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Sarah Dent's avatar

This is such a helpful essay for those who love people with trauma. It’s so hard for them to understand what we feel. This is so helpful. Thank you.

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Frank Sterle Jr's avatar

Early-life abuse, chronic neglect and/or familial dysfunction left unhindered typically causes the brain to improperly develop. It can readily be the starting point of a life in which the brain uncontrollably releases potentially damaging levels of inflammatory stress hormones and chemicals, even in otherwise non-stressful daily routines.

It amounts to non-physical-impact brain damage in the form of PTSD. Among other dysfunctions, it has been described as an emotionally tumultuous daily existence, indeed a continuous discomforting anticipation of ‘the other shoe dropping’. For some others it includes being simultaneously scared of how badly they will deal with the upsetting event, which usually never transpires. It can make every day a mental ordeal, unless the turmoil is prescription and/or illicitly medicated.

Meantime, there are many ‘sober’ people who still believe that addiction often originates from a bout of boredom or simple recklessness, where a person consumed recreationally but became heavily hooked on a substance that eventually destroyed their life and by extension even the lives of loved-ones.

In the book (WHAT HAPPENED TO YOU?: Conversations on Trauma, Resilience and Healing) he co-authored with Oprah Winfrey, Dr. Bruce D. Perry (M.D., Ph.D.) writes in regards to self-medicating trauma, substance abuse and addiction:

“But here’s what’s interesting about drug use: For people who are pretty well-regulated, whose basic needs have been met, who have other healthy forms of reward, taking a drug will have some impact, but the pull to come back and use again and again is not as powerful. It may be a pleasurable feeling, but you’re not necessarily going to become addicted.

“Addiction is complex. But I believe that many people who struggle with drug and alcohol abuse are actually trying to self-medicate due to their developmental histories of adversity and trauma.”

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