Car Crash – or what PTSD is like – novel

Photocredit: Kel Patolog via Flickr

[Note: Since I first wrote this, this piece has gotten a lot of attention for being a really good way to explain to people in your life what it’s like to have PTSD and Complex PTSD in particular and why there aren’t any quick fixes. I hope it’s helpful for you and your loved ones.]

I’m writing a novel as part of National Novel Writing Month (www.nanowrimo.org) and the following excerpt is what I wrote today on it.

The novel this year is about sociopaths, a people making sense of a past including child abuse, disconnection with nature and people trying to do the right thing in the face of it. I don’t know exactly what shape the pieces will take yet. I didn’t know last year at this stage iether really, but I suspect it will be more complicated this year. Last year was a simple time-travelling love story.

This is an installment of my novel, in progress. More pieces here.

Excerpt:

It’s like this.

Imagine you are a mother driving home from a family function with your nine year old daughter in the passenger seat. You have had one or two drinks but it was awhile ago and you decided you were okay to drive.

The night is rainy and you get into a serious car accident. You are thrown forward in your seat and injure your body where the steering wheel strikes you. Your daughter is killed. You are helpless, pinned inside the car, unable to reach her as she dies before your eyes, convulsing, screaming, blood coming from eyes and ears.

The experience is so overwhelming, emotionally that your brain can’t process it, can’t store it in the usual way. The information flows in to fast and too intensely to be properly filed in one place, all together. The sensation of the steering wheel and the pain in your abdomen gets put in one place, completely separated from the visual memory of your daughters face as she struggled and died. That memory is separate as well from the contempt in the voice of the rescue worker who asked if you had been drinking. That memory is separate from the lights of the semi high beams in your eyes which blinded you for a moment, contributing to the accident. The pain from your chest. The emotional pain of watching your daughter die. Your daughter’s last words.

Those snippets of memory, and hundreds of others from that night are stored in little boxes in your mind, with no connection to the other pieces. They don’t form a whole memory at all, and you have no ability to put them in the correct order or link them to one another. It is too painful and overwhelming when you try, so you don’t.

You receive medical attention but everyone drifts away from you after that and you move to a new place where no-one knows. You vaguely remember that your daughter died in a car accident, but don’t remember details. People think you are lucky not to remember any of it, and are relieved you have nothing to tell them. Knowing it happened at all is bad enough for them, and the uncomfortable look on their faces soon teaches you to not even go that far with them. You can’t tell anyone about what you do remember, because it feels like it was your fault. After awhile you seem to forget it happened at all.

Then one day you are riding the bus and someone pushes you hard, in your abdomen. Suddenly the memory fragment of the crushing sensation in your chest is triggered, which in turn has a connection to the box holding the emotional pain that you don’t know is from watching your daughter die. They both ‘fire’ in your mind simultaneously.

You feel the pain in your chest as if it was happening now, along with a loss so great and horrifying that you panic. There is no other information to explain what this is about. You freeze, ashamed, and people are well meaning but think you are crazy, or think you need a doctor. You think you are crazy too.

Later on, this type of thing happens again and again. Lights in your eyes trigger some part of the memory, or a particular phrase, or seeing a simulated car crash on tv, or seeing someone who looks like your daughter did, seeing a rescue worker in uniform, or being around your family members at the holidays, who carefully do not talk about what happened.

You feel anxious and fearful a lot of the time, but couldn’t say exactly why.

If you are lucky, you will be able to stand the sensation during the gift of memory that is a flashback long enough to put the pieces together a little and don’t try to numb it very often with drugs, or alcohol, food or work. You do remember that your daughter died, and you think that maybe this has something to do with it.

You find a therapist and tell her what you remember consciously, which isn’t much. Your daughter died. You were driving. The rest is a blank. One day you have a session after a particularly intense flashback. While telling her about it, in the safety of a non-judgmental relationship, you have another flashback that fits with the first and make the connection with what you already know. You realize that the lights in your eyes you’ve been having nightmares about are the headlights of the truck you saw that night. The next time you have a nightmare about them, you tell yourself this and it calms you down. The better you get at doing this, the less often you have these nightmares, and you gradually find you can look at headlights at night without feeling much panic. Eventually they are sometimes just headlights, unless you are having a particularly stirred up day.

