{"id":3148,"date":"2016-06-28T06:56:54","date_gmt":"2016-06-28T10:56:54","guid":{"rendered":"http:\/\/policepsychologyblog.com\/?p=3148"},"modified":"2016-06-29T11:58:34","modified_gmt":"2016-06-29T15:58:34","slug":"police-psychology-ptsd-2-crash-and-burn","status":"publish","type":"post","link":"http:\/\/policepsychologyblog.com\/?p=3148","title":{"rendered":"Police Psychology | PTSD 2:  Crash and Burn"},"content":{"rendered":"<body><p><\/p>\n<h1 style=\"text-align: center;\">Police Psychology | PTSD 2:\u00a0 Crash and Burn<\/h1>\n<p style=\"text-align: center;\"><span style=\"font-size: 12pt;\">by Gary S. Aumiller, PH.D.\u00a0 ABPP<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">Have you ever had the chance to be in a drunk driving simulation or even play a game on a drunk driving simulator?\u00a0 You try to keep the car on a straight path, but it keeps moving around.\u00a0 Every turn you make for the car is exaggerated and you end up swerving and pretty much out of control down the road.\u00a0 They even have games where<img data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"477\" data-permalink=\"http:\/\/policepsychologyblog.com\/?attachment_id=477\" data-orig-file=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/06\/gears-in-head.jpg?fit=400%2C266\" data-orig-size=\"400,266\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"gears in head\" data-image-description=\"&lt;p&gt;Police Psychology, Police Stress, Obsession&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/06\/gears-in-head.jpg?fit=400%2C266\" class=\"size-medium wp-image-477 alignright\" src=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/06\/gears-in-head.jpg?resize=300%2C200\" alt=\"gears in head\" width=\"300\" height=\"200\" loading=\"lazy\" srcset=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/06\/gears-in-head.jpg?resize=300%2C200 300w, https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/06\/gears-in-head.jpg?w=400 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> you can add a pint of beer or a shot to the mix and see how hard it is to control the car with the extra drink.\u00a0 Essentially, you feel like you are separate from the vehicle, and the vehicle is doing whatever it wants.\u00a0\u00a0 Until you crash and burn at the end.\u00a0 You almost always crash and burn or else there was no lesson taught.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">When you have PTSD (Post Traumatic Stress Disorder), it is very much like being the driver in one of those simulators.\u00a0 You can usually control the directions, but the magnitude of the response is often not connected to the action you thought you made.\u00a0 Your emotions and feeling seem almost not linked to the events that are happening. \u00a0It weird when you go from calm to angry in a matter of seconds or you go from smiling to crying because someone got a \u201cA\u201d on their report card in a kid\u2019s movie that your child was watching on the Disney channel. \u00a0There\u2019s a name for all this, of course, us doctors give names for anything and everything.\u00a0 But the name is not as important to understand as the problems this can cause, the fact that it is normal and how to get rid of it!<\/span><!--more--><\/p>\n<h2>Putting a Name on It<\/h2>\n<p><span style=\"font-size: 12pt;\">Depersonalization disorder, or effect, or syndrome is what it is called.\u00a0 It is a feeling that you are in some way detached from your emotions.\u00a0 At times, it feels like you are out of control like driving in a drunk driver simulator.\u00a0 Life goes by too fast for you, and you are screaming in the car as it is moving through, except it is a silent scream that comes from every tissue in your body, every cell.\u00a0 Depersonalization adds to the brain fog that we talked about in <a href=\"http:\/\/policepsychologyblog.com\/?p=1865\">PTSD Part 1<\/a>, except combined with the vestibular effect, you don\u2019t feel like you can do much of anything right.\u00a0 Your view of yourself in control and your capacity to do the right thing is greatly affected.\u00a0 Everything is a chore, and you feel you have to over-concentrate on even the small things to get through the day.\u00a0 It\u2019s exhausting, so you shut down the extra functions in your life.\u00a0 Your body doesn\u2019t show any problems, nothing broken, so others don\u2019t expect less of you.