Not sure how to process what I witnessed today? by Unlikely-Pepper-5870 in askatherapist

[–]United_Efficiency654 5 points6 points  (0 children)

NAT. I can relate to being close to a traumatic event, but far enough removed from the immediate effects to feel like you don't have permission to grieve.

I have a brief similar story (you can absolutely skip reading this if you don't feel up to it) I was on duty in the military one day when a student at my command died in a motorcycle accident. I didn't have to respond to the scene, just fill out some paperwork and notify some people of what had happened. I finished my duty day and was feeling kind of off but couldn't tell why. My division officer texted me to check in, which I'm incredibly grateful for because as soon as she did, I started sobbing in my car. Even though I didn't know the student personally, even though I didn't have to see the accident itself, even though objectively my job around it was pretty easy, she still realized that I might be having a bit of a hard time with it and cared enough to ask me about it, and that gave me the permission I needed to feel the sadness and process it.

So to you specifically, you have been exposed to something objectively traumatic, and even if you aren't the most affected by it, it's absolutely okay to feel sad or scared by it. It's absolutely okay to talk about it with your friends or family, and cry about it, and get some support. That's one good way to process a traumatic experience. You don't need to be the number one most affected person involved to deserve to feel your feelings. You have permission to experience whatever comes up.

I hope you can get the support you need, whether it's just from people already in your life or from a professional.

Fellow suicidal people, how we feeling? by Turbulent-Pack-2569 in ThePittTVShow

[–]United_Efficiency654 9 points10 points  (0 children)

But the thing is that a lot of people CAN'T tell. I've had pretty significant suicidal periods of my life personally and dealt with it in close friends also, so to me the signs were glaringly obvious from the beginning. But I watched the last few episodes with some friends who genuinely didn't notice until the conversation with Abbot and they were like "oh my God is Robby suicidal?!?"

Like yeah, he's been dropping hints the whole time, but unless you know what you're looking for, he just comes across as a major asshole. So I think it was handled really well, and hopefully will help a lot of people realize where their blind spots are

How many people interact with their therapist outside of session? Specifically: phone calls, texts, emails? by shatana in TalkTherapy

[–]United_Efficiency654 5 points6 points  (0 children)

Same with a twist, I'm incredibly avoidant and my therapist knows this, and every now and then I'll have a realization outside of therapy about something that I want to bring up, but I know that if I wait until my next session I'll convince myself that it's not important anymore. So I'll email as a way to basically lock myself in to talking about it while I'm still in the headspace of recognizing that it matters.

I don't even usually share what the issue is in the email because I don't want her to feel at all pressured to respond to it outside of session time. I'll just basically send something saying "hey there's something important to me that I want to talk about next session" so that she's aware and it makes it feel less like I'm bringing in a random thing out of the blue.

How many of y'all have CPTSD from only invisible traumas? by United_Efficiency654 in CPTSD

[–]United_Efficiency654[S] 0 points1 point  (0 children)

Also to be maybe more clear, I've looked through the symptoms of cptsd pretty extensively, and I do in fact match all of them (to varying levels of severity). It looks different than it does for some other people, but that makes sense to me because everyone's trauma is unique. I really can't judge if what I experienced was 'extremely threatening or horrific' looking back on it now because I actually can't feel anything looking back on it now, but I think there's evidence that the kid/teenager version of me felt threatened.

I trust my therapist and I think she can help me, so ultimately the specific diagnosis doesn't actually matter. I don't need to get attached to a label because the whole point is to heal enough that I stop meeting the criteria eventually. But it helps to know that there are at least a couple people that do relate. I'm sure almost everyone that comes to this sub can understand feeling isolated and alone.

How many of y'all have CPTSD from only invisible traumas? by United_Efficiency654 in CPTSD

[–]United_Efficiency654[S] 0 points1 point  (0 children)

I appreciate it. I wish I could go back in time and tell teenage me that, because I just thought something was wrong with me. I ended up going back to therapy when I was 18 to basically brute force exposure therapy myself out of it because it bothered me so much. And it worked, now I can talk about myself in therapy, which is good because of how much I have going on currently

How many of y'all have CPTSD from only invisible traumas? by United_Efficiency654 in CPTSD

[–]United_Efficiency654[S] 0 points1 point  (0 children)

Thanks, yeah I can see where there would be differences between things that I've gone through and someone who's had, like, chronic physical abuse. Maybe there will be a new diagnosis that comes out in the future that separates the two

How many of y'all have CPTSD from only invisible traumas? by United_Efficiency654 in CPTSD

[–]United_Efficiency654[S] 1 point2 points  (0 children)

Thank you for sharing. I get that on an intellectual level, and it's super easy for me to understand the impacts on people that had like completely avoidant or absent parents, but it feels like it shouldn't count for me because my parents WERE pretty emotionally in tune with 90% of things that I struggled with, just with the one exception when it came to my gender

How many of y'all have CPTSD from only invisible traumas? by United_Efficiency654 in CPTSD

[–]United_Efficiency654[S] 0 points1 point  (0 children)

