Complex PTSD: From Surviving to Thriving

Reparenting Affirmations I am so glad you were born. You are a good person. I love who you are and am doing my best to always be on your side. You can come to me whenever you’re feeling hurt or bad. You do not have to be perfect to get my love and protection. All of your feelings are okay with me. I am always glad to see you. It is okay for you to be angry and I won’t let you hurt yourself or others when you are. You can make mistakes - they are your teachers. You can know what you need and ask for help. You can have your own preferences and tastes. You are a delight to my eyes. You can choose your own values. You can pick your own friends, and you don’t have to like everyone. You can sometimes feel confused and ambivalent, and not know all the answers. I am very proud of you.

Perfectionism. My perfectionism arose as an attempt to gain safety and support in my dangerous family. Perfection is a self-persecutory myth. I do not have to be perfect to be safe or loved in the present. I am letting go of relationships that require perfection. I have a right to make mistakes. Mistakes

Perhaps there was no more detrimental consequence of our childhood abandonment than being forced to habitually hide our authentic selves. Many of us come out of childhood believing that what we have to say is as uninteresting to others as it was to our parents.

There is often a close relationship between emotion and physical sensation. Physical sensations in the body often co-occur with feelings. Moreover, sensations of tightness and tension can develop as a defense against feelings. As unexpressed feelings accumulate, a greater degree of muscular tension is necessary to keep them under wraps. A child who is repeatedly punished for emoting learns to be afraid of inner emotional experience and tightens [armors] the musculature of her body in an effort to hold feelings in and to banish them from awareness. Holding your breath is a further manifestation of armoring. It is an especially common way of keeping feelings at bay, as breathing naturally brings your awareness down to the level of feeling.

Unrelenting criticism, especially when it is ground in with parental rage and scorn, is so injurious that it changes the structure of the child’s brain. Repeated messages of disdain are internalized and adopted by the child, who eventually repeats them over and over to himself. Incessant repetitions result in the construction of thick neural pathways of self-hate and self-disgust. Over time a self-hate response attaches to more and more of the child’s thoughts, feelings and behaviors. Eventually, any inclination toward authentic or vulnerable self-expression activates internal neural networks of self-loathing. The child is forced to exist in a crippling state of self-attack, which eventually becomes the equivalent of full-fledged self-abandonment. The ability to support himself or take his own side in any way is decimated. With ongoing parental reinforcement, these neural pathways expand into a large complex network that becomes an Inner Critic that dominates mental activity. The inner critic’s negative perspective creates many programs of self-rejecting perfectionism. At the same time, it obsesses about danger and catastrophizes incessantly.

Origins Of Cptsd How do traumatically abused and/or abandoned children develop Cptsd? While the origin of Cptsd is most often associated with extended periods of physical and/or sexual abuse in childhood, my observations convince me that ongoing verbal and emotional abuse also causes it. Many dysfunctional parents react contemptuously to a baby or toddler’s plaintive call for connection and attachment. Contempt is extremely traumatizing to a child, and at best, extremely noxious to an adult. Contempt is a toxic cocktail of verbal and emotional abuse, a deadly amalgam of denigration, rage and disgust. Rage creates fear, and disgust creates shame in the child in a way that soon teaches her to refrain from crying out, from ever asking for attention. Before long, the child gives up on seeking any kind of help or connection at all. The child’s bid for bonding and acceptance is thwarted, and she is left to suffer in the frightened despair of abandonment. Particularly abusive parents deepen the abandonment trauma by linking corporal punishment with contempt. Slaveholders and prison guards typically use contempt and scorn to destroy their victims’ self-esteem. Slaves, prisoners, and children, who are made to feel worthless and powerless devolve into learned helplessness and can be controlled with far less energy and attention. Cult leaders also use contempt to shrink their followers into absolute submission after luring them in with brief phases of fake unconditional love.

HUMAN BILL OF RIGHTS [GUIDELINES FOR FAIRNESS AND INTIMACY] I have the right to be treated with respect. I have the right to say no. I have the right to make mistakes. I have the right to reject unsolicited advice or feedback. I have the right to negotiate for change. I have the right to change my mind or my plans. I have a right to change my circumstances or course of action. I have the right to have my own feelings, beliefs, opinions, preferences, etc. I have the right to protest sarcasm, destructive criticism, or unfair treatment. I have a right to feel angry and to express it non-abusively. I have a right to refuse to take responsibility for anyone else’s problems. I have a right to refuse to take responsibility for anyone’s bad behavior. I have a right to feel ambivalent and to occasionally be inconsistent. I have a right to play, waste time and not always be productive. I have a right to occasionally be childlike and immature. I have a right to complain about life’s unfairness and injustices. I have a right to occasionally be irrational in safe ways. I have a right to seek healthy and mutually supportive relationships. I have a right to ask friends for a modicum of help and emotional support. I have a right to complain and verbally ventilate in moderation. I have a right to grow, evolve and prosper.

