claustrophobia

My dear friend came to visit recently. After many years of knowing each other and being close as writers — we discovered only a few years ago that we are both CSA (Child Sexual Abuse) survivors. This was a shock to us both: keeping secrets, keeping abuse ‘over there’ is hard-wired in both of us. But we have come to know that much connects us, and that in a way this is cause for celebration. Despite our pasts, we have compassion, we have empathy. We have humour, and love.

This time we ended up alighting upon something I didn’t know she had as well: a violent reaction to feeling enclosed.

I’m curious: do most or all survivors experience this? I cannot bear the sensation of feeling enclosed, or struggling to swallow, or reaching for air. This means that last year when I had tonsillitis I was in a terrible, panicked state. Max sat with me, holding my hand, distracting me by watching sitcoms. I was barely with it. Tears of desperation squeezed out of my eyes with every breath.

Every time a duvet climbs above my shoulders I am panicky and shove it away. I almost always sleep with my arms out of the covers. I also find elevators (lifts) very difficult, especially small ones. I struggle with spiral staircases, and have had more than one serious panic attack while climbing them. I am physically disoriented very easily, and launch into a full blown panic attack when this happens. Whether in IKEA, or once in an observatory when the ceiling rotated — when I don’t know or remember how to ‘escape’ from someplace, I melt down.

My friend is the same. Almost exactly the same. We figured there must be something about being overpowered. About a large person hovering and smothering. About not being able to fight.

One of the first realisations I had in my early therapy was the fact that I wanted to push my father away. My arms ached with that realisation. But I never did. I was frozen, frightened, dissociated.

These triggers — phobias, fears, whatever you call them — are all collateral damage. Ripples from abuse. All of the above responses are valid, as are many more. They are normal trauma responses. Yet both of us have at times been made to feel deficient: buck up, be brave, there’s nothing wrong!

There’s a lot wrong when you are in fear for your life. When you think the breath will be squeezed out of you. When things are forced into your mouth and you can’t breathe. When you are a child and can’t bear the weight, the intrusion. These are the facts. They never go away.

We must respect trauma responses. We need to be trauma-informed. It is often NOT possible to ‘overcome’ these responses, and it’s a myth to believe everyone can. We all have to work with what we carry around the best we can. For survivors, these tangled and deeply embedded responses are unavoidable at times.

For me this means I almost always avoid lifts. For me this means I ask the dentist to raise the head of the chair closer to sitting, and have to ‘go someplace else’ when x-ray plates are in my mouth. For me this means I am always verging on panic when in a crowd.

My family know these things and accept them. They know where these responses come from. With time and recognition of these triggers, I am less compromised by them than I used to be. For me, speaking my ‘truth’ — admitting that I’m frightened, admitting that I’m disoriented and having to control my breathing — eases my panic, and often prevents it from escalating to the point where I can’t be reached. These issues don’t go away — but they have less sway over me.

This won’t work for everyone, clearly. Sometimes we are surrounded by people who refuse to understand, or whom we don’t trust, or with whom we don’t feel safe enough to show we are feeling vulnerable. I know I am very lucky. Without even realising it consciously, I landed on my feet when it comes to close family and friends.

Regardless of how memories manifest with you or with your loved ones, acceptance goes a long way. Lack of judgment goes a long way. Saying ‘it’s alright’ to feel this way, to react, goes a long way. Because next time the panic might not be quite as overwhelming. Regardless of the trigger: being seen and believed and supported can help dismantle these suffocating walls.