Therapy Assignment: Questionnaire for Criterion F
I Can’t Get Over It by Aphrodite Matsakis, Ph.D.
Tuesday, October 17, 2006- 9:28PM EST
Feelings While Reading
Starting safety level – a bit overwhelmed, rocking, but still encouraged. 6 anxiety rate, 0 self injury, 0 suicidal ideations.
Ending safety level- about the same with a bit of depression, like maybe I’m wasting my time. I would classify that as discouragement. 8 anxiety rate, 0 self injury, 0 suicidal ideations.
___________________
Instructions are to review the number of PTSD symptoms I recorded in criterion A thru F then answer the following questions.
Criterion A: How many traumas have you experienced? 4 out of
Have you ever lived in a refugee or concentration camp or been tortured?
Were you ever sexually or physically assaulted, either by a stranger, a group of strangers, a family member, or anyone else?
As a child, were you physically maltreated with excessive beatings or spankings? Were a parent’s or caretakers disciplinary measures sadistic?
Have you ever been kidnaped, abducted, raped, burglarized, robbed or mugged?
Criterion B: Only one form of re-experiencing is necessary to meet the criteria for PTSD. In how many ways do you re-experience the trauma? How much is that in excess of the required number? I have 5 out of 7 from this section.
- I have persistent and intrusive thoughts of the traumatic event. Even when I’m not trying to think about it I can’t get it out of my head.
- I have nightmares.
- I also have nightmares that are not about the abuse but include people and places involved in the abuse. When I wake up I feel just as empty and broken as I did back then. I try not to get in the fetal position because I know very well that never helps.
- I find myself feeling like I’m back in that trauma. Sometimes I can actually feel my mother hitting me.
- I become dissociative or, fearful or angry when I see or think I will see people from the past. These same things happen when I’m close to an area where something happened or when something reminds me of the past.
Criterion C: Two forms of re-experiencing is necessary to meet the criteria for PTSD. How any of the questions did you answer yes to? How much is that in excess of the required number? 4 out of 6
After surviving the mother there have been times I’ve felt emotionally dead or numb. There are times when I have to force myself to not be cold when tragic things happen in the lives of friends. I have to force myself to feel quite often. It seems that they just turn off and I have to work really hard to bring them up.
Have you tried not to talk about the event or avoided thoughts or feelings associated with it?
Yes. Humiliation is a nasty little bugger and that is what I feel when I think about the abuse or when I talk about the abuse.
I feel alienated and apart from others. I feel like a fake most of the time, like people see me one way but they have no idea that things are rough in my head. I make either a bad first impression or a bigger than life impression. Either way it’s not like I’m staying around long for fear they’ll find out that something about me just isn’t right. When I hear people talk about their family situations, if it’s good I can not relate. I feel nothing. I can’t even picture it. I do not feel a connection to happy people. I feel odd, noticeably unclean, much more so than others. Yeah, I’d say I feel alienated.
I have lost interest in things I use to love. This especially happens when flashbacks are stronger than usual. I went for so long without baking a loaf of bread. I went even longer without cooking a meal. My microwave and I got to know each other very well. I lose my appetite or I binge depending on if I want to punish myself or deprive myself. I brushed the dog because it needed to be done. I didn’t feel the same relaxed almost spiritual feeling as before. I worried he could tell the difference. I force myself to feel connected to him. When I can’t I stop because I don’t want to put cold hands on my dog.
Criterion D: Three hyperarousal symptoms are necessary to sonstitute PTSD. .. Yada, yada, yada, etc… Answer yes to experiences that occurred after the trauma.
I thought I only had 2 out of 5 until I read further and they explained what some of this means. So the accurate count is 4 out of 5.
Insomnia is a big issue with me as is putting off sleep so I don’t have to dream. I also seem to wake right up. My body almost jerks me awake as if I’ve let my guard down and I should be more careful, like a warning of some kind..wake up, you let your guard down stupid!.
- Irritability or outbursts of anger
It feels like a wave that comes over me. I’m angry for no reason at all. I’ve thrown things from time to time and that really scared the crap out of me. I’m irritated with people for no reason at all. I sometimes have to keep myself from yelling at people. I dog them out on my journal then approach them calmly. If I didn’t use the journal that way I’d end up cutting people to pieces with my tongue. Sometimes it feels warranted but most times the anger isn’t equal to the offense.
- Exaggerated startle response (jumping or otherwise overreacting to noises or the sudden appearance of a person).
It is always so embarrassing when this happens. It happens out in public but mostly at home. Once I’ve been startled I try and be conscious of it but it seems to just make matters worse. I’m even more jumpy than before.
- Hypervigilance or overprotectiveness toward oneself and others.
I did not realize that sitting close to the door or not ever sitting with my back to the room was considered hypervigilance. I actually don’t sit close to the door. I’m the opposite. I sit away from it. If someone comes in the people in front of gettin’ it first. The assailant has people to go through before he/she gets to me. In that time I may be able to make my escape. It’s an odd reasoning but it doesn’t stop me from choosing a table in the back of the restaurant. Not so far that it’s clear I’m away from everyone but far enough to see everyone and feel safer. At home I don’t sit with my back to the room. My favorite chair is in a far corner. I can see into two different areas of the house from that seat including two entry ways.
- How long have you been experiencing PTSD symptoms?
I don’t remember when they started.
Criterion F: In what ways have your PTSD symptoms or other reactions to the trauma affected your ability to work, relate to people, or to live your life?
This question will have to wait until tomorrow. This may be the very last question in this assignment but I’m done for the night. This is somehow the hardest question of all.
Austin
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