In the mental health field there is something called Anniversary Trauma. I first heard it in grad school and first experienced it when my friend Becca died. One year after her death I started feeling off and a little volatile with my emotions. I didn’t know what was happening. It wasn’t too bad, maybe like a really bad case of PMS. I didn’t realize until several weeks later, when I was finally feeling better, that I had experienced anniversary trauma. I hadn’t really been thinking about Becca at all. But my body and brain were remembering and acting out that sorrow.
Anniversary trauma is when you experience distressing emotions after being triggered by a cue. It doesn’t have to be a one year anniversary (although some people have yearly trauma for much of their lives), it can be anything at any time. An event, a comment, a smell. I think it’s most common with people who have, at some point, received a PTSD diagnosis. But anniversary trauma is also common with the loss of a loved on.
The two links below talk more about anniversary trauma. The first is a short article by a woman who experiences it each year. It’s more in layman’s terms. The second is a more technical article about the why’s, when’s, symptoms, etc.
http://www.blogher.com/conquering-your-trauma-anniversary
http://www.hiddenhurt.co.uk/anniversary_reactions_to_traumatic_events.html
I thought they would be more helpful than me trying to explain it. As I said, there is not a lot of info about anniversary trauma and grief. There are also mental health and medical professionals who don’t really believe that it’s true. I’d like to cast my vote for absolutely 100% true.
My insomnia is getting worse. Always a roller coaster these last 8 months I typically experience a few days of good sleep, a few of bad, a few of good, and so on. In Ohio last week I slept really well. I haven’t slept much at all since getting back to NC. Even though I was sleeping well at Danny and Kay’s, it was always just before sleep that I would miss Brian the most. Miss him like I don’t really let myself ever miss him. But it was too strong there to ignore.
The holidays are coming up. I haven’t really given them much thought. Avoidance is a classic, and easy, coping mechanism for grief. I avoid thinking about the holidays, therefore, I feel no stress about it. Easy.
I mentioned a post or two ago that I’ve submitted my resignation for January 2. As you can imagine that sparked a series of discussions with my boss about things like transition reports, wrapping up, HR benefits termination, health insurance, and office coverage for the holiday week. Because I have not been able to build up my decimated vacation hours, I have no time to take off at the holidays. Something I had not been thinking about (avoidance). I always take off at Christmas, it’s never an issue, I was just going on auto pilot that this year would be like all others.
But when I talked with my boss about working the three days in between Christmas and New Year’s, when the university offices are open, it hit me. My first thought was, “No body likes working those days but someone has to do it, I don’t have any days to take, I’m leaving shortly after, I can take one for the team.” Then I REALLY stopped sleeping and I had to look at why.
I don’t know what I’ll do for Christmas, but there is no way I can survive if I have to focus on being mentally well enough to be at work the day after Christmas. I am barely going to survive as it is. But I will be in no condition to work. I just can’t do it. The first Thanksgiving and Christmas without Brian and I have to be well enough to function at work? Just not going to happen. His birthday, which laid me low, was nothing compared to what the next couple of months will be.
I was talking to Jackie tonight and she was asking me about holiday plans and something about how I was dealing with it all. I tried to explain to her that it’s changing right now and changing pretty rapidly. The past 8 months have been relatively benign in terms of “memories from the year before.” Yes, Brian slept through July, and yes it was so hard to help him decide to not go back to work and start long-term disability, and yes, there was a very scary hospitalization in August when his family was here visiting, and yes we had a big fight and I shipped him off to Ohio to get some distance from him, and any number of other “hard things.”
But it wasn’t until this time of year last year that things went from bad to inevitable. It was November/December when he was really truly sick. In fact, it was Thanksgiving Day when I first began to understand that we were experiencing the beginning of the end. This is naturally a time of year that has a lot of “benchmarks” that we can naturally track time and events. “That was the Thanksgiving when we…..” “Remember that New Year’s when we….” Now, these natural markers in the holiday season are intensified by the cancer memories.
All this is to say that I think I am beginning what will be a heavy period of anniversary trauma. I can feel it coming in my worsening insomnia, in how I missed Brian so badly last week even though I work hard to not think about missing Brian. I can feel it in the flashbacks that are starting to come back. Things that I’d forgotten or hadn’t thought about since they first happened.
My 5k run on Thanksgiving last year. Brian was so sick and fatigued and weak and nauseous but he insisted on being there to support me. He had so much back pain and there weren’t any good places to sit. The event took so much out of him that he went instantly to bed and pretty much stayed there for the remainder of the weekend. This is when I first started to know. Though it would be a few more weeks before I admitted it to myself.
Then there was the first of the three December hospitalizations.
The sweat lodge.
The second hospitalization when we learned of the grapefruit sized tumor in his omentum and he had the catheter put in.
The Christmas visit from the family which he fought so hard to be a part of but was so so sick.
The delirium.
When he called 911 and the police came to the house because he hallucinated a woman hung from the ceiling fan.
The third hospitalization where Phil had to restrain him. When he thought I was trying to put him away in an institution and he ranted and raved all night.
January were we had a New Years miracle and he started to feel better.
Our wedding anniversary.
The doctors appointment where Brian was so sick he started vomiting in the lobby and Dr. C told us his cancer was terminal.
Getting admitted right after that, sitting in an isolation room so we could have some privacy, facing death together for the first and one of the only times.
Doctors appointment two to three times a week during this time.
The last doctor appointment when Dr. C said it was over. It was time for hospice. She came in with Dr. P and said that out in the hallway she asked Dr. P for help, told her she was scared to come in and tell Brian that it was over. She said Dr. P told her they’d come in together and Dr. C would be able to tell us, would be able to deliver the bad news.
Wheeling Brian out after that visit, after making arrangements for hospice to come to the house and right as I am wheeling him out of the office doors to the lobby he says, “Wait, am I never coming back here?” I said, “I don’t think so.”
The pain, the real pain that, when it started, would never stop.
The weight loss that made him a shell.
The day he stopped being able to swallow pills and therefore was no longer taking the BRAF.
The blackness that started at his toes and would eventually cover most of his feet on the day he died.
The blood clots in his legs.
How no matter how much pain medicine I gave him, pumped into him, he still just hurt and hurt.How I played Southern Cross that night because there was nothing else I could do.
Trying to calm him down and make him comfortable and then realizing, after long hours that he was finally calm, in the cancer coma, and that he was gone. Conscious Brian was gone and I’d missed whatever it was that he last spoke to me and that I didn’t have the chance to say goodbye.
Hours spent coaching him out of this life. Telling him we’d all be ok, that he could let go of the pain, that he didn’t have to worry about us.
The last three breaths.
This is all about to start. The reliving of the beginning of the end all the way through to the actual end. That’s anniversary trauma. The reliving it whether you want to or not, no matter how much you try to keep it away, keep it in check. I think that, ultimately I’ll be ok. I’m not entirely sure what is worse than this that is yet to come. So when I survive this there will be very few more difficult things left. LOL. That’s my silver lining. That’s my source of hope to help me get through.
Take care everyone – If you’re so inclined, send up some prayers for sleep.