Second book!

I have just turned in my second book to my publisher titled: Wisdom, Attachment and Love in Trauma Therapy: Beyond Evidence-Based Practice. It is a book written for therapists who work with people with trauma and PTSD. It blends attachment theory, neuroscience, transference analysis, trauma theory, Eastern wisdom practices and supervision wisdom with case examples to provide a comprehensive guide for how to be a great therapist, not just what to do. Look for it in 2018!

Blessings,

Susan Pease Banitt, LCSW

The Trauma Tool Kit Wins Awards!

I am happy to announce that in the last month, my book The Trauma Tool Kit: Healing PTSD From the Inside Out has won both the 2013 Silver Nautilus Book Award and the Alumni Award for Written Work from Simmons College School of Social Work. Remember, you can read this book for free if you order it to your local library. Over 112 libraries around the world carry The Trauma Tool Kit!

The Power of Persistence (or What you Resist, Persists)

I don’t know how to say this to you any other way so I’m just going to say it:  There is no easy way to heal from psychological trauma.

There is no pill, no elixir, no magic wand, no therapist, no book, no workshop, no yoga class, no blogger that will give you a quick fix from your suffering.  I’m sorry; I truly am.

If you want to heal from PTSD you are going to have to work very hard for a long time. You are going to have to spend money (probably a lot of money relative to your income) to get help to overcome what you feel should have never happened to you. And then you will have to work some more.

In my book I compare the journey of healing PTSD to the journey that Frodo takes in The Lord of the Rings trilogy to cast the evil, all powerful ring back into it’s source: a dangerous volcano hidden inside of an even more dangerous enemy territory governed by an all seeing magical evil sorcerer.  Frodo has two choices.  He can either stay in his comfort zone in the bucolic shire of his childhood and live in denial until his land is ultimately overrun with evil mutant elves and destroyed while the ring has corrupted him (or someone else) completely.  Or, he can man up and take the journey, one that is most perilous and with no guarantee of success and try to destroy the thing forever.

This is basically our choice as well. Is the journey so easy? If it were, everyone would make it.

Yes, I know it sucks.  But suck it up folks. That is the way it is.  I can only say this to you, not because I am cruel and heartless, but because this is a journey that I’ve taken.  I’ve done the dirt time, so to speak, in spades.

It is totally worth it.  The sooner you get over resistance to healing and begin, the better.  Healing PTSD takes a chunk of your life.  Not healing from PTSD takes your entire life (and possibly future lifetimes if you believe in that sort of thing).

Take a moment and review the pros and cons of healing:

Pros                                                                 Cons

Peace of mind                                                  Nightmares and flashbacks for the rest of your life, chronic anxiety

The ability to love and be loved                     Failed relationships; people who are afraid of you; persistent loneliness

Bodily health                                                  Heart disease, migraines, joint pain, digestive issues, auto immune diseases

Wisdom                                                           Ignorance, bitterness, confusion

Compassion for self and others                      Self-pity, entitlement, self-loathing, shame

Money well spent in healing                          Money ill spent in addictions, diversions and distractions

Well, you get the picture. 

So which will it be?  Healing PTSD does have an endpoint.  It brings gifts beyond

compare but only if you finish the job.  You have no more time to lose. Put this at the top

of your New Year’s Resolutions and you will ring in a much brighter 2014.

Blessings on your journey of healing!

Endurance is the most difficult of all the disciplines but it is to the one who endures that

the final victory comes. ~ Buddha

Help! My Partner Has PTSD: Seven Strategies for Coping as a Couple

If you are partnered with someone who is struggling with PTSD or you both have PTSD, you know your life together is challenged in some very profound ways. Fights can be explosive, resulting in fireworks or endless stony silences. Misunderstandings can abound. The non-PTSD partner may start to develop secondary or vicarious trauma just being exposed to the intense PTSD in their loved one. Life can start to feel very unpredictable, like threading one’s way through a minefield. It can be easy to start walking on eggshells or conversely getting fed up and moving away from each other. Love and connection are harder to feel. PTSD challenges couples like nothing else. Waiting it out doesn’t work and neither do threats or force. What to do?

1) Educate yourself. PTSD is a whole body process that affects every aspect of the human being. It has predictable stages (see my book, The Trauma Tool Kit) and effects on the person and the partnership. You would educate yourself if your partner had a major medical illness, right? This is no different. Forewarned is forearmed, as the saying goes.

2) Set some clear boundaries around behavior in the relationship. Just because someone is suffering does not give them the right to be abusive. The anger/fear response is hardwired and amped up in full-blown PTSD. Often people with PTSD dissociate when they are angry and don’t even realize what they are doing. Sit down with your partner, ahead of time, and set rules for what is tolerable and allowed in the relationship and what is not. These can change over time depending on where each of you and your life circumstance. For instance, shouting might be OK if it is just the two of you, but if you have a child in the next room, shouting can become off-limits behavior. Violence or abusive behavior is never to be tolerated under any circumstances.