\u00a0 As they expect more and more, you have to shut down more and more.\u00a0 You got the idea, now let me add to it.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">Another disorder, effect, syndrome during PTSD is call derealization disorder, nothing seems real anymore.\u00a0 It is like you are seeing your life on TV, or in a dream.\u00a0 It is not real and it doesn\u2019t feel like it is you going through the motions of your own life.\u00a0 It is a feeling that you are watching yourself go through the trials of life from an outside point of view instead of being the one who is acting on it.\u00a0 That sounds similar to depersonalization, but us doctors need to add another step and give something else a label.\u00a0 So we added \u201cde\u201d to another word.\u00a0 Essentially it\u2019s another way to feel further detached to your own<\/span> <span style=\"font-size: 12pt;\">body.<\/span><\/p>\n<h2>WHY?<\/h2>\n<p><span style=\"font-size: 12pt;\">Why does this happen?\u00a0 We\u2019ll it is you guess or mine.\u00a0 One theory would be with PTSD sometimes there is some brain changes from the trauma.\u00a0 PET scans show that the use of chemical in the brain change significantly in traumatized person.\u00a0 It shows some structural changes as well, up to 8%.\u00a0 I am always telling people \u201cthis is your brain,\u201d and I hold up a piece of paper, then I rip off a corner \u201cand this is your brain on trauma.\u201d\u00a0 (Okay, it is a stupid speaker trick, but it gives a visual image.)\u00a0 With changes to the brain, your probably won\u2019t feel normal.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">Another theory is that that you defend yourself again the full pain of the trauma by disassociating from it thus you lose memory, etc.\u00a0 Another viable theory.\u00a0 A third one is that the brain cannot handle the changes and that causes you to get little failures in your functioning.\u00a0 The theories go on and on.\u00a0 Whatever the reason, with PTSD you\u2019re going to be different, so how do you deal with it.<\/span><\/p>\n<h2>FIX IT<\/h2>\n<p><span style=\"font-size: 12pt;\">In therapy, I focus on the idea that trauma happened and now you have to find a new normal or else you feel off for a lifetime sometimes.\u00a0 If your brain changed, you need to grow into the new brain.\u00a0 <img data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"566\" data-permalink=\"http:\/\/policepsychologyblog.com\/?attachment_id=566\" data-orig-file=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/07\/Police-Psychology-Change-1.jpg?fit=400%2C333\" data-orig-size=\"400,333\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Police Psychology Change 1\" data-image-description=\"&lt;p&gt;police psychology, police stress&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/07\/Police-Psychology-Change-1.jpg?fit=400%2C333\" class=\"wp-image-566 alignright\" src=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/07\/Police-Psychology-Change-1.jpg?resize=209%2C174\" alt=\"Police Psychology Change 1\" width=\"209\" height=\"174\" loading=\"lazy\" srcset=\"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/07\/Police-Psychology-Change-1.jpg?resize=300%2C250 300w, https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/07\/Police-Psychology-Change-1.jpg?w=400 400w\" sizes=\"auto, (max-width: 209px) 100vw, 209px\" \/>A portion of people blame some trauma in their life for not functioning the rest of their life.\u00a0 How many times have you heard that \u201cwhen so-and-so left me it ruined my ability to have any further relationship?\u201d\u00a0 Or when \u201cI almost got killed involved by that truck I have been the same psychologically?\u201d\u00a0 And how many times have you heard, \u201cwhen the bomb blew up when I was in the building it took a while to adjust but I got a better perspective on life and decided to not sweat the small stuff anymore?\u201d \u00a0See the fix for depersonalization is to learn to accept the change and use them to make oneself active again.\u00a0 Some things you can\u2019t correct and they have to be accepted.\u00a0 Others you can and getting the <a href=\"http:\/\/policepsychologyblog.com\/?p=471\">obsessive mind<\/a> (another symptom we will talk about next) working on that change can have a major effect.