Understanding PTSD by Gender: Guest blog by Dale Vernor

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(image: Kennington Osteopaths)

Post traumatic Stress Disorder, better known as PTSD can occur in a person who has experienced or been a witness to an event that is traumatic enough to affect their lives in a negative way. Witnessing a death, a serious accident, war, abuse, being a victim of a crime, natural disasters and childhood trauma can all be causes of PTSD. Many people only associate PTSD with war and veterans, but the truth is an estimated 3.5 percent of the US population suffers from PTSD.

Research has shown that there are differences in the brain when it comes to how men and women process and deal with PTSD. Science is admittedly behind on truly understanding the gender differences when it comes to PTSD and how it is expressed, but there have been some findings.

Men and women respond to stress differently. Men are more likely to respond with a fight-or-flight response in a stressful situation and women are more likely to use a more calming response known as tend-and-befriend.

This is an emotion-focused coping mechanism. It should be noted that there is so little data that stereotypes should not be formed, however, there is enough data to support differences in the genders.

PTSD in Men

Men are more likely to have PTSD due to combat trauma, trauma from natural disasters and disasters caused by human force, some sort of violence and accidents. Based on studies and research men actually suffer more traumatic life events than women on average, however, only 5-6% of men will experience lifetime PTSD. Lifetime PTSD is less prevalent in men than in women. Double the rate of women will experience lifetime PTSD at 10-12%.

PTSD in Women

Women are at a substantially higher risk for PTSD than men. Biology and psychology play a part in why those differences exist. Women are more likely to experience what is considered “high-impact trauma” at a younger age than men.

Women are more likely to experience sexual abuse, domestic violence and sexual assault that leads to their PTSD. It is sexual trauma that puts women at a higher risk for PTSD than men.

Women who suffer from PTSD will also tend to do so longer in comparison to men; on average 4 years to 1. When it comes to seeking help for PTSD women are more likely to seek support for their illness amongst a group. They tend to look for social support.

Symptoms of PTSD Same in Men and Women

The women and men who have this condition often express similar symptoms. Men may display their symptoms in a more aggressive expression where women have shown to retreat internally and avoid the outside world.

Some of the symptoms of someone suffering from PTSD are:

Re-experiencing nightmares, having flashbacks and frightening thoughts that appear real, avoiding people, places and things that may remind a person of the trauma and avoiding feelings and thoughts to cope with the trauma, signs of heighten anger and anxiety expressed physiologically, being hyper-vigilant against threats, difficulty sleeping, experiencing an onslaught of negative feelings, thoughts and judgments, unreasonable blaming of yourself, excessive guilt and a negative perception of yourself in the world, and disinterest in regular every-day activities.

PTSD and Substance Abuse

According to the U.S. National Library of medicine 50-66 % of people who have PTSD simultaneously suffer from addiction. What begins as a means to cope with the symptoms of PTSD, which are distressing, usually turns into a full-blown addiction.

Substances like drugs and alcohol can decrease anxiety in the moment, escape the pain , distract from negative emotions and increase pleasure in the short term. The coping mechanism of substance abuse affects both women and men. There are dual diagnosis treatment centers for people who are suffering from PTSD and substance abuse.

Post traumatic stress disorder, wherever you live in the world and whatever gender you are, can be hard to cope with. Please seek support if you need it and know you are not alone.

This post was written by Dale, a freelance writer specialising in mental health, based in the USA.  He can be found on Twitter https://twitter.com/DaleVernor

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5 Tips for a Mental Health Emergency Plan: Guest blog by Emily Bartels

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(image: http://crmhfoundation.org/self-care/)

 

When it comes to emergency plans, usually we think in a more physical sense, but did you know that mental health emergency plans are important?

Mental health emergencies can be quite stressful, and if you’re in a mental health industry or have any personal concerns about your own health, providing the right help is important.  Here, we will outline important tips to help you create a mental health emergency plan that will suffice.

 

Have a Support system

If you tend to get overwhelmed when an emergency happens, a big way to help reduce the trauma from it is to have a support system. Whoever you are and whereever you work, your own personal triggers and issues are still there. If you’re having issues coping, find a support system- a friend, family member or therapist that can help.

You may want to come up with a plan to help your  responses to situations, especially when disaster strikes. If you do have anxiety and depression, do make sure that you have people that can help around you or reach out for help from a doctor or therapist.

