chronic pain, Lifestyle, Mental health, recovery

Ugly Truth 63: Medical Trauma & 15 Tips to Help You Implement Post Traumatic Growth

“The wound is the place where the Light enters you.”
― Rumi

Dear Readers,

Thank you for your patience during this difficult time.

I have had great difficulty writing for others, much less myself. Those of you who know me know that I have been sustaining a medical journey, but I have yet to release the details. It has been greatly overwhelming and difficult to articulate. My studies have stalled, and I am walking on empty. Optimism can be so challenging when faced with a physical illness that brings with it significant limitations, but so few ever talk about it. It is important that I document these happenings for the record.

The Deskraven Blog was inspired by telling the unflinching truth, so if you have something to say please email me at Contact@Deskraven.com.

Today I want to touch on medical trauma, the way it impacts mental health, and what we can do about it. As previously stated in Ugly Truth 62: Proper Diagnosis is a Long Hard Road:

“Medical trauma can meet acute clinical criteria for PTSD. If you’ve read this blog for any period of time, you know this has been a hurdle of mine. The truth is trauma and grief are not linear. We cannot always anticipate recovery or relapse, which is why strategic coping skills are so important to develop if you have any intention of coping well. No amount of meditation or eastern scrap of religion could have prepared me for this, but it does help.”

In March of this year my pain management physician referred me to an OB/GYN to assess for endometriosis. Three weeks later I met with a kind and caring family and primary care nurse practitioner named Victoria Cameron, APRN, FNPC-C. During this appointment I had to strip down and sit in a cold sterile room for what felt like forever. I met with a Medical Assistant who was also less than warm. She checked my vitals and assessed my request for birth control in a feeble attempt to regulate my cycle. When I met Ms. Cameron, I brought her up to speed on my medical history and she performed a women’s wellness exam. After our discussion, she referred me to a nearby hospital for an abdominal CT (with and without contrast) to look for signs of scar tissue and any other culprit related to the incessant pelvic pain I experience. Upon my release, I called the nearby hospital to schedule my next appointment for the following Monday. I was informed it would be a four-hour appointment and to be sure I was in a state of fasting upon my arrival.

On April 19th I went to HCA Houston Healthcare Northwest at 9am. After routine Covid screenings and administrative nonsense, I was admitted to the Imaging Department. Thankfully though, this one had a television where I consumed the Derek Chauvin trial. The live footage had me just about near tears before my name was called, as well as that of another woman. The three of us took to the hospital halls where the technician explained to us the procedure we were undergoing. We entered a third room deep in the heart of the hospital. He explained I had to drink 32 ounces of Gatorade spiked with iodine. He elaborated this would light up my organ systems, but I had to wait two hours for the magic to happen. Afterwards, they would set an IV so they could flush my system with saline and more iodine. There I sat pondering the side effects with another young man sitting across from me, and an older gentleman in the corner. I smiled to myself while observing the mediocre artwork medical providers seem to hang unanimously in an attempt to soothe your nerves. With bulging bladders, we all had a good laugh about whether or not we were permitted to use the restroom.

My name was called again and I was escorted to the CT machine where I met a fine young man from Louisiana who asked me to lay down on the imaging bed. He shared details with me about his life while he attempted to set my IV, but failed twice. He moved to the other side and made a third attempt in my right arm. At the time the birth control I had discontinued made me anemic. I heard a woman’s voice enter the room and say, “Her body is too cold.” She requested heated blankets and wrapped my limbs with a soft tone in her voice. Finally, she returned to my left side and was able to set the IV properly.

I was informed via loud speaker that I would be moved in and out of the machine twice, once with the saline flush and once with the iodine. I was asked to take a deep breath in and hold it. He explained the iodine would cause a warm sensation in my sacred center that mimics the feeling of peeing on yourself. He assured me I had not.

Afterwards he released me into the hallways where I promptly proceeded to experience a profound state of confusion. I ended up walking directly into the employee section of the emergency department. When I walked in, they were all surprised to see me – a young woman in civilian clothes who had no business being there. I apologized and explained I was lost. They advised that typically I wouldn’t be allowed to exit the hospital this way, but they would make an exception.

Finally, I made my way outside and realized I was on the opposite side of the building, as far as humanly possible from my vehicle. I took a deep sigh and began walking, overwhelm and weakness in full force. I finally reached my car where I took five minutes to collect myself before driving, or so I thought. On my way home I experienced a rush of tears and anxiety, longing for nothing more than my loving Wife and my own bed. I experienced side effects from the iodine in the coming days, and soon resented the fact that I have always been medically sensitive.

