{"id":112892,"date":"2019-07-16T11:59:40","date_gmt":"2019-07-16T15:59:40","guid":{"rendered":"https:\/\/www.gunsamerica.com\/digest\/?p=112892"},"modified":"2019-07-16T11:59:40","modified_gmt":"2023-09-06T01:16:13","slug":"after-the-last-bullet","status":"publish","type":"post","link":"https:\/\/gunsamerica.com\/digest\/after-the-last-bullet\/","title":{"rendered":"After the Last Bullet: Dealing with PTSD"},"content":{"rendered":"\n
\"After<\/a><\/figure>\n\n\n\n

Editor\u2019s Note: <\/strong>The following is a syndicated article by author <\/em>Steve Albrecht that first appeared in USCCA\u2019s Concealed Carry Magazine Volume 13, Issue 7 October 2016 under the title, \u201cAfter The Last Bullet: Dealing with PTSD.\u201d <\/em><\/p>\n\n\n\n

In his 2003 song \u201cBeer For My Horses,\u201d country artist Toby Keith said it so well. After taking care of bad guys, \u201cWhen the gun smoke settles, we\u2019ll sing a victory tune and we\u2019ll all meet back at the local saloon.\u201d Except it ain\u2019t always that easy. Your intuition for survival, hours of range training and constant dry-fire practice can get you through the physical part of having to shoot someone. But are you ready for the mental part?<\/p>\n\n\n\n

In the aftermath of your shooting event, your emotions will\nrange from doubt, sadness and guilt (even if you did the exact right and legal\nthing) to shame, fear, anxiety and anger, as in, \u201cWhy did that attacker put me\ninto the position where I had to pull the trigger?\u201d You might experience mood\ndisorders and hyper-vigilance, where you can\u2019t seem to turn off your need to\nprotect yourself or your family. You might experience sleep problems and\nnightmares, intrusive thoughts, loss of appetite or digestive problems, no or\nlow sex drive, headaches, low energy, and just a general body ache and fatigue\nthat doesn\u2019t seem to go away. You might feel the need to cope with alcohol and\nsleep medications, which are harmful separately and potentially fatal when\ntaken together. Don\u2019t suppress your mind and your body\u2019s natural reactions to\ntrauma with chemicals. You can expect to feel horrible, then much better, then\nhorrible again, all in the span of a day or a week or a month. Know this now\nand when it might happen: These are all normal responses to an abnormal\nsituation. You\u2019ve just experienced life-threatening, life-altering stress. How\nyou will react to it is the question.<\/p>\n\n\n\n

KNOW WHAT TO EXPECT<\/strong><\/h2>\n\n\n\n

You can expect to experience triggers now and anchors later.\nTriggers happen when you experience a related or even unrelated part of the\nevent. Something you see, hear, smell, taste or touch can be a trigger.\nExamples include driving by the scene of the shooting and feeling tremendous\nanxiety, hearing gunshots on a TV show or loud noises around you that activate\nyour startle reflex, or even smelling your gun oil in your range bag. These can\nbecome anchors, when their presence triggers the same negative mind-body\nresponse over and over again. You might be triggered by print or TV news\nstories about the shooting or while walking into a courtroom and seeing the\ncriminal who attacked you. Even the one-year anniversary of the event can\nbecome a trigger for you to re-experience your actions in a stressful way all\nover again. <\/p>\n\n\n\n

A veteran child abuse detective, who handled a number of\nhomicide cases where babies were left in trash dumpsters to die, told me he\nthought he was fine until one day he was eating sugary breakfast cereal and\nburst into tears. He couldn\u2019t figure out why, but then he realized it: Little\nkids eat cereal. That was his trigger, and it took him back to the anchor he\nhad created at the homicide scenes for those dead children.<\/p>\n\n\n\n

