What I Wish Christians Knew About Caregiver PTSD

caregiver PTSD

One Woman’s Journey Through Caregiver PTSD

In this guest post by Anna Smit, author of Love Embraced: A Journey in and through Suffering, shares tips for dealing with caregiver PTSD.

I was diagnosed with PTSD in April, 2015, a year after losing my mother to glioblastoma multiforme, one of the most deadly forms of brain cancer. What many people don’t realize is that PTSD is not just an illness that war veterans suffer from. It is also an illness many caregivers of loved ones suffer from, often without diagnosis.

Unbeknownst to myself, the time I had spent taking care of my Mum, together with hospice nurses and other family members, in the final weeks of her life, far from my husband and eldest daughter, had taken their toll.

If you have ever taken care of a loved one with a terminal illness, you will know that during the illness, it is hard not to become completely focused on the care, repressing any and all feelings that get in the way, which is exactly what I did. But I didn’t just do this at the time, but also thereafter. I returned home, to the other side of the world, and dived straight back into my part-time teaching position and motherhood, until the exhaustion became too much and I handed in my resignation. My body was spent from the months of repressing strong emotions, an inexplicable tension holding my body captive.

This journal entry, from the first month as a stay-at-home Mum, gives you a window into the then unexplainable emotions that lay beneath the tension:

I am a mixture of an angry ball, a numb being and a broken, hurting, aching heart. The smallest thing consumes me with rage, or leaves me absolutely cold, or brings me to tears overflowing. I just long for someone to pick me up, place me on their lap and hold me there, allowing me to just be, to let it all out, to be myself, to not have to pretend that the world doesn’t hurt, cut and pull me under. Father God, I cry out to you, take me as I am, hold me as I am, enfold me in your protective arms. (Love Embraced, Chapter 12 A Voice)

A couple months later, flashbacks of my mother’s last hours also came back to haunt me. Although the peace of God was palpable upon my mother through her illness, her last hours on earth were horrendous to witness. In Chapter 13 Life of my book, I record how Jesus met me most powerfully in the deepest darkest valley of my life:

The images, sounds and smells of my mother’s final hours, too horrible to share here, crippled me into a state of traumatized shock and deep, deep fear and grief. I sat there thinking that if this is what life looks like, if this is what the life of those who love and serve the LORD looks like, then what hope was there, what was there to live for. I was utterly overcome, blinded to all love and affection, all blessings of family and friends.

In that moment I truly believed that God was out to pour out His wrath on all of us and that life was not worth living. In absolute desperation, I cried out, “Is this it? Is this the life you promise us?” I was really, really angry and for the very first time I directed this deep, deep anger and desperation at the LORD. And then I dared Him to show me that life really was worth living- I turned to my Bible and opened it, my eyes resting on the following passage:

John 6: 35 – 40 (The Message)
Jesus said, “I am the Bread of Life. The person who aligns with me hungers no more and thirsts no more, ever. I have told you this explicitly because even though you have seen me in action, you don’t really believe me. Every person the Father gives me eventually comes running to me. And once that person is with me, I hold on and don’t let go. I came down from heaven not to follow my own whim but to accomplish the will of the One who sent me.
“This, in a nutshell, is that will: that everything handed over to me by the Father be completed—not a single detail missed—and at the wrap-up of time I have everything and everyone put together, upright and whole. This is what my Father wants: that anyone who sees the Son and trusts who he is and what he does and then aligns with him will enter real life, eternal life. My part is to put them on their feet alive and whole at the completion of time.”

The more I read this passage, the more my tears flowed. I read this and finally, finally started to understand just how deeply I am known and loved.

