PTSD Nightmares

I read a woman’s story today. She was adopted from Bulgaria in the 1990s. I won’t share all of what she wrote but much of it is typical for many adoptees regardless. She writes that she is beyond grateful & blessed to be where she is now. Her husband was able to find her birth mother and sister as a Mother’s Day gift 7-1/2 years ago but her birth mother wants no contact with her. Her husband suggested seeing if the orphanage she was at was still around.

Like my own adoptee mother, she wants to learn more about some health issues she has been having. She notes – Like my own adoptee mother, she wants to learn more about some health issues she has been having. I understand. It was the same in my family.

What really touched my heart was when she wrote – I blocked everything from the orphanage out. After our stillbirth, everything from the orphanage has been coming back in full force to where I get these horrible flashback nightmares. Sometimes the nightmares gets so bad to where I injure myself. Finally was put on PTSD medication and it’s been a huge help with my nightmares. Still get them but not as intense and scary. I finally found a counselor that I go to that helps with the adoptee’s trauma. I couldn’t have been any happier to finally have a counselor that can help me process find was to cope and heal from the emotional, physical and sexual abuse.

Reading her story had me do a deep dive into Bulgarian orphanages (I was aware of similar issues in Romania from long ago). I’ll spare you most of the details.

One response was this – We adopted 2 children from Bulgaria 6 years ago. I would say try and send the letter. But expect nothing in return. Honestly your mother probably has little to no medical information to give you. In Bulgaria, our experience is that unless you have money – care and knowledge is extremely limited. We were not told a great deal about the children that we adopted. They hid how violent our son was and he was only 7 when we adopted him. Our adoption was extremely difficult because of all that they hid.

Another adoptee shared this and offered some resources – having no health history is like never ending Russian Roulette. It’s typical for adoptees to have their early life trauma resurface in connection to pregnancy & loss. I hope your counsellor is adoption trauma competent & can help you begin to process the connections. I recommend looking up Pete Walker’s book, Complex PTSD: From Surviving to Thriving. You might also find Gabor Maté’s trauma videos on YouTube, useful. As a result of your loss, what you are experiencing is called ‘coming out of the fog’ & it’s fierce. There’s a fantastic blog by adoptee Gilli Bruce about leaving the adoption fog, that is worth looking up to explain it. Finally, read The Primal Wound by Nancy Verrier.

I learned that Bulgaria has been criticized for having one of the highest numbers of children in state institutional care in the European Union. Growing up in an orphanage isn’t easy. No happy circumstances lead to kids living there. These difficult circumstances and the fact that children don’t have access to the best resources for their development can cause issues. These appallingly treated children are a legacy of Bulgaria’s communist past, when families were torn apart for the greater good of the state. Some boarding houses were established just to cater for those born out of wedlock.

Barely Surviving

Heartbreaking. From the National Institutes of Health – The odds of a reported suicide attempt were ∼4 times greater in adoptees compared with non-adoptees.

An adoptive mother writes – My daughter intentionally overdosed last Friday. This is her 3rd attempt which started at age 12. I have zero ideas what to do. She was adopted with her sisters 8 years ago, after being in foster care 2 years starting at age 5. She has had experiences that have caused pretty significant trauma beyond with the actual removal. We have tried to keep family ties as open as possible but she wants zero to do with her natural mom, at the moment. How do we help support her ? What can actually help? I love this girl with all my heart and I don’t know how to make things easier for her.

The obvious question, with an important suggestion, when it comes to any adoptee – Is she in therapy with a therapist who is adoption trauma informed (and NOT an adoptive parent, ideally an adoptee) ? If she’s not in therapy, she needs to be TODAY !

To emphasize the point, one adoptee shares – I am 52 years old but was forcibly taken, at under a year old by my maternal grandmother and put into adoption against the wishes of my parents. Mom was a minor. Dad sued my grandmother but she and the adoptive parents had more money. After 4 years of fighting for custody, my Dad lost. At that point, I was adopted and my name changed when I was already 4 years old. I started self harming behavior by age 12. I have done therapy. I had my DNA analyzed and now have a relationship with my genetic Dad and my mother’s sister (sadly, my Mom had died, before I found her, which hurts). I now have siblings. I was raised an only kid. Which sucked. Reuniting helps but even so, it brings up so much more pain. I’d advise you to find a therapist that works with adopted child’s trauma. “Adoption is Violence”. This is a said by many adopted kids in safe adoption groups. My adopted Mom was great but it doesn’t fix the PTSD trauma of being taken from your birth family and losing your DNA. In elementary school, they have you do a family tree report on your ancestors. You can’t. When you go to a doctor, they need a family medical history but you have none.

