DEALING WITH POST 9/11 PTSD

Do you remember where you were or what you were doing in the early morning on September 11, 2001? I do. And, I will never forget. After dropping my boys off at school, I’d gone to the nearby gym and was running on a treadmill. I almost stumbled over my own two feet when I saw the first tower go down. I had no idea what had happened, but was in a state of disbelief. This was in Dallas, Texas.

The terrorist attacks that took place in New York City on September 11, 2001, dealt an unrecoverable blow to many. Commonly referred to as 9/11, the planes that flew into the Twin Towers and the Pentagon claimed thousands of lives, not to mention the aftermath victims of cancer or respiratory-disease that passed due to exposure to the area known as Ground Zero. Many people faced dealing with PTSD as a result of the September 11th attacks. PTSD, post traumatic stress disorder, is a psychological disorder that can occur after someone is exposed to trauma.

People who lost a loved one, such as the family members who received a call from someone on the planes, often developed PTSD even though they weren’t at the actual event. First responders who were there to witness the chaos and tragedy first-hand also were susceptible to PTSD. Survivors of the attacks at the sites experienced the disorder through survivor’s guilt and the horror of losing friends and colleagues while witnessing what occurred.

What Exactly is PTSD?

PTSD is one of those terms we’ve all heard, but most of us have a vague idea of what it entails. The triggering traumatic event can include a number of circumstances in which the person affected has a hard time recovering from what they saw or experienced. PTSD can actually change the way a person’s mind functions and manifests itself with a number of symptoms.The Pentagon also has a memorial for 9/11 victims. PTSD is a common post-9/11 diagnosis for many Americans.

Every case of PTSD is different. A number of factors involving the individual impact the level of the disorder: age, pre-existing mental and physical health, event that caused the PTSD, support system and help received.

PTSD can last months to years or can affect a person for the rest of their lives. Depending on the severity of the event that triggered it and factors mentioned above, people’s ability to deal with the disorder in day-to-day life has a lot of variables.

Common symptoms of PTSD

People who suffer from PTSD describe it as a feeling of not being themselves.

  • Some who return to their regular existence, daily routines, family life and responsibilities after surviving or witnessing a traumatic event can find it challenging or even impossible to reintegrate.
  • PTSD sufferers describe the feeling of being uncomfortable in their own skin.
  • Loud noises can trigger flashbacks that heighten their fight-or-flight response, characterized by an increase in heart rate, blood pressure, difficulty breathing and a deep sense of panic.
  • Panic attacks are a common symptom of PTSD, as sufferers can suddenly become overwhelmed by anything that triggers their condition.

>READ: DO YOU HAVE POST-TRAUMATIC STRESS?

Post 9/11 PTSD

Due to the extremity of 9/11, the cases of PTSD that developed after were significant. Not only did the event impact individuals on a personal level, it had a catastrophic impact on a national level. Americans were dealt a huge blow. It threatened their feelings of safety and wellbeing.

People who developed PTSD because of losing a loved one in such a traumatic, senseless and tragic way had grief-related triggers. These people were commonly triggered by airplanes, phone calls that reminded them of the last call they received from their loved one, crashes and threats of terrorism. For these people, memories of their loved one could trigger panic attacks and anxiety.

For people who were at the scene as first responders or who survived the 9/11 attacks, they developed PTSD from what they witnessed or from survival guilt. Witnesses saw awful things: people dead, massive destruction, a national symbol toppled, people wounded and suffering, crying and screaming.

The survivors struggling to justify why they survived, while so many other people didn’t, often report the hardest thing to deal with is the feeling of overwhelming pressure to do something worthy with their lives.

Ways of Dealing with PTSD

One of the best known ways to combat the effects of PTSD is to prevent it from developing. Counseling immediately after a traumatic event is one of the best known ways to stave off the development of the disorder. When victims of trauma have a healthy outlet and place to voice their feelings and concerns, it helps preserve their mental health. Professional mental help is a necessity for many dealing with PTSD related to 9/11 or other traumatic events.

Therapists are finding a technique called EMDR (Eye Movement Desensitization and Reprocessing) to be particularly helpful to move beyond the “stuck” phase of trauma’s impact.

Medication such as anti-depressants is the drug-related way of dealing with PTSD. For some, talking it through and leaning on a support system is not enough, and selective serotonin reuptake inhibitors are needed to calm the mind and minimize the symptoms.

If you or someone you know is still struggling from 9/11 PTSD, please reach out for help.

>READ: THE STORY OF LEIGH RICHARDSON: FROM TRAUMA TO BADASS MAMA

>READ: GRIEF HAPPENS IN THE BRAIN: HEALING AFTER LOSS

 

Leigh Richardson: One Third of Students Say They Were Bullied Last School Year

A new survey says that as much as a third of high school students were bullied last school year. Leigh Richardson recently discussed this phenomenon and what parents can do about it.

Some people say that confronting or fighting your bully is the answer.

That might work for some people but I think the real question is what about the kid who’s doing the bullying or what about the kid who’s being bullied and then goes on to bully others. That’s what we really need to address.

How much of bullying behavior is in the hands of parents?

A lot of it is actually, when kids don’t know how to play with other kids it’s up to the parents to intervene and explain to their children what is and isn’t acceptable behavior. The most important thing is that if bullying is happening to your child that you talk with them and work with them to find solutions.

Listen To The Full Interview

What motivates bullying behavior?

bullybrainAggressive behavior is associated with a number of psychiatric disorders and is thought to partly result from inappropriate activation of brain reward systems in response to aggressive or violent social stimuli. Previous research has identified the basal forebrain as a potentially important brain reward region for aggression-related behaviors, but there had been limited evidence that the basal forebrain directly controls the rewarding aspects of aggression.

