Hey hey! So I heard a lot about PTSD symptoms getting worse once a victim gets out of an abusive situation - I was wondering what kind of symptoms would be repressed during the situation, if I can say that. For context - it's a kid, was being physically abusive by his father, he got arrested, now he's with his mom but she's emotionally abusive so it's not like he's quite safe. Thank you for the hard work!! Take care!
Letâs chat about what âsymptoms getting worseâ can mean before we dive into character conversation.
Symptoms getting worse can mean
a)Â âa person goes from short term survival state, to shock to having symptomsâ
Given the âshort termâ there, I do mean for single (or âshort termâ) traumas versus say, someone in an abusive home. People can go through natural disasters/car accidents and seem fine for a period afterward only to have symptom issues later once what has happened has âsunk inâ so to speak.Â
b)Â âa person goes from a long term survival state in an unsafe place to being in a safe place with maladaptive copingâ
This one isnât so much about âgetting worseâ though it can appear that way on the outside. When someone is in an abusive situation thereâs things they do to try and control the damage, both consciously and unconsciously- or to try and reclaim ground- both consciously and unconsciously.
Sneaking around the house at night to get food is a coping skill for a kid who is being neglected. Their hypervigilance of whether or not other people can hear them or see them is needed for their safety.
Sneaking around the house at night to get food as an adult in a non abusive household- maladaptive. Freaking out at their partner who got up to check on them? Maladaptive. Itâs the left over fear response from when someone hearing them eat was Dangerous.
c)Â âsurvival state to break downâ
Way back when I was in college- I was a multi-trauma survivor who had just left an unhealthy situation who was the retraumatized. As someone who had a life time of trauma experience, it didnât stop me immediately.
But the body can only exist in a survival state for so long. I went from âhere is a small handful of symptoms that really, arenât obvious that theyâre symptomsâ to full body break down. I know from the inside and looking back at that time that to me it /felt/ like I went from 0-100 in 60 seconds but the truth is it had been a slow simmering issue that suddenly hit an exponential curve. âHaving issues sleepingâ escalated into âskipping nightsâ went to âbeing awake for 70 hours straightâ (and do not argue with me about that not being possible- I fully accept that micro sleeps happened- thatâs half the story. I would blink and fall over on a bus, I would blink and be in a plate of food. But thatâs not *really* sleeping in a healthy sense, now is it?)
I went from food being a little bit hard to people asking when was the last time I ate and me telling them âbut I ate lunch with you?â only to find out that had been the day prior.Â
And then I broke. Pink eye. Something that looked like mono. Double ear infection. And an infection that had made itâs way to my blood that almost was found too late. You canât survive without sleeping and eating without wrecking your immune system.
Symptomology is complicated. And they donât always stay the same. Nightmares come and go out of peopleâs lives. Flashbacks experience different phases of intensity- or change forms all together. Dissociation can range from âI feel a bit odd and spacey in my bodyâ to straight up âI attended the wrong class and didnât notice, I only know a few days later because the notes are about a different subject entirely.â
If someone who is used to say- having a bit of a rough time falling asleep, being depressed and having trouble experiencing joy, and having nightmares-
ends up going through a shifting period where maybe they start getting 2-4 hours of sleep a night tops but no nightmares, and food issues they didnât realize were a problem end up triggered, and they can feel joy but itâs super unstable and their emotions are on 10 all the time-
that can be seen as getting worse.Â
It isnât that one set of symptoms is actually worse than the other- itâs that to the person experiencing them, the set they have more coping skills for is probably going to feel more stable. Or seem more stable to their friends and family. After all, a lot of symptoms and coping skills arenât seen as symptomology- theyâre seen as âjust the way that person is.â
I canât tell you what symptoms your character wouldnât have in an abusive situaton.
Some survivors of childhood abuse donât experience flashbacks to abuse until theyâre out of the abusive situation, but others are actively dealing with flashbacks while still in the traumatic place.Â
Some survivors of childhood abuse have maladaptive experiences related to the kind of abuse they experienced. Someone who had food withheld might binge, someone who wasnât allowed to sleep as much as they needed might start sleeping all day. Someone who wasnât allowed to show emotions in the household may struggle with managing emotions outside of it- and seem to have âtoo manyâ all the time.
And other simply follow the patterns that were already being bult- continuing to starve because eating feels wrong. Struggling to sleep or viewing sleep as for the weak, refusing to feel emotions.
It isnât as simple as âhere are the symptoms that can exist while trauma is still occuring and here are the ones that exist later.â
But I do think youâre right to have the change reflected in your writing. Your character is going to have to shift their coping mechanisms from one abusive situation to another. There are going to be âmisfiresâ and maladaptive moments (and possibly patterns.) There are going to be complicated emotional feelings about âwhy do I still feel like this- Iâm not experiencing _______â anymore and possibly guilt or feeling like theyâre making a big deal out of nothing. Or maybe the opposite- where instead itâs âIâd rather get hit than this.â
Both happen in real life.
So it isnât offensive to write one over the other. You just have to decide what youâre going to portray.