Another adoptee can relate – it’s all horrible. They steal us, then expect us to be a blank slate for them. I’ve never heard adoption is violence but I always say adoption is trauma. If you’re adopted, you have some sort of trauma – even if an adoptee thinks their adoption was good, deep down there’s trauma. My adopters had a biological daughter who was 8 years older than me and she was horrific to me – tortured me. My adoptive parents were very abusive and neglectful.

Emphasized – No matter how good your adopted parents/guardians are, most adoptees feel abandoned, unwanted, thrown away, more worth less than kids whose family kept them. A kid raised by their grandmother or aunt at least still has a DNA connection and family history. Without that, you feel afloat with out a paddle. Being taken from a birth parent is traumatic. Especially so for an infant or small child who will have PTSD even before they can verbalize their feelings.

Finally, some actual suggestions – a youth group of other adoptees would be wonderful. She likely feels very alone in these emotions and it can be very isolating. She could also be very over stimulated in addition to navigating her current emotions. Does she enjoy outside activities like hiking or is there an animal sanctuary she can go to decompress? Therapy is great, but also it’s nice to have a safe place to feel the feelings without feeling anybody else’s. Horse therapy is a great option as well. She can learn to ride and care for the horses. She may find that horses provide emotional support and understanding that people don’t. She needs to have an outlet to dig deep into herself. I would inquire with her previous social worker about about other resources and groups too. I always found it comforting to be around other kids who were going through similar experiences because it can be very triggering to see traditional families not having to deal with the same type of emotional turmoil.

An adoptee with a similar background (adopted from foster care at age 12 w her 2 younger half sisters) suggested looking into the Safe and Sound music listening protocol for the girl’s emotional regulation and nervous system. She had found this helpful in her own struggle w PTSD and an Attachment Disorder. She said this was for her an amazing life changing resource.

Another adoptee shared her own history and resources – As an adult, I have done the following in conjunction with regular talk therapy: inpatient at a psychiatric hospital, outpatient therapy at the same hospital, 18 week program as an outpatient for 4 hours a day, group therapy program for people with severe mental health issues, online zoom group for suicide attempt survivors. She suggested this adoptive mother ask her doctors, therapists, honestly anyone who will listen, for community resources.

A Lot Of Anger

Today’s story – She is 13 years old. She has reactive attachment disorder (RAD) and takes it out on the whole family. She is my cousin’s child, so also my cousin. She is placed here along with her 2 other sisters. She is triggered by her younger sister’s happiness in being here and how we are one big happy family but she doesn’t feel a part of that.

An interesting suggestion was this one – Therapeutic Boxing. This is a style of depth psychotherapy using boxing skills to bring subconscious and unconscious material to the conscious mind, an unconventional style of mindfulness to look beneath the surface of behaviors. Also contact sports to help channel the anger into a positive. Some recommendations included kickboxing and Krav Maga (an Israeli martial art developed for the defense forces, it is derived from a combination of techniques used in aikido, judo, karate, boxing, savate and wrestling. It is known for its focus on real-world situations and its extreme efficiency) and rugby.

With adoptees – it is a given to seek out an adoption trauma informed therapist. Managing how an adoptee navigates trauma is a life-long road with peaks and valleys. Another type – Dialectical Behavioral Therapy (DBT) – a type of talk therapy for people who experience emotions very intensely. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation, as well as for changing behavioral patterns such as self-harm and substance use. There is also Cognitive Behavioral Therapy (CBT) – a structured, goal-oriented type of talk therapy. There are also rage rooms, also known as smash rooms or anger rooms, where people can vent their rage by destroying objects. Results according to experts appear mixed. One suggested that her oldest (age 10) loves to break large blocks of ice. There’s a lot of sensory input with that activity and it works wonders! One had a high school art teacher that always had old clay projects she could smash into the dumpster. She found that a very satisfying and helpful release. Another suggests group therapy because having other people who can relate makes some feel less alone with their situation. There are so many forms, yet another is Dyadic Developmental Psychotherapy (DDP). Some target difficulties in attachment and some difficulties in intersubjectivity, finding it hard to give and take in relationships.

There are activities one can apply to develop coping skills and emotional regulation skills. Some examples include – Relaxation techniques: deep breathing, meditation, progressive muscle technique. Also taking a quiet bath in the dark, being alone but intentional about where and how one spends that time, eliminating all other distractions. Exercise; dancing, talking a walk, lifting weights. Talking with someone you trust. Engaging in art; drawing, coloring, painting, photography, playing a musical instrument. Journal, then later burn it into ashes. Also, scream into a pillow.

For the time being validate her anger. Acknowledge that you couldn’t even imagine what she is going through and apologize to her. Tell her that she’s welcome to be a part of that family bond, whenever she’s ready, and to take her time. And tell her until then, you can be a friend – if she let’s you. Some adoptees find only adulthood brings the freedom they need to cease being so angry.