If you look closely, you’ll see what I came to see and truly understand the more I read it. The Spirit of God responds to my deepest fears, grief and insecurities in His overwhelming promises. He tells me that:

• Jesus is holding onto me and will NOT let me go.
• Jesus is working in me to make me “upright” and thus worthy to stand before my Heavenly Father at the end of time, that His work of righteousness will be completed in me to cover the shame of ALL my sin because of His Great and Perfect Sacrifice in Love.
• Jesus is also working to make me “whole”, to bring restoration and healing where now pain, heartache and fear reside.
• My mother’s body and mind are no longer unbearably broken, that she is now standing before the throne of God, the Father, “whole” and “complete”.

ALL I have to do is “trust, “lean on, feel safe or secure, to be confident in” Him (John J. Parsons). He tells me that by abiding in Him, I will no longer hunger or thirst.

This deep dark valley led me to seek professional help, through which God moved powerfully to begin healing and restoration, not only from the months of watching my Mum suffer, but also from crippling, repressed childhood memories.

Both before and after my diagnosis, I was incredibly blessed by the love and support of not only my family, but also my Christian community. However, not all support offered in love was helpful. If you know someone who suffers from PTSD or suspect that they suffer from PTSD, then if they are anything like me, they will greatly appreciate any of the following support:

Pray for them (I had friends praying for me from around the world and still do, prayers that have been and are being powerfully answered),
Pursue them in gentle, loving kindness. When you don’t hear from them, pick up the phone to call them, drop by to visit them, take the time to sit next to and listen to them, cry with them, share your own weaknesses with them (stories where you struggled to understand God, doubted His goodness), encourage them to express their emotions, especially anger,
Send them links to worship music that speak of God’s Presence in fear, hurt, trauma and grief. One of the songs I played the most was Kari Jobe’s I Am Not Alone.
Speak the truth of God’s everlasting love over them. One of the Scriptures I had on my fridge for some time is Romans 8: 38 – 39 (NIV): “For I am convinced that neither death nor life, neither angels nor demons,[a]neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of God that is in Christ Jesus our Lord.”
Encourage them to express their anger, ensuring that they know that anger and in fact all human emotions are in and of themselves not a sin. If opportunity affords itself, sit down to go through Biblical examples of people expressing their anger before God (e.g. David, Job, Jeremiah) and let them see how being real before God, allows Him to unearth and minister to the hurt, trauma and pain that so often resides beneath anger.

Often, PTSD completely disables one’s ability to process emotions adequately. Traumatic experiences are crystalized into cocooned memories at the time they originally experienced. This means that any time these old memories are triggered, it is as if you are experiencing the original horrible experiences all over again, as you become trapped in the old emotions and untruths attached to these old memories, being blinded to the present (safe) situation and truths of God’s Presence and Love.

But this is where God’s Word and Spirit have the power to break through and open us up. One incredibly powerful tool we can use is the Biblical Lament. Margaret Feinberg has a very useful step-by-step instructions to write your own lament. I’d encourage you to share this with the person you know, who is struggling through PTSD: What To Do When You’ve Got An Achy Breaky Heart with God.

4 tips for traveling alongside a #caregiver with #PTSD #InspireMeMonday Click To TweetHere are some more ideas for helping someone navigate their emotions:
Gently encourage them to seek professional help, offering to go with them the first time, if they have nobody else to accompany them. And as they go through therapy walk beside them through it, don’t assume you’re no longer needed. If anything, even more support is needed at this stage.
Stay in communication with them, when you don’t know how to respond to what they share, show your love through hugs, cards, practical help (like offering to look after their kids) expressions like: “I don’t know what to say, but just know that I love you and am here for you.” Silences pierce more than usual for PTSD sufferers: they already feel very isolated, alone and guilty for needing extra support.
Avoid telling them to “be strong in the LORD” and that if they were to trust God more their grief or anger would subside. Whatever you do, don’t discourage them from showing emotion or make them feel guilty for crying, being fearful or angry. Trusting God is actually daring to express all of our emotions before Him, just as Jesus did in the Garden of Gesthemene, so that He can bring us peace, hope, comfort and healing.
Encourage them to pursue creative outlets, such as writing, drawing, singing, playing an instrument…and to spend time outside in nature. These are all things which God can use to help us to uncover and release pent-up emotions. And enable them to do such things by dropping round to take care of their kids, or dropping off a meal or doing something to give them the time to pursue creative or outdoor activities.

