The Power of Words- Names

From the time we are born, sometimes even earlier, we are labeled. Labels are applied to us so that society knows how to interact with us. Most of the labels we are given are directly related to some trait we have- genitalia, skin color, ethnic origin, etc. There is one label that is chosen for us, and has great value, our name. Our name is the beginning of our personal brand and our feelings about our name are shaped by how others use it.  

Some names naturally evolve with nicknames, like Elizabeth becomes Beth, while others are shed and new ones adopted. When people make the choice to adopt a new name there is a reason behind it. No longer using a previous name comes with consequences and yet the rewards greater leading to a willingness and continued desire to change.  

Some people chose a new name so that they feel more accepted. This often happens in conjunction with major life changes such as immigrating to a new country to escape poverty and or discrimination. Others select a new name in order to separate from thoughts and feelings associated with their old, birth name. This can be seen with individuals who have decided to live a life more congruent with their true self and or those who have survived abuse. Imagine you spend years hearing your name in combination with demeaning remarks, “NAME you idiot”, “NAME is such a failure”, “NAME you’re worthless”. Over time this combination of name and remarks begins to feel like a definition. By letting go of this name the person can also begin to let go of this maladapted belief that they are those definitions. This is also seen in people whose gender does not align with their birth name. We place so much weight on societal expectations regarding gender that having a name incongruent with our gender can lead to some rather uncomfortable encounters as well. And there are some who choose a name in order to escape from their abusers. These people frequently up root their entire lives and relocate so that they feel safe. 

When you use a name that has been shed you are saying that the experiences related to that name are not valid. You may not, and hopefully do not, use someone’s old name (birth name, deadname, shed name, etc.) with malicious intent. However, using this name can be triggering for some people and bring up maladaptive thoughts and feelings.  

Names are incredibly important to us. Learning how to say other’s names and respecting their name, rather given at birth or chosen as the result of adversity is a simple way to be a better human.  

PTSD, What is it?

I was recently told, by a journalist, with no credentials related to mental health, that I have PTSD. He had mistakenly and ignorantly diagnosed me based on his lay men knowledge. He assumed that because I have experienced trauma and deal with depression and anxiety that I MUST have PTSD. As I tried to explain to him the differences in diagnoses I realized that too often mental health condition terms get used incorrectly and so casually that some people think they understand, but they don’t.

I could, and will, write an entire post on the how language impacts the stigma related to mental health, but right now I am just going to focus on educating about what PTSD really is.

PTSD, or Post-Traumatic Stress Disorder, is a condition that can be diagnosed at any age and it is listed under Trauma- and Stressor- related disorders in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). While it can be diagnosed in children under 6, I am going to focus on how it manifests in those 6 years and older (including adults). I urge you to seek professional help if you or someone you know is struggling with mental health and want you to understand the purpose of this post is general education and awareness and should NOT be used to make assumptions about diagnosis.

This first criteria that must be met is experiencing a traumatic event that involves death, potential death severe injury, or violence. This can be an event that happens directly to the person, was witnessed by the person, or occurs vicariously.

While I have met this criteria it does not mean that I will automatically develop PTSD.

The next criteria is that the individual has intrusive symptoms related to the event. This means they may repeatedly have undesirable memories of the event, flashbacks (moments in which they feel as if the event is occurring again/still), or distress triggered by a symbolic cue linked to the event (this distress could be mental or physical). There must also be continued attempts to avoid triggers and or intrusive symptoms.

The next criteria is negative changes in the way the person thinks or their feelings. Some of the ways this is seen is through self-blaming for the event, inability to remember details from the event, constant negative feelings, lack of desire to do things or inability or difficulty with relationships.

The final criteria is considerable changes in behavior around the event. This may look like becoming aggressive, self-harming, participating in risky behaviors, hypervigilance, easily startled, difficulty concentrating, and or troubles related to sleep.

Now it is important to understand that this is not a short-term experience. Acute Stress Disorder is a similar, but brief condition (that I have experienced first hand). PTSD is persistent, lasting more than a month, and significantly impacts the persons ability to function in important areas of life such as socially.

The other thing to remember is that each individual with PTSD is an individual and their experiences will vary. It presents differently in my friend with medical trauma then my friend who is a domestic violence survivor and her differently then my friend who survived a sexual assault, and she differs from my first responder friends, and each veteran friend experiences it differently too.

Those with PTSD can benefit from several different sources of support including counseling. I cannot encourage you enough- if you are effected by PTSD, seek support. Help seeking is courageous, not cowardly and no one should be battling alone.

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