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Experiencing the ups and downs of PTSD resulting from narcissistic abuse can indeed be incredibly challenging. It's crucial to remember that healing from such trauma takes time, and it's okay to feel a range of emotions during the process. Here are some strategies that may help you cope with the bouts of anger and sadness:

  1. Seek Professional Help: Consider working with a therapist or counselor experienced in trauma and PTSD. Therapy can provide a safe space for you to process your emotions, understand the effects of narcissistic abuse, and learn coping techniques to manage anger and sadness.

  2. Practice Self-Compassion: Be kind to yourself and acknowledge that your feelings are valid. Avoid self-blame for your emotional reactions and remind yourself that healing is a journey.

  3. Establish a Support Network: Reach out to friends, family members, or support groups where you can share your experiences and feelings. Surrounding yourself with understanding and empathetic individuals can provide comfort and validation.

  4. Limit Exposure to Triggers: If certain situations, people, or places trigger your anger or sadness, try to limit your exposure to them. Creating a safe environment can reduce the intensity of your emotional reactions.

  5. Engage in Relaxation Techniques: Practice relaxation techniques such as deep breathing, mindfulness meditation, or progressive muscle relaxation to help manage stress and emotional intensity.

  6. Physical Exercise: Engaging in regular physical activity can be beneficial for managing emotions. Exercise releases endorphins, which can improve mood and reduce stress.

  7. Express Yourself Creatively: Consider journaling, drawing, or engaging in other creative outlets to express and process your emotions.

  8. Set Boundaries: Establishing healthy boundaries with people who may trigger your emotions can help protect your well-being.

  9. Challenge Negative Thoughts: When you find yourself caught in negative thought patterns, try to challenge them. Ask yourself if there is evidence to support these thoughts and if there are alternative, more balanced perspectives.

  10. Give Yourself Time: Healing from narcissistic abuse and PTSD is a process that may take time. Be patient with yourself and avoid putting pressure on yourself to "get over" your emotions quickly.

  11. Consider EMDR Therapy: Eye Movement Desensitization and Reprocessing (EMDR) therapy is an evidence-based treatment for trauma that can help process traumatic memories and reduce their emotional impact.

Remember, the healing journey is unique for everyone, and there is no fixed timeline for recovery. Be compassionate with yourself as you navigate through these emotions, and know that it's okay to ask for help when needed. If you ever feel overwhelmed, consider reaching out to a mental health professional or a support helpline in your area. You don't have to go through this alone, and there is support available to help you through the process.

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