A PROPOSED CONNECTION BETWEEN
TRAUMA, STRESS AND MULTIPLE SCLEROSIS.
Author William Bliss. MNCP. MGHR. MHA.
In 2002 a Physiotherapist asked me if I would consent to work
with a patient of hers who had developed Multiple Sclerosis.
The original intention was to teach him pain management techniques
that he could use for himself. Being a qualified hypnotherapist
I agreed to see what could be done.
Tony is a 32 year old ex Royal Navy Marine who still had the
physique from his time in the armed forces. He was a foreman
in the timber warehouse where he had an accident. His head
became trapped beneath a baulk of timber; one of his colleagues
moved very quickly and used a forklift truck to free him. But
for this quick thinking Tony would have died, a fact, which
he was very aware of at the time. His comment to me was that
he could feel his head beginning to be crushed. He was very
shocked and had sustained damage to his eye, which did not
recover. A few months after this event Tony began to experience
the symptoms of MS. It was these symptoms I was asked to provide
some support with less than a year after the accident. During
the first meting it was very evident that he was actually still
re living the event in his dreams and was not able to return
to the warehouse in which the accident occurred because he
felt panicky. Using Rapid Trauma Resolution this was processed
and he was then able to begin functioning normally without
bad dreams or panic attacks.
It was from this event and a couple of others related to me
I began to wonder if there was any provable connection between
trauma and the onset of MS. This essay is a result of my studies
and is an edited early release of the full research. I have
omitted the figures from questionnaires and the methodology
behind them and confined myself to the findings for the sake
of brevity
At the time of writing there
is no clinically provable evidence regarding how we actually
get MS. The two main schools of thought
are that it is a genetic inheritance or it is a result of a
viral infection. Because there is not sufficient knowledge
about the source of the condition, and there are no clear patterns
I felt it might be possible that, like some cancers, we have
a ‘predisposition’ towards the condition. This
predisposition requires that (A). MS in whatever form exists
within us but our immune system is able to fight it off, and
(B), that there must be conditions that trigger the activity
of MS. My original theory was based on articles regarding diet
and the immune system, and the possibility that trauma acts
as the catalyst. The reason behind this is straightforward.
Studies have been done that suggest and even claim that the
processed foods, high grain and dairy food diets we have can
actually weaken the long chain molecule signal that identifies
the cells of our Central Nervous System. Whilst we can continue
in good health with no effects from either the MS or this weakened
signal it may be that an event occurs which triggers the onset
of symptoms. Originally I thought that this event might be
a physical trauma because I began to receive questionnaires
that identified injuries had occurred within five years of
the onset of symptoms. I even had three forms from women who
felt that pregnancy or more specifically, childbirth had caused
the situation. The number of emotional traumas that people
were telling me of quite quickly refuted this. There are a
significant number of people who had experienced prolonged
stress. So where did this lead? We know that a sudden shock
triggers the fight, freeze or flight response. This leads to
a dramatic shift in the hormone balance in our bodies. It is
also known that emotional stress such as the death of a loved
one can equally have the same type of hormonal disturbance.
And yet again prolonged stress such as a period of redundancy,
illness, even family argument or harassment at work operates
in the same hormonal way. I am not suggesting anything particularly
radical with the theory that hormonal disturbance could be
the trigger for people with a predisposition toward MS. In
fact it is quite well recognised that stress can cause several
different physical conditions, cancer, stomach ulcers, and
high blood pressure also have a relationship to stress. Research
into ME that I am aware of, indicates trauma may be a significant
factor in the development of this condition.
SUMMATION
1 Multiple Sclerosis is an autoimmune condition of as yet
unknown origin therefore how the condition enters our system
is also unknown. The condition may be lying dormant in a large
number of the population of the western world. I
2 Our diet may actually be reducing the effectiveness of the
molecules that identify our central nervous system.
3 1 and 2 above form predispositional factors that combine
with the hormonal changes brought about by physical or emotional
trauma or long-term stress creating an overload of our coping
skills. (The description coping skills is the subject of a
further paper to be published in the near future)
4 Trauma and prolonged stress have many similarities in terms
of the action of hormones. The temporary imbalance of hormone
levels or the cyclical changes in hormones are well documented
as having effects on the emotions of people.