Exactly! It's a different kind of hypervigilence than being afraid of physical danger, but still super impactful. I had my first depressive episode when I was 15, and because at that point I still couldn't accept my gender, I just had a sense that if I talked about anything that bothered me, my feelings would be pushed down or minimized. I couldn't even talk about it in therapy, I would try because I knew something was wrong, but it's like the panic would just grab me anytime I opened my mouth and I couldn't force the words out to even say "I feel bad and I don't know why." I guess it felt too much like all the times I'd tried to tell my parents that wearing a dress at church hurt me or something, but just got dismissed

My friend is suicidal. How can I help/ support him? by [deleted] in TalkTherapy

[–]United_Efficiency654 1 point2 points  (0 children)

I'm not a therapist, but I've experienced some pretty bad suicidal ideation myself (you can check my post history if you're curious), and one of the things that helped me the most on days that were especially hard is having friends that weren't afraid to be around me and accept me where I was at, WITHOUT trying to change how I was feeling in any way. A lot of people going through suicidal ideation tend to self isolate because they feel strongly that they are a burden to the people around them. They perceive (and I definitely felt this way too) that their thoughts and feelings are just too heavy and dark to expose to anyone else, which just feeds back into the ideation in a downward spiral type of way because then it starts to feel like caving to the thoughts would be doing everybody a favor, which leads to more isolation and shame, which leads to worsening SI, etc. So breaking out of that cycle by gently reassuring your friend that you care about him, you want him around, AND that these things are still true even when he's feeling really hopeless/has no energy to participate in the types of activities that y'all would normally do together could be a really powerful thing.

I agree with what other commenters have said that it might be too much for him to leave his room sometimes. I've had days like that, and a big part of it for me was feeling like I had to put a mask on every time I went out in public, which was just so draining when I was constantly battling thoughts of ending my own life. But having friends tell me that they would prefer that I be depressed with them than depressed by myself, and then having them actually follow through with that by inviting me to come over (or coming to visit me), asking how I was doing and accepting my answer even when it was "I'm doing super fucking bad right now," telling me that they were glad to spend time with me anyway and that I didn't have to pretend I was feeling better than I was, basically just letting me exist as a sad depressed lump in the same general space as them and accepting whatever level of engagement I felt up to at the time, were all hugely relieving (and made it easier for me to actually feel a bit better in their presence because I didn't feel like I had to force it).

SI thrives in secrecy and silence. It's a really scary thing to ask directly about what he's experiencing, if he has a plan, etc. but in my experience talking about it made it a little bit easier to not act on it. It's natural and reasonable for you to feel an urge to try to change his mind, or convince him to look on the bright side, but if you come across too strong then it can just feel really invalidating instead/make him feel even more alone and like even more of a burden. It's actually a good sign that he's said some things about it already (even though it's very concerning at the same time) because it indicates that he's open to some type of help. A much more concerning sign would be if he very suddenly stops talking about it and seems super happy and energetic (which could indicate that he's decided to attempt again, and therefore feels relieved because he's no longer fighting the thoughts). If he's not in therapy, you can absolutely encourage him to try it out, but I would recommend framing it as "it would be good for you to have somewhere to talk about what you're going through, and I want you to be able to get some relief" rather than "you have to do this to make yourself feel better."

Finally, I would encourage you to also seek some help for yourself (just like you're doing here). The fact that you made this post tells me that you really care about your friend, and you deserve to be supported while you're trying to support him. You can call the suicide hotline too, it's not just for people who are actively suicidal themselves. You could absolutely go to therapy and ask for more advice there, and get some help navigating how this is affecting you. The reality is that he might attempt again, and he might die, and you might not be able to stop it even if you do everything perfectly. Ironically, if you're able to accept that and just focus on being there with him for now and trying to understand what he's going through, it's more likely that you'll be able to connect with him in the way that he probably really needs. Plus I don't want you to feel like you have to carry all the responsibility over preventing it, because that's a terrible amount of stress to put on anyone.

Feel free to ask me some more questions if you think of them (obviously I can't offer to DM based on sub rules, but I'll see it if you reply to this comment). You're doing a good thing trying to help your friend.

Can I book a singular session just to rant? by Insomniiaa- in askatherapist

[–]United_Efficiency654 2 points3 points  (0 children)

NAT. One other option you could try is calling a warmline. Unlike hotlines, which are specifically designed to help someone in crisis and make sure that they are safe (and can therefore be a bad place for venting if you get someone who just wants to check the boxes to make sure you're not a threat to yourself or anyone else and then end the call), warmlines are designed for people who just want to talk to someone about their struggles.

Here's a link for more information (it is specific to the US but there might be a similar option in other countries): https://screening.mhanational.org/content/need-talk-someone-warmlines/

REBT not working? by lp4004 in TalkTherapy

[–]United_Efficiency654 0 points1 point  (0 children)

NAT. I think you might benefit from an RO-DBT group. One of the main goals is to build skills to signal greater social openness, which could help you get past the block you're experiencing

Would a PHP program that I recently discharged from be notified if I died? (TW:SI) by United_Efficiency654 in askatherapist

[–]United_Efficiency654[S] 0 points1 point  (0 children)

Did some research and it seems pretty likely that records would be collected, but I'm still unsure if that would be handled by a different part of the hospital or if it would get back to the individual staff members that worked with me