Mental health

Ugly Truth 46: June is PTSD Awareness Month!

“The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma.”

-Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence – From Domestic Abuse to Political Terror


The Facts:

*PTSD is not just Veterans of War
*Rape Victims Have a 49% Chance of Developing PTSD
*7-8% of the U.S. Population Will Have PTSD at Some Point
*Women are Twice as Likely to Develop PTSD
*Symptoms can Take Months or Years to Develop

*Individuals with PTSD are 2-4 Times More Likely to Develop a Substance Use Disorder
*78% of Those with a Diagnosis Experience Depression in Their Lifetime
*People who Suffer From PTSD are More Likely to Commit Suicide
*1/3 of Veterans with a Traumatic Brain Injury (TBI) Also Meet Criteria for PTSD

Post-traumatic stress disorder (PTSD) can develop after a very stressful, frightening or distressing event, or after a prolonged traumatic experience.

Events That Can Lead to PTSD Include:

*serious accidents *physical or sexual assault

*abuse, including childhood or domestic abuse *exposure to traumatic events at work, including remote exposure

*serious health problems, such as being admitted to intensive care *childbirth experiences, such as losing a baby

*war and conflict *medical trauma

*civil unrest *pandemics

PTSD develops in about 1 in 3 people who experience severe trauma. It’s not fully understood why some people develop the condition while others do not. While treatment is available, some symptoms may never diminish.

Symptoms Include:

physical pain

nightmares or flashbacks

depression or anxiety

withdrawl or avoidance

repression

emotional numbing

insomnia

hyperarousal

irritability

guilt or shame

Discuss: Does PTSD impact your life in some way? Share your experience 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

Ugly Truth 36: Insomnia & Nightmares Exacerbate Depression

Dear Readers,

Depression and insomnia are the strongest risk factors for frequent nightmares. Likewise, research shows nightmares and insomnia exacerbate more dangerous forms of depression, including suicidal ideation, among women specifically.

Bipolar patients report bizarre dreams with death and injury themes before their shift to mania. It was found that dreams of bipolar depressed patients have more anxiety than those of unipolar patients. Dreams of bipolar patients, particularly those with rapid cycling, may show evidence of the subsequent shift prior to noticeable affective and behavioral changes.

Having flashbacks to traumatic events, also called re-experiencing, is a hallmark symptom of post-traumatic stress disorder. For roughly half of PTSD patients, those flashbacks occur at night while sleeping, often referred to as “replicative nightmares.” Others may dream more indirectly or symbolically.

I have been formally diagnosed with Post-Traumatic Stress Disorder (PTSD),  Bipolar Disorder (mixed type), and a couple of anxiety disorders. So which one is it? I don’t know anymore – but I’m tired, and you’re not alone. ❤

**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 34: Psychosis Sucks

“Imagine a world where your thoughts are not your own.” -Daniel, Schizoaffective Patient, 2019

Have you ever experienced psychosis? You are not alone. Approximately 100,000 adolescents and young adults in the US experience first episode psychosis each year. 

Psychosis is the experience of false beliefs and/or sensory experiences – including hallucinations involving sight, sound, smell or touch, and delusions – such as visions of grandeur or severe paranoia as it relates to mental illness. Delusions may be jealous, grandiose, persecutory, somatic or erotomanic. Hallucinations may sometimes be contextualized by one’s delusions, or altogether incongruent.

Some early warning signs of psychosis include:

Consistently worrying about grades or job performance

Struggling to concentrate or think clearly

Having unwarranted suspiciousness of others

Failure to keep up with personal hygiene

Withdrawing from friends and family

Experiencing strong, inappropriate feelings or no feelings at all

I experienced by first bout with psychosis in childhood. Throughout all my diagnoses, paranoia has always been very pervasive, and while I have put the work in to adjust this about myself, my conviction that others will almost always hurt me presented as hallucinations from a very early age.

It first began with insects, then shadow people, even dead people, screaming and full blown delusions – sometimes called thought hallucinations. On Halloween of 2014, I experienced my first ever break with reality. For the first time in my life I could not distinguish between what was real and what wasn’t. The evening was unremarkable, however, I believe the knocking of trick or treaters may have triggered me this night. (It is worth noting that during this time my PTSD was at it’s peak, I was not sleeping, and I had experienced small episodes of hallucinations in the days prior. I also have Bipolar Disorder and Panic Disorder, so it stands to reason that psychosis would present itself under the circumstances of extreme sleep deprivation, stress, and spiraling fear.) I was home alone, stood to walk toward the bathroom, sat down to pee, and upon standing was suddenly overcome by an impending sense of doom. In an instant I became paralyzed, unable to traverse the threshold between my bathroom and the dining room. I suddenly became convinced someone was in my home, hiding in the above attic, waiting for the opportunity to pounce on me and instigate my demise. Still frozen with fear, I flung into a panic turning off all the lights and locking all the doors. I locked myself in my bedroom and opened the nearest window, removing the screen to ensure my escape should this attic person come bursting through my door. Perhaps the best decision I made was calling for help while I had fleeting thoughts of where the firearms were kept.

