My greatest struggle
I’ve never written a blog like this before because I’ve never
wanted this blog to be about me. But, I feel compelled to compose this now for
some reason. Maybe it’ll help me; maybe it’ll help someone else.
I suffer from Post Traumatic Stress Disorder.
I’ve had it for years. It affects me every single day. I’ve
been through therapy. I’ve read books and listened to lectures. Yes, I’ve
prayed about it. I pray about it nearly every single day, in fact, because I
live in a low-grade constant fear and anxious state.
PTSD is a debilitating anxiety disorder caused by an intense,
traumatic experience (or experiences). It actually re-wires the neural networks
in your brain, so that the brain becomes “hot-wired” to freak out. This is
called having “triggers.” It’s where your brain responds before your pre-frontal cortex (where your consciousness does its
work) can respond to the situation. You can feel the blood leave your head, a
panic attack, or gorgonizing anxiety and then think, “what happened?” Triggers
are automatic. They are intrusive, like someone who barges into your house uninvited.
They are awful. They can happen any second. (The most common anecdote I’ve
heard is the war veteran who hears a car horn or fireworks and falls to the
ground immediately, dodging imaginary bullets.)
And it’s important to
understand, having “triggers” doesn’t mean someone is “thin-skinned” or
childish. Someone with PTSD can have really healthy boundaries and handle conflict quite
well. I have very healthy boundaries and have taught how to have them for years. And, triggers don’t happen all
the time. It’s certainly possible to have a confrontation without any triggers.
In any case, “being thin-skinned” is when a person has a low(er) self-esteem
and suffers from poor emotional boundaries. That kind of person over-identifies
with the complaint or criticism and internalizes the comment beyond what a
healthy person does. Triggers have nothing to do with that.
Some get PTSD because of a car wreck, some from sexual
assault, many from warfare, many from abuse. I got PTSD because of constant
exposure to various intense interactions in my childhood.
PTSD victims have (at least) four features in common, which I’ll
explore below. There are also countless idiosyncratic experiences that each
victim has which differ, depending on the traumatizing event(s), person’s
environment, character, et al..
The
first common trait is experiencing “flashbacks” or “re-experiencing symptoms.”
Your brain re-lives the trauma, event, or argument over and over again—not because
you want it to. It’s called an “intrusive thought.” It intrudes on your
rational thoughts, like an uncontrollable sneeze of the mind. These happen to
me nearly every day. I relive conversations (it used to be about my mom; now it’s
more often other people who've triggered traumatic memories involving my mom) in which I’m yelled at, cussed
at, or otherwise scared. Typically, it’s a conversation where I’m having to
defend something of which I’m innocent (since that was most of my childhood). I
hate, loathe, despise being accused
of things I didn’t do. It’s a trigger: my heart races, the blood leaves my
head, I feel faint and in incredible danger. And my brain likes to replay those
moments with amazing clarity, especially lying in bed at night. Or immediately when
I wake. Or in the shower. Or when it’s quiet. Or when someone says or does
something that reminds me of it.
The
second common trait is the constant, conscious and unconscious, desire to avoid
situations that remind you of the event. Because the feelings are so
overwhelming, I have a compulsive desire to avoid certain people who have
triggered, or who I think might trigger, flashbacks. This is especially difficult
as a pastor, because I am forced to, every single day, face people who cause me
terrible fear. They don’t know that. I don’t show it. But, I have to talk with
them anyway. I have to meet with them anyway. And I do: I refuse to let my PTSD
rule me. But, if I had my way, I’d avoid every single person who gives me the
slightest threat feelings. I’d only hang out with people who constantly evoke
the feeling of safety. And, if/when a person triggered me, I’d just move on. But…that’s
not reality, nor the way I think God wants me to live. I can’t “love my
neighbor as myself” if I allowed that compulsion to rule. So, I meet with the “dangerous”
people anyway.
The
third common trait is having chronic, inchoate negative beliefs and feelings. The
trauma greatly affects the way you think about yourself and others. Common
feelings would be anxiety, fear, worry, terror, or any other sensation or
feeling associated with being in terrible danger. Negative beliefs vary, but
some beliefs are common, such as the belief that the world is dangerous, that
people might hurt you, or that it’s necessary to be ready for fighting or
death. Because of my personal past, some of the additional negative beliefs
that have become ensconced in my belief system:
·
I’m
not allowed to have an independent self.
·
My
opinion isn’t (that) valuable.
·
Don’t
make anyone upset—EVER.
·
People
can’t be trusted.
·
People
will betray you.
·
You
have to be perfect or people will rage at you or abandon you.