\u00a0 That is why therapeutic intervention is highly necessary, to let the person know what is happening to them is normal, and getting them back to working on building the new person they will be after the trauma.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">So, you let them know this is physical.\u00a0 Let them know feeling a little weird is normal, they are not going crazy.\u00a0 Let them know that others will have expectations <\/span><span style=\"font-size: 12pt;\">because they look normal <\/span><span style=\"font-size: 12pt;\">that they can\u2019t meet .\u00a0 Get them functioning with changing their life and growing to whatever changes have happen to them.\u00a0 Point them in a positive direction by re-framing what happen to them as an important part of their future simpler life. \u00a0Final step is to get them talk of what happen to them as in the past.\u00a0 Get them to review the trauma and instead of re-living it constantly,\u00a0 Think about it as a past event that shaped who they are at the time.\u00a0 That works into the obsession which we will cover later.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">So driving you own car in a drunk driving simulator or driving you own body and mind on trauma means being out of control for a while.\u00a0 In a simulator you can learn to enjoy it, and actually if you do the simulator enough you can get some sense of control over the device.\u00a0 With you own mind and body, that will take a little time but the ultimate fix is learning how the mind\/body works and making it go from there. \u00a0\u00a0Most people trying the simulator do a crash and burn after a few minutes. \u00a0The game almost always ends with a crash and burn. \u00a0With PTSD, you decide if you beat the game or crash and burn.<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"font-size: 12pt;\">Site Editor:\u00a0 <em>Gary S. Aumiller, Ph.D. ABPP<\/em><\/span><\/p>\n<p><span style=\"font-size: 12pt;\"><em>Please share this article from down below.<\/em><\/span><\/p>\n<p><span style=\"font-size: 12pt;\"><em>Please join the email list on the top of the sidebar and you can get these sent to your email.<\/em><\/span><\/p>\n<p><span style=\"font-size: 12pt;\"><em>Come back regularly for more updated articles on police psychology<\/em><\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Save<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c  no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Save<\/span><\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>Police Psychology | PTSD 2:\u00a0 Crash and Burn by Gary S. Aumiller, PH.D.\u00a0 ABPP Have you ever had the chance to be in a drunk driving simulation or even play a game on a drunk driving simulator?\u00a0 You try to keep the car on a straight path, but it keeps moving around.\u00a0 Every turn you [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[17168885],"tags":[17168797,17168831,17168811],"class_list":["post-3148","post","type-post","status-publish","format-standard","hentry","category-stress","tag-police-psychology","tag-police-stress","tag-ptsd"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":1865,"url":"http:\/\/policepsychologyblog.com\/?p=1865","url_meta":{"origin":3148,"position":0},"title":"Police Psychology | PTSD Part 1:  What You Hear is What You Get","author":"Gary Aumiller","date":"April 27, 2016","format":false,"excerpt":"Police Psychology | PTSD Part 1:\u00a0 What You Hear is What You Get Gary S. Aumiller, Ph.D. ABPP I have seven PTSD cases in my office right now at different stages.\u00a0 Being hit by a car while working highway, a car accident with the leg shattered, a car accident during\u2026","rel":"","context":"In &quot;Police Stress&quot;","block_context":{"text":"Police Stress","link":"http:\/\/policepsychologyblog.com\/?cat=17168885"},"img":{"alt_text":"Police PSychology ear","src":"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2016\/04\/Untitled-300x216.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5895,"url":"http:\/\/policepsychologyblog.com\/?p=5895","url_meta":{"origin":3148,"position":1},"title":"Police Psychology | PTSD 4:  Flashbacks","author":"Gary Aumiller","date":"May 10, 2017","format":false,"excerpt":"Police Psychology | PTSD 4:\u00a0 Flashbacks Gary S. Aumiller, Ph.D.\u00a0 ABPP \u00a0 Of course, you are going to think I\u2019ve lost it on this one, but it shows some merit.