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"Boundary Problems Related To PTSD and Substance Abuse"


Foreword

*You may get upset reading this post if you have PTSD or substance abuse. Only read it if you feel safe and/or have access to support from safe people. Stop reading if it is upsetting.

List of Boundary Problems

People with PTSD and substance abuse may be prone to the following boundary problems:

  • Extremes: trusting too much or too little; isolation or enmeshment

  • Relationships that are brittle--easily damaged and fragile

  • Tolerating others' flaws too much; doing anything to preserve the relationship

  • Use of substances as an attempt to connect with others

  • Avoiding relationships because they are too painful

  • Overcompliance at times and too much resistance at other times

  • Always being the one to give

  • Spending time with unsafe people

  • Not seeing the hostility in others' words or actions

  • Being overly angry, with a hair-trigger temper; often ready to "blow up"

  • Difficulty expressing feelings; expressing them in actions rather than words (acting out)

  • May respect men for being "strong" and disrespect women for being "weak"

  • Feeling that one can never get over a loss; not knowing how to mourn; fear of abandonment

  • Difficulty getting out of bad relationships

  • Confusion between fear and attraction (i.e. feeling excited when it is really fear

  • Relationships with people who use substances

  • Living for someone else rather than yourself

  • Manipulation: guilt, threats, or lying

  • Reenactments: getting involved in repeated destructive relationship patterns (i.e. recreating the trauma roles of abuser, bystander, victim, rescuer, or accomplice)

  • "Stockholm Syndrome": feeling attachment and love for the abuser

  • Wanting to be rescued; wanting others to take responsibility for the relationship

  • Confusion about what is appropriate in relationships: What can one rightly expect of others? When should a relationship end? How much should one give in a relationship/ Is it okay to say "no" to others?

  • "Identification with the agressor" believing the abuser is right

Which of These Problems Do You Identify With?

Talk to your counselor about the points that apply to you, and ask for help overcoming these problems. Counselling is a service free of charge if you are in Canada. If you do not already have one, call the Mental Health association of your city to start working with one.

Meanwhile, read more on setting good boundaries in relationships--saying "no" in relationships, and saying "yes" in relationships.

Afterwords...

Change is possible. When you hear your PTSD telling you that you will never get out of this darkness, catch that thought and cast it aside. Thoughts are just thoughts. However you may feel, the truth is that you will overcome these symptoms and replace unhelpful coping skills with helpful ones.

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