One month later Ms. Cameron called me with my CT results. She explained I have kidney stones and ovarian cysts, an additional symptom of endometriosis. The imaging also showed degeneration of my spine in conjunction with the L5/S1 disc herniation and spinal stenosis (a narrowing of the spine). She recommended I see an endometriosis specialist for next steps and offered an alternate form of birth control. Fed up with synthetic hormones, I politely declined. I spoke with my Wife about the plan moving forward, and explained I needed a break from medical appointments for a while. She, in her unfailing love and support, agreed.

On May 20th I saw my pain management physician again where he recommended increasing my Cymbalta. I lasted three weeks before a full-blown panic attack, insomnia, loss of balance, shaky limbs, weight loss, skin reactions, and symptoms of bipolar mania surfaced. I started weening off very slowly as Cymbalta is notorious for a hardcore withdrawal syndrome. I am down to my last two pills, and I am keeping my fingers crossed that warm cranial sensations, agitation, severe nausea, and flashes in my field of vision do not return once I run out completely.

One June 17th I followed up with my pain management doctor with the news where he discontinued my Cymbalta and increased my Gabapentin since my body seems to tolerate it well. He explained the next step is a Lumbar/Hypogastric Plexus Nerve Block. He elaborated I would be put under anesthesia and I agreed, explaining that I have done everything I can to be medically compliant and this is no different.

During the procedure, an anesthetic is injected directly into the nerve root near the lower spine. The medication spiders into the pelvic region and blocks the sympathetic nerve system to help relieve pain associated with the colon, bladder, lower intestines, uterus, and ovaries. He believes this will be beneficial to me because those are the organ systems often impacted by endometriosis. He stated he has seen success stories that result in such significant improvement that some of his patients never return.

One of my biggest challenges has been nerve compression which makes it difficult for me sit, stand, drive or walk. These activities require all of my energy and even some I don’t have, resulting in extreme chronic pain and fatigue. At the height of it, I have experienced episodes of paralysis. I spend all of my down time in bed even when my self-care routine is on point. Even though my Wife’s love is unrelenting, I know she craves the active partner I once was.

The concept is that numbing my body from the waist down will restore my ability to operate from a functionality stand point until my exploratory surgery can be scheduled. If they locate scar tissue as a result of internal bleeding, a third surgery will be scheduled. My hope is that at the very least a nerve block will allow me to tolerate exercise again so I can rebuild those muscle groups. Understandably, my quality of life is suffering greatly, and the recovery time for each of these procedures is getting longer and more intense. I will go under on July 7th at 11am, one day after my son’s tenth birthday.

Each time I endure one of these invasive appointments it triggers my PTSD and takes me back to that deep dark place of being a caregiver at the age of 22. I witnessed someone I love experience everything from biopsies to transplants, even suicidal depression, in the face of a traumatic health scare that was only days away from fatal. This went on for two whole years.

Likewise, I often struggle with the notion that I am failing as a mother. The limitations associated with chronic pain and mental illness requires a delicate balancing act, one that obligates you to carve out time for self-care. This can lead to falsely rooted guilt, especially on days when I can’t get out of bed. The emotional side of me knows I am missing out on important milestones and quality time. The logical side of me knows I am instilling compassion in my son. I have chosen to raise him with raw and transparent communication, but still my paranoia roars and I ask myself, “At what cost?” Add to that the impact of the Covid generation and it’s all too easy to stir the worry pool. I am blessed that I have his father and my devoted Wife to pick up the slack. I shudder to think what I would do without them. However, if you do find yourself less fortunate, Delta Discovery Center offers 15 Trauma Therapy Techniques to Implement to Help You Heal From Trauma:

1. Get Closure

2. Recognize That There is Nothing Wrong With You

3. Link Positive and Negative Material

4. Reclaim Control

5. Get Counseling

6. Don’t Isolate

7. Take Care of Your Health

8. Try to Find Some Deeper Meaning in What Happened to You

9. Learn the True Meaning of Acceptance and Letting Go

10. Become Aware of Emotional Triggers and Learn to Cope with Them Creatively

11. Learn the True Meaning of Acceptance and Letting Go

12. Connect with Nature

13. Clean Up Your Diet

14. Limit Your Media Exposure

15. Know That Your Feelings Are Valid

I have implemented all of these into my life, but there will always be hard days. Above all, number eight has resonated with me the most: Try to Find Some Deeper Meaning in What Happened to You.