5 The combination of the factors and conditions above enable
our immune system to begin attempting to find any unwanted
intruders. At this point, because of the weakened signal from
the identifying molecules on the CNS it starts destroying the
myelin sheath surrounding the CNS and causing the onset of
the Multiple Sclerosis symptomatology.
Because of the above predispositional factors, it may not
be possible to identify accurately individuals likely to develop
MS but certain indicators do exist.
1 People who have experienced a physical trauma, like severe
whiplash or concussion may be at higher risk because of the
possibility of damage to the CNS and the immune system being
activated.
2 Emotional trauma where the coping mechanism is not as straight
forward in that the ability to cope varies very widely between
people. It is possible to identify two major classifications
in this group.
Those people who had effective parents and grew up in the formative
years between 3 and puberty in a supportive atmosphere generally
are less able to cope with emotional traumas like death or
divorce. They are affected much more deeply than the ineffective
parents who failed to provide a fully supportive childhood.
This is a general guideline because it is understood that children
who were abused both physically and/or mentally have an entirely
different perspective on life. My questionnaires only identified
four people who had an abusive childhood, each of these had
symptom onset before they were 30
3 The other category of people that I identified during my
research have been exposed to periods of unacceptable levels
of stress such as that experienced at work or home where bad
situations cannot be resolved. As with emotional trauma, stress
is a very subjective condition in these circumstances. A manager
of a company in London came to consult me recently because
he was finding it difficult to cope with the stress at work.
This man very quickly realised that the stress he was feeling
was exactly the challenges he had been seeking when he took
the job. Because of the re focussing this client did his stress
levels diminished very rapidly. If the person concerned had
possessed the predisposition to MS and his stress had not been
resolved in my view he would have made an ideal candidate for
developing the symptoms.
CONCLUSION
Once Multiple Sclerosis has reached the symptom stage I am
not aware of any Allopathic, Homoeopathic, or Complimentary
therapy that can halt the condition completely. Different
people develop the condition at different rates but diet
lifestyle and a positive attitude do play significant parts
in how long the gap between remissions can be. Each person
must find his or her own enhancements to these basic changes
in what they eat and drink as well as how they live.
The chemical/biological events
stated need to be studied in clinical situations that I d
not have the facilities for. However,
the emotional indicators should be made available to our medical
profession in order that they can identify specific patients
who may be at risk when considering the predispositional factors.
These patients should be referred for some form of talk related
therapy that can offer trauma resolution in an emotionally
positive way. By doing this the events of stress and trauma
can be ‘normalised’ as in the processes around
Critical Incident Debriefing or Rapid Trauma Resolution. Both
of these are very fast and therefore cost effective methods
of reducing the possible effects of the hormonal imbalances.
Counselling Psychotherapy and Hypnotherapy all have beneficial
effects when used to develop positivity and a determination
not to allow MS to rule their life. It may be that by following
a policy of early GP referral similar to this proposal there
could be a reduction in the other stress and trauma activated
conditions. This would of course be a highly beneficial side
effect.
BIBLIOGRAPHY
| Graham Judy |
Multiple Sclerosis a self help guide 1998 |
Harper Collins. Hammersmith London ISBN 0 7225 2777 2 |
| Palmer and Dryden |
Counselling for Stress Problems 1996 |
SAGE London ISBN 0 8039 8862 1 |
| Philips Georges Watts Terence |
Rapid Cognitive Therapy 2001 |
Crown House Publishing Wales ISBN1899836373 |
| Poser Charles M |
An Atlas of Multiple Sclerosis 1998 |
CRC Press ISBN 1850709467 |
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WEBSITES LAST VISITED
There are many more sites that contain information relevant
to this area of research. The above re just some of those I
printed details from for reading at another time. I apologise
to the sites I have omitted but any person committed to furthering
their own thoughts on the subject or related subjects will
find their own way. I would specially like to thank Georges Phillips developer
and author of Gold Counselling for his invaluable discussion
and guidance on the theory of coping strategy.
William Bliss
February 2004
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