the situation and the potential hurt allowed me to think ahead and make the best decision for me.
However, being mindful doesnāt always stop there. Trauma response from the insecure space of PTSD also meant all the questions, the moments awake, forgetting the skills Iāve developed to set aside the pain and move beyond.
Living Inside the Vulnerable means sitting right where we are, seeing ourselves, loving in this exact space, and not giving up the fight to get out, even with the pauses we need to recenter.
Today, I challenge:
Cope AheadĀ ā look at potential obstacles, plan for the trauma response, and donāt runā¦ but walk in a different direction. What feels safest? Then use skills to cope through the consequences of that new direction.
Triggers AheadĀ ā Plan for the triggers that may pop up like a Jack-In-the-Box. Identify them and develop a plan to remove them, approach them with solid support and strength, or avoid them altogether. Most triggers are not planned, so be prepared for the unpreparable with a response not grounded in emotion and trauma but rather solidarity and power. Triggers take our powerā¦ so empower with a planned mindful response.
Until next time, be well. And never fear Living Inside The Vulnerable.
~Stella
2021