Since this journey began, I have moved through the victim mindset into a more spiritual realm. I am made to feel content by the fact that I have found sanctuary within myself and while there will be missteps, I can use my story to help others. Making time for meditation and spiritual development has offered me a great deal of healing in tandem with my medical team, cannabis, and yoga. I never would have imagined that my health would take a nose dive at the age of twenty-eight, but here we are, and I know I’m not the only one.

Throughout my life I have sustained every form of trauma you can imagine. I was born six weeks premature with a heart murmur. I suffered underdeveloped lungs and health issues through out a lot of my childhood. I have experienced child abuse, partner abuse, sexual abuse, abandonment, self-injury, suicide, addiction, high risk pregnancy, clinical mental illness of which two in-patient hospitalizations resulted, eating disorders and physical ailments. With that comes equal parts post traumatic stress and post traumatic growth. The most important decision you will ever make will be the path you choose — because the obstacle is the path.

My perspective has shifted from irritable disenchantment with human life to the humbling compassionate understanding that our bodies are only vehicles for an ethereal and eternal soul. This allows me to compartmentalize my suffering and listen to my body.

I have fallen madly in love with nature and solitude, which invites a certain healing I can’t quite articulate. There is something enlightening about how near death experiences usher us into a flow state of surrender. Suddenly eyes and heart wide open; Still, we might easily miss it if we don’t pay attention. This sense of awakening or awareness is reinforced by the understanding that suffering is universal, and deeply designed to help us learn. Indeed, science demonstrates that spiritual practice has the power to physically change the structure of our neurological systems and DNA. Therefore, I spill all the unconditional love I can muster into all of my interactions with others. Every painful experience is an opportunity to advocate your needs, to learn receivership with grace, to love yourself and others more. I encourage you to choose love over fear.

>>>Discussion: What has your trauma taught you?

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!

Mental health, Relationships

Ugly Truth 58: The Teachings of Adversarial Love

“I’m coping with my trauma by trying to find different ways to heal it rather than hide it.”
-Clemantine Wamariya

Dear Readers,

Welcome back to the Deskraven Blog where we unearth the ugly truths of mental illness as it relates to life, love, and happiness.

In my spiritual quest to process and release the trauma that binds us all I began to learn about the lasting impact relationship injury can have on future intimacy, as well as the soul contracts we may not even realize we’re tangled up in. In general, insecurity is not a personality trait of mine, but recently I have been feeling more of it so it prompted me to look inward.

In examining my past relationships I realized they all hurt me in their own way, and I no doubt casted my own pain toward them. Indeed, no one escapes companionship unthwarted. While seeking out my relationship patterns I noticed they would invariably come to an end around the two year mark like some sick clockwork. Likewise, I found myself chasing the unobtainable, often seeking those who lacked a promising foundation, let alone mutual respect and reciprocity.

My current relationship offers a stark contrast to control dynamics and the threat of an invariable end, and yet I found myself soaking in a tearful uncertainty as if past transgressions were any indication of what the future may hold. A large part of therapeutic work involves accepting the good that is being offered to you without question, however, I find value in dismantling previously held beliefs that result from mistreatment. Am I deserving of love? Am I capable of sustaining another blow? Do I have unresolved hurt? The answer to all of these is a resounding yes.

True love is passionately engaging, but more importantly it is practical and mature. It never seeks to harm, create jealousy, or endorse possessiveness. Love remains the most written about subject in music, film, art, and other areas of the creative industry. Even the Bible offers a famous and promising passage: love is patient and kind; love does not envy or boast; it is not arrogant or rude. It does not insist on its own way; it is not irritable or resentful; it does not rejoice at wrongdoing, but rejoices with the truth.

Within my reflection I found a most reoccurring theme of fear that surfaced as a product of hate, manipulation, infidelity, trauma, and abuse. In the past I was consistently exposed to lying, cheating, stealing partners. Partners who tore me down. Partners who informed me of my inadequacy, my inability to communicate, and left me with the kind of manipulative circular reasoning that would make even the most sound mind question her sanity. Partners who indicated to me I would be nothing without them. Partners who physically restrained and abused me. Partners who resorted to name calling and weaponized my vulnerability. Partners who robbed me of my peace of mind, my sound sleep, and my financial stability. Partners who slit their wrists in front of me.