 

Prepare For Emotional Reactions

Another big thing that emergency evacuation plan Melbourne  (in Australia) does point out, is you need to make sure that you have the right idea of what might happen.  You should know when you have chaotic reactions, and what you struggle with when disaster strikes.

Focus on what will help, what might happen when you do suffer from an incident, and make sure to communicate it to others.

Processing information is quite hard in a stressful situation, such as fear, anxiety, depression, or even a panic attack, and you should make sure that, with the group of people you trust or the medical profession, you do speak about what happens. It’s also important to make sure that you properly communicate to others.  While panic attacks and sad emotions do happen, you should know that you probably will be upset about whatever will transpire. But that its OK to feel this way.

 

Be Prepared to communicate

A large part of a mental health plan is to make sure that you communicate your needs. If you need to, make sure that you explain any mental health needs, such as medication you might need, in an emergency, with loved ones.  Its vital to your wellbeing  even when stressful to communicate. Letting others know can help them and you prepare for the worst and take action if needed. You aren’t alone.

 

Keep Contact information on hand

Pharmacies can help you get emergency medication, but making sure that you have the contact information for your provider, any diagnoses, and dosages of medication are important.  Make sure to let some people in your support system know, and also keep those phone numbers on hand in case if the emergency lines are overloaded.

 

Create a Recovery Bag

If you have extra medications, a comfort item, and anything that you can use to help in the case of an emergency or crisis, put it in a small emergency kit, which you can use if you need to attend hospital or appointments.  Remember, emergency kits aren’t just for physical health aspects, but also for mental health.  You need to make sure you’re prepared both physically and mentally for any issues that might transpire so that you’re not suffering.

Mental health during an emergency often isn’t focused on as much as say other aspects of your health. Depression, anxiety, and even suicidal thoughts don’t always go away, and you need to be prepared for that, and reach out for help so you can recover well.

Creating a plan to try and prevent or reduce this from happening with your medical team will help if a mental health emergency comes about. From there, you can get the help that you need in order to stabilise yourself, look after yourself and recover again.

 

This blog was written by Emily Bartels, freelance writer with an interest in mental health and wellbeing.

Hope with Eating Disorders (2nd Edition): Book by Lynn Crilly

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Writer of Hope with Eating Disorders : A Self Help Guide is Lynn Crilly, a trained counsellor and also a carer to her daughter who developed Anorexia and OCD at aged 13.

Conventional treatment didn’t help her daughter and so Lynn did all she could to learn about eating disorders and mental illness, in order to help her daughter recover. She trained in NLP techniques and became a counsellor, slowly assisting her daughter back to health.

Lynn has said,

‘I  have experienced and learnt first-hand how hard it is to support a loved-one through to recovery from Anorexia Nervosa and OCD, and the effect living with mental illness can have on not only the sufferer but everyone involved, particularly the rest of the family.

I was keen to go on to give others the benefit and support of my knowledge and experience both personally and as a counsellor. Over the years I have had the privilege of working with some wonderful people and their families, each and every one unique, whilst I have been able to support them through their journeys. I too have learnt from them.’

I found the book very easy to read and incredibly informative. The first edition of Hope with Eating Disorders was published in 2012. Since that time, awareness of eating disorders have grown. Lynns website says about the book,

In this second edition, which maintains Lynn Crilly’s warm, non-judgemental, family-friendly approach, the more recently recognised eating disorders have been included, the range of treatment options – both mainstream and alternative – has been fully reviewed and revised, and the impact of social and technological change has been fully accommodated, with the role of social media for good and ill to the fore. New case histories highlight key issues, and throughout all references to research and stats have been reviewed and updated. Men’s eating disorders are now addressed by contributing author Dr Russell Delderfield. Since originally writing Hope with Eating Disorders, Lynn has experienced seven years of counselling practice and seven years of her own daughter’s recovery from an eating disorder and Obsessive Compulsive Disorder, underpinning her realistic insight into what recovery actually is and means.

Hope with Eating Disorders is a practical, supportive guide for anyone helping someone with an eating disorder be they a family member, teacher, sports coach, workplace colleague or friend.

You can find out more about Lynn and buy a copy of her book at www.lynncrilly.com/my-books

 

Beginning the Conversation: On my Mums Depression- Guest post by Sarah for Time to Talk Day

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Note : Please read with care- Trigger warning (suicidal thoughts)

When a topic of conversation hits the mainstream, it becomes easier to understand and it spawns more conversations. It snowballs.

