Assessment

It’s Official – I Have PTSD

TRIGGER WARNING – THIS POST CONTAINS REFERENCES OF (CHILDHOOD) SEXUAL ABUSE, PLEASE BE ADVISED BEFORE READING ANY FURTHER.

Today was the day I was 90% dreading – my Post Traumatic Stress Disorder assessment (which I mentioned in my last post). It was done over the phone and let me tell you, waiting for my phone to ring this morning was tense and nauseating.

At last it rang, I answered in my normal tone but I knew that wouldn’t last. To start off with we went through the normal depression/anxiety sheet (it’s a PHQ-9* if anyone needs to know) to see what my scores were like again (they often do two initial ones to make sure the first meeting didn’t skew the results) – which wasn’t that bad, I’ve done it before but I usually get to write on the sheet – which is much less intimidating than telling someone how you score each section over the phone.

That being done, we had to move on to the actual PTSD assessment – which means answering a lot of questions about the trauma you experienced and the after affects of it.
This was a lot of yes and no answers but some things needed clarifying.
It. was. horrible.
I hate HATE talking about the abuse – it’s hard, even to say “yes” or “no”. There’s long pauses before I even say one of those words sometimes, nevermind elaborate if necessary.
Of course I could have stopped at any time, but it’s much harder to start again if I did that.

Anyway – that assessment over. It’s confirmed that I have PTSD.

I still feel numb about this, even though I’ve had over a week warning that I may get this result, this diagnosis – I feel numb. I don’t know how to feel about it.
I’ve been to several different counsellors and seen mental health teams – but it has never once been suggested I could have PTSD until now. It baffles me how this can be. I’m angry that it hasn’t been detecting before – it seems (though may not but it seems this way to me) to render all my hard work to overcome things one by one moot. Why? Because PTSD untreated will always leave you vulnerable to depression, anxiety, OCD, etc.
I feel absolutely deflated despite been told how incredibly well I’ve done to overcome a lot of the things I have.

After ending the call – my tone distinctly quieter, shaker and voice breaking. I hang up.

I’m shaking.

There’s a lump in my throat.

I want to cry so bad.

I want to scrub myself clean.

But wait, what did she say the next step was? I have to do this again. Go through this again. Because therapy is exposure based – facing my fears. Those places I’m avoiding going because they remind me of him, the abuse. The people I avoid because they look like him – they smell like him. All of these things. I feel sick just thinking about it.

I understand the logic – the method of retraining your brain, I’ve done it many times with anxiety and OCD to overcome them but this? This is … too much. My brain is screaming, it’s slamming on the brakes and I feel a million miles out of my comfort zone. I hate it already.

50% of my brain knows this is a positive step to take that will help. The other 50% is wondering what the hell these people think they’re doing, after I’ve avoided these things for so long just to keep what’s left of my own sanity – to avoid spiralling out of control again – start self harming again, feeling suicidal again. What is wrong with these people?! Don’t they know horrible it feels, how nauseating it is, how dirty, how distressing, how maddening, how every single part of your body and mind screams?! I want to shake these people and ask them if they’ve lost it.

I don’t know how I’m going to cope with this exposure therapy. Of course I know full well everything will be controlled and I’ll be baby stepped through everything – but right now it’s one of the biggest, scariest things I can imagine doing on a personal level.

The rest of the morning and some of the afternoon was full of flashbacks, I eventually stopped shaking but crying isn’t yet out of the question.

*Online version of the PHQ-9

Helpful PTSD Links:

 

– Vin

Mental Health Assessment: Before, During and After

I haven’t a clue where to start with this post, so bear with me – I’ll explain why later in the post.

If you read my last post, you’ll know I don’t work – because of anxiety/depression. Well, it may also interest you to know that I’m not sitting on my butt and doing nothing about it.

A few days ago, I had an assessment appointment to see my local mental health team.
But let’s start more from the beginning – I asked for this appointment, I asked to be referred by my GP/Doctor – that was a week or two ago.
It was Tuesday I got the call – they asked some questions which is pretty normal (I’ve been through this many times!) and then offered me an appointment for an assessment.
[Side Note – This isn’t as scary as it sounds – though it’s not easy either. However I feel the need to clarify here, because so many people have come to me – convinced an “assessment” is them trying to decide if your actually crazy or not. No, it’s not. I promise. They’re just trying to get more of an understanding about you and your issues so that they know what help to offer you for the best.]
So appointment offered for Wednesday… yes, the very next day. Que panic! On one hand I don’t have weeks to get worked up about it, but on the other hand… I’m soooooo not ready for this, not this quick!

By Tuesday evening, I’m pretty much stressing myself out – I’m not prepared and I’m starting to think of a reasonable excuse not to attend.

Fast Forward to Wednesday morning and I’m feeling sick, I can’t cope and I’ve decided I’m not going to this appointment.  However I figure, I need to tell them that this is happening to me – this anxiety, panic and stress – before I even go to an assessment.
I tell my mother – who knows I have an appointment for anxiety but knows nothing else about my “issues”. She yells at me. Which just sends me straight on that downward spiral. I’m useless. Why do I even bother? I’m just taking up perfectly good oxygen.

Enter “adopted” little sister – who really I should be taking care of. Who by this time is outside in her car, after convincing me to just throw some clothes on and maybe attempt going to this appointment.
By the time I slump myself in the passenger seat with my band hoodie on because it’s the comfiest thing I can possible wear; I’m crying.
She drives, I cry. She magically gets a sense of direction and I ramble on about how I’m feeling.

As you might have guessed, I got convinced to go to my appointment which was… okay. There’s no real other way of describing it. These things are never easy but they’re rarely as bad as you build them up to be in your mind.
The lady who sees me is lovely and although we start with work anxiety – after all that’s what I’m there to fix. However as we chat and delve a bit deeper; I answer all her questions as honestly as I can muster – even though it takes me awhile to say the words “sexual abuse” – we come to the conclusion that most of my mental issues do. It’s the childhood sexual abuse.
By this point she’s 70% sure I have Post Traumatic Stress Disorder.

And now? 2 days later?
I’m confused and to be honest pissed off, angry and upset.
It’s him again, my abuser… another thing he’s still messing up in my life. I know it’s not my fault, but it’s so god damn frustrating when 20 years later – after the abuse stopped – it’s all still affecting my life.
And PTSD? I’m utterly in shock and I mean in shock. Not just shocked, I’m in shock. This is the first time I’ve spoken… well written about this revelation properly. I just have no idea what to say, how to react. I never even imagined I could possible have this. What’s more why didn’t any of the professionals I’ve seen before pick up on this? Of course, it’s not 100% yet. I have to have another assessment for that (oh, joy).

Right now, I’m just exhausted. These assessments (and counselling) really takes it out of you. I’ve slept most of the past 3 days.  I have no idea what to do with myself. I just feel… numb.

Which is why even starting this post was difficult but at the same time, I felt it important to dispel the myth about mental health assessments and get it out there about what its like to go through this because being scared, upset, exhausted is all normal (and doesn’t last forever!).

As for the future… I’m not sure I have the energy to fight another battle. I’m just so damn tired of fighting.

 

-Vin