In the face of adversarial love I found that when I wasn’t being abandoned, I was being told on a regular basis that I was unreliable, insufficient, and incorrect – and maybe I was. I had a lot of work to do. In learning how relationships serve as a reflection of self, it became apparent that my self worth was greatly suffering. The truth is we accept the love we think we deserve, and we teach others how to treat us, indirectly or otherwise. Clearly, I needed to raise my bar in more ways than one.

Fortunately, my first liberation in mindfulness work was learning that being less controlling in how we love allows the experience itself to take precedence over the fear of it passing. In a world where autonomy has only recently become desirable, the most radical thing we can learn is the fact that true reassurance lies in the space we provide our loved ones to choose us everyday, not in the ugly jealous strides we make to exert our possession over them.

My mind can rationalize the hurt I’ve endured, and the way it contributes to my behavior. I have had to rebuild and relearn my own definitions of healthy relationship dynamics as they relate to trust, intimacy, and devotion. I have had to tap into those areas of my life that exist apart from my partner, and begin to nurture them in order to be a more loving and less wounded human. The heart and body are different creatures, however. They keep score – and if you’re not careful to grieve properly – the wound will spread to other major organs. Healing from relationship trauma begins with setting hard fast boundaries that allow you to insulate yourself long enough to do the work. Take ownership of your well-being with the understanding that no one can do it for you. Remember you are safe and capable of creating lasting change in your life. Remember the ability to discern between the idea of something, the memory of it, and the reality of it.

Sadly, many people would rather be abused than be alone. I think it’s safe to say we have all fallen for the idea or concept someone is offering us, even if the reality of it is littered with red flags. Likewise, human memory is inherently faulty. You must consider the possibility that the way you remember things, especially traumatic things, isn’t the way it went. We tend to remember how we felt during an experience rather than the experience itself. I would be the first to admit I have turned to others to validate my memories for me, and it has been very helpful.

Ultimately, you should never go into any kind of relationship that asks you to compromise fundamental parts of yourself, or your ability to communicate them effectively. While no relationship is perfect, your heart will never seek to change or fix the right partner. While some work is required in every union, there should also be equal parts natural flow – that space that allows you to rest in the love and peace you’ve created for one another – free from doubt, stress, and drama.

Finally, the spiritual perspective teaches us about the potential for soul mates and twin flames. The idea is that they are sent by our higher self for our own soul’s growth and development. There is a lot to unpack here, but that is another Blog for another day. For now, ponder all that you have learned from those who have hurt you the most. It may feel impossible, but seek out the value of your suffering. Our perpetrators have the potential to be our greatest teachers.

True love is a victory march, not a sprint or a competition. Do not let your past overcome your successes, or cause a great dividing disservice to your current life. It is important to honor your grief, even your regret, but don’t allow it to take up residence with what you value now. Don’t allow the actions (or inactions) of others to invent dissatisfaction or breed contempt in your relationship. Whenever I catch myself slipping, all I have to do is look at her – and remember the way she casts the very light I could never manifest for myself on my most ambitious days. Oozing with gratitude never fails me.

Discuss: How has your past impacted your current relationship? What is your communication like with your partner? What lessons have you learned from those who have betrayed you?

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!

Mental health

Ugly Truth 56: Navigating Spiritual Trauma

“Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone.”
― Fred Rogers

Good Morning Dear Readers,

Have you ever had a rage dream you were so sure was real? Last night I dreamt of many combative arguments with various friends and family members that involved me insisting they remove themselves from my immediate surrounding. Filled with overwhelming anger and four letter words, I recognized their hurt and betrayal regarding memories of my own that have taken place in real life, and confronted it head on from a position of strength rather than victimization. In my heartfelt conviction I felt vulnerable but strong. Upon waking I was pouring sweat and my heart was pounding with the residual anger. Still, I found solace in the fact that my nightmare remained largely advantageous as it afforded me the opportunity to examine the boundaries my mind implied to better serve me. It was clear to me that despite the intense level of emotion I was experiencing, I was validating my suffering and laying the groundwork to disallow that harmful energy to harness my better self. The more I dig into soul development and trauma work, the more I realize that despite the progress I have achieved there is so much more to unpack. That being said, I have been known to get in my own way as my peace keeping nature drives me to avoid conflict. While mostly favorable, this has no doubt extended my grieving process over the years. I have found that each time I seek to start the conversation and find resolution, it quickly becomes too painful and I pull back. The truth is there are some things I am not yet ready to unravel, and that’s okay.