PROTECT YOURSELF<\/strong><\/h2>\n\n\n\n

Getting skilled therapeutic help is now just a given after a\nshooting event. We\u2019ve proved its value over many decades for the survivors of\nwars and horrific national violence or local disasters. The therapy process has\nevolved and improved because of the important post-trauma support work that has\nhelped our soldiers, police officers and firefighters lead normal, thriving\nlives, even after multiple exposures to unthinkably bad things. Besides just\npsychotherapy (or \u201ctalk therapy\u201d) and cognitive behavioral therapy, trained\ncounselors are using EMDR (eye movement desensitization and reprocessing) to\ninterrupt the path to PTSD with excellent results. <\/p>\n\n\n\n

Even tough people need help, and it should be no sin or sign\nof weakness to get help for your internal wounds, just like you would certainly\ndo if you had external wounds. Referral sources for help with PTSD symptoms are\ncloser than you might think. Just like you should carry your USCCA membership\ncard and your lawyer\u2019s business card, you should already have a list of mental\nhealth resources ready too. If you have a good friend who has worked as a\npolice officer or firefighter, or a pal who has survived combat, he or she\nmight be able to make a referral to a skilled clinician with experience in PTSD\navoidance. <\/p>\n\n\n\n

Check to see if your employer has an Employee Assistance\nProgram (EAP) provider. Despite what some of your uninformed co-workers might\nsay, EAP services are free, confidential and can put you into immediate contact\nwith therapists who can handle a variety of personal and professional stressors\nthat might arise as part of your involvement in a shooting.<\/p>\n\n\n\n

Your primary care doctor can also give you a referral to a\npsychologist for therapy and a psychiatrist for anti-anxiety or anti-depression\nmedication. The key here is to select a therapist who has experience working\nwith people who have PTSD, not just general life problems. In a perfect world,\nyou should work with a therapist who has been trained in police psychology,\nmilitary PTSD or similar support for first-responders.<\/p>\n\n\n\n

If you\u2019re a spiritual person, besides the power of prayer,\nyou might be able to get help from an experienced pastoral counselor at your\nchurch. There are pastors who understand that sometimes you need to take a life\nto save a life as shepherds are supposed to do. It\u2019s not a sin to protect\nyourself.<\/p>\n\n\n\n

There is a lot of mistaken information about confidentiality\nand the therapy process. It is not the function of the therapist to get you\ncommitted, take away your guns or ruin your life. They don\u2019t create secret\nreports. They are your advocates and want to help. The only exception is if\nclients say they want to kill themselves or someone else and refuse to get\ncrisis care. For those rare situations, they are duty-bound, based on the\nethical and license requirements for their states, to either get their clients\nemergency mental health care and\/or notify the targets of those threats. <\/p>\n\n\n\n

Life-changing trauma is best addressed by a combination of\nthree critically connected support areas: talking with people who care about\nyou, including trusted family members or close friends who can keep things\nconfidential; meeting regularly with a therapist who specializes in critical\nincidents and helping to prevent PTSD; and, lastly, and just as important, the\npassage of time. What seems painful soon after \u2014 and might create intrusive\nthoughts and terrifying dreams \u2014 will soon start to blur. These disturbing\nimages pass in number and intensity over the weeks and months after your\nshooting, but only if you allow for the two T\u2019s: time and talking.<\/p>\n\n\n\n

But there should be a limit to what you say and to whom.\nYour good friend who was a cop or a combat soldier is probably a better person\nfor the details of what happened than your spouse, partner or children. You\nmight feel the need to tell your friends and family everything to unburden\nyourself of the horribly difficult situation you faced, but be careful of what\nmental health clinicians call \u201csecondary victimization.\u201d We learned this the\nhard way after so many debriefings after the 9\/11 attacks. Therapists who held\nthese group debriefings learned valuable lessons about the expanding effects of\ntrauma.<\/p>\n\n\n\n

