Question: Do you think there are any patterns or triggers to
how your illness affects you?
YES … and there’s so much!
You know those “before and after” pictures make-over people
get? If you want to think of my PTSD diagnosis and subsequent therapy as a bit
of a mental health make-over, you’ll understand why I am going to bifurcate my
answer into two, easy-to-swallow, dissolvable, before and after gel caps for
ease of consumption.
BEFORE I ventured into the realm of truth telling in
therapy, I assumed any kind of stress, including but not limited to being touched,
loud noises, bright lights, and startling movements triggered my schizophrenia.
With the smallest worry, I would launch into a black whirlpool of
hallucinations of “People” trying to rape me, who told me lies, poisoned my
food, and tried to trick me into killing myself. I couldn’t keep a schedule or
routine because I couldn’t predict what might trigger me or toss me into a
paranoia so profound I couldn’t leave the house. (This still happens, but less
now.) The People kept me up at night until I would collapse completely after
about 3 days of no sleep. My eyes would sometimes involuntarily roll back into
my head and I would pass out into sleep for 4 hours, only to get up and do it
again for another 3 days. Unfortunately, I had no accompanying mania. (Unfortunate,
because there was no productive output, although I’ve heard mania can be pretty
hellish, too.) I was the victim of complete a-volition. Agitated inertia and
distress followed. Oh yeah, and don’t forget my total loss of touch with
reality. It wasn’t until I spoke to an excellent group of folks online that I
began to suspect my sense of being invaded and made powerless had something to
do with trauma.
AFTER I recognized stressors related to trauma, I realized what
could set off an already schizophrenic mind into a tailspin. Anything that surprises
me and which I can’t prepare myself for triggers me – and no wonder! – into
dissociation. I’ll have to retreat to home or a ‘safe place’ to clear my head.
That is one pattern, and possibly the most common one.
Unwelcome touch, people sitting too close to me, and long
periods of time in public, are all triggers. If I have to hold The People in
for too long, I feel like I am going to explode and have to escape the scene.
I’m learning now about people in my past who were manipulative,
which also triggers me so subtly I don’t always see it right away. This push-me-pull-you,
passive aggressive waltz some people like to do is crazy making for me in the
end. In therapy, I am also learning how to pay attention to my body. My stomach
and bowels are the organs most affected by stress (except, of course, my
brain). I’ve also noticed I react quite strongly to scenes of
violence/rape/unfairness in movies, television, and even books. Either I cry
endlessly over it, or I assimilate the characters into my delusions and try
over and over to save them. This limits the amount of fun I can have, too: I
miss out on all those science fiction mind-fucker movies I love.
Patterns I recognize are that I am not usually able to
follow through with plans or finish projects. And I am extremely codependent; I
always assume the things that go wrong are my fault somehow. But I see
boundaries now, and am learning to set them. With therapy I am learning the
compassion embedded in the word NO.