In a Podcast entitled “Raw Spirituality,” hosted by Alyssa Malehorn and her partner Zack Fuentes, I have gained a plethora of knowledge about the spiritual realm from a New Age perspective. In many instances I disagree with their findings as I frequently find holes in their logic, but for the most part their insight has been very healing and third eye opening. In episode 16 they discuss Soul Fragmentation & Reunification. It is the concept that by acknowledging the traumatic events we endure, we notice that we leave pieces of our soul behind with each negative encounter leading to a fragmented sense of self. The solution then is to recall that energy back to yourself in order to heal and reunify the soul. This creates the space needed to process, grieve, and release our anguish leading to a more reliable integration. It doesn’t take a believer to see how this type of philosophy has a lot to offer us all. If nothing else, it teaches us to sit with and tolerate our grief rather than avoid it. In general, those who face trauma work head on are typically more successful at processing in the long run compared to those who consistently victimize, deny, or distract themselves from it. I know this from personal experience. These spiritual teachings support the idea that self responsibility and psychological barbwire are not synonymous, however, if you find yourself coming up against fear or resistance during this phase, you may require additional support such as that of a therapist to move forward.

Psychologists have long explored the role of dream states as they relate to processing trauma since nightmares remain a hallmark symptom of Post-Traumatic Stress Disorder (PTSD). Our mind utilizes dream states to relive and process trauma whether we’re ready for it or not. Understandably, this can lead to a multitude of consequences related to emotional distress and disordered sleep. In an article entitled “How to Manage Trauma-Related Nightmares,” The Psychology Group offers up some additional solutions:

Typically, the first step is addressing the cause of the nightmares (in this case, PTSD).

There are evidence-based treatments for trauma or PTSD that are known to be very effective in reducing symptoms. An individual evaluation would be important to address if medication is necessary and to rule out any health risks.

If trauma-related nightmares persist, here are specific evidence-based treatments to address them:

  • Imagery Rehearsal Therapy (IRT) and
  • Exposure, rescripting, and relaxation therapy (ERRT).

These treatments share some basic aspects like visual imagery (visualizing a scene or activity in your mind) and nightmare rescripting.

Here is an example of how visual imagery and nightmare rescripting work:

  • Think about a nightmare that comes up frequently

(Where are you? What is happening? Who is present?)

  • What are you feeling? (during the nightmare and when you wake up)
  • How would you like to feel instead?
  • How would the story need to change to feel this way?

It’s hard to convey the nuances in this technique. A trained therapist can help you further by teaching you the specific strategies to rescript the nightmares properly (to address the last two points).

Although individual treatment is very powerful in managing trauma-based nightmares, there are skills that you can try yourself. Such as grounding, and relaxation or breathing exercises.

Grounding techniques are helpful to distract or temporarily get some distance from the distress caused by nightmares by focusing on the present moment.

First, be sure to completely wake up after having a nightmare. The idea is to help you get oriented in the here and now and to re-establish your sense of safety before you go back to sleep.

Tip: it is useful to have a nightlight or a lamp near your bedside to aid you in getting oriented in the present moment

After waking up, begin this grounding technique.

It’s all about your senses. Focus on:

  • 5 things you can see
  • 4 things you can feel
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste

If you need a little more help, you can follow a grounding technique with a simple breathing exercise.

Over the years, self control and grounding techniques (sometimes with a medicinal assist) have been the most beneficial to me. Likewise, I completely avoid horror movies and dark themes of spirituality to see to it that my mind has less invention to leap from. At the peak of my suffering my nightmares would trigger panic attacks, insomnia, and vodka consumption at 9am before I learned how to better manage them. As dreaming remains an unconscious activity, it is paramount to ground yourself in the present moment as described above and stay calm. This is often easier said than done, however, with practice it will become easier to pluck yourself from a frightening dream state and place yourself back in the physical world long enough to process the heart of the trauma. Over time, this will lead to a decrease in the intensity and frequency of your nightmares.

Discuss: What have your dreams taught you as it relates to trauma work?

See below for more Deskraven posts on the topic of PTSD and nightmares:

Ugly Truth 46: June is PTSD Awareness Month!