Group discussions with people who were at Ground Zero and\nsaw the towers fall actually made the event worse for people who were not at\nthe scene and only saw what happened on TV or responded later to the scene.\nTelling the details of your shooting to someone who is not ready to hear the\nstory and who can\u2019t process it successfully might create a second PTSD victim.\nIt\u2019s best to only tell what happened in an overview version to the people who\ncare for and love you, so as not to have them share the intensity if they\naren\u2019t ready for it. Even if they ask, consider your audience and don\u2019t\novershare. And stay away from friends or family members who are toxic or who\nwill say stupid things to you, like: \u201cHe needed killin\u2019\u201d or, \u201cWhy couldn\u2019t you\njust aim for his leg?\u201d Some of these people might mean well, but they can\u2019t and\nwon\u2019t ever know what it\u2019s like to share your burden.<\/p>\n\n\n\n

LET IT OUT<\/strong><\/h2>\n\n\n\n

One important step is to document the event on paper as soon\nas you can. Keep in mind your recollection of the shooting might change over\ntime. In an effort to protect your mind, your brain can play tricks on you,\neliminating or changing certain details it doesn\u2019t want to cope with until much\nlater. It\u2019s not uncommon to have tunnel vision and\/or tunnel hearing in these\nevents, where you can\u2018t remember how many rounds you fired or even hearing the\nsound of the gunfire around you. You might only recall new details many days,\nweeks or months after the shooting. <\/p>\n\n\n\n

Writing down what happened serves several purposes: It helps\nyou vent about what took place; you can fine-tune the accuracy and depth of the\nevent as the days and weeks pass and your memory improves; and it captures your\nversion to support your testimony in a civil or criminal trial. This document\nshould be given only to your lawyer, so it is not subject to a subpoena.<\/p>\n\n\n\n

Many police officers and soldiers who have been in shooting\nevents have found much help with this stress management acronym: BREADS, which\nstands for Breathing (focusing on slowing it down, especially as a way to\nmanage pending anxiety); Relaxation (meditating at least once per day for 10\nminutes); Exercise (to burn excess energy and help you sleep and eat better);\nAttitude (relentlessly positive \u2014 \u201cI will come out on the other side of this\nexperience as a better person\u201d); Diet (careful eating and staying away from too\nmany feel-good foods, liquor or caffeine); and Sleep (using good, restful sleep\nas a way to \u201creboot\u201d your brain and recharge your body).<\/p>\n\n\n\n

TAKE NO CHANCES<\/strong><\/h2>\n\n\n\n

Clint Eastwood as Harry Callahan said it best: \u201cA man\u2019s got\nto know his limitations.\u201d If you ever get into a state where you are so\ndepressed or you have so much survivor\u2019s guilt about what you have done that\nyou contemplate suicide, you have to get immediate help. You need to have the\ncourage \u2014 with a capital C \u2014 to ask your family to lock up your guns and take\nyou straight to your family doctor, local emergency room or your county\u2019s\nmental health hospital. Nothing that you experienced in a shooting event is\never worth taking your life in return. No one in your family or group of friends\nwill ever agree that your suicide was the right thing to do. Get help. Save\nyour life and your family\u2019s future pain. <\/p>\n\n\n\n

Experts who study these events talk about the power of resiliency, the ability to bounce back, cope, be hardy, see a better future beyond the traumatic event and not let it consume the rest of your life. Being forced to shoot someone is rare and life-changing, but it should be an event in your life, not the event of your life. Lots of people have survived life-threatening, life-saving incidents involving the proper and legal use of their firearms. With professional legal and mental health help, support from family and friends and the passage of time, you will too.<\/p>\n\n\n\n

Discover how you can join nearly 300,000 responsibly armed Americans who already rely on the USCCA to protect their families, futures and freedoms: USCCA.com\/gunsamerica<\/a>.<\/em><\/p>\n\n\n\n

***Buy and Sell on GunsAmerica!<\/a>***<\/h2>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Your intuition for survival, hours of range training and constant dry-fire practice can get you through the physical part of having to shoot someone. 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