Sanctuary What?

office-space

So yeah, another bigger topic and one that definitely needs to be discussed and highlighted – SANCTUARY TRAUMA. And, yes, it is something that I have personal experience with and know just how damaging it can be. But first, let me put this into context by explain what exactly it is and how it plays so nicely with PTSD.

From the Socialhealth.org blog, Steve Rose provides the following, which includes the definition of it by Dr. Steven Silver who coined the term:

Some Veterans experience traumas beyond the battlefield. One of these can be called, “sanctuary trauma”. A concept developed by Dr. Steven Silver, sanctuary trauma “occurs when an individual who suffered a severe stressor next encounters what was expected to be a supportive and protective environment’ and discovers only more trauma.” Some veterans who face mental or physical injuries from service are finding themselves in a second battle with the bureaucracy upon return.

And the best one liner found later in the article goes to:

Sanctuary trauma is unique because it is caused by institutions that are initially expected to provide care.

Now here is the tricky part. I am bound by the RCMP Act and policy to not publicly talk negatively about the RCMP in any way shape or form. So, I have to tip toe a bit as I talk about this knowing that I am in a real balancing act of explaining my personal situation while doing so in a non negative way that would paint the RCMP in an unfavourable manner. But the reality is that the examples I am going to share aren’t negative towards the RCMP but more towards individuals within the RCMP that used the organization’s policy etc to inflict the further trauma. Regardless, I’m up for the challenge and the only way that this stuff will get dealt with and changed is through education, so here we go.

After 18 years of policing in a variety of roles and locations, I seemed to have amassed my fair share of traumas. In fact, at one point during my stay with Project Trauma Support I realised I hit bottom and acknowledged just how “fucked up I am” as a result of these traumas. But I soon saw a pattern that was present with my more serious traumas (as if there is an actual ranking system of traumas) that fit the concept of Sanctuary Trauma. Instead of chronicling the entire library of events, I’m going to hit just a couple to show the damage done by an institution after the initial trauma. And no, there’re not going to be graphic examples but I must confess, this will be my fifth attempt at writing this post. I won’t lie, I have been struggling.

So at the 3 or 4 month service point, this newly minted Mountie found himself going after people who would buy bootlegged home-brew on a dry reserve. One ingenious individual decided to jump into the river, which was just breaking up from the winter freeze, with his thermos full of homebrew. As you can image, the cold water temperatures quickly started to get the best of him.

From the shore, I watched as the life was definitely draining from the individual and I made the decision to go in and get him. When I was about 6 feet from him, I was hit by a large chunk of ice and knocked over. Nothing like a full dunk into a freezing river. Long story short, I got the guy back to shore and he was taken to the nursing station. I was told to go home and change incase another call came in (supportive institutional response). After the dust settled, my trainer informed me that he was going to put my name forward for a commendation for my actions. Okay cool I thought.

Well, about a year later I reached out to the Sergeant to ask what was happening. In response, I got a lovely worded internal memo that said “by all accounts, Jason’s actions saved so and so” and this wonderful tidbit “that due to the transitioning of one detachment commander to another, the investigation required to support the award for merit was not done”. There you go, Sanctuary Trauma. A kick to the nuts so to speak. You did good but me and the other detachment commander didn’t get along so here’s you memo.

In 2003, my mom passed away after a short battle with cancer. On the day we buried her, my dad suffered a heart attack and was admitted to the hospital. I called my Detachment Commander to see if I could get some time to process everything. I was quickly informed that I was one of two members working evenings over the long weekend so I had to report for duty for my Friday night shift. So, being the good Mountie, I shelved my personal pain (Mountie Up) and headed to work. Within three hours of being at work, I was shot at, not once but twice, by the same guy as he tried to evade the police.

It was at the end of the shift that I was talking to the Corporal about my week. He looked at me and said “why are you here? ” I told him I was ordered back to duty to which he quickly responded that I should have called him as he would have worked my shift. So to recap, I just went through one of life’s worst moments by loosing a parent, had the other parent have a health crisis, get ordered back to work only to be shot at twice…… And, I’m then told that I shouldn’t be there and that the Corporal would have worked for me if he knew what happened. Just a bit of Sanctuary trauma wouldn’t you say?