I
could list more, but I’ll assume you get the point. I daily fight these false beliefs using "Stop Therapy" and various Cognitive Behavioral Therapy techniques.
The
fourth common trait is maintaining “hyper-arousal” or “hyper-vigilance.” Ever
been in a haunted house during Halloween, or watched a scary movie? Your
adrenaline and cortisol traverse your body, increasing your heart rate, suppressing
your appetite, and many other effects necessary to help you survive. You feel “on
edge”: you are hyper-aroused. PTSD is like that, depending on how severely you
have it. This is why those with PTSD have a high frequency of using narcotics
and practicing other addictive behavior: the profound feeling of being “on edge” can make
you feel crazy and brittle. It’s common for us to have adverse reactions to
loud noises (I hate it when my kids talk loudly or yell behind me when I’m
driving, or when anyone yells in my house). Because of my background,
I basically have a Ph.D. in watching people’s facial expressions to discern
their moods. My “emotional antennae” is overwhelmingly sensitive to the
emotional environment of those around me. If I hear about a confrontational
meeting I have to have—whether because I initiated it or not—the blood leaves
my head. I can feel faint and find it difficult to breathe. I still go…I have
to. I’m a pastor.
Those
are some quick thoughts on the four common traits. I’ve prayed and prayed and
prayed for years that God would take them away. He hasn’t. He has brought into my life various safe
people who have helped me heal. He has
helped me heal via therapy. He has
spoken to me numerous times in Scripture (I have several favorites, like Joshua
1:6-9; Psalm 27:14; Matt. 10:26-31; 11:28-30). And, praise Jesus, my PTSD has
gotten better. My response to triggers has diminished in frequency and in
intensity. Praise Jesus. And praise Jesus for anxiety medication. PTSD affects
your brain chemistry so much that having supplemental help is almost
imperative.
But,
it’s still there. It makes me routinely seriously doubt whether or not I should stay in pastoral ministry. By far the most horrible events I’ve had have come
from church-folk (and of course it is: the Church is full of imperfect people AND evil loves to work the most among Christians). Usually, the ones praised as “really knowing their Bibles”
have been the worst. It’s true. I have a real sympathy for skeptics and
atheists who say that Christians block them from Christianity…it’s just that
Christianity isn’t true or false depending on adherents. It’s based on the
truth claims within. (And there are countless AWESOME Christians in the Body of
Christ, too!) In any case, I have asked God if He can “take this cup from me”
in ministry because I’m afraid so much. I used to have a professor/pastor who
said to every M.Div. student, “If there’s anything else you can do besides
ministry, you should do it.” I fully understand his point. I ONLY do this
because I really think that the God of the universe commissioned me. Perhaps, I’m
wrong. But, I think I’m right. Thus, I'm still committed to pastoral ministry.
Not
only am I incredulous of my capacity to do pastoral ministry well, I also feel
the draw of doing other work where I would work independently. That is, if I
could just offer information that people wanted: like when I’ve done consulting
work, or written books, or done key-note speaking on apologetics or having
healthy marriages. They are by FAR “safer” to my sensibilities than pastoral
ministry.
It
affects my marriage and family life, too. My wife is keenly aware of my
struggles. She’s incredibly supportive. Nevertheless, I struggle with making
sure I don’t raise my voice when the kids yell or don’t respect my boundaries.
Praise God, I have the wherewithal to constantly do many things right.
Maybe
some of this resonates with you. If so, and you haven’t received therapy, then
please do everything you can to seek professional help. There is NO shame in
receiving help. I go to my physician when I have strep; I go to a Christian
therapist when I’m having difficulty coping.
Maybe
you know someone who struggles with PTSD. I pray that this gives you some
insight to their struggles. Perhaps it helps you have empathy. What most of us don’t
need is for you to act weird around us. You don’t need to “walk on eggshells”
for most of us. Some are that fragile. I’m not…most of the time. :)
Well,
that’s it. I don’t have a massive “therefore.” I really appreciate what Paul
said to the Roman Christians nearly 2,000 years ago: “For we know that the
whole creation groans and suffers together until now. Not only this, but we ourselves also, who
have the firstfruits of the Spirit, groan inwardly as we eagerly await our adoption,
the redemption of our bodies” (Rom. 8:22-23 NET).
Boy,
do I pine for the “redemption” of my body. In the world-to-come, they’ll be no
more PTSD or disorders of any kind. Praise Jesus! And in the meantime, I’ll
have to believe that what God told Paul He might think toward me: “My grace is
enough for you, for my power is made perfect in weakness” (2 Cor. 12:9 NET).