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Why It’s So Hard for People with PTSD to Set Goals

The misguided survival strategy that prevents people with PTSD from setting goals and living their lives

Matt Gangloff
3 min readMar 1, 2022
Photo by Joonas Sild on Unsplash

“I don’t know why I can’t answer that,” I said. “I just have this feeling that once I figure it out, I’m going to get hit by a bus.”

I was sitting on the cheap heather gray couch, the kind you see in waiting rooms of dentists’ offices, looking out my therapist’s second-floor window onto the rainy street below.

The brakes of a city bus made their complex hiss as it slowed and screeched to a stop and a homeless man limped in front of it, dragging, not pushing, an overflowing shopping cart, and all I could think of was what if it didn’t.

Stop, I mean. The bus.

She asked me what my goals were. Or what I wanted. Or hoped for, maybe, I can’t remember exactly. But I can remember looking out the window and not at her and being completely incapable of answering whatever question she asked.

I was a year or two out of the army, a sophomore or junior in college and I wasn’t doing well. The booze couldn’t put me to sleep anymore and the nightmares invaded the daytime and the distraction turned to consumption.

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Matt Gangloff
Matt Gangloff

Written by Matt Gangloff

I teach the how-to’s of Post-Traumatic Growth: How to heal and grow, find a new mission, become your best self and build a meaningful life. www.mattgangloff.com

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