And, my last example will be the execution of a search warrant at a bike gang’s business. I was the exhibit guy for the search so I was responsible for documenting all the exhibits. Someone brought me a box with a handgun and other items to go through. After rending the gun safe, I proceeded to the rest of the contents. The first thing I picked up was a pipe bomb. So there I was, holding one of the most unstable, homemade, explosive devices known. With my free hand, I was able to discover a second pipe bomb along with a bunch of TNT sticks remaining in the box.

I calmly stated that we have a bomb which prompted the evacuation of the site with my Sergeant being the first one out the door, literally leaving me in the building by myself, holding a bomb. I ended up putting the bomb down, conducted a sweep of the building to ensure no one was present and walked out. The only thing that was said to me was by the same Sergeant about 4 hours later when the bomb squad was having difficult accessing the building was “Next time, put the bomb outside of the building.” Do you feel the love and support.

Taken separately, each situation doesn’t seem so bad. But, when they begin to compound on top of each other, they quickly add up and deepen the damage. What I learned after only a few months in the career of my dreams was not good. Each time I did my job as required, I seemed to get slammed by people within the organization I wanted to work for since I was a young child. You start to learn that you better either Mountie up and keep your mouth shut or get a reputation as whiner and complainer. In the end, both have the same effect on a person’s psyche, it starts destroying it. You begin to second guess everything you do and say, wondering if you will be met with applaud or with criticism. Or, if you are lucky enough to have a special kind of boss, you might get both reactions.

I look back on all the situations I was in and the Sanctuary Trauma was truly the only consistent variable. It makes you wonder if the impact would have been different had the support been real, genuine and timely. The hardest part is realizing that you can’t dwell on thinking that way and instead, you need to “forgive and forget” in some ways so that you can move forward. That’s what I am in the process of doing and it is fucking hard to forgive people for treating you like shit when you were at the lowest point following a trauma. I helps to think about the few people around you during those times that offered support or were simply there with you.

What’s the solution? I’m not sure but it is slowly becoming something that I believe will guide me on the rest of my return to work journey. It is also something that I know I can begin to change in how I interact with my co-workers and those I supervise.

My Brain Hurt

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So, the time has come for me to do a bit of a hard-hitting post that explains my PTSD and more importantly, the Moral Injury aspect.  I don’t think that I would have been able to do this had it not been for my week at Project Trauma Support and the processing and growth that I went through as a result.

Before I go any further though, I think it is import to explain what a Moral Injury is.  One definition, from the Centre for Addiction and Mental Health (CAMH) website, I found explains it like this:

Moral injury is a loss injury; a disruption in our trust that occurs within our moral values and beliefs. Any events, action or inaction transgressing our moral/ethical beliefs, expectations and standards can set the stage for moral injury.

and from the Real Warriors website, their definition is:

Moral injury occurs when one experiences an act that conflicts with or violates a core moral value, or deeply held belief, and leads to an internal moral conflict. It is the betrayal of what you may feel is morally right. It might arise from your own actions or inaction, other people’s behaviors or by witnessing the suffering of others. Moral injury can occur either during or at some point after the event, and may be associated with feeling shame or guilt.

Examples can include participation in direct or indirect actions such as; Killing or harming others, Witnessing death, Failing to prevent immoral acts of others, Giving or receiving orders from authority that are against one’s moral values.

The Real Warrior definition I believe is more accurate and they go on to add;

While there are similarities between moral injury and PTSD, moral injury involves guilt and shame while PTSD is a result of fear from a life-threatening or traumatic event. PTSD requires a diagnosis and moral conflict is not necessary for PTSD to occur.  A moral injury is not established by a formal diagnosis and there is no set threshold to mark its presence.

So yeah, Moral Injury is an add-on to PTSD.  The double whammy of a traumatic event or incident.  I feel so lucky (actually being somewhat serious on this as I have begun to reframe my PTSD as a Badge of Honour).

