We don’t “think” or “decide” our way out of CPTSD.

CPTSD is not the kind of thing that can just be “thought” or “decided” away. 

But the way our culture talks about “overcoming trauma,” you might think CPTSD is the kind of thing we can just “opt out of,” provided we have enough “courage.” 

So many survivors, day after day, are subjected to utter silliness from the the culture, the media, and even people in our lives, when the subject of trauma comes up. 

People who don’t understand CPTSD is a different animal from PTSD will confidently opine that “exposure” is the way to heal trauma. 

People whose only reference point for dissociation is movies in which Dissociative Identity Disorder is dramatized and distorted will confidently describe what DID supposedly looks like and how it woks. 

People who can’t distinguish between self harm or suicidal ideation and self harming or suicidal behavior will confidently discuss how to manage personal risk and safety. 

On, and on. Everybody who has access to the internet, or who otherwise has access to our ears, might seem to have opinions, sometimes strong ones, about how to manage or heal our CPTSD. 

Many times their suggestions boil down to, “have you tried NOT thinking or feeling that way?” 

Voice some version of this to a trauma survivor, and watch how our expression goes blank. 

Because we’ve heard that a lot. 

We’ve heard that healing CPTSD is a matter of “leaving the past in the past.” 

We’ve hard that healing CPTSD is a matter of “changing our thoughts.” 

We’ve heard that healing CPTSD is a matter of “forgiveness.” 

We’ve heard a lot of things— but what we don’t often hear is any kind of nuance or depth about how any of those “suggestions” is supposed to work in the real world. 

In my experience, real world CPTSD recovery has to take seriously the fact that our symptoms are not “choices”— they are the result of years of conditioning, programming, and coercion. 

Our nervous and endocrine systems CAN change— but only with a recovery blueprint that truly understands and respects our injury. 

I believe the bedrock skills of CPTSD recovery are self-talk, mental focus, and managing our physiology, especially our breathing— but HOW we leverage these tools is not obvious or easy. To try to reduce them to “leaving the past in the past” is ineffective— and insulting. 

Realistic, sustainable CPTSD recovery is going to ask us to tune out  much of the cultural noise around trauma and recovery. 

Realistic CPTSD recovery is going to ask us to check in with ourselves, a lot, and work our recovery day by day, hour by hour. 

Realistic CPTSD recovery is going to ask us to get very real about how little “control” we have over how we feel and function— and very real about how we can leverage the actual INFLUENCE we have over our feelings and choices today. 

Do not get discouraged or otherwise head f*cked by anybody’s breezy assertion that we can “think” or “decide” our way out of CPTSD. 

You’re not “crazy,” “stupid,” or “lazy”— CPTSD is a b*tch. 

Recovery starts by realistically understanding what we’re up against— conditioning— and how long term patterns actually change: one baby step, one day, one hour, one minute, one micro choice at a time. 

Breathe; blink; focus. 

F*ck judging our thoughts and feelings.

Judging the sh*t out of ourselves is going to make every “sticky” thought or feeling we have, “stickier.” 

Trauma survivors are very often conditioned to show ourselves no mercy when it comes to what we “should” and “shouldn’t” think or feel. 

Barely a thought crosses our mind without us passing a harsh judgment on it. 

Barely a feeling touches our heart without us excoriating ourselves for feeing things, or feeling things more intensely, than we “should.” 

The truth is, there are no “shoulds” when it comes to thoughts or feelings— we think what we think and we feel what we feel. We like some thoughts and feelings more than others— but none of them are “evidence” that we’re doing this whole “being a human” thing “wrong.” 

But that’s not what Trauma Brain is going to tell us. 

Trauma Brain, what I call the internalized voices of our bullies and abusers that we play on repeat for decades, will tell us we “have” to judge and obsess over what we think and feel. 

Trauma Brain especially likes to tell us that we’re feeling “too much.” That we’re “too sensitive.” That the intensity with which we feel things is evidence we’re “weak” or “broken.” 

That is straight Trauma Brain BS (Belief Systems— but also, you know, the other kind of “BS”). 

Here’s the thing: those thoughts and feelings that we don’t love? Judging ourselves for them is going to make them hang out in our brain and body for much longer than they otherwise would. 

Judgment makes “sticky” thoughts and feelings much “stickier.” 

Nobody reading this judges their thoughts and feelings for the hell of it. We are responding to conditioning. We were programmed to relate to ourselves harshly. 

