Let’s Talk Therapy

Did you know that about 50 percent, if not more, of cancer patients/warriors/survivors have some form of ptsd? Ptsd stands for post-traumatic stress disorder. Ptsd occurs when someone has experienced or witnessed a shocking, scary, terrifying, traumatic, or dangerous event. This leads them to over respond to any sort of trauma from thereafter in an often debilitating or exaggerated way and could affect the rest of their life. It is a terrible condition. Therapy is an absolute must to try to combat this condition.

As a two-time cancer patient, I can tell ya, this crap is real. It can be devastating, debilitating and down right crappy. You find yourself freaking out at the slightest twinge, expecting the worst and not even considering the best. You have a scan coming up and find yourself grabbing for the ativan just to make it through it. It can get pretty ridiculous. Logic tells you that everything will likely be fine, but it is tough to believe it because your past experiences have taught you otherwise.

Ok, it sounds awful right? Heart pounding, sweating, pulse racing, fear coursing through your veins, ibs gettin all crazy. But, here’s the good news. There really is help out there, if you are willing to pursue it. You do not have to remain a prisoner of this terrible thing. That option is therapy. I mean actual, dig deep, deal with your demons, full disclosure psychological therapy. As difficult as it is, it can help you deal with your demons and identify your triggers and develop strategies that can either help you deal with these episodes when they happen or prevent them from happening in the first place. It’s truly a possibility of all wins.

The bottom line is that if you really want to start living after fighting your toughest enemy ever, you have to deal with the leftovers. You just have to, or else the fight won’t seem worth it in the first place.

On that note, I’m off to my regularly scheduled therapy appt. Peaceful vibes and power wishes.

Dr. Katz

Someday I am going to have to relearn that one twinge somewhere does not have to mean that imminent doom is upon me.

Cancer related PTSD is real people. Did you realize that one in three cancer patients suffer from cancer-related PTSD? That is over 30 percent. That is actually a huge number. First of all what is PTSD? PTSD stands for post-traumatic stress disorder. Post traumatic stress and post traumatic stress disorder are two different things. Post traumatic stress is a normal response to a stressful event. It’s like getting nervous before a scan or a blood test. Post traumatic stress disorder takes things a step further. This consists of severe stress responses to triggers that last longer than 1 to 3 months. They are responses that are so severe that they can prevent you from going to appointments or even living your life. It can be very disabling. It is nothing to be taken likely.

So, who is at risk? Everyone who has had a specific traumatic experience is at potential risk of this. Some examples would be combat, abuse, assault, violence, mental or physical disasters, severe injury, or illness, like cancer. You are also more at risk if there is any previous history of anxiety or depression or you do not have a good support system.

You have to keep in mind that there is not one single cause of PTSD. It is different in terms of triggers and severity for everybody. The symptoms can range from nightmares and flashbacks or intrusive thoughts. There can be avoidance behaviors of people, places, or things. There can be a general disinterest in participation of any kind. There can be guilt or shame about your particular trauma. There can be insomnia. There can be a feeling of general disconnect. All of these are kind of attempted internal protection mechanisms that our brains come up with. But, none of them are actually helpful.

For me, the biggest trigger is any slight hint that something could be wrong such as a pain or a headache that I cannot explain. It immediately sets my brain off to a path of potential disaster if I don’t put a stop to it right away. I mean, to be fair, it makes sense, my previous headaches and pains led to me being in an unresponsive coma with a head full of brain tumor and mush. I am right to be leery and a little hypervigilant. It is my own hyper-vigilence that has helped save my life more than once. But,I still can’t let it rule my life. I have spent enough time locked up in hospitals and struggling to get people to listen. I can take a break right now. I have fought every fight with valiance. I have all the scans and the tests that prove that I am doing ok, including a scan that looks like an actual tumor-free brain. Win! I am going to admit that it is still a work in progress. It is hard not to jump to the bad news. I am just going to keep doing my best and not beat myself up about my jumping to possible bad conclusions. It is what is is. Every day I get to wake up and see the sunshine out of the window of my own house is a blessing. I just have to keep believing that the worst of days are behind me, and get help when I need it.

Dr. Katz