The price of admission to a relationship with an extreme narcissist is self-annihilation. One of my clients quipped: “Narcissists don’t have relationships; they take prisoners.

If this is what you suffered, you then grew up feeling that no one likes you. No one ever listened to you or seemed to want you around. No one had empathy for you, showed you warmth, or invited closeness. No one cared about what you thought, felt, did, wanted or dreamed of. You learned early that, no matter how hurt, alienated, or terrified you were, turning to a parent would do nothing more than exacerbate your experience of rejection.

Skilled therapists and caregivers learn to discriminate between active and passive suicidal ideation, and do not panic and catastrophize when encountering the latter. Instead, the counselor invites the survivor to explore his suicidal thoughts and feelings knowing that in most cases, verbal ventilation of the flashback pain underneath it will deconstruct the suicidality.

Emotional neglect, alone, causes children to abandon themselves, and to give up on the formation of a self. They do so to preserve an illusion of connection with the parent and to protect themselves from the danger of losing that tenuous connection. This typically requires a great deal of self-abdication, e.g., the forfeiture of self-esteem, self-confidence, self-care, self-interest, and self-protection.

Many abandoned children enter adulthood feeling that the world is a dangerous place where they are ill-equipped to defend themselves

Here we will also see how verbal and emotional abuse alone can cause Cptsd, and how profound emotional abandonment is typically at the core of most Cptsd.

Self-mothering is a resolute refusal to indulge in self-hatred and self-abandonment. It proceeds from the realization that self-punishment is counterproductive. It is enhanced by the understanding that patience and self-encouragement are more effective than self-judgment and self-rejection in achieving recovery.

Bibliotherapy is a term that describes the very real process of being positively and therapeutically influenced by what you read. As stated earlier, when it is at its most powerful, bibliotherapy is also relationally healing. It can rescue you from the common Cptsd feeling of abject isolation and alienation.

When fear is the dominant emotion in a flashback the person feels extremely anxious, panicky or even suicidal.

As unsupported children, we have to dissociate because we are not able to effectively grieve.

The worst thing that can happen to a child is to be unwelcomed in his family of origin - to never feel included. Moreover, many survivors have little or no experience of any social arena that feels safe and welcoming.

When our emotional intelligence is restricted, we often do not know what we really want, and can consequently struggle mightily with even the smallest decisions.

I also like to apply “good enough” to other concepts such as a good enough job, a good enough try, a good enough outing, a good enough day or a good enough life. I apply this concept liberally to contradict the black-and-white, all-or none thinking of the critic which reflexively judges people and things as defective unless they are perfect.

Create vivid pictures of attainable futures that are safer, friendlier, and more prosperous. Cite

Feeling is the antithesis of pain…the more pain one feels, the less pain one suffers” – Arthur Janov

Dysfunctional emotional matching is seen in behaviors such as acting amused at destructive sarcasm, acting loving when someone is punishing, and acting forgiving when someone is repetitively hurtful. I

Those who are repetitively traumatized in childhood often learn to survive by over-using one or two of the 4F Reponses. Fixation in any one 4F response not only limits our ability to access all the others, but also severely impairs our ability to relax into an undefended state. Additionally, it strands us in a narrow, impoverished experience of life.

If an adult does not protest when a child is being attacked with destructive criticism, she is in an unspoken alliance with the critic. The child is forced to assume contempt is normal and acceptable. The witnessing adult has forsaken her/his tribal responsibility to protect the child from parents who perpetrate child abuse.

I was appalled at how much pressure my clients were getting to just forgive and forget. Consequently, many of them were diving right back into denial, and minimizing all the trauma that they had endured. Their recovery processes then, screeched to a halt as their inner critics denigrated them for being so unforgiving.

When we are chronically stressed out [stuck in sympathetic nervous system activation], detrimental somatic changes become ingrained in our bodies. Here are some of the most common examples of body-harming reactions to Cptsd stress: Hypervigilance Shallow and Incomplete Breathing Constant Adrenalization Armoring, i.e., Chronic muscle tightness Wear and tear from rushing and armoring Inability to be fully present, relaxed and grounded in our bodies Sleep problems from being over-activated Digestive disorders from a tightened digestive tract Physiological damage from excessive self-medication with alcohol, food or drugs

If however, a person is also afflicted by ongoing family abuse or profound emotional abandonment, the trauma will manifest as a particularly severe emotional flashback because he already has Cptsd. This is particularly true when his parent is also a bully.

I also hope this map will guide you to heal in a way that helps you become an unflinching source of kindness and self-compassion for yourself,

When inward tenderness Finds the secret hurt, Pain itself will crack the rock And, Ah! Let the soul emerge. — Rumi