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Irritable Hearts: A PTSD Love Story

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"Irritable Hearts striking candor will win McClelland the empathy she deserves." - The New York Times Book Review A Buzzfeed Best Nonfiction Book of 2015

"I had nightmares, flashbacks. I dissociated... Changes in self-perception and hallucinations-those are some of my other symptoms. You are poison , I chanted silently to myself. And your poison is contagious ."
So begins Mac McClelland's powerful, unforgettable memoir, Irritable Hearts . When thirty-year-old, award-winning human rights journalist Mac McClelland left Haiti after reporting on the devastating earthquake of 2010, she never imagined how the assignment would irrevocably affect her own life. Back home in California, McClelland cannot stop reliving vivid scenes of violence. She is plagued by waking terrors, violent fantasies, and crippling emotional breakdowns. She can't sleep or stop crying. Her life in shambles, it becomes clear that she is suffering from Post-Traumatic Stress Disorder. Her bewilderment about this sudden loss of control is magnified by the intensity of her feelings for Nico, a French soldier she met in Port-au-Prince and with whom she connected instantly and deeply. With inspiring fearlessness, McClelland tackles perhaps her most harrowing assignment to investigating the damage in her own mind and repairing her broken psyche. She begins to probe the depths of her illness, exploring our culture's history with PTSD, delving into the latest research by the country's top scientists and therapists, and spending time with veterans and their families. McClelland discovers she is far from while we frequently associate PTSD with wartime combat, it is more often caused by other manner of trauma and can even be contagious-close proximity to those afflicted can trigger its symptoms. As she confronts the realities of her diagnosis, she opens up to the love that seems to have found her at an inopportune moment. Irritable Hearts is a searing, personal medical mystery that unfolds at a breakneck pace. But it is also a romance. McClelland fights desperately to repair her heart so that she can give it to the kind, patient, and compassionate man with whom she wants to share a life. Vivid, suspenseful, tender, and intimate, Irritable Hearts is a remarkable exploration of vulnerability and resilience, control and acceptance. It is a riveting and hopeful story of survival, strength, and love.

320 pages, Hardcover

First published February 24, 2015

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Displaying 1 - 30 of 136 reviews
Profile Image for Jane.
109 reviews
January 2, 2016
This review might come off as self-serving. Reading this book was, for me, incredibly necessary. I have PTSD due to Military Sexual Trauma. I have had my diagnosis for 10 years, though the trauma occured nearly 17 years ago. Reading Mac McClelland's words, I found myself saying, either quietly to myself or out loud, on nearly every page, "This is every day of my life. Someone understands."

Never have I seen a more accurate depiction of what I go through daily. I kept having to read passages to my husband. He gets it. He signed up for this, to see me through this, just as Nico did for Mac. Their conversations in bed are ones that my husband and I have had regularly.

Of particular interest to me was the wealth of information about somatic symptoms, as well as the admission of the need some trauma survivors have for violent sex, which has been true for me and left me utterly confused and ashamed and hating myself at times. I was also particularly interested in her journey through therapy. The VA info was useful as well, as I am currently trying to find my way through that maze.

Overall, it just made me feel less alone and a little more understood than usual. I want to make everyone I know read this book so that they might better understand me, but I know that's probably selfish.
Profile Image for Mainlinebooker.
1,184 reviews131 followers
December 16, 2014
I really wanted to like this book but reviewing this book was a difficult task. On the positive side I admired the author's writing and her raw openness about her condition and its effect upon her life. However, I couldn't help but question her credibility. Being somewhat familiar with her work, I found it very hard to understand how she was dissociating and crying maniacally and at the same time going undercover to write a piece about working in an Amazon warehouse. In addition, she starts the book by vague comments about being traumatized by an event she observed without specifics to make us understand what specific dangers she had been exposed to. Apparently, the person involved and her lawyer expressed that she had no authorization to speak about what happened to her, as she had reported specifics in an earlier article. However, that very lack of information undermines the rest of the book. She does present a great deal of valuable information about PTSD and self mutilation but doesn't build enough of a case to make her exposure believable. She did have a very troubling childhood which in itself could have led to severe emotional difficulties but I could not help judging the means and methods she went through to accomplish her goals. Her self portrayal was not very likable...and I had a hard time being sympathetic..I wish I could have been.
Profile Image for Kirsten.
212 reviews32 followers
December 31, 2015
Regular people, whether they realize it or not, walk around believing, as you cannot make your way in the world without believing, that the universe is holding them.

Well, the people on our side of the line thought, the fuck it does.

^ Only how I have felt my entire life, NBD. In reading other reviews of this book. I think interpreting this as a work of literature is missing the point, because what is happening here is an attempt to advance and normalize the experience of trauma response and PTSD. McClelland wrote this book for other trauma survivors, and she did so in an attempt to counteract the isolation and stigma that accompanies it. I read this book 100% as an honorable effort to advance the normalization of trauma response in a culture that refuses to acknowledge the importance of mental health. Working as I do in a field in which secondary trauma is not only highly possible, but likely, I cannot understate the importance of this.
Profile Image for Tinea.
573 reviews310 followers
March 16, 2016
Great book. Important book. A "thank you for writing this" sort of book.

McClelland is a journalist who experienced trauma while reporting in Haiti, and was later diagnosed with post-traumatic stress disorder, PTSD. This book is a first-person memoir of the experience of having and healing PTSD, girded by research and resources on the science, psychology, and impact of PTSD in the world and how to heal it.

McClelland masters a delicate balance between wrenching, deeply personal experience and situating that experience within the context of other trauma survivors, particularly sexual assault survivors and soldiers. It's a hard balance