Self-Injurious Behavior (cutting, self-mutilation)

Self-mutilation is another way survivors of trauma employ in an effort to cope with the experience of severe emotional and psychological pain. Some research shows that during cutting or self-mutilation, the brain releases natural opioids that provide a temporary experience or sense of calm and peace that many, who cut, find soothing.

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7. Pursue Health

While every marriage has to work through inevitable tensions and stresses, the toxicity that comes with trauma can saturate a marriage with a disastrous cocktail of chronic misunderstandings, alienated individuals, and hopeless hearts. But you can help to turn the tide and be an active participant in God’s redemptive work in your marriage. You can help to bring health and restoration to your family. Here are a few key ways to pursue health in a marriage plagued by complex childhood trauma.

  • Learn your spouse’s story. Be a listening ear whenever your spouse is willing to share his or her story. Listen actively and empathetically. Avoid criticizing. Instead, offer words of compassion and affirmation (affirmation regarding the pain and struggles of their experiences, not affirmation of their poor choices or toxic behavior.)
  • Ask your spouse what he or she wants. Because of impaired attachment, many trauma survivors will not ask for what they want. You can begin to help your spouse develop healthy emotional muscles and build bridges of attachment by inviting him or her to share what he or she needs from you in a given situation or dynamic.
  • Grieve. Being in a marriage affected by trauma means you have sustained many losses. There are things you hoped for relationally and otherwise that your spouse may just not be able to give you. You need to acknowledge and grieve the pain of those losses. One day your spouse may be able to give you those things that your heart rightly longs for.
  • Get help. Simply put, this is a tough road to walk! Getting marriage counseling from an experienced counselor who knows how to recognize and treat trauma is key. That counselor may also be able to encourage your spouse to get the individual therapy he needs so he can begin to truly heal and experience a much richer life.  And reach out for individual counseling yourself, whether it is every week, once a month, or from time to time. Family counseling may also be warranted.
  • Express your needs. Whether or not your spouse is capable of meeting those needs, hearing the needs expressed puts them on his or her radar and can help create an awareness and motivation to pursue healing and growth.
  • Build the family you desire. When you are married to a trauma survivor there is a great deal to navigate. And what you envision for your family might seem like an impossibility. But not every hope and dream has to be a casualty of trauma’s realities. Create the memories and traditions you believe should be a part of your children’s experiences. Instill the values you want them to have. Be consistent with discipline, instruction, and nurture. It will not always be easy. It will not always go according to plan. But build anyhow! It will be worth it!
  • Listen to the Lord. This is listed last, but is certainly not least! Though you may not know all of the ins and outs of your spouse’s trauma journey, God does! He is able to guide you each step of the way, and He is ultimately the only One who can redeem the ravages of trauma. Let Him be your Healer, your Comforter, and your Guide.

There is no doubt about it, being married to a survivor of complex childhood trauma is not easy. But it is possible to anchor yourself in the midst of the tumultuous waters. Your life may feel like it constantly shifts, but you as a person can have a strong, resilient internal fortitude that can foster a measure of stability for your family.

You do not have to journey alone. For additional help, visit us here.

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Prevention

No vaccine exists for respiratory syncytial virus. But these lifestyle habits can help prevent the spread of this infection:

  • Wash your hands frequently. Teach your children the importance of hand-washing.
  • Avoid exposure. Cover your mouth and nose when you cough or sneeze. Limit your baby’s contact with people who have fevers or colds.
  • Keep things clean. Make sure kitchen and bathroom countertops, doorknobs, and handles are clean. Discard used tissues right away.
  • Don’t share drinking glasses with others. Use your own glass or disposable cups when you or someone else is sick. Label each person’s cup.
  • Don’t smoke. Babies who are exposed to tobacco smoke have a higher risk of getting RSV and potentially more-severe symptoms. If you do smoke, never do so inside the house or car.
  • Wash toys regularly. Do this especially when your child or a playmate is sick.

Protective medication

The medication palivizumab (Synagis), given in the form of a shot (injection), can help protect certain infants and children 2 years old and younger who are at high risk of serious complications from RSV. High-risk children in this age group include those who:

  • Were born prematurely
  • Have chronic lung disease
  • Have certain heart defects
  • Have a weakened immune system

The first injection is given at the start of the RSV season, with monthly injections given during the season. This medication only helps prevent RSV infection. It does not help treat it once symptoms develop.

Talk with your child’s doctor to find out if your child would benefit from this medication and to learn more about it. This medication is not recommended for healthy children or for adults.

Scientists continue working to develop a vaccine to protect against RSV.