We do need to decide that we’re tong to change how we relate to ourselves— but changing that pattern requires more than a “decision.” 

It requires us to catch ourselves when we’re doing it, push pause, and choose to talk to ourselves differently. 

To scratch that old record— again, and again, and again. 

Not easy. Worth the effort— but not easy. 

Remember, when you’re tempted to beat the sh*t out of yourself for something you’re thinking or feeling, “this is only going to prolong my relationship with this thought or feeling I hate.” 

Then I recommend inserting this well-validated, very clinical turn of phrase into your self-talk: “F*ck that.” 

Because f*ck judging your thoughts and feelings, you know? 

What self-acceptance is and isn’t in trauma recovery.

Why do we emphasize self-acceptance in trauma recovery? 

It’s not because we love where we are in life. 

It’s not even because we love WHO we are at this moment. 

If we’re working a trauma recovery, we by definition want to change both where and who we are. We don’t work a trauma recovery to stay the same. 

We emphasize acceptance in trauma recovery not because we don’t want to change, but because we DO want to REALISTICALLY change— and realistic change does not start with self-rejection or self-hate. 

If self-rejection or self-hate were successful or sustainable change strategies, most trauma survivors would have zero problems changing. 

But self-rejection and self hate are not— either sustainable or successful change strategies. 

Self-acceptance is not about approving of where or who we are. It’s about acknowledging that we are starting exactly where we’re starting. 

It means being realistic about what we’re up against. 

It means being realistic about our strengths and our vulnerabilities. 

But most of all, self-acceptance means we are not going to relate to ourselves like our bullies and abusers did. 

It means we are not going to try to influence our own behavior via shame and pressure— even if that’s what we were taught or what we experienced growing up. 

Many people new to the Twelve Step recovery tradition are confused by Step One, which emphasizes not only acceptance, but powerlessness. 

How on earth are we supposed to recover, if the price of admission to recovery is “accepting” that we are “powerless” over our problem? 

That’s the thing: we are not accepting that we are “powerless” OVER our problem. 

We are accepting that we are powerless over the fact that this is exactly where we are right now. 

That things are exactly as bad as they are, right now. 

That the past happened exactly the way the past happened. We are powerless over that. 

We are NOT “powerless” over our next micro choice. 

We are not required to “accept” the lie that Trauma Brain keeps trying to tell us— that we don’t “deserve” a different life, or that it’s just “too hard” to recover from trauma. 

Self-acceptance is a starting point that, most importantly, differentiates us from our abusers and bullies. 

It’s not where we stay or where we end. 

It’s one necessary, important tool, especially in early recovery— but one tool does not a strategy make. 

The recovery STRATEGY is to accept where we are so we can maximize our chances of realistically CHANGING. 

Why are trauma survivors so hard on ourselves?

Why is it so hard for trauma survivors to give ourselves a break? 

Why is our first instinct always, always, always to beat the sh*t out of ourselves? 

It’s not because we love it. 

It’s usually because we’ve been CONDITIONED to do it— and to be afraid of what would happen if we didn’t do it. 

Our self-aggression very often happens so instinctively, so reflexively, that we don’t even know we’re doing it much of the time. 

Many of my patients tell me they don’t even realize how hard they’re being on themselves until I have them track their self talk for a day, or even a couple hours. 

But even after we realize how hard we’re being on ourselves, we get anxious when we think of NOT being so mean to ourselves. 

We get to thinking that we “need” to be hard on ourselves— or else we won’t be “motivated.” 

We get to thinking not being so hard on ourselves will result in us getting “soft.” 

We get to thinking we “have” to be so hard on ourselves, because “self-compassion” is this touchy feely concept that isn’t REALLY important— that “real” adults talk to themselves harshly. 

“That’s just the way it is,” we tell ourselves. 

We might even tell ourselves that OTHER people might “deserve” more compassionate treatment— but not us. 

We deserve the “tough love,” maybe minus the love. 

That’s what our conditioning tells us. And most CPTSD survivors have been conditioned, over and over, year after year, to talk to ourselves in very specific, very harsh ways. 

If we stay on autopilot, we don’t stand a chance against that conditioning. That programming. 

The good news is, we don’t have to stay on autopilot. 

The bad news, or mixed news, anyway, is that going off autopilot is a b*tch. 

