Los Angeles Times

Resilience key to recovery

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Though PTSD stems from a single traumatic event, complex PTSD is marked by continued coercive control.

Survivors of repeated child sexual abuse or domestic violence, prisoners of war and refugees often suffer from complex PTSD. The reaction incorporat­es PTSD’s involuntar­y re-experienci­ng of a traumatic event, avoidance of triggers and hypervigil­ance with intense reactions that manifest in physical symptoms such as insomnia, headaches and upset stomach.

“When you have one incident, you have a whole trail of traumatic consequenc­es, but when the events are repeated, the consequenc­es are not additive, they are multiplica­tive,” said Priscilla Dass-Brailsford, a clinical psychologi­st and an associate professor of psychiatry at Georgetown University who’s an expert in trauma recovery. “So it’s harder and the therapy becomes very long term.”

Griner’s identity as a Black, queer woman and the mistreatme­nt she received in Russia add layers that must be addressed as she recovers from her experience, said Dass-Brailsford, whose research focuses on how people from historical­ly oppressed groups manage stress. Needing to approach each piece of Griner’s identity individual­ly and collective­ly makes psychologi­cal treatment even more complicate­d.

For trauma survivors, Dass-Brailsford recommends first restoring a sense of safety and promoting selfcare. She avoids asking them to recount their experience immediatel­y so as not to risk repeating trauma. Instead, Dass-Brailsford focuses on what they can expect next.

Trauma survivors often experience a range of emotions over months and years: everything from joy, disbelief, shock, anxiety, guilt, anger and depression. Understand­ing what could happen, preparing for the challenges and normalizin­g every feeling are positive steps.

“Whatever facilitate­s stability, seek it,” Abramson said. “You want to go back to your life, go back to play basketball, go back to whatever you’re doing, so you fill your time with productive things and find the strength within you.”

Dass-Brailsford encourages patients recovering from trauma to rediscover routines. For Griner, a return to basketball could be a positive step to restoring self-esteem and confidence, the psychologi­st added.

The 32-year-old WNBA champion averaged 20.5 points and a career-high 9.5 rebounds in 2021, the same year she helped the United States to its seventh consecutiv­e Olympic gold medal. But when asked about Griner’s future last week, WNBA commission­er Cathy Engelbert stressed the importance of patience.

“We’re going to respect the privacy of this very critical time in her coming back home,” Engelbert said Thursday, hours after the news of Griner’s release was confirmed. “Obviously I’d love to call her, I’d love to see her; we’re going to give her the appropriat­e space and time for that. And then follow what Brittney and her family want to do about reengaging with the WNBA and our players. I know our players are very anxious to re-engage and reunite with Brittney as well. So we’ll follow the players’ lead.”

Mercury forward Brianna Turner helped lead her team’s calls for Griner’s safe return and wrote on Twitter that hearing of her teammate’s release was the “BEST NEWS EVER.” With Griner’s safety guaranteed, any questions about whether she could return to the court were secondary.

“BG is so much more than a athlete,” Turner wrote in a separate tweet. “The primary concern is making sure her mental health is progressin­g and she’s able to recover from the past 294 days. She could never step foot on a court again and I will still support her relentless­ly.”

Since Griner’s arrest in February, support from the WNBA community never wavered. Players wore shirts reading “We Are BG” and sweatshirt­s with Griner’s likeness. Courts were emblazoned with Griner’s initials and jersey number 42. Players, coaches and fans wrote her thousands of letters.

After counting the days on Twitter, supporters rejoiced when Griner was shown boarding a charter plane bound for the United States. Wearing a red and black plaid flannel shirt and knit cap covering her shortened hair in the video released by Russian state media, Griner was asked about her mood.

“Happy,” she said with a nod and a smile.

Through her research and practice, Dass-Brailsford has encountere­d people who have lived through civil war, poverty and abuse. She still finds many survivors can smile in the end just like Griner did, giving her optimism in the resilience of the human spirit.

“Support, that is a primary ingredient in recovery, and she has it already,” Dass-Brailsford said. “She seems to have a very loving wife so that’s another key ingredient in recovery. So will she become resilient? I would bet yes.”

 ?? Evgenia Novozhenin­a Associated Press ?? BRITTNEY GRINER spent 294 days in Russian custody and is coping with the trauma. “This is a long-term recovery,” UCLA professor Paul R. Abramson said.
Evgenia Novozhenin­a Associated Press BRITTNEY GRINER spent 294 days in Russian custody and is coping with the trauma. “This is a long-term recovery,” UCLA professor Paul R. Abramson said.

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