So with the definitions out of the way, below is the letter I wrote earlier during the course of my treatment as a way of wrapping my head around the emotions that I had dealing with the moral injury aspect of my PTSD.  I will warn you, it is ugly and some might have a hard time reading it, or even accepting that it happened.  But, it is my reality and the result of a number of human errors and misjudgments on what was the best way to do things. So, without further adieu, here is the nitty-gritty but I have altered it slightly to protect those that were involved.

******************************************

Well kid, you don’t really know who I am but we have met once before.  And that meeting, regardless of its length, had a huge impact on me.  Actually, you have had a huge impact on me and it is only within the last week that I learned your name.  Heck before that, I had spent the previous 12 years thinking that you were a boy. In the greater scheme of things that actually doesn’t matter as much as the fact that you were a living, breathing human being with a heartbeat and a will to live. 

We came into each others lives completely by accident as a result of your birth and me being a police officer.  You see, you were born at home, well before you were suppose to be ready to be born.   And because of my job as a police officer, I was the one that responded to the call for help that your parents made.

I have sat here in front of the computer as well as other times throughout the day wondering what I should write and say.  Regardless of how much time I take to think about it, I always come back to the same thing.  Kid, I am sorry.  I am sorry that you were not provide the chance to feel the love of a parents touch, that you were not given the chance to be held, that you were left on a counter with no one giving you the attention that you deserved.  And lastly, I am sorry that I couldn’t have been the person I was raised to be and give you those things by simply picking you up and holding you in my arms as you slowly passed away.

My heart hurts with the guilt and pain that my inaction has caused.  I became complacent in the inactivity by simply sitting there and watching you die.  Watching you die without knowing what the loving touch from another human feel like.  For that, I will always fault myself for not doing or saying something about how wrong you were being treated.  You deserved so much more than what you were given by the hospital and the people around you.

You showed your desire to live by fighting to breath as your life slowly slipped away. You laid there on you own and you fought.  Your heart pumping, you arms reaching out and your little body fighting to live.  But despite all this effort, no one reached out to help you  No one stood up for you to say how wrong this was.  We all just simply sat there and let you pass away.  Lonely in a room full of people that could have given you the love that you should have had in those final moments. 

But in the end, I can only say I’m sorry for my inactivity.  I’m sorry for not being the person that you needed in those moments as you slipped away from life.

****************************************************

So yeah, there it is.  Now as I read it back I see how irrational my thoughts were about it.  I had no control over the situation.  I did not cause the situation nor was I complacent in any part of it.  But, that is not how your mind tries to make you understand it.  What it is now though is one of the things that happened that graced me with PTSD and will allow me the chance to grow.  To grow into a better person and to help others grow as well.

And I apologize to anyone that read this and viewed it as war porn or it triggered a memory for them.  I thought long and hard about posting this and in the end, I needed to do it in order to help myself grow further from the experience.

Be safe.  Be well.

What the Hell Just Happened??

fourthawakening

No I am not referring to any NEWS article or story about a world leader getting caught doing something they shouldn’t be.  Nor, am I thinking about anything going on in my neck of the world.  I am simply thinking about my past week and all the things that happened.

This past week, I went to a residential (live in) treatment program designed to deal with PTSD and Moral Injuries (more about moral injuries will be coming, trust me). Being removed from the program for two days now, I can honestly say that I am still trying to process what exactly went on and the depth of the changes that took place within me.  The despair of PTSD has been morphed into something completely 180 degrees from it and as exciting as it is, it is also scary as all hell.  And now here is the rub, I’m going to tell you about the program without telling you anything about it.  Confused?  Good, now we are on an even playing field.

The program I went to is called Project Trauma Support (PTS) and it is based in a little town called Perth, Ontario.  PTS is geared towards military and first responders suffering from moral injuries and/or PTSD and it takes a completely fresh approach to dealing with the issues attached to both.  After arriving, you quickly learn that you are no longer in Kansas, although there were a few dogs kicking around, and you just have to go with the flow.  Over the following days, something begins to change within you and you start to see things in a very different light.  Your perceptions change and evolve and before you realize it, it is time to pack up and return to your everyday world.

