Posts Tagged ‘ mental health ’

It Hurts So Bad I Can’t Feel It

I’m going to talk a little bit about dissociation today, or more importantly I’m going to talk about dissociation when it gets out of control and becomes a problem in everyday life. I say this because we all dissociate, everyday, all the time and it’s important to remeber that it’s not always a problem.

What is dissociation?

In psychology, dissociation is any of a wide array of experiences from mild detachment from immediate surroundings to more severe detachment from physical and emotional experience. The major characteristic of all dissociative phenomena involves a detachment from reality, rather than a loss of reality as in psychosis.

At the milder end of things we have the everyday dissociation;

  • drifting off while reading or listening
  • feeling numb when dealing with difficult news
  • going through rote motions with no thought
  • creating sub-personalities (this is work Bob, this is party Bob and so on)

At the more extreme end of things then it can take on more distressing forms;

  • finding yourself in a strange place, unaware of how you got there
  • amnesia
  • depersonalisation – feeling like you aren’t in, or fully in your body and you are watching it act
  • derealisation – feeling like the world around you has changed, be it in appearance or in deeply held feeling
  • identity disturbance – this can vary from not being sure who you are or what your feelings are (usually because of a mix of the above) through to fragmenting into multiple alternate personalities.

Why does it become so extreme in some people?

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Falling into a Crisis

Mental health crises are an inevitable part of the course when you live with the after effects of trauma. PTSD (Post Traumatic Stress Disorder), or EPCACE (Enduring Personality Change After Catastrophic Experience) as they are now calling it is something that is an everyday part of my life. As with most things, some days it’s bad, some days it’s alright and some days it’s average.

Some days however, it gets bad and then it stays that way. Well, it actually gets worse. You see, I get exhausted from a lack of sleep, from being constantly on edge, and from fighting to stay in the present day rather than slipping into the scary past. When I’m exhausted I can’t manage those symptoms as well so they get worse and I in turn find them harder to manage. At that point I spiral beyond “bad” and into crisis.

I’m in the crisis spiral again right now. I know the drill, take whatever drugs you need to ensure you get some sleep and rest. Do whatever you can to isolate yourself from sources of stress. Once I’ve got the rest it’ll reduce the severity of the symptoms, and I’ll have the strength to manage the ones that remain. It’ll all be easier. Right now it doesn’t feel like it’ll ever be easy again of course, that’s the problem. I’m struggling to have faith that things will ever feel better, and for all I tell myself that’s part of the viscous cycle I can’t quite grasp that it is. This time, my mind keeps telling me, it’s different. This is the time you don’t get better, this is the time you get drowned by it all. Continue reading