Right now, we’re living in a time when society is more open than ever about mental health. Issues are not swept under the rug (as much as they used to be, at least), and life-changing conversations are being had. For me, these conversations on Time To Talk day tend to be amongst friends. It feels…easier, to be open with them.

But what about having a discussion with your parents? What is it like to talk about mental health with a mother or father who has struggled, or currently is struggling with their mental health?

It’s tough. I will tell you that now. But it is important.

I know this because my mum has had depression for 12 years. The best way that I can describe her depression, whilst remembering that every experience is unique, is that it is like a cloud. Some days it can be lighter, and almost brighter, though still casting some shade.

Other days it can be dark, foreboding, and cast its shadow over any and all. The darkest time for her, and for our family, was at the beginning of her depression. It was during that time that I nearly lost my mum at 14.

I could almost say that she actually was lost to our family, if only for a while. I lived with a woman who looked like her, and sounded like her. But her words and actions were foreign and strange to me. Her drive and her energy seemed to vanish overnight, and a woman sitting in the dark, who felt like she had nothing to give, took her place.

I remember going to school, walking past her open bedroom door and saying goodbye to her as she lay in bed. At that time, when I asked her if she would be getting up that day, the only response I heard was:

 

“No.”

 

Those conversations were short. They definitely weren’t sweet.

She struggled. I struggled. My brother struggled. My dad struggled. We were desperate for her to get better, and feared that she’d never make it out of the dark. Eventually, with help though, she did. But, while she is now in a better place, there are still highs and lows.

Because I was so young at the time, I never really spoke to my mum about her illness. Life carried on for me, and a new status quo emerged. But over time, we began to talk.

They still weren’t nice conversations, but they were a start. My mum told me how she felt suicidal, as she lay there in bed. At the time, she said it so matter-of-factly that it sounded blasé to my teenage ears. This revelation stung, and I couldn’t understand a simple question. Why?

Why would she want to do this to me? Why would she want to leave her two children without a mother? Why would she want to leave behind a husband who loved, cared for and adored her? These questions swam in my head for years, and I was incredibly angry with her as I saw it as some form of maternal betrayal. I thought she was selfish.

As I’ve gotten older and talked to her even more about this, my views have changed. I realised that my response was selfish. She explained to me that her depression made her feel so worthless, and so useless, that she would in fact be doing us all a favour by leaving our lives.

I’ve also realised that I’m incredibly lucky, because a lot of parents sadly succumb to this insidious disease. This needs to change.

That’s why I’m writing about this today.

That’s why I still talk to my mum about how she’s feeling. That’s why my brother calls me and lets me know when she’s feeling low, which is a common occurrence in winter for a lot of people with depression. As I live far from home, he reminds me that a quick conversation to ask about her day, tell her about mine, and maybe even make her laugh makes all the difference.

If you are, or have been in my situation, I urge you to talk to your mum or dad. I urge you to talk to your friends and family, because it can be a huge burden to carry alone. It’s like I said, when more people talk about something, it becomes easier to understand. When we understand the problem, we can start to treat it.

If you’d like to find out more about having these conversations, you can do so by visiting the Time To Talk website. They have a range of materials that can help you take that first step, and start talking.

This article was written by Sarah, a mental health writer for Time to Talk Day 2019. You can find her at : 

http://pandorashealth.co.uk/

https://twitter.com/PandoraHealth

www.instagram.com/pandorashealth/

Song of the Day: How I learnt to manage my Depression: Guest post by Mallory Gothelf for Time to Talk Day

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(image: BrainyQuote)

Hi, I’m Mallory and today I am sharing my story for Time to Talk Day .

From the ages of 15 to 17 I didn’t speak very often, and when I did, my voice came out stifled. With the onset of a depressive episode, one of the first things to go is my ability to speak. I find it difficult to form sentences, and utterly draining to have to speak out loud. Even writing becomes increasingly more difficult. My illness robs me of words, the tool I most often turn to when attempting to write and claim my story. I’m quick to shut down when I feel the rumbling of inner turmoil.

It makes it awfully difficult to communicate with me; friends and family often feel left on the outskirts, unsure of what to say or do. And even with improved coping mechanisms, and countless therapy sessions under my belt, I find that even a whiff of depression causes a knee-jerk reaction to shut the blinds, so nobody can see through me.

When I was in my first diagnosed year of depression, my brother started sending me a “song of the day”. He would email me a link to a YouTube video, with a song he hoped would tap into my inner workings. He believed that even muted by hopelessness and despair, there was one language that would break down my emotional barriers: music.