Lastly, I’d like to thank those of you who are walking beside someone with PTSD. I know that it is a big burden to bear. Please ensure that you too seek support from others, as you minister to your friend, family or church member. And when you need to, step back and recoup, being sure to communicate your need to do so with the one suffering from PTSD.

Above all remember to keep pouring your hearts out to God, letting Him guide and strengthen you.

If you are interested in reading more about my journey through suffering into God’s Mighty Arms, you may like to pick up a copy of my book Love Embraced: A Journey in and through Suffering, which recently released on Amazon. Below you can find a description of the book’s contents.

Cancer, Grief, PTSD and The Embrace of Love
Not one of us is immune to suffering. So many of us have experienced loss, rejection, trauma and/or deep hurt. But often we decide to keep working, to keep going and to keep numbing that which we are terribly scared will break us into tiny little pieces. Love Embraced records the author’s own journey through such suffering, in:
– caring for her mother dying of cancer
– grieving her mother’s death
– her diagnosis of Post-Traumatic Stress Disorder, and
– working through repressed childhood memories.
But, it also reveals how in starting to face that which she was too frightened to face, she began to embrace and be embraced by a mighty God into:
– freedom
– hope,
– comfort,
– peace,
– strength and deep joy.

caregiver PTSDAnna Louise Smit is a Kiwi-Dutch wife, mother, author and writer. She blogs about the Love of God in her life at Joy of the Spirit Within. Anna shares vulnerably of her journey through grief, fear and PTSD to encourage others struggling through similar circumstances. She wants them to know and experience God’s Presence in the depths of their suffering, a God who is yearning to bring them hope, comfort and healing. Anna’s first book, Love Embraced: A Journey in and through Suffering was released on Amazon last week.

What about you?  Are you a caregiver and think you may have developed PTSD?  Do you know a caregiver who might be experiencing some of these symptoms?  Please share this article with them!

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Anita currently teaches English to 7th-12th graders. She describes herself as a 'recovering cancer caregiver' who gives thanks daily that her husband has been cancer-free for ten years.

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  • Anna, this is great, and vital. Caregiver PTSD is so often unrecognized, and all too often left for the caregiver to deal with alone…amidst the wreckage of the fight’s end.

    God bless you, Anna.
    Andrew Budek-Schmeisser recently posted…Your DYing Spouse 152 – Death LetterMy Profile

    • Thank you for your encouragement, Andrew. Yes, it does, much too often. I pray it blesses those who read it, both caregivers and those around them.
      Anna Smit recently posted…Guest Interview on Widow’s MannaMy Profile

  • Hey Ana, I so sorry you had to go through this. I am glad your experience is able to encourage others.
    God Bless friend

    • Thank you, Ifeoma. Although it was horrendous, I am thankful for it because it showed me just how deep our Heavenly Father’s love goes: much deeper than any valley we may experience and because it has given me so much more empathy for the grieving and those suffering from a mental illness.
      Anna Smit recently posted…Guest Interview on Widow’s MannaMy Profile

  • With everyone’s deep concern for the one with the injury or illness, the caretakers often get left behind in the shuffle.

    Thank you, Anna, for shining light on the great needs we bear and the kind of support we really need.

    What a goldmine you’ve given from your own heart grief and trauma. Bless you for giving us the important insights we need.

    And thanks, Anita, for this series.
    Linda Stoll recently posted…Creating a Haven * Let’s Do the Outside FirstMy Profile

    • Yes, they do often get left behind…and I know that looking back now makes me want to do so much more for friends who walked similar and much harder paths before me. I pray this encourages people to walk beside caregivers both during and after the caregiving.