This experience was by far one of my most troubling and profound. For many, the initial response is shame and embarrassment, perhaps even a suicidal impulse. However, I am grateful because this situation was the final push I needed to walk into a psychiatrist’s office where I was properly diagnosed and treated for the first time. The truth is, you’re not alone and it’s not your fault.

Psychosis may result from Bipolar Disorder, Schizophrenia, Depression, PTSD and/or an acute onset of trauma, sleep deprivation or stress. If you or a loved one is showing signs of psychosis, seek medical attention immediately.

For more of my thoughts and coping skills regarding psychosis read Trauma Confession Series: When Trauma Work Wakes Other Sleeping Monsters

**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 028: Restorative Sleep is Essential

“Sleep, those little slices of death — how I loathe them.” 
― Edgar Allan Poe

Dear Readers,

Greetings from the Deskraven blog, where your mental health finds a voice! Today we are going to explore the power of truly restorative sleep because last night I went to bed an hour earlier, and I feel like a new woman. I believe discussing this is worth while since sleep hygiene has everything to do with our over all health, and very little to do with our daily planning as a cultural whole. When we deprioritize sleep, it often trickles down into every area of our life in general, and exacerbates mental illness specifically.

As a fellow insomniac, I feel that beginning with an exploration of my lack of sleep is a great place to start. Insomnia is characterized by the inability to stay asleep, fall asleep, or both. This may be linked to diet, mental health, illness or chronic pain. This may be genetic, circumstantial or environmental. I personally have suffered from an inability to fall asleep and stay asleep, however the inability to stay asleep proves more problematic. Over the years I have found that even if I only manage to gather 4-5 hours of sleep per night, I can function in an acceptable manner if these hours are consecutive. Interestingly, a full 9 hours of sleep is completely useless to me if I wake up 500 times over the course of that time frame, often leaving me even more exhausted and frustrated than before. In order to achieve better sleep, we must first identify what is keeping us up at night.

My inability to properly slumber began in childhood. I was raised in a very stressful environment chock full of abuse, domestic violence, and abandonment. While there are moments of fleeting joy in my memory, my insufficient childhood most certainly contributes to my troubles with sleep as an adult. I was frequently woke to the sound of yelling, breaking glass, loud music or the sight of my mother with bags at her hip urging us out the door before anyone would notice. This lead to a chronic sense of instability and a complete lack of safety, and therefore less sleep. I was told by my second step-father that it was not unusual for me to talk in my sleep. In my lifetime I can recall one incidence of sleepwalking that resulted in me waking up at the bottom of a staircase. How the fall didn’t wake me I will never know. I am grateful to say that this has never happened to me as as an adult. My father is a natural night owl, so it seems at least some part of my restlessness may be genetic.

As the years went by, I was exposed to a number of traumatic events ranging from sexual abuse to medical trauma that resulted in a diagnosis of Post-Traumatic Stress Disorder around the age of 24. This illness greatly reduces one’s quality of life, and is certainly not without consequence in terms of quality rest. I found myself juggling the flashbacks, hyper-vigilance, and nightmares of PTSD, the racing thoughts, pressured speech, and flight of ideas of Bipolar Disorder, and the draining Panic Attacks of Panic Disorder. Add to that a pair of chronic pain conditions and the joys of entering into motherhood myself. Indeed, this is a fine recipe for little to no real actual sleep.

In the beginning I would often self-medicate with alcohol or over the counter sleep supplements such as Unisom. After being diagnosed with a slew of mental health concerns, my psychiatrist found it pertinent to find a way to get me to sleep above all else. By the time I arrived in his office I was getting so little sleep that is was criminal – and it was keeping me sick with paranoia and in the unruly planning stages of deceitful psychosis. Naturally, he prescribed a sleep aid and off I went to dreamland. Still, there is much to be said for the difference between sedation and true natural restoration, not to mention the side effects. A person with mental illness requires more sleep than the average bear because the mind and body are under constant duress. Stress paired with sleep deprivation is a nasty devil which brings sleep to the very top of my self-care list. So, what are the benefits of sleep?