It’s tiring. It’s annoying. It’s a distraction from the other sh*t we have to do in our life, like work, raising kids, and caring for pets. 

Our brain will keep trying to drag us back to our old conditioning, our old programming, because that’s the pattern it knows. That’s the pattern that is etched into our nervous system. That’s the path of least resistance. 

Working our recovery means turning away from that familiar path of least resistance. 

That’s why I say trauma recovery requires courage and determination and focus that most non-survivors can’t even fathom. 

We can change our habitual self talk, as surely as we can unlearn any old way of being and learn any new way of being. Humans unlearn and learn new patterns every day, every year. 

Once upon a time it was the most natural, normal pattern to go to the bathroom in our diapers. In order to learn to use the actual toilet, we had to change everything that was “natural” to us once upon a time through repeated practice. 

Changing our brain in trauma recovery is no different. 

We’re just a little older now, and saddled with more BS— Belief Systems— than we were then. 

Does recovery “have” to be the most important thing ?

Something that was, and is, hard for me to wrap my head around in my own trauma and addiction recovery is, recovery simultaneously does and does not have to be the most important thing in my life at any given time. 

Many survivors struggle with recovery because it feels like this overwhelming, all consuming project— and it surely is. 

Done right, trauma and/or addiction recovery will absolutely touch and inform everything and anything we do. 

We do not get days— or even hours— “off” from being survivors and/or addicts in recovery. 

If I’ve said it once, I’ve said it hundreds of times: trauma and addiction recovery aren’t just about trauma and/or addiction: recovery is actually about succeeding in life. 

It’s about self awareness. And time management. And goal setting. And self-care. You know, those things that every truly successful human being in the history of the species has more or less figured out. 

So, yes— the tools we develop to recover from trauma and/or addiction will and do absolutely serve us in everything we do, whether or not it’s directly related to our recovery proper. 

That said: I, and probably you, have things we want to do in our lives that have nothing to do with recovery. 

We have goals that go beyond safety and stability and sobriety. 

We have, or want, relationships that do not always revolve around recovery. 

We want to create times and spaces in which we can functionally forget that this big project called “recovery” is even a thing. 

And all that is legit. 

Make no mistake: I do not recommend trying to “forget” you’re a survivor or addict in recovery. That’s not going to end well. (Ask me how I know.) 

But I understand wanting and needing projects in your life that do not center recovery. 

Here’s the thing: I believe we do recovery specifically so that we DON’T have to focus on trauma or addiction 24/7. 

We’re not doing recovery just to do recovery. 

We’re doing recovery because we want to live. 

And the irony about that is, the more we prioritize recovery, the greater our opportunities to live actually are. 

Here’s the way I’ve come to think of it: recovery does not have to be the subject of your every waking thought. 

Recovery does, however, need to become the lens through which we see the world. 

All the other stuff in our life, all our other goals, all our decisions about time and energy management— we have to see them all in the context of recovery. 

Think of recovery as a project, yes— but maybe more importantly, as a tool. 

A master key. 

A key that will allow doors to open to us that do not have to do with the key, per se— but which, without the key, would remain closed to us. 

So— do we have to think about recovery every day? Yes— but only in the way that we “have” to think about any philosophical lens through which we see the world every day.

Recovery does have to be a non-negotiable in our life. We will surely die if we kid ourselves about that. 

And also: our trauma and addiction recovery does not have to become our identity. 

It becomes the TOOL through which we can safely and authentically express and explore our identity. 

Breathe; blink; focus. 

Notice.

Notice when you’re telling yourself a story about how their behavior, is your fault. 

Notice when you’re telling yourself a story about how you’re “only” suffering because you are “weak.” Or “stupid.” Or, or, or. 

Notice when you’re telling yourself a story about how you don’t “deserve” better than you’re experiencing now. 

Notice when you’re telling yourself a story about how you’re The Exception to the fact that human brains and nervous systems can change with experience and guidance and support. 

Notice when you’re telling yourself a story about how because certain things happened to you, you “must” be “destined” for pain and misery for the rest of your life. 

Notice when you’re telling yourself a story about how none of the recovery tools that work for other survivors, will work for you. 

Notice when you’re telling yourself a story about how you “should” be further along in you recovery by now. 

Notice when you’re telling yourself a story about how you “should” be fairer or kinder or give another chance to people or institutions that hurt you. 

Notice when you’re telling yourself a story about how recovery is too complicated for you to wrap your head around. 