      Thank you for your encouragement, Linda.
      Anna Smit recently posted…Guest Interview on Widow’s MannaMy Profile

  • I’m so sorry you had to go through such difficult times, Anna. I don’t think many realize how stressful and emotionally debilitating caregiving can be. Thank you for being so honest about your emotions. I love how the Lord taught you so much through it, and you are now teaching us. He is using your pain for a purpose. I just put your book on my wish list at Amazon. Blessings and hugs to you!
    Trudy recently posted…Depression and DeliveranceMy Profile

  • So true, Trudy…but I think it’s also just as easy as a caregiver to brush off the impact. I know I struggled to accept the huge impact it had on me…I felt guilty for needing so much extra support, which also led to me not always being honest and accepting the help I was offered. Perhaps it was human pride on my part too…not wanting to admit weakness.

    Thanks for your encouragement, Trudy.
    Anna Smit recently posted…Guest Interview on Widow’s MannaMy Profile

  • Dearest Anna, I thank you from the bottom of my heart for sharing this with us. You have opened a huge window, shedding light on the depth of trauma you have been through and what we can do for others who have walked in similar shoes. I was a caregiver for 15 years to my mother, but her hallucinations through dementia were never so harsh (although they were terrible). I know that depression was my companion the last few years (and probably still is to a lesser degree now).

    I continue to hold you, sweet girl, in my prayers. I am so sorry that those days for your mother and for you and family were so very hard, terrible…actually. Praise the Lord that He has held you and rocked You and allowed you to cry.

    Caring through Christ, ~ linda
    ~ linda recently posted…Resting – Sheep and ShepherdsMy Profile

    • Thank you, Linda. I can’t imagine the toll for long-term caregivers like yourself. It is so very hard. Thankful you have had the LORD holding you tight also.

      So thankful for your prayers. Although it was horrible, those last months were also the catalyst for my return to God, to starting to trust in His goodness…because of the Peace I felt upon my Mum. And PTSD was in many ways a gift, because it has drawn me deeper and deeper into His great healing and transformational Love.

      Thank you for your love and encouragement, Linda.
      Anna Smit recently posted…Guest Interview on Widow’s MannaMy Profile

  • Yes, I agree. I too, didn’t realize how much it took out of me caring for my mother before she passed away. I don’t think I fully realized it until months later (and maybe not even fully yet!) Thanks for sharing.

  • Anita, thanks for sharing your space with Anna today. Anna,what an important topic! I’m praying now that God will use your book to reach many. My dad’s wife passed away a year and a half ago, and the end was so hard for him. Thanks for bringing light to this subject that many of us are ignorant about. These are helpful tips to encourage someone during a time when you just don’t know what to do or say.
    Betsy de Cruz recently posted…How to Strengthen Your Prayer LifeMy Profile

    • I’m so sorry to hear that, Betsy. So hard for you all, and especially your Dad. I know he’ll be treasuring your love right now through it all. What’s his name? I’d love to lift him up in prayer.

      Thank you for your prayers, Betsy. Right now it’s not gotten much publicity: hard with self-publication…but still trusting God will get it to those He’s destined it for.
      Anna Smit recently posted…To Grow in the LeaningMy Profile

  • I’m currently caring for my dad and mom, been caring for them a couple years now with the help of other family members. Our situation isn’t quite as stressful as some caregivers go through. My dad had a minor stroke. He is able to move around ok with a walker. And my mom, well, she’s getting old and feeble.

    I pray that the Lord will bless and provide. I pray His magnificent comfort and love to all care givers, especially those who have gone through great trials like yourself

    • I’m only seeing your kind note here now, Patrick. It sounds like you’ve been walking long hard road. Watching your parents deteriorate in health and strength is so hard. Bless you for stepping in to care for them. May God strengthen you and your family.
      Anna Smit recently posted…He is Holding YouMy Profile

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