VeryWellHealth writes,

In the past, sleep was often ignored by doctors and surrounded by myths. Now, though, we are beginning to understand the importance of sleep to overall health and well-being. We’ve learned, for example, that when people get less than 6 to 7 hours of sleep each night, they are at a greater risk of developing diseases.

All the more reason to get some sleep, right? Here are 10 reasons why you should call it an early night.

1.) Sleep Keeps Your Heart Healthy

2.) Sleep May Help Prevent Cancer

3.) Sleep Reduces Stress

4.) Sleep Reduces Inflammation

5.) Sleep Makes You More Alert

6.) Sleep Improves Your Memory

7.) Sleep May Help You Lose Weight

8.) Napping Makes You Smarter

9.) Sleep May Reduce Your Risk of Depression

10.) Sleep Helps the Body Repair Itself

The value of sleep really can not be understated here. As you can see, many of the things on the list above are involved in maintaining a sense of balance to our mental health. Our bodies and minds heal while we sleep, making us less susceptible to illness, mood instability, anxiety or psychosis. Sleep improves cognitive functioning helping us to maintain our wit and humor through out the day. Sleep allows our mind to file our knowledge properly ushering us into greater information retention and planning, not to exclude coping skills and overall physical health.

Over the years I have learned to train myself to keep calm and quiet (even while waking from the gasping tugs of a nightmare) long enough to fall asleep. This way, even if I do not lose consciousness in a timely manner, I am still resting my body. I utilize bubble baths, essential oils, and sleep masks to block out the tiniest of light sources. I try to keep a routine, but I’m not very good at it. I avoid eating before bed, but I’m not very good at that either. I try to yoga more often, but chronic pain has a habit of getting in the way.

The truth is, there are countless reasons to stay awake: meal planning, friends, family, studying, cleaning, children, pets, crisis intervention, intimacy and trying to leave enough time to leisure into our favorite TV show are all just a few things that can knock us out of our sleep patterns. As someone attempting to manage my health in a more holistic way, I can say for certain that quality sleep is the single most important and powerful tool against what ails me.

Maybe it’s time to ask yourself, are you really accomplishing more by staying awake? What helps you get to sleep?

**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 021: The Hidden Symptoms of PTSD

“PTSD is a whole-body tragedy, an integral human event of enormous proportions with massive repercussions.” –Susan Pease Banitt Dear Readers, I was diagnosed with PTSD, Post-Traumatic Stress Disorder, in 2014. While it explained so much, it also left me with more questions than answers. The consequences of traumatic experiences on the mind are visceral and despite common misconception, not isolated to Veterans of war. When I began to dig my heels into real trauma work, I learned just how relative and complex this disorder can be as no two people experience it the same way. Some people are survivors of one major traumatic life event, while others have many. I fall into the latter category, making the recovery process that much more challenging. Much of this disorder includes managing symptoms by understanding their roots and the dynamics of intense fear. The media has done a great service to this population by highlighting things like agitation and mood swings in major motion pictures; however, there is more to unearth about this disorder. Below you will find the less well known symptoms of PTSD in the spirit of offering additional support and resources to those in need. Depersonalization ➡️ Emotional, physical or cognitive detachment from one’s surroundings or sense of self. Feelings or unreality. Nightmares ➡️ Intense graphic dreams of horror with reoccurring themes of traumatic events, feelings of helplessness, harm or entrapment. Avoidance ➡️ Avoiding people, places or things that remind the person of traumatic events often including crowds, particular sights, sounds or smells. Hypervigilance ➡️ Heightened reaction and intolerance toward light, sound, verbal conflict or physical touch. Inappropriate Guilt ➡️ Feelings of worthlessness or regret surrounding the circumstances of one’s trauma, often including convictions that the situation could have been handled differently. Flashbacks ➡️ Sensations of time travel, hallucination and confusion including loss of the present moment and physical, emotional and/or auditory sensory experiences related to past traumatic events. Migraines ➡️ Trauma-related headaches including tension, chronic pain and nausea. Treatment Options Cognitive Behavioral Therapy: CBT focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems. Eye-Movement Desensitization and Reprocessing (EMDR): Eye movement desensitization and reprocessing is a form of psychotherapy in which the person being treated is asked to recall distressing images while generating one type of bilateral sensory input, such as side-to-side eye movements or hand tapping. If you or someone you love is struggling with Post-Traumatic Stress Disorder, please know you are not alone and help is available. PTSD Help Guide: Symptoms, Treatment and Self-Help for PTSD **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!