Ugly Truth 36: Insomnia & Nightmare Exacerbate Depression

Ugly Truth 21: The Hidden Symptoms of PTSD

17 Ways to Cope With PTSD Nightmares

PTSD: How to Cope With Body Memories

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!

Mental health

Ugly Truth 53: I Took a Mental Health Day This Week

“Sometimes the people around you won’t understand your journey. They don’t need to, it’s not for them.” – Joubert Botha

Good Morning Forum,

Welcome back to the Deskraven Blog, where I aim to lay bare 100 ugly truths about my mental health journey.

If you’ve read this far, then you know I live with Mixed Bipolar Disorder, PTSD, and Panic Disorder with Agoraphobia on a consistent basis. Of these, the Bipolar Disorder appears to be the most pervasive and problematic lately. Bipolar Disorder is a progressive life-long illness. That is, it never goes away and in fact, the longer you go without treatment – the worse your episodes become over time.

Episodes of Bipolar Mania and Depression have the potential to cause lasting damage to the learning and memory systems found in the brain. For some of us, Bipolar Disorder also has the potential to become the source of PTSD as a secondary diagnosis, as the episodic nature of Bipolar Disorder can provoke traumatizing psychological experiences and catastrophic social consequences. For me personally, PTSD stems from multiple traumatizing events related to mental illness, abuse, abandonment, suicide, and medical trauma.

The stress of Bipolar Disorder often triggers my underlying anxiety into full blown Panic Disorder, a mental health condition characterized by reoccurring panic attacks. A Panic Attack is a surge of intense fear with severe physical symptoms resulting from perceived danger in the absence of an actual threat, and the fear of their imminent return. It is not uncommon to feel as though you are having a heart attack or dying, often resulting in a visit to the ER. The fear perpetuates the physical response, and the physical response feeds into the fear. I am fortunate to say I haven’t had a significant panic attack in sometime, although last week I could feel those old familiar pains bubbling underneath.

Paired with my deeply introverted nature, it suddenly became blatantly obvious how these things are connected, and why I feel no need to leave the house due to a general fear of people, the inability to escape, and/or wide open spaces that leave me susceptible to harm or humiliation, better known as Agoraphobia.

I could see the crash coming, but there was little I could do to stop it. I could see myself soaring high above my normal energy and productivity levels in the weeks prior. I found myself sleeping and eating less, talking, reading, and writing with frenetic energy, boasting long term goals in the grand scheme of things, and just generally acting outside my character. I was in a Mixed episode.

If you’ve ever been in a Mixed episode yourself, then you know how quickly euphoria can turn to dangerous agitation, motivation to listlessness, and paranoia to psychosis. In the worst case scenario, you may ultimately be faced with suicidal ideation while you try to exist in a psychological space that shares symptoms of both Mania and Depression simultaneously. Most people associate Bipolar Disorder with swinging between the two mood states, but the truth is everyone with this disorder is different, and patterns of mood and behavior tend to be more cyclic than previously thought.

In the aftermath of a Mixed Episode, it is not unusual for people with Bipolar Disorder to describe the sensation of a Depression crash. That is, the emotional fallout that takes place after an episode of Mixed Bipolar or Bipolar Mania. Indeed, what goes up must come down. You may see changes in you or your loved ones. This can last days or weeks, and generally consists of feelings of disconnection, stress, worthlessness, complete exhaustion, and changes in behavior or routines as you come to grips with what you may have just experienced. Suddenly, you may find yourself rooted back in a reality that doesn’t seem to glow as bright. Perhaps you’re even pushing through denial to understand that your mind works differently.

As I continued to soar, I knew the landing would be anything but gentle. Being that I am currently unmedicated, I had no choice but to ride the wave, and pray my insight would keep me as grounded as possible.

By the second week I found myself unable to breathe or sleep effectively, and was toppling into relentless crying spells. All I wanted to do was eat and sleep. I was juggling mental health symptoms, chronic pain, work, school, motherhood, cold-like symptoms in the era of Covid, and had started my menstrual cycle (which is uniquely debilitating for me, but that’s a story for another day.) I felt increasingly overwhelmed by the demands of what it means to function, and soon the day came where I couldn’t get out of bed at all. With the support of my incredible girlfriend, I called into work and took a mental health day. Once the feelings of guilt and insecurity passed, I was instantly humbled by the notion that sometimes mental illness demands self-care take precedence over earthly obligation.

