Trauma Responses: Helping a Partner Heal from Past Abuse - Psychiatry

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I don't know what the symptoms are?


Hello! I would like to ask about my girlfriend.
Two years ago, she was in a relationship with a boyfriend who often physically abused her and treated her like a dog (according to her description).
They broke up a year ago, and she met me afterward.
We have been together for over a year now, but I resemble her ex-boyfriend.
Although I do not hit her, she is very afraid that I might, especially when I am not smiling or when I am angry.
Sometimes, when we see a car that looks like her ex-boyfriend's, she gets scared! At her workplace, none of his friends know about her past, but she still worries that he might suddenly appear.
I keep telling her that it is impossible for him to find her, but she still feels afraid.
She is currently seeing a psychiatrist and is on medication.
I would like to ask if there are any other methods or suggestions to help her.
I am currently not meeting her because I am afraid it might scare her, and I also hesitate to call her because I don't want to put pressure on her.
Thank you!

Zhongyu, 30~39 year old female. Ask Date: 2009/05/27

Dr. Chen Yuying reply Psychiatry


Hello, Mr.
Zhongyu: In psychiatry, there is a diagnosis known as "Post-Traumatic Stress Disorder" (PTSD).
This specifically refers to symptoms experienced by individuals who have gone through traumatic events (such as the woman mentioned in your inquiry, who has experienced severe violence from her ex-boyfriend).
PTSD primarily manifests in three types of symptoms:
1.
"Re-experiencing": This includes recurring nightmares, intrusive memories of the abuse, a sense of reliving the trauma, and intense psychological or physiological distress when encountering reminders of the ex-boyfriend (such as seeing someone who resembles him or a car of the same make).
2.
"Numbing and avoidance": This may involve an inability to recall details of the abuse, a loss of feelings of love, avoidance of people or situations that trigger memories of the trauma, and feelings of detachment from others.
3.
"Increased arousal": Symptoms include being easily startled, hypervigilance (constant fear that the ex-boyfriend might suddenly appear), and difficulties with sleep.
Based on your description, it seems that your girlfriend is experiencing these symptoms and is currently receiving medical treatment.
I recommend that you read more about "Post-Traumatic Stress Disorder" to start understanding this condition.
Subsequently, with your girlfriend's consent, accompany her to her medical appointments to hear the treating physician's advice and provide support.
Individuals who have experienced trauma need time to recover and greatly benefit from rebuilding safe and stable interpersonal relationships.
However, you mentioned that you currently feel unable to meet or even call your girlfriend.
I wonder if there are other feasible ways for the two of you to communicate? If she is completely unwilling to have contact with you, it may be challenging for you to offer help.

Reply Date: 2009/05/27

More Info


It sounds like your girlfriend is experiencing significant trauma responses related to her past abusive relationship. Trauma can have profound effects on an individual's mental health and emotional well-being, especially when it involves physical abuse. Here are some insights and suggestions on how you can support her healing process.


Understanding Trauma Responses
1. Fear and Hypervigilance: Your girlfriend's fear when she sees someone resembling her ex-boyfriend or a similar car is a common trauma response. This hypervigilance is her mind's way of protecting her from perceived threats, even if those threats are not present. It’s essential to understand that these reactions are not a reflection of her feelings towards you but rather a response to her past experiences.

2. Triggers: Certain situations, sounds, or even people can trigger memories of the trauma. This can lead to anxiety, panic attacks, or emotional distress. Recognizing these triggers is crucial for both of you.

3. Dissociation: Sometimes, individuals who have experienced trauma may dissociate, feeling disconnected from their surroundings or themselves. This can manifest as feeling numb or detached during stressful situations.


Supporting Her Healing Process
1. Open Communication: While you may be hesitant to communicate for fear of overwhelming her, open and honest communication is vital. Let her know that you are there for her and that she can express her feelings without judgment. Encourage her to share her fears and concerns with you.

2. Therapeutic Support: It’s great that she is already seeing a mental health professional and taking medication. Therapy, particularly trauma-focused therapy such as Cognitive Behavioral Therapy (CBT) or Eye Movement Desensitization and Reprocessing (EMDR), can be very effective in helping individuals process their trauma. Encourage her to continue her therapy and discuss any new feelings or fears that arise.

3. Create a Safe Environment: Make sure she feels safe with you. This involves being patient and understanding when she expresses fear or anxiety. Reassure her that you are not her past abuser and that you are committed to her well-being.

4. Mindfulness and Grounding Techniques: Encourage her to practice mindfulness or grounding techniques. These can help her stay present and reduce anxiety when she feels triggered. Simple exercises like deep breathing, focusing on her surroundings, or engaging in physical activities can be beneficial.

5. Avoiding Triggers: If there are specific situations or places that trigger her anxiety, try to avoid them together until she feels more secure. This could involve steering clear of certain areas or events where she might encounter reminders of her past.

6. Educate Yourself: Understanding trauma and its effects can help you be more empathetic and supportive. There are many resources available, including books, articles, and support groups for partners of trauma survivors.

7. Encourage Healthy Coping Mechanisms: Help her find healthy ways to cope with her feelings. This could include engaging in hobbies, physical exercise, or creative outlets like art or writing.

8. Be Patient: Healing from trauma is a process that takes time. There may be setbacks along the way, and it’s essential to be patient and supportive throughout her journey.


Conclusion
Supporting a partner who has experienced trauma can be challenging, but your understanding and patience can make a significant difference in her healing process. Encourage her to continue her therapy, communicate openly, and create a safe space for her to express her feelings. Remember, while you can provide support, professional help is crucial in navigating the complexities of trauma recovery.

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