Each day I looked forward to the songs he would send, always carefully selected to reflect my struggle. We had created an emotional connection through lyrics and the kick of a bass.

Music has always been something that speaks to me on a level that feels deeper than some of my peers. I’m one of those people who wants you to be quiet when I’m showing you a new song, so as to fully appreciate its beauty. I’m one of those people who can feel goosebumps prick the surface of their skin, when the perfect note is sung. And I’m most certainly one of those people who can be propelled out of bed with a beat that you can actually feel in your veins. Music has always made sense to me, and I loved how my brother was able to tap into that piece of my identity, and speak to me when I didn’t have any words of my own to offer.

Fast forward to the present day, and I still find myself trapped in the thick brick walls that I have painstakingly built around myself. Knocking down walls that thick requires effort, and even if I want to let a person in, I can barely push the walls open wide enough for them to slip in. It has put a strain on many friendships, but one in particular really struggled from a lack of open communication. We came to what felt like a dead end in our discussion to improve communication. And that’s when I looked back and found a detour that would lead straight into my heart and mind. Music.

Most people have songs that spark an emotional reaction within. For me, music is strongly intertwined with memory and emotional energy. If I could pick one song each day to send to my friend, perhaps it would shed some light on my state of being. If she sent one back, maybe I would better understand where her mind was in that moment. It was a way to have intimate communication when words were difficult to find. I texted her my idea, hoping this would be enough to show her I was committed to growing, without having to emerge from my fortress too quickly.

We have sent each other songs back and forth, learning about one another from every track selected and played. We ask each other questions about what the song means to us in general, or at that specific point in time. We talk about how it may be the beat or the lyrics that drive that particular song home for us. We discuss topics we wouldn’t breath otherwise. It’s an invitation that says, “Hey, I want you to come closer. I want you to hear me and know me”. And there aren’t any rules. You can send multiple songs if that better captures your day. It’s an open process that lacks structure, empowering us to communicate freely, with love and understanding.

My walls still remain intact, but their structure is starting to weaken a bit. Some days I’ll still add more bricks, and others days I’ll knock a whole bunch loose. When robbed of my ability to use words, I lose all sense of connection to the world around me. Music throws a line of connection my way, and it’s helping me find healthy communication in my every day. If you ever meet me someday, I’d love to exchange songs, so we can really get to know one another.

Mallory told us: ‘I have had a diagnosis of Major Depressive Disorder, and Generalized Anxiety Disorder for 9 years. I was given both diagnoses at the age of 15. I have also more recently been given tentative diagnoses of disordered eating and OCD tendencies. I currently take medication for my anxiety, but no longer take antidepressants after years of painful side effects. I currently engage in therapy once a week, and follow a treatment plan that focuses on nutrition, exercise, meditation, DBT skills, and creative coping. I also want to acknowledge that I do not see anything wrong with medication, and it absolutely has a wonderful place in treating mental illness.’

Mallory Gothelf is a mental health advocate in recovery, a blogger at  https://www.theinfiniteproject-mallorysfight.com/ . 

She can be found online @mallorysfight

 

4 Helpful Treatment Options for those who suffer from PTSD- Guest post by Rachelle Wilber

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Post-traumatic stress disorder (PTSD) is a serious mental health condition that affects people who’ve experienced major trauma events. Common among military service members who’ve fought in combat zones, PTSD can also affect people who’ve lived through other terrifying episodes that have resulted in physical and/or mental harm. If you believe that you suffer from PTSD, you can work with a therapist and try any of these four different treatment methods to overcome the condition.

Cognitive Behavioural Therapy (CBT)

This type of therapy works to alter thought patterns that often cause people to relive the traumatic events in their minds. As Mayo Clinic states, the goal of cognitive behavioural therapy is to make you more aware of negative or inaccurate thoughts so that you can adopt a healthier perspective of challenging situations and respond in a better way. Undergoing this therapy may also help prevent relapses that could jeopardise your mental health.

Exposure Therapy

Your therapist may also try exposing you to things that trigger traumatic thoughts as a way to alleviate them. This is done in a safe way, and your mental health care provider will be there to help you process your thoughts and feelings and give you tools to overcome your anguish. You may be shown pictures, see writings or even revisit a place where the traumatic episode occurred. Gradually, these negative thoughts should lose their power and cause you less mental grief the more that you’re exposed to them.