That evening, my sweet girl returned to me and poured into me the healing of good company, validation, and heartfelt conversation. She was so lovingly reassuring, always seeking to provide whatever it is I need, and the blessing was not lost on me. The next day, I began the task of pulling myself out of the clinical Depression that followed. Through it all, the most important thing to me will always be my family, and the due diligence I feel to spare them pain, treat them well, and lift them up – especially when I am drowning. One of my greatest challenges throughout my mental health treatment has been asking for help when I need it. Don’t let it be yours.

If you don’t make your mental health a priority – it has the potential to do it for you. You may feel deeply concerned about the repercussions of taking a mental health day. However, if you don’t listen to the limitations of your mind and body, you may find there is no ambition, family, or hobby to return to. In some cases, the risk may outweigh the benefit of pushing through.

My day of rest allowed me to relax and regroup, although it would be a few more days before I was able to fully regain my footing and move forward. I am slowly beginning to return to myself after the fallout, and putting things in place to return to my psychiatrist just as soon as I am able. Despite my uncertainty, the world went on spinning, and my job was there waiting for me the next day. The truth is, we must make time for our wellness free from shame and stigma, primarily when the consequences of not doing so become so much greater.

Discuss: Have you ever taken a mental health day? Did it help or hurt your circumstances? Did you receive support? Share what you learned in the comments below!

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!

Mental health, Parenting, Relationships

Ugly Truth 50: 4 Ways to Forgive an Abusive Parent

“I also believe that parents, if they love you, will hold you up safely, above their swirling waters, and sometimes that means you’ll never know what they endured, and you may treat them unkindly, in a way you otherwise wouldn’t.”
― Mitch Albom, For One More Day

Dear Readers,

I wrote about my parents in a previous post titled, Ugly Truth 45: Life Will Break You. In it, I unveil all of the heartfelt hurt and truth we share, and how I learned to move forward. I used to think parenting was simple. As I grew into my motherhood, however, I learned nothing is more complex than parenting and family dynamics. In general, most of us need to feel we’re loved, we’re accepted as we are, and our parents are proud of us to grow into resilient productive beings. We generalize our own sense of self worth as a result of the treatment we’re given. Furthermore, we are asked simultaneously to discover just who we are apart from that.

In my first year of college I learned about “tabula rasa,” better known as the “Blank Slate Theory” brought forth by an English philosopher named John Locke who expanded on an idea suggested by Aristotle in the fourth century B.C.. Essentially, this theory suggests all children are born as white boards and their parents hold the markers. That is, we are shaped by our environment. While the Blank Slate Theory is half true, I take issue with the fact that it fails to take our autonomy into account. Certainly we are all born with predispositions and temperaments, regardless of our environment. Surly we inherit personality traits, our quickness to anger, and shared interests genetically. Therefore, the answer to the Nature versus Nurture debate is yes. With that being said, it stands to reason why some people cope better as adults while others fall into addiction. Likewise, it explains why some believe abuse and suicide are acceptable while others would never behave in such a manner.

As children, we hope to emulate our caregivers. In adolescence, we’re more likely to judge them when faced with the fact that our belief system may be different from theirs. As adults, we seek to understand and are quicker to offer up compassion, primarily when faced with our own independence and the humbling experience of our own parenthood.

How then does that translate when abuse takes place? Is there something to be gained other than mistrust and resentment by hearing them out? What happens when the confrontation fails to yield accountability or even acknowledgement on their part? Apology remains the most promising way to rebuild a damaged relationship, but more often than not that doesn’t happen. While immensely helpful, the truth is we don’t need an apology to heal because sincere forgiveness remains an equally powerful alternative.

Maya Khamala at Goal Cast offers 4 solutions on how to forgive your abusers when they’re not sorry.

1.) Accept and acknowledge all the reason’s you’re angry – Make peace with what happened, how you feel, and their response to your confrontation should you choose to go that route.

2.) Write a letter – Get it down in writing. You may decide to share it or keep it to yourself.

3.) Get Physical – Exercise helps us better manage emotional distress.

4.) Seek Therapy – Every person on planet earth can benefit from some well spun therapy, especially during experiences that bring trauma to the surface. Don’t be afraid to seek extra support.

If you or someone you love is in a dangerous situation, please see below to contact the National Domestic Violence Hotline, available 24/7.

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!