One day, with a lot of support from your therapist, you get the courage to ask after the accident reports. You travel back to the town you lived, practicing deep breathing to keep from having panic attacks when you see familiar landmarks. The day you go to the station and get access to the report, you are terrified. Some of what is written is not exactly as you remember it, it is told from a different perspective. It reads like it happened to another person. When you read in the police station archives, that it said you’d indicated you’d had a drink at the party prior to driving, you become unable to read further and freeze. You run into the bathroom, find a stall and break into deep sobs in the police office. You hope no-one comes in and hears you, or worse, asks what is wrong.

However, the report helps because it gives you a framework to attach the snippets of sensation and memory that intrude into your consciousness or have been invited during therapy sessions. You find that they all fit at some place in the story, and you begin to have compassion for the woman who experienced this tragedy, that woman who doesn’t quite feel like yourself.

Now imagine that the situation is not a car accident, witnessed and documented by police, so you can check the validity of your memory fragments. Imagine that an incident equally horrifying or worse was perpetrated on you by a loved and trusted person while you were a child under their control. Imagine that there was no medical attention, even though you were seriously injured, and no one to help or tell. Imagine that it wasn’t a single traumatic incident’s worth of sensation fragments to piece together, but fifty, spread out over a decade or more. Imagine that as a result of the first couple of incidents, you had walked around in a self-protective haze for most of your childhood. Imagine that as a result, your brain didn’t bother to store the kind of information that provides context and meaning for these later traumas, but only the sensations of pain or horror. You are missing a large number of key pieces of several of the memories, meaning that without outside validation, you will likely never be able to explain or integrate them fully for yourself, make them whole and stop them from intruding into your life.

Imagine that your family members refuse to talk to you about what they remember of what happened, because it is too painful for them, or because they don’t want you to remember what happened, they blame you or they don’t want you to remember their part in condoning it. Imagine that they tell you that you are lying, making it all up, that you are crazy, either directly or indirectly. Or imagine that instead they say they believe you that this person hurt you, but don’t think it was a big deal and still spend christmas every year with the family member who hurt you. They expect you to do the same.

If you are lucky, you will divorce your family, get good therapy, and find some friends with similar experiences who understand and normalize what happened. If you are lucky you will have a spouse who becomes trained to hold you and calm you at night when you have nightmares, or if you have flashbacks during lovemaking, does not take it personally and learns not to touch you in ways that trigger the minefield of memory fragments. With luck and time, you connect the puzzle pieces you can, and develop what explanation you can for those you cannot connect. You learn, in the midst of the panic, to tell yourself, “this is abuse stuff” and that you are safe now, and most of the time that helps enough. If you are lucky and face it as square on, for as long as you can, then the memory fragments intrude less and less, and eventually they stop. You make peace with the mysteries you can’t solve, and protect yourself from further harm effectively.

You don’t tell most people about all this, as it upsets them and often they say stupid things that make it worse. They ask why you aren’t over it by now. They say “parents do the best they can with what they know at a time” or “forgiveness will set you free”. Their own experiences with minor wounds and misdeeds tell them that these are the truth, so they think it applies to you.

Friends you trust enough to tell how it really is are uncomfortable with the anger you have worked hard to feel and express, because turning it inside poisons you. They tell you that forgiving the sociopath who hurt you solely for his or her own enjoyment will magically make all the aftereffects disappear, forcing you to make the decision to tell them what naïve fools they are or just change the subject. Sometimes you want to ask them, “will forgiving the truck that hit you make the broken bones go away?”

If you are lucky, you will have some people in your life who never say these things, or you will soon have no friends at all. You learn not to tell most people things they can’t understand, which means that sometimes your behaviour is unexplainable.

Without being able to share the facts, it becomes impossible to explain in a compelling enough way to strangers, that unless they want to hold your hand, remind you to breathe, listen to you tell them the disjointed snippets of what you remember about being trapped and tortured in a small box, and comfort you afterward, all of which would actually healing, you simply cannot ride in an elevator today.

Some days you can do it with no more than some attention to deep relaxing breathing, and focusing on the elevator musak and the knowledge that you are safe and an adult. Doing this often enough will make things permanently better, but takes a lot of internal fortitude each time. However, you know from experience that if you do succumb to pressure and ride in the damn elevator (or whatever) when you’re not ready, you will pay by going numb for days, and spend days on high emotional alert and nights of nightmares. Because  they don’t or won’t understand why you have needs they don’t, people find you rigid and odd. They have no idea how courageous you are.