Eye Movement Desensitizing and Reprocessing (EMDR)

Also known as EMDR therapy, this treatment method involves recalling distressing thoughts while a therapist’s fingers move in front of your face. You’ll be asked to follow these finger movements with your eyes while discussing your feelings, however, you generally won’t be required to talk about your thoughts in great detail.

Some therapists use foot or hand tapping or musical notes instead of finger movements in front of the face. This more active approach to therapy is intended to minimise the effects of bad thoughts.

Medication

Medication is sometimes prescribed by mental health professionals to work in conjunction with other types of therapy. Prozac, Zoloft and similar antidepressant medications are formulated to boost serotonin levels in the brain to alleviate negative thoughts and emotions. Your doctor may also prescribe Depakote to stabilize your moods. Prazosin often works well in stopping nightmares.

You don’t have to continue letting PTSD dominate a large part of your life. Seeking professional help and undergoing any of these therapies will likely give you positive results.

 

This article was written by freelance writer Rachelle Wilber from San Diego, California

Overcoming Adversity: Guest Post by Charlotte Underwood

Inspirational Quotes To Give You Strength 7 Daring Quotes To Give You Strength For Overcoming Adversity

(image: http://incrediblesayings.com/21-inspirational-quotes-about-strength-with-images/inspirational-quotes-to-give-you-strength-7-daring-quotes-to-give-you-strength-for-overcoming-adversity/)

It was googling the official term of ‘adversity’, it’s one of those words that I know exactly what it means, but it is hard to put into words. The Oxford dictionary defined adversity as “a difficult or unpleasant situation.”. It made me think, that is exactly how people see me when I talk about my life with mental illness. Because living with any mental health disorder is seen as ‘difficult’ or ‘unpleasant’ by those who maybe do not understand and who are afraid.

I have certainly been treated differently due to the way I am affected by my anxiety and depression. I was bullied for being introverted, judged for being worried and insulted for things that were deemed ‘lazy’. I was being defined by an illness that I did not understand fully myself, but one thing I have learned today, is that I have never and should never be defined by my mental illness.

I still have to battle adversity in my day to day life, when I explain that I cannot work because I am still dealing with trauma from my previous job. I deal with the adversity that comes with being a person who attempted suicide and who also lost her dad to suicide. I have to constantly challenge the adverse responses that come when I talk about my mental health to a doctor, to a professional and most of all, to the world.

I am an open book today, you can google me and find so many different stories about my mental health. I try not to hide the way that I feel inside because I know that I am only human. For the most part, I am met with support and my heart even flutters each time someone tells me that my openness has helped them; because that kind of thing is priceless.

However, I get a fair amount of hate from people who have never met me, or who just haven’t taken the time to understand me. I am still being forced into this box where I am seen as this monster, or this ‘snowflake’ (one of the more horrendous terms used to attack people with mental health recently).

I have days where I want to delete my Twitter account, remove my blog and change my name, on the worse days I even consider leaving my own country so that I can go completely off-grid. Unfortunately for the people who feed the stigma and adversity, the trolls of today’s world, there is a bigger part of me that feels almost inspired by the judgement I get.

Because each time a person judges my mental health, I am given a reason to fight.

Overcoming adversity is not easy, and it is so hard to break free from the labels that attach to living with a mental health condition. I may always be anxious and depressed but that isn’t a problem, it doesn’t make me a problem. It’s overcoming the responses to said conditions and fighting the stigma, because the stigma is where the problem lies.

I am no idol on how to challenge stigma and adversity, but I do try my best. All I have learned is that people will judge you, no matter what you do. But what the way you decide to judge and define yourself is what will limit the amount of negative stigma that exists around your lifestyle.

The only advice I can really give, if you want to overcome adversity, is to find the confidence to raise your voice, share your opinions, but always, always, be kind and considerate. If you decide to keep your feelings to the confines of your diary or your loved ones, that is okay because you are making positive changes in your home. If you share it with your community or around the world, that’s ok too because one more voice only adds to the group of people who are fighting for your same belief; there is power in unity.

I know that the one thing that has helped me the most, and has kept me fighting for my right to be treated with the dignity and respect that every person deserves, is the support I get from my own online community.

Adversity has one weakness, and that is unity.

 

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Charlotte Underwood is a mental health advocate and freelance writer, blogging at  https://charlotteunderwoodauthor.com 

You can find Charlotte on Twitter too @CUnderwoodUK !