Showing posts with label Big 2. Show all posts
Showing posts with label Big 2. Show all posts

Friday, June 3, 2022

Social Support: The Key to Lasting Change

 




“Social Support.” This is what mental health professionals call “friends” and researchers have shown over and again the importance of social support in treating PTSD. Our therapist is part of our support team, and we have to build on this foundation. Making friends is difficult, especially if we have PTSD. So, let’s talk about it... 

Back in the day, making friends was easy. As a kid, we made friends in school or in our neighborhood, and in the military, we have our unit. Making friends gets harder as we get older. We realize that for guys, it’s weird to approach another dude and say, “want to hang out?” Women are different in this regard, but we also tend to isolate ourselves in the face of PTSD, saying things like, "I don't want to bother them with this. they have their own crap they're going through. My friends are just all so busy. I don't want them to think I'm a drama bomb." 

Real talk: if you would drop everything for a friend that is going through what you are going through, then give them the same respect to come and help you. 

Even when we know that making friends and building networks helps us recover from PTSD, it is an anxiety-inducing idea. Some people are natural extroverts (and yay for you), but normal people worry about making new friends, especially if our PTSD has poisoned our other relationships. It’s normal to worry. “What if new people learn about my PTSD and freak out? What if I have a melt-down, or if I hurt someone by accident? Maybe I’m better off protecting the world by keeping to myself because people have their own problems and they don’t need mine.” 

We hear you, friend, and want to put this into perspective. Trying to make friends is a big risk. We can be rejected, others can judge us and be crappy, and we might be terrible at making new friends—but we also know that social support is a major determining factor in our recovery from PTSD. In other words, to get better, this is a risk we need to take. 

Because this is important, we want to take you back to the Big Two questions:

(Q1) Do we believe it’s possible?

Do we believe it’s possible that we could get out of our comfort zone, break out of that Criterion C of avoidance, and connect with another person, either in-person or virtually? Is it possible that there is another person in this world who is not crappy? Is it possible that we can use this powerful—and proven—tool of social support to fight our PTSD symptoms? Is it possible that we deserve to be loved and cared for by others?   

Moving on to...

(Q2) “Do we want to change?” (but rephrasing it differently)

The second question can’t be, “Do we want to make friends?” Because we already know the answer: NO. With PTSD, we want to avoid other people. This is good old criterion C: avoidance. It’s like asking, “do we want to go to therapy?” Big NO.

So, we need to look at the bigger picture of Q2. Do we want to do the work it will take to recover from PTSD? Do we want to lessen our symptoms? Do we want the people we love to know that we love them? Do we want to build, and possibly rebuild, relationships?

It’s okay to be on the struggle bus about this. Going to therapy and making connections is difficult when we have PTSD, but we have to do it if we are serious about getting our lives back. 

*****

If you believe change is possible, you want to change, and you are willing to do the work, you absolutely CAN get your life back.”

Get your copy of The Soldier's Guide to PTSDThe Soldier's Workbook

or Acknowledge & Heal, A Women's-Focused Guide to PTSD

Friday, October 15, 2021

Choosing to Get Treatment - The "Big 2" Questions

This is Virginia with the Soldier's Guide to PTSD and I want to talk about choosing to get treatment for PTSD or moral injury. 

To help with this, I want to introduce you to the "Big 2" questions: (1) do I believe change is possible? and (2) do I want to change? 

These are the big two questions we need to ask and answer in a brutally honest way before we start our journey back from PTSD or Moral Injury. 

With question one we need to ask ourselves, do I believe that it is possible that I can recover from my PTSD symptoms and reclaim my life? We know that's what we want, but with Q1 we have to ask ourselves is this possible for me? 

The second question is a little more pesky because we have to ask ourselves (and honestly answer): do I want to recover from PTSD and am I willing to do the work that it's going to take? Am I willing to get out of my comfort zone and do something different because that's what it takes to get better?

These are difficult questions to answer, so let's not pretend they are easy. Choosing to go through treatment involves risk. It requires working with another person, a licensed treatment professional, and choosing to be authentic with them. This requires us to be vulnerable and expose our truth to another person. 

The reason we ask the big two questions is that no therapist, no research, no blog posts  no one and no thing outside of ourselves  can convince us something is true when we fundamentally believe it is not. 

This is a hard truth, but I'm not in the bullshit business. I am a therapist. The truth is that if we do not believe change is possible, we are absolutely correct. 

I recognize that it's far more likely you're on the fence about the Big 2, and you just don't know right now. Take it easy on yourself; it is 100% okay not to feel all in.

Instead I'll ask you this: is it possible that you're stronger than you think you are? 

Have you ever done something before that was hard or you felt was impossible at the time? Is it possible that your symptoms are undermining your attempts to make changes? Would you be willing to try tosee if you're stronger than you think you are?

As of this writing there are three evidence-based treatments for PTSD that are approved by the VA: prolonged exposure, cognitive processing therapy, and EMDR. They work for most people most of the time. It's not easy, but it's not forever either. It's 8 to 12 sessions. This means that if you're working with a therapist every week that's 2 to 3 months.

Even if you're not sure if you're all in, I encourage you to learn more about your PTSD symptoms and available treatments. We've created a Free Workbook to help you identify your symptoms so that you can make an informed decision to reclaim your life from PTSD and Moral Injury.

*****

If you believe change is possible, you want to change, and you are willing to do the work, you absolutely CAN get your life back.”

Get your copy of The Soldier's Guide to PTSDThe Soldier's Workbook

or Acknowledge & Heal, A Women's-Focused Guide to PTSD