(Tim Field) How do the PTSD symptoms resulting from a Narcissist or Psychopaths abuse and bullying meet the criteria in DSM-IV?
A. The prolonged (chronic) negative stress resulting from dealing with a narcissist or psychopath has lead to threat of loss of job, career, health, livelihood, often also resulting in threat to marriage and family life. The family are the unseen victims.A.1.One of the key symptoms of prolonged negative stress is reactive depression; this causes the balance of the mind to be disturbed, leading first to thoughts of, then attempts at, and ultimately, suicide.A.2.The target of the narcissist or psychopath may be unaware that they are being exploited, and even when they do realize (there’s usually a moment of enlightenment as the person realizes that the criticisms and tactics of control, etc are invalid) – victims often cannot bring themselves to believe they are dealing with a disordered personality who lacks a conscience and does not share the same moral values as themselves.
Naivety is the great enemy. The target is bewildered, confused, frightened, angry – and after enlightenment, very angry.
B.1. The target experiences regular intrusive violent visualizations and replays of events and conversations; often, the endings of these replays are altered in favour of the target.B.2. Sleeplessness, nightmares and replays are a common feature.B.3. The events are constantly relived; night-time and sleep do not bring relief as it becomes impossible to switch the brain off. Such sleep as is achieved is non-restorative and people wake up as tired, and often more tired, than when they went to bed.B.4. Fear, horror, chronic anxiety, and panic attacks are triggered by any reminder of the experience, e.g.receiving threatening letters or email from the narcissist or psychopath or their friends, their family or attorneys. Additionally postings on online boards or sites about the victim by the abuser (often to try to make the victim look like the abusive one!) can add to these triggers and health related issues tremendously.]B.5. Panic attacks, palpitations, sweating, trembling, vomiting, binge eating or forgetting to eat, ditto.Criteria B4 and B5 manifest themselves as immediate physical and mental paralysis in response to any reminder of the narcissist or prospect being forced to take action against the narcissist.C. Physical numbness (toes, fingertips, lips) is common, as is emotional numbness (especially inability to feel joy). Sufferers report that their spark has gone out and, even years later, find they just cannot get motivated about anything.C.1. The target tries harder and harder to avoid saying or doing anything which reminds them of the horror of the exploitation.C.2. Almost all Victims report impaired memory; this may be partly due to suppressing horrific memories, and partly due to damage to the hippocampus, an area of the brain linked to learning and memory.C.3. the person becomes obsessed with resolving the experience which takes over their life, eclipsing and excluding almost every other interest.C.4. Feelings of withdrawal and isolation are common; the person just wants to be on their own and solitude is sought.C.5. Emotional numbness, including inability to feel joy (anhedonia) and deadening of loving feelings towards others are commonly reported. One fears never being able to feel love again.C.6. The target becomes very gloomy and senses a foreshortened career – usually with justification. Many targets ultimately have severe psychiatric injury, severely impaired health.D.1. Sleep becomes almost impossible, despite the constant fatigue; such sleep as is obtained tends to be unsatisfying, unrefreshing and non-restorative. On waking, the person often feels more tired than when they went to bed. Depressive feelings are worst early in the morning. Feelings of vulnerability may be heightened overnight.D.2. The person has an extremely short fuse and is often permanently irritated, especially by small insignificant events. The person frequently visualises a violent solution, e.g. arranging an accident for, or murdering the narcissist; the resultant feelings of guilt tend to hinder progress in recovery.D.3. Concentration is impaired to the point of precluding preparation for legal action, study, work, or search for work.D.4. The person is on constant alert because their fight or flight mechanism has become permanently activated.D.5. The person has become hypersensitized and now unwittingly and inappropriately perceives almost any remark as critical.E. Recovery from a narcissist experience is measured in years. Some people never fully recover. Long term and repeated damage by disordered persons become C-PTSD.F. For many, social life ceases and work becomes impossible. Many develop autoimmune diseases such as lupus, fibromyalgia, chronic pain or adrenal fatigue and even become totally disabled.
THERAPY can and does help. But it takes a lot of time and work. The longer you wait to get help & treatment, the deeper the damage and the more difficult to heal or manage. Hang in there!