3) Learn to take time-outs, or, as we call them around here, amygdala resets. Your amygdala is the part of your brain that is the crisis response center. When it goes on red alert it highjacks the brain to deal with threats, whether real or perceived. With the amygdala in the red zone, people are very close to being out of control or they are out of control. Taking 20 minutes, the average reset time, to reboot the brain for both parties, will lend itself to a more peaceful and safe outcome. Either partner should be able to call time-out at any time. Be sure to make it a time out not an end to the discussion. Always come back together to resolve the issue at hand. If it is just too explosive get into couple’s therapy. Which reminds me…

4) Get into couple’s therapy! More research is showing that couple’s treatment can be very helpful in coping with PTSD. Individual therapy is great, but couple’s issues are complex and require their own special interventions. Not all therapists like to do or can do couples’ work well. Look for someone with previous education and training or with a degree in family work, who also is knowledgeable about trauma. Even a few sessions can make a tremendous difference. If you are worried about money (and who isn’t these days) know that there are many organizations that provide these services for low and no cost. If you are a veteran or married to one, you may be even more eligible. If money is still on your mind, remind yourself of how expensive divorces are, as long as you both shall live.

5) Study triggers together. Big rages and emotional swings are almost always brought on by triggers to PTSD. A trigger can be anything at all. I worked with a couple whose partner was an Iraq war veteran. He became severely triggered one afternoon by three events happening in close succession: he saw someone in the parking lot of the restaurant with camouflage clothing; he got a freeze headache, and he got closed in when more people joined his table. The clothing and feeling of being trapped are obvious triggers, the freeze headaches not so much. But it turned out he’d had a number of them in the desert, and it had become a trigger. The more triggers you figure out together, in the calm times, the easier it becomes to avoid setting the PTSD partner off, or resolving it more quickly if you do. This is an empowering step that often brings couples closer together. In this case, the couple avoided, what would have been in the past an angry meltdown on his part. His partner then could respond with concern and compassion.

6) Make healing PTSD a joint task in your relationship. Strategize together. Discuss medical options. Open up lines of trust and communication. Often a spouse or partner is the only person to tell one’s story to with complete safety and trust. Don’t avoid the issues just because your partner wants to. Avoidance is part of the disease of PTSD. Don’t collude with it.

7) Join together in mental and physical fitness. Develop couple’s routines around calming down the mind and body on a daily basis. This could be through prayer, meditation, tai chi, yoga, or long walks. The evidence is pouring in daily about the beneficial effects of calming techniques on PTSD. You will both be better for it!

The Semantics of Rape

Here is the definition of rape from the New Oxford American Dictionary:

Noun: the crime, typically committed by a man, of forcing another person to have sexual intercourse with him without their consent and against their will, esp. by the threat or use of violence against them: he denied two charges of attempted rape | he had committed at least two rapes.

Verb: (if a man) to force another person to have sexual intercourse with him without their consent and against their will, esp. by the threat or use of violence against them: the woman was raped at knifepoint.

Notice how that word “force” is used in both definitions of the word rape? Paul Ryan and those who wrote legislation with him apparently didn’t and somehow felt that they needed to redundantly modify rape with the word “forcible”. This is both insensitive and stupid.

Have you heard how water is powerfully wet? Or that mud is dirty? How about fatal murder or hot arson? You get my point. Aside from being poor English, this kind of language seeks to diminish women’s (and men’s) experience that rape is a form of violence that causes intense suffering over a long period of time. It suggests that there is a kindler, gentler rape that is somehow not forcible, perhaps even enjoyable as one Texan Republican gubernatorial nominee recently suggested.

By using the inflammatory words “legitimate rape” Republican nominee Todd Akin and others suggested to the American public that there is a form of rape that is OK. This is a powerful form of double speak, a sophisticated hypnotic suggestion to the audience that both suggests that rapes could maybe be OK in some circumstances while holding women responsible for proving the severity of rape to begin with and making them doubt themselves with the ridiculous suggestion that if they become pregnant it wasn’t a “real” rape.

In reality, rape is a terrible thing to come to terms with. The mind naturally wants to deny that it even happened. As I say in The Trauma Tool Kit: “the mind swerves away from trauma like a car careening around a deep, dark puddle…avoidance is nobody’s fault but is the very nature of trauma itself.”

Either through deep cynicism or ignorance those who minimize rape (for some reason they are mostly male Republican candidates for office) are siding with the part of the brain that does not want to acknowledge the severity of this trauma. They want to keep the public in denial. Some want to legitimize their own or others’ bad behavior.

This is extreme dysfunction, folks. In order to heal society we need to call out every type of trauma for healing and expose it to the healthy light of day, not shove it back in the closet where it festers and stinks up the place. Every victim needs to be acknowledged and given access to healing. Every perpetrator needs to be brought to justice. If our candidates cannot speak truth and bring healing, then they do not deserve to hold a microphone, much less hold office.

TTK GIVEAWAY

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Goodreads Book Giveaway

The Trauma Tool Kit

by Susan Pease Banitt

Giveaway ends September 30, 2012.

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Book Trailer for The Trauma Tool Kit Is Up!

The Trauma Tool Kit Has Arrived! *GIVEAWAY*

Hi all,

I'm happy to tell you that The Trauma Toolkit: Healing PTSD From the Inside Out is now in bookstores across the United States and is shipping from online booksellers. I had the privilege of finally holding my own copy this week. In celebration I am giving away three copies to the first three readers who link to this blog and comment below. Please be sure to send me your address privately if you see your name in the first three comments! Here's to healing from traumatic stress! Blessings, Sue