\u00a0 And it makes some sense logically.\u00a0 Researchers in England\u00a0 say that flashbacks from traumatic events can be moderated through playing\u2026","rel":"","context":"In &quot;Police Stress&quot;","block_context":{"text":"Police Stress","link":"http:\/\/policepsychologyblog.com\/?cat=17168885"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2017\/05\/tetris-md.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":630,"url":"http:\/\/policepsychologyblog.com\/?p=630","url_meta":{"origin":3148,"position":2},"title":"Police Psychology | What You Can Learn from a 2-Year Old","author":"Gary Aumiller","date":"August 26, 2015","format":false,"excerpt":"Police Psychology | What You Can Learn from a 2-Year Old \u00a0 In police psychology, I find a lot of officers who just can\u2019t do it. There are very few things that toddlers know how to do better than adults. For instance, although sometimes when I\u2019m driving I encounter cars\u2026","rel":"","context":"In &quot;Mastering Effort&quot;","block_context":{"text":"Mastering Effort","link":"http:\/\/policepsychologyblog.com\/?cat=17168880"},"img":{"alt_text":"Police Stress, women saying no","src":"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2015\/08\/woman-no-300x200.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5317,"url":"http:\/\/policepsychologyblog.com\/?p=5317","url_meta":{"origin":3148,"position":3},"title":"Police Psychology | PTSD 3:  Car Accidents","author":"Gary Aumiller","date":"February 2, 2017","format":false,"excerpt":"Police Psychology | PTSD 3:\u00a0 Car Accidents by Gary S. Aumiller, Ph.D. ABPP \u00a0 Of course, they\u2019re driving around 24 hours a day, non-stop.\u00a0 The problem is there are other people on the road.\u00a0 The cops have lights on the car and fancy writing, but that just attracts people who\u2026","rel":"","context":"In &quot;Police Stress&quot;","block_context":{"text":"Police Stress","link":"http:\/\/policepsychologyblog.com\/?cat=17168885"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2017\/02\/car-accident-md.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":3979,"url":"http:\/\/policepsychologyblog.com\/?p=3979","url_meta":{"origin":3148,"position":4},"title":"Police Psychology | An Ounce of Prevention is Worth a Pound of Cure","author":"Gary Aumiller","date":"August 30, 2016","format":false,"excerpt":"Police Psychology | An Ounce of Prevention is Worth a Pound of Cure Robert John Zagar PhD MPH and Brandon Northern Current ways of finding challenges like trauma and stress miss 61% of at-risk. Conventional approaches of interviews, background checks, and short paper and pencil tests are less than chance\u2026","rel":"","context":"In &quot;Police Stress&quot;","block_context":{"text":"Police Stress","link":"http:\/\/policepsychologyblog.com\/?cat=17168885"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6517,"url":"http:\/\/policepsychologyblog.com\/?p=6517","url_meta":{"origin":3148,"position":5},"title":"Police Psychology:  The Folly of Fear","author":"Gary Aumiller","date":"September 26, 2017","format":false,"excerpt":"This is a PTSD technique used by a colleague of mine from Detroit, Michigan using a work of art from Francisco Goya found in Museo del Prado in Spain.\u00a0 I have seen this work of art live a couple of times in Madrid and never would have made the connection\u2026","rel":"","context":"In &quot;Mastering Emotions&quot;","block_context":{"text":"Mastering Emotions","link":"http:\/\/policepsychologyblog.com\/?cat=17165629"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/policepsychologyblog.com\/wp-content\/uploads\/2017\/09\/Folly-of-Fear-300x217.jpg?resize=350%2C200","width":350,"height":200},"classes":[]}],"jetpack_shortlink":"https:\/\/wp.me\/p60sbO-OM","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/posts\/3148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3148"}],"version-history":[{"count":1,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/posts\/3148\/revisions"}],"predecessor-version":[{"id":3177,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=\/wp\/v2\/posts\/3148\/revisions\/3177"}],"wp:attachment":[{"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3148"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/policepsychologyblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}