Notice when you’re telling yourself a story about how you don’t have the “willpower” or patience or focus to meaningfully recover from trauma. 

Notice when you’re telling yourself a story about how you “can’t” let on to anyone, under any circumstances, how much you’re struggling.

Notice when you’re telling ourself a story about how the “memory holes” in your past “must” mean that there’s nothing there. 

Notice when you’re telling yourself a story about how what happened to you wasn’t “bad enough” to result in your current symptoms and struggles. 

Just notice. 

Notice, and remind yourself: this is BS. Belief Systems. 

They’re Belief Systems so common to trauma survivors that I can list example after example just now, and know that it will resonate with most of the survivors reading my page. 

None of those are true. 

Some of them start out with kernels of truth, but Trauma Brain— what I call the internalized voices of our bullies and abusers, that play in our head on repeat for years— effortfully, very effectively, warps them into self-defeating assertions that we buy hook, line, and sinker. 

Why do we swallow Trauma Brain BS? Not because we’re “stupid.” 


Because we’ve been brainwashed. Conditioned. Programmed. 

Realistic trauma recovery is about scratching the record. Waking up. 

Seeing the stories for what they are. 

And creating new stories for ourselves that are more reflective of reality and more relevant to who we are and what we’re all about. 

Grieve– and work your recovery.

The three basic tools that get us through every day in trauma and addiction recovery— self-talk, mental focus and visualization, and physiology and breathing— become especially important when we’re carrying grief in addition to our trauma or addiction struggles. 

When we’re hit with grief, it’s tempting to forget everything we know— including our recovery tools. 

When we’re grieving, the very last thing we want to think about is self-talk; or our mental focus; or our physiology and breathing. 

But we need to. 

Those are the building blocks of our recovery— and they’re more important than ever when we’re grieving. 

Make no mistake: grief is a delicate, dangerous time for survivors and addicts in recovery. 

Grief is the kind of thing that is going to try to convince us we “shouldn’t have to” focus on our trauma or addiction recovery— after all, we have other things to think about. 

Grief tries to tell us that we have “more important things” to think about than self-talk, mental focus, and physiology and breathing. That thinking about all that stuff might be all well and good on a “normal” day— but today we have way more pressing things to think about. 

Grief is consuming. 

And because it is consuming, the temptation is to let it consume the recovery work we’ve done to this point. 

It’s real important we not let it. 

Whoever or whatever we’re grieving would not want us to lose our recovery because of our grief over them. 

The good news is, every tool we’ve developed to support our trauma or addiction recovery— specifically self-talk, mental focus, and breathing and physiology— will also support us in managing and working through our grief. 

Self talk matters as much when we’re grieving as it does when we’re managing trauma responses. We cannot be in the business of telling ourselves our grief “doesn’t matter” or is “stupid” or disproportionate— any more than we can be in the business of telling ourselves our trauma “doesn’t count” or we should “just get over it” or “isn’t really trauma.” 

Mental focus matters as much when we’re grieving as it does when we’re managing trauma responses. Like trauma, grief tries to hijack our focus from who we are, what we’re all about, and how we can care for ourselves in realistic ways here and now— and it’s real important we not play along. 

Intentional breathing and use of our physical body matters as much when we’re grieving as when we’re managing trauma responses. Grief is a physically exhausting phenomenon, and if we are not caring fo our physical body, when we are breathing shallowly and quickly, when we are “armoring” 24 hours a day, we are no more in the position to manage or process grief than we are to manage and process trauma. 

Self-talk, mental focus, and physiology and breathing will not, on their own, dissipate grief, any more than they will dissipate trauma or banish addiction cravings and patterns. 

But it is virtually impossible to manage or resolve grief, trauma, or addiction, without paying attention to those basics. 

Do not get fooled into thinking that seasons of grief are when you get a “hall pass” to not use the basic recovery tools of self-talk, mental focus, and breathing and physiology. 

I understand— your whole nervous system wants you to do nothing but focus on this pain and emptiness you’re feeling. 

Believe me, I understand. 

But remember: you did not come this far, just to come this far. 

Your person or pet who left, would not want their memory to be associated with you stepping backward in your trauma or addiction recovery. 

Honor their memory by doing what you need to do to bolster your recovery work. 

Honor their memory by remembering the basics. 

Even if you’re crying so hard you can’t see the computer screen as you write.