For me, the most impactful part of the week was being able to sit in a room with 7 other individuals who just know exactly what you are going through without having to tell them about it.  We became a tribe of warriors taking on the battle of a lifetime.  I was humbled, brought to tears, emotional beaten up, laughed, cried some more, formed bonds and walked out with my head held high.  I experienced the true meaning of Brotherly (Human) love and felt the support of those around me, who just a few days prior were perfect strangers.  Saying that there were changes and evolution during this time is truly an understatement.  But one thing I realized was just how damaged or to use my exact words “How fucked up I am” from all the things that I have been involved in.

So, after I left, I was thrown into a trial by fire.  As I was heading back to the highway, I was involved in a minor accident.  Did it piss me off, yep.  Did I lose my shit over it, nope.  I just let it happen realizing that I did everything I could (swerved to miss the on coming car) that I could and the rest was out of my control……  Sure I’m sore and stiff but the funny thing is that okay mentally with it.  It didn’t result in some flashback to an accident scene nor did it bring up memories of injuries or death.  I just did what you do after an accident and carried on my merry way.

I suppose it would be fair and safe to say that I now look at my PTSD as a Badge of Honour.  I got it from doing and seeing the things that humans shouldn’t have to be part of.  Basically, I did the dirty work so that others wouldn’t have to do it.  The unfortunate part is that it left me with these battle scares so to speak which will be with me for the rest of my life.  But that is not to say that they will control me for the rest of my life as I am focussing my energy on reframing the negative and using it as a means to grow beyond my current state.  I know, it sounds like a whole bunch of hippie, long hair, drum banging horse shit but I’m going with it.  In a week, it has caused changes to take hold and it is now a part of my journey, a tool if you will, that will help me on my way.

As an example of the results, the other night, I talked in-depth with my wife about some of the incidents I was involved in.  Sure I got sad at the memories as they came flooding back but they didn’t terrorize me.  They didn’t make me freeze up.  They were just there.  I allowed them to happen without consuming me.  And yes, I am aware that I am riding a wave right now and eventually it will crash into the shoreline.  But, I fully believe that when it does crash, it will not be the tsunami coming to shore but more of a gentle rolling wave, hitting the shore and slowly returning to the ocean.

This week, leading up to an important trauma anniversary, I will be discussing moral injuries and sanctuary trauma/injuries a bit as these are two of the main contributors to my PTSD.

The Week that Was

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Yep, that’s right.  I went to work this week for the first time since May 4.  Ten months to the day not including all the pre-visits that I did leading up to the big day as part of my therapy to get ready for the big day.  Pre visits you ask?  Well, yeah, I did a series of practice runs to get to the office and no it is not because I forgot how to get there.  Prior to going off work and over the last while, any time I travelled int he general direction of the office, I was overcome with anxiety / panic attacks.  The pre visits were meant to help me deal with the anxiety and show myself that nothing would happen.

So, the day arrived and I walked into the office with a whole shit tonne of apprehension and irrational fear that I would be crumbled to nothing in front of my coworkers by some mysterious PTSD force.  Happy to report that didn’t happen but it was far from easy.  But it was not the worse thing that happened to me either.  In fact, when I think back on it, it was an interesting experience for many different reasons.

I went in determined to not let the environment or people get me down so I found myself going on an offensive of sorts right off the bat.  For me, that is usually using humour to break the ice and that is exactly what I did.  With both the Staff and the Officer in |Charge, I proudly declared that “Space Cadet  Jay is reporting for duty”.  It seemed to take a bit of the edge off for me and I began to navigate the rest of the office.  There were a few genuine reaction to be being back with a colleague’s big hug and exuberant “I’m so glad you are back” topping off the day, heck, the best couple of months for me.  It was an example of why I have seen this person as a support for me that I truly can rely on.