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Complications

Complications of respiratory syncytial virus include:

  • Hospitalization. A severe RSV infection may require a hospital stay so that doctors can monitor and treat breathing problems and give intravenous (IV) fluids.
  • Pneumonia. RSV is the most common cause of inflammation of the lungs (pneumonia) or the lungs’ airways (bronchiolitis) in infants. These complications can occur when the virus spreads to the lower respiratory tract. Lung inflammation can be quite serious in infants, young children, older adults, immunocompromised individuals, or people with chronic heart or lung disease.
  • Middle ear infection. If germs enter the space behind the eardrum, you can get a middle ear infection (otitis media). This happens most frequently in babies and young children.
  • Asthma. There may be a link between severe RSV in children and the chance of developing asthma later in life.
  • Repeated infections. Once you’ve had RSV, you could get infected again. It’s even possible for it to happen during the same RSV season. However, symptoms usually aren’t as severe — typically it’s in the form of a common cold. But they can be serious in older adults or in people with chronic heart or lung disease.

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Causes

Respiratory syncytial virus enters the body through the eyes, nose or mouth. It spreads easily through the air on infected respiratory droplets. You or your child can become infected if someone with RSV coughs or sneezes near you. The virus also passes to others through direct contact, such as shaking hands.

The virus can live for hours on hard objects such as countertops, crib rails and toys. Touch your mouth, nose or eyes after touching a contaminated object and you’re likely to pick up the virus.

An infected person is most contagious during the first week or so after infection. But in infants and those with weakened immunity, the virus may continue to spread even after symptoms go away, for up to four weeks.

Risk factors

By age 2, most children will have been infected with respiratory syncytial virus, but they can get infected by RSV more than once. Children who attend child care centers or who have siblings who attend school are at a higher risk of exposure and reinfection. RSV season — when outbreaks tend to occur — is the fall to the end of spring.

People at increased risk of severe or sometimes life-threatening RSV infections include:

  • Infants, especially premature infants or babies who are 6 months or younger
  • Children who have heart disease that’s present from birth (congenital heart disease) or chronic lung disease
  • Children or adults with weakened immune systems from diseases such as cancer or treatment such as chemotherapy
  • Children who have neuromuscular disorders, such as muscular dystrophy
  • Adults with heart disease or lung disease
  • Older adults, especially those age 65 and older

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RSV and COVID-19

Because RSV and coronavirus disease 2019 (COVID-19) are both types of respiratory viruses, some symptoms of RSV and COVID-19 can be similar. In children, COVID-19 often results in mild symptoms such as fever, runny nose and cough. For adults with COVID-19, symptoms may be more severe and may include trouble breathing.

Having RSV may lower immunity and increase the risk of getting COVID-19 — for kids and adults. And these infections may occur together, which can worsen the severity of COVID-19 illness.

If you have symptoms of a respiratory illness, your doctor may recommend testing for COVID-19.

When to see a doctor

Seek immediate medical attention if your child — or anyone at risk of severe RSV infection — has difficulty breathing, a high fever, or a blue color to the skin, particularly on the lips and in the nail beds.

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In severe cases

RSV infection can spread to the lower respiratory tract, causing pneumonia or bronchiolitis — inflammation of the small airway passages entering the lungs. Signs and symptoms may include:

  • Fever
  • Severe cough
  • Wheezing — a high-pitched noise that’s usually heard on breathing out (exhaling)
  • Rapid breathing or difficulty breathing — the person may prefer to sit up rather than lie down
  • Bluish color of the skin due to lack of oxygen (cyanosis)

Infants are most severely affected by RSV. Signs and symptoms of severe RSV infection in infants include:

  • Short, shallow and rapid breathing
  • Struggling to breathe — chest muscles and skin pull inward with each breath
  • Cough
  • Poor feeding
  • Unusual tiredness (lethargy)
  • Irritability

Most children and adults recover in one to two weeks, although some might have repeated wheezing. Severe or life-threatening infection requiring a hospital stay may occur in premature infants or in anyone who has chronic heart or lung problems.

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Respiratory syncytial virus (RSV)

Overview

Respiratory syncytial virus (RSV) causes infections of the lungs and respiratory tract. It’s so common that most children have been infected with the virus by age 2. Respiratory syncytial (sin-SISH-ul) virus can also infect adults.

In adults and older, healthy children, RSV symptoms are mild and typically mimic the common cold. Self-care measures are usually all that’s needed to relieve any discomfort.

RSV can cause severe infection in some people, including babies 12 months and younger (infants), especially premature infants, older adults, people with heart and lung disease, or anyone with a weak immune system (immunocompromised).

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