A recent Mount Sinai study focused on how different regions of the brain work to create a motivational or rewarding component for aggressive behavior using a mouse model.

The study is the first to demonstrate that bullying behavior activates a primary brain reward circuit that makes it pleasurable to a subset of individuals. It also showed that manipulating activity in this circuit alters the activity of brain cells and ultimately, aggression behavior.

To study differences in aggressive behavior, researchers exposed adult males to a younger subordinate mouse for three minutes each day for three consecutive days, and found that 70 percent of mice exhibited aggressive behavior (AGGs) while 30 percent of mice show no aggression at all (NONs). They found that AGGs mice bullied/attacked the subordinate mouse and developed a preference for this behavior, suggesting that the aggressive mice found the ability to ‘bully’ another mouse rewarding. Conversely, NONs mice did not bully/attack the intruder mouse and subsequently developed an aversion to aggressive behavior. When exposed to the opportunity to bully another individual, AGGs mice exhibit increased activity of the basal forebrain. Conversely, they found NONs exhibit reduced basal forebrain activation and an increase in lateral habenula neuronal firing, which makes the aggression stimuli aversive.

Neurotransmitters are chemicals that are released between nerve cells and transports signals to receptors in neighboring cells, which can change the properties of the neighboring cells. Gamma aminobutyric acid (GABA), commonly found throughout the brain and produced by neurons is an inhibitory neurotransmitter that binds to GABA receptors, making the neighboring neuron less excitable

Researchers manipulated the activity of GABA between the basal forebrain and the lateral habenula. The habenula is an area of the brain that would normally encode an aversion to aggressive stimuli.

They artificially induced the rapid GABA neuron activation between the basal forebrain and lateral habenula and watched in real time as the aggressive mice became docile and no longer showed bullying behavior. The study is unique in that researchers took information about the basal forebrain and lateral habenula projections and then went back and manipulated these connections within animals to conclusively show that the circuits bi-directionally control aggression behavior.

These findings raise the question, how can neurofeedback be utilized as a treatment modality for aggression related behavior?   Research shows that teaching the brain self regulation  balances the interactions between the inhibitory and the excitatory synaptic potentials allowing for appropriate activation within the different brain reward systems.

Bulldogs Don’t Bully

Bullying goes on everyday in all walks of life. There are different forms of bullying, be they physical, verbal, or sexual. However, all of them are demeaning and hurtful to the person on the receiving end. It occurs at school, in the work place, in the home, and even at church. It is everywhere, and the worst part is that bullying is a vicious cycle, where the victims often become bullies themselves.

Bullying can be deadly. Thirteen years ago, April 20, 1999, the tragic school shooting at Columbine High School showed us just how deadly it can be.  The death of 12 students and 1 teacher evoked a lot of debate around gun control laws, the role of violent video games, and school security.  However, it also began to shed light on bullying as a root cause of tragedies such as this one, forcing people to address the problem that the two students/gunmen responsible had been outcasts and bullied to a point of mental distress. Bullying generally can start at school.  While it is hard to imagine how one could hope to control such a widespread problem, schools are beginning to do just that. A colleague and I recently had the opportunity to tour Dallas Academy and see first hand how a school is combating bullying in the hallways and classrooms.

Leigh Richardson, Henri Braun and Dallas Academy Headmaster Jim Richardson discuss the school’s bullying program.

Dallas Academy, who’s mascot is the bulldog, works with a unique group of students.  Their mission statement is to restore the promise of full academic enrichment to students with learning differences.  Learning differences often involve problems with reading and writing, and their curriculum involves two hours a day skill work on these problem subjects. And, the kids love it. We walked in and out of the classrooms as Headmaster Jim Richardson, asked the students if they were having fun, only to be answered by emphatic and sincere groupings of “yes” at every turn.  I kept waiting for that one “no” but it never came.  Jim has been there since 1983, and knows the school from the ground up. He has been involved in activity at every level. What he and his team have created there is pretty special.  As we toured the campus Henri, one of my colleagues noted how relaxed all of the students appeared.  The campus is very peaceful, with plenty of trees and natural light, and feels like a warm and nurturing place that fosters learning.

So, in this beautiful setting where everyone is having so much fun learning, why would Dallas Academy spend over a year training its teachers and administrators on an anti-bullying program?  It is an expensive and time consuming process. WHY?  It’s because those who work at the Dallas Academy appreciate the unique population of students that they have.  They understand the difficulties that these students have had in other environments, and want better for their kids.  It’s as simple as that.  They realize that even in an environment such as this, the potential for bullying still exists.  Despite all the successes and hard work, the faculty at Dallas Academy knows that the students are only human. With the help of their teachers and staff, these students who could have otherwise easily fallen into bullying have managed to rise above and make the Dallas Academy a haven and natural environment for learning and personal growth. The administrators walk their talk, and so do the students and their parents.

Please take the opportunity to learn more about their bullying program, and visit the campus on May 9th for a parent’s presentation on bullying.  For more information click here, http://www.dallas-academy.com/.

If you have a child with learning differences, or if you think that your child may be a victim of bullying, then take this opportunity to learn what you as a parent can do to help your child. You won’t be sorry if you go.  I was so inspired during my first vist, I can’t wait to go back.  The kind of example that the Dallas Academy is setting might even cause you to stop and examine your own daily practices, and ask yourself how you can better the environment in which you work and learn in.