The rest of the time, which was slated for an hour (Gradual return to duty being the key) went by without any major blips.  What became obvious to me is that it is going to be difficult to figure out what my new normal will be at work.  With this restarting of sorts of my career, I need to learn how to work with my triggers and protect myself from allowing myself to take on more trauma.  After the hour, I was wiped.  It is hard to pretend that everything is okay and wear a smile so that others don’t worry about you.  All part of trying not to be the guy with mental health issues.

Thankfully, I am starting to understand this sooner than later.  The next shift I was scheduled for happened to land on a day that the area was dealing with an ice storm.  So, instead of saddling up and making my way in, I simply sent an email stating that risk/reward for me to travel in this weather to say I did an hour sift just wasn’t there.  And you know what, I didn’t feel bad about it.  It was the right thing to do for myself.

I finished off the week with the my involvement in the final step of a Moral Injury research project I got screened into.  Almost one hour of a MRI brain scan while reciting a moral injury situation and a neutral situation, along with questions and two pre and post scans for comparison.  It took a lot out of me but as I was leaving, I spoke with the Research C|oordinator and said that the findings won’t help me but maybe they will be used to help those that will start their PTSD journey.

And now, I have to go and pack.  Tomorrow I leave for a week so that I can take part in a PTSD / Moral Injury residential program.  I am scared of the unknown but excited that this might help put the pieces together.  It will also be the first time since my diagnosis that I will be away from home for a prolonged period of time.  Last time, my world came crashing down, maybe this time, I will be able to further rebuild that world.

Did Sleeping Beauty have PTSD?

sleeping dog

No, I am not going to attack Disney for its portrayal of Sleeping Beauty or any of the Disney characters, although I believe I could make a very strong argument to outline the years of abuse she suffered led to a damaging diagnosis of PTSD.  Seriously, what else would cause someone to sleep all the time?

For me, sleep or being rested in general has been like searching for a unicorn.  Apparently it is possible but it hasn’t been available to me yet.  There are days where shortly after getting out of bed, I am solely focussed on trying not to return to bed to go back to sleep.  I am in a constant state of exhaustion and ever do I feel rested throughout the entire day.

Part of the issue, according to the research I have been doing, is that your mind isn’t working properly so it takes a lot of energy to get through simple tasks.  And I am not talking about anything extreme when I say tasks.  I am referring to daily activities, brushing your teeth, preparing supper, writing a blog…….  They all take a toll on you and can zap your energy fairly quickly.

But, what I find to be the real kicker is just being myself, trying to go about doing normal daily things.  That can be too bad you ask?  Well, when you consider that as soon as you leave you house, you become  hyper vigilant about everything and anything around you, you put on a happy face even if you feel like crap mentally, and you fight back anxiety for being out in public, you can see the amount of energy you need to use to just be me.  It amazes me just how much energy it takes to “put your best foot forward” to help others around you feel that you are doing good.  I know, that sounds funny about even when you are at your lowest or down for the day, you still want to eliminate the worry and concern that others feel for you.  So, the best way to do that is to make it look like you are okay.

But, as you can imagine, it has an impact on you.  For me, it is exhaustion.  For others, it could run the gambit of possibilities.  It all depends and although there are some consistent symptoms and reactions with PTSD, in the ned, it is very individualized.   I tend to take a lot of naps when I am exhausted or have time alone.  I see it as a necessary evil as I know for me to be functioning and in the moment with family, as much as possible that is, I have to take the time to be semi-rested.  Sunday for an example, we did hockey in the am, got back home and within an hour, I was out cold for a good 2 hours.  I missed 2 hours of the day but it gave me the charge to spend the rest of the day doing stuff.

Today, I am going to try a different approach though.  I start my return to work today and although it is only an hour of being in the office, I know I will be drained before too long.  Heck, I am exhausted already and all I did was take the little guy to school and had breakfast.  But regardless, my plan is to get home after, do som mindfulness exercises and stay away from the bed or couch for as long as possible.  That’s the plan.  Hopefully, I can pull it off and not sleep during he day today.  If nt, I am going to have to work in nap time to my work schedule.