For those of us living with posttraumatic stress disorder (PTSD), setting boundaries is crucial. Crucial, but also difficult. Trauma survivors with PTSD are commonly plagued by feelings of guilt, shame, or worthlessness, which can make the idea of standing up and setting boundaries feel futile or terrifying. It gets especially difficult when people don't respect those PTSD-related boundaries, which is a pretty common experience. Boundaries are broken, forgotten, or ignored all the time. Having to set--and then later repeat--your personal boundaries is exhausting. Living with PTSD makes setting boundaries imperative.

Do you know how to explain posttraumatic stress disorder (PTSD) experiences to your doctor? If you have difficulty speaking with your primary care provider about your PTSD, here are some ideas to help you explain how PTSD impacts you. Many people assume that primary care providers have experience working with individuals with PTSD, but often, primary care providers have a general knowledge of PTSD without any concrete understanding of how it impacts the daily life and health of their patients. This lack of knowledge is especially problematic when someone with PTSD avoids discussing his or her mental health with his or her medical provider. It is important to learn how to explain PTSD and its impact on your life to your doctor.

As an individual with complex posttraumatic stress disorder (PTSD) and resulting low self-esteem, I can spend an exhaustive amount of time worrying about how others perceive me. Even though these worries are not the most rational when held up for inspection, they are so automatic that sometimes they slip right out before I have time to think about them. Here are some examples of how my low-self esteem manifests itself and what helps me fight the negativity, warped self-confidence and low self-esteem caused by my PTSD.

Many abuse survivors grapple with feelings of shame after abuse. When someone develops posttraumatic stress disorder (PTSD) as a result of her abuse, that shame can become a long-term problem. Shame after abuse doesn't have a rational basis, but even people who know it's irrational to feel shame over being abused can still experience it. Unfortunately, emotions don't always follow logic.

One of the things I find most frustrating about living with posttraumatic stress disorder (PTSD) is the impact PTSD has on my sex drive. I am a private person, and sex is a decidedly personal issue for many people, so I've put this topic off many times. However, the problems that PTSD can bring to partners don't go away on their own, so let's explore the potential difficulties that PTSD symptoms can bring to a sexual relationship.

Complex posttraumatic stress disorder (C-PTSD) and perfectionism often occur together. What drives someone with C-PTSD towards clinically significant perfectionism? Generally speaking, perfectionism becomes clinically significant when it results in an excessive or unrealistic need to perform to exceedingly high, self-imposed standards. The drive for perfection is so strong that it can interfere with work, education or relationships. For individuals with C-PTSD, the need for absolute excellence can become a means of dealing with fear and anxiety created by ongoing trauma. Let's examine how trauma drives these unrealistic expectations, and how to set more realistic goals.

Feeling helpless helps my trauma recovery? Yes--you read the title correctly. The subject of this article is helplessness as a form of healing. If that sounds completely counterintuitive to you, you're not alone. I'm sure that if I had come across an article making this same claim in the past, I would have labeled it as completely ludicrous. But hear me out. If you totally disagree, you can write out your counter-argument in the comments.

A good posttraumatic stress disorder (PTSD) trauma therapist can make all the difference when it comes to PTSD treatment, but not all therapists are created equal. Finding a competent trauma therapist for your PTSD recovery can be difficult without an understanding of the technical and interpersonal skills a PTSD trauma therapist should possess, and what approaches you find comfortable.

There are barriers to recovery from posttraumatic stress disorder (PTSD). Mental illness recovery often begins as an uphill battle. It doesn't help that aside from difficult symptoms, those of us living with one or more mental illness also have to combat stigma and wide-spread misinformation--all while navigating a mental healthcare system that often favors the wealthy. Recovery from PTSD is saddled with some very specific barriers. In fact, treatment resistance is actually a symptom of PTSD. If you or a loved one are struggling to recover from trauma, please hold back from judgement. There are reasons for treatment-resistant PTSD behaviors; you or your loved one are not at fault.

Learning how to care for someone with posttraumatic stress disorder (PTSD) can be hard. As someone who has served as both a caretaker of someone with PTSD and a person in need of care, I intimately understand the difficulties interlaced in the care of people with trauma histories. For example, it can be hard for us to express joy and gratitude, even when we feel it. People with PTSD can be prone to anger, which may make us lash out verbally or even physically (though studies have shown that PTSD does not usually make people more violent than the general population). PTSD can be treatment resistant, meaning we feel so damaged, hopeless, or otherwise unworthy that we give up on getting better, or refuse to try in the first place. People with PTSD are sometimes drawn toward self-harming behaviors like cutting ourselves or misusing drugs. It is indescribably painful to sit and hold the hand of someone you care for when that someone doesn't appear to care about herself. But PTSD recovery relies on community support. Learning how to care for someone with PTSD means learning to keep holding our hands, even if we can't find the words to tell you how much it means to us.