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TALKING ABOUT NERVOUS BREAKDOWN

Have you ever had a nervous breakdown from overwork and you’re still mystified by your behaviour at that time?
Do you love someone who is breaking down under stress and you seem powerless to stop the deterioration in your relationship?
Are you in a high-stress occupation and want to avoid the risk of mentally breaking down under stress?
Are you concerned at this moment that you might be heading for a nervous breakdown from too many worries?
Do you want to understand how stress breakdown causes changed behaviour?
Do you want to learn how you might prevent stress breakdown in yourself and others in the family?
A working knowledge of how symptoms arise in these three stages can help us understand how our reactions to severe stress can affect our health, and cause serious disruption of interpersonal relationships.
I am sure we are all well aware that stress just on its own, can harm our health, wreck marriages, and strain relationships with our workmates. Stress is a major problem in our complex modern society, but we often make it an even bigger problem by our wrong assumptions about, and our inappropriate responses to, the behaviour of overstressed people. And our inappropriate responses sometimes make their situation worse.
My concept of stress breakdown occurring in three stages developed out of my own experience as a practicing psychiatrist, beginning with an involvement in treatment of war veterans, many of whom had originally suffered stress breakdown in combat.
Because I was too young to have any direct knowledge of the conditions under which these soldiers broke down and how they behaved at the time, I had to make myself familiar with war neurosis through my reading by listening to my patients and looking through their files. Later, as I became more aware of symptom patterns in stress breakdown, I began to identify the same symptoms in people in everyday life. I found that when some people broke down under stress, they often experienced the same symptoms as did the soldiers under fire. In particular, one group, the mothers of newborn babies, often demonstrated stress breakdown symptoms remarkably similar to those of the soldiers.
The mothers who experienced stress breakdown usually lacked family support, were often ill or weak themselves, and were unable to get sufficient sleep. They often had to deal with problems they could not pass on to anyone else: sick children, financial stress and relationship problems with their over-stressed husbands.
The mothers of newborn babies tended therefore to have to deal with serious stress while in a physiologically weakened state. In this regard they resembled the soldiers who broke down under combat stress in the Pacific, usually under conditions of privation, when they were outnumbered, unable to sleep, hungry and suffering from some debilitating disease such as malaria or typhus or dengue fever.
I now recognize that the similarity between the symptoms of the soldiers and that of the mothers was due to the fact that both were experiencing third stage stress breakdown symptoms fairly quickly.
Some of these women had been treated for ‘post-natal depression’, because their stress-breakdown symptoms were not initially recognized as stress related. The diagnosis usually became apparent when they recovered rapidly simply as a result of the rest in hospital. The patients with true post-natal depression did not respond to rest on its own. True post-natal depression requires specific treatment.
I had been trying to integrate Pavlovian (Ivan Pavlov, Russian physiologist) concepts that I had been exposed to some years previously into my own thinking about stress breakdown. I was then influenced by Sargant (William Sargant, British psychiatrist), in the same way as he had been influenced by Pavlov. Sargant’s use of Pavlovian principles in his thinking gave form to the vague concepts I was at that time trying to gather into a workable theory.
Thus my concept of stress breakdown occurring in three stages took shape. I am not aware of anyone else proposing a similar theory, and I hope that my description of the three stages in stress breakdown will contribute to a better understanding of the behaviour of over-stressed people.

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