Yes, when cptsd is present it really does take time to work through it. One has to make sure they are "patient" with self too. Sometimes it does take time to figure out a low and why too, it will come and again patience is key in doing your best to let it come forward so you can acknowledge it and talk about it as much as you need to until you can finally get it settled in your mind so it isn't so hard on you.
November and Thanksgiving is a bad time for me. I definitely have strange lows and have to be patient with them. For myself with what I experienced I had finally lost a battle I had been dealing with in saving one of my ponies and I was in a sea of so many injured that I ended up having a post traumatic stress beakdown. I ended up in a psych ward and that only traumatized me even more and my family treated me terribly when I really could not help it nor understand "why" I was in such bad condition, did not know what post traumatic stress was, only I could not stop shaking. It was even worse knowing for me because it's harder to look back and remember how badly I had been treated in such bad condition that was not my fault. I was there over Thanksgiving and none of my family called or came to see me either. So I know how alone and confusing it can be.
One of the nicest things that happened to me this year is having someone here remember how this is a hard time of year for me and offered to be there for me if I needed someone. That is just so nice to have someone remember that way that understands the challenge. My family still doesn't realize it and I often hide and just cry alone.
One day at a time, healing takes time, "patience and self care" is a very important part of the healing process.
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