Brain Injury and PTSD: Understanding Brains

A soothing landscape in Bolivia to offset any disturbing stuff in the blog

There are a few things that I had to figure out in order to interpret the bizarre world of BIs (brain injuries). I’m going to try and sum them up in two blogs.

The focus of this blog is the discovery that:

Emotions and thoughts make up only a tiny part of what the brain is and does.

Up until I got brain damage I thought I had a clear idea of what my brain was. My brain was the thoughts that I had, the emotions that I felt and the copious amount of daydreaming that I did. I was aware of other stuff going on that I had no control over – my dreams for example – but I saw those as small blips in an otherwise logical organ over which I had fairly good control.

When I got the BI I realised (slowly) that my emotions and thoughts were a tiny, and largely powerless, part of an organ that was extremely busy doing lots of things that I knew nothing about.

Some neuroscientists describe the conscious part of the brain (the thoughts and emotions, the ME part of the brain) as being like the CEO of an large corporation. As in, it thinks it has complete control, but for the most part doesn’t know about what’s going on in the rest of the brain. The CEO doesn’t know how to operate machinery on the factory floor for example, and doesn’t read all the emails sent. Most of the actual decisions happen without the CEO’s knowledge. So that’s us, we think we’re in control because we make a few executive decisions, and strut about looking important at meetings, but our sense of total awareness and control is largely illusion.

Some things that helped me realise that what I thought of as my brain was not my brain (some of these things due to PTSD, some due to BI, some I don’t know, it was all weird):

  • My emotions no longer bore any relation to what was happening, even to what I felt. Emotions happened to me, like a freak storm might happen to me. Panic attacks, mood swings (including intense rage), anxiety attacks and phobias would turn up out of nowhere and without seeming to have any specific triggers. They could all vanish as quickly too
  • I started developing bizarre paranoid delusions – that I was dead, that people from the future were following me etc. When I worked out these may not be truths, I tried to trace their origin back, and found lots of faulty wiring in my head. I realised that my brain was taking small, real events and constructing complicated and nonsensical interpretations of them, leading to intensely held beliefs. I was not consciously aware of this, until I had spent hours figuring it out; I had simply known that people from the future had put cameras in my bedroom in order to watch me.
  • For about a year, whenever I tried to explain something, the words wouldn’t be there, especially nouns. Missing nouns makes communication tricky, I would say things like, “Please could you pass the thing? You know the thing, on the thing, next to the thing, with the thing that looks like a thing.”
  • I would suddenly lose abilities that I took for granted – eg being able to recognise faces or smells. They would often return again later.
  • I no longer felt like I was myself, but couldn’t really work out why. My memories were there, but I didn’t feel attached to them anymore. I didn’t know how to act like me anymore. And mostly, I felt like an alien inside my head, the texture was wrong, the feelings were wrong. It was someone else’s head.

I came to realise the following (more on all of these in future blogs):

  • Emotions mostly follow set routines that are automatic and worked out in childhood. They are a little like programs on a computer that are always running in the background. We all feel that our emotions are automatic because they are a sensible response to a situation, but we each have different routines. For example, my instant, emotional reaction to realising someone is lying to me, is to get angry and confrontational, and that feels like a normal reaction, but other people might react by feeling guilt or doubt. BI and PTSD interfere with these routines, either with extreme or with blank emotions – these too feel completely normal and ‘right’ at the time.
  • Our brains sort through information collected during the day/week/lifetime, connecting pieces of information (from life, TV, games, daydreams etc) to other pieces of information, making sense of it. It’s happening all the time, but we don’t know about it. In order to do this the brain needs to scan the data, mix it up and play with it a bit to see where it fits – I believe this is what dreams are, and also explains why inspiration suddenly happens when we are concentrating on something else. Trauma can cause the cataloguing to get stuck on a loop, as the brain fails to move on from the event.
  • All images and sounds have to be processed by various different parts of the brain in order to be understood, this is different to the cataloguing process, it is instantaneous and enables us to see, hear and understand. Anything you see when you open your eyes is composed of complex information: colour, depth perception, texture are the more obvious details, but there are many more. For example, when you look at a cat, you are aware of fluff and whiskers, but you are also aware of whether you know the cat, whether you like it, whether you need to get it dinner. All of this is information that must be processed so quickly that you don’t notice any time between seeing it and knowing what it is. Any point in this process can get corrupted, either by emotion or damage, leading to the wrong information reaching our awareness.
  • Memory is complicated, it is not stored in just one part of the brain and there are many different types of memory. Understanding and communicating language is so complex, using a number of different types of memory, that many different things can go wrong and it is possible to lose a small detail of language, while the rest remains intact.
  • Who we are is not fixed. We are all changing slightly all the time, depending on mood, events, hormones, time etc. However, the sense of ME, the belief that I AM is very strong, it takes something drastic like BI, mental illness or drugs to shift it. Once shifted, the feeling is so unfamiliar that it can be difficult to process.

Important Note: something I’ve become aware of since I started writing about this, some of it comes across as quite extreme. I believe any illness can seem that way when reduced to the most dramatic events, the actual reality tends to be quite mundane. Most importantly, my life during these years was not all terrible, I still experienced joy, love and laughter. In fact, since many of the symptoms were kind of ridiculous in nature, I (and people close to me) laughed at them a lot.


19 thoughts on “Brain Injury and PTSD: Understanding Brains

  1. This is a riveting read and one which will cause my own brain much to ponder on viz. do I really exist or am I a set of circumstances, open to alteration at any time. That thought in itself changes me. Look forward to more posts.

    Liked by 3 people

    1. Thank you, I’m glad you enjoyed it, I look forward to reading your replies and seeing where your thinking takes you.


  2. It is interesting when we can safely begin to really start looking into “the brain” – and by safely, I mean when we aren’t in the throes of the upheaval of it all – and yes, there is so much to learn, discover, process, understand.

    Your analogy about “us” being the CEO is very apt – most people have no clue about how the brain really runs the show – along with all the other major organs – and how the slightest interruption can cause such lingering after effects, sometimes without any understanding of “linear thinking” – as in A happened, therefore the cause is B+ E = C result.

    Of course, living with the unknowns of the effects of a BI and then PTSD can be such a trial – it is really about trying to chart unknown waters …. so we do the best we can – and of course, I wish you continued learning, discoveries, and understanding, as well as courage too, for when it makes no sense.

    Be well and I hope you have a wonderful day and upcoming weekend 🙂

    Liked by 1 person

    1. Thank you for an insightful reply, as always. Writing these blogs has been very helpful for me, helps me clarify my thinking and look at what I’ve learned. Having a BI is easily the steepest learning curve of my life, often it’s true that the only time we figure out how something works is when it goes wrong.
      Sending happy, healthy vibes your way my friend. 🙂

      Liked by 1 person

      1. yes … I can understand …. as for the writing it down – there is something about reading one’s thoughts on something as important as this … that helps settle things down – it also allows for the ability to step back, consider what you’ve come to learn, and understand, as well as how it is you feel about it …. and perhaps, in some very crucial ways, it also helps in part of the ongoing process … of recovery …. and re-discovery ….

        and wonderful thoughts to you too 🙂

        Liked by 1 person

  3. A great read- one that helps gives some clear perspective on what you are going through. It’s amazing the changes that can occur in the brain, and even more amazing how little we still really know about it. Thanks for taking the plunge to share these insights!

    Liked by 1 person

    1. Thank you for reading and taking the time to reply. I’m glad it helps clarify a little. It’s tricky, because of course all BIs are different, but hopefully they are similar enough for this to be useful. Have a delightful day, my friend.


  4. Living with ABI I can relate to much of what you shared. It took me a year before I was able to make some sense of what was happening and learning to live with the changes. It’s interesting that you also had difficulties with nouns. I had had the privilege of working with an occupational therapist – an amazing profession when I see what she is able to do in helping me develop strategies and understand some of the workings of the brain. Thanks.

    Liked by 1 person

    1. I’m sorry you had to go through that, but I’m very impressed you learnt to figure so much out in a year. I think getting good medical advice is essential, unfortunately it isn’t easy to come by, and often a matter of luck. I hope life is now going well, take care of yourself 🙂


    1. Thank you, it means a lot to hear you say that. There isn’t much conversation about BIs, I think because they scare people, so I needed to talk about it (even if it took me a while).

      Your comments always make me smile, so thank you for that too 😀

      Liked by 1 person

      1. It is a pleasure to read what you write. People are scared to talk about mental health issues because of the taboo associated with it. So most write ups are from experts who talk from the point of view of a doctor. That makes it sound like a scientific journal and not something every one can relate with. What you write makes it pretty real.

        Liked by 1 person

      2. It’s true, doctors don’t explain it in a helpful way – even when I was going through it, they were confusing and vague. Hopefully the stigma around mental health is changing, but there’s a long way to go. Thank you for writing that, you’ve made my day xx

        Liked by 1 person

  5. It is a pleasure to read what you write. People are scared to talk about mental health issues because of the taboo associated with it. So most write ups are from experts who talk from the point of view of a doctor. That makes it sound like a scientific journal and not something every one can relate with. What you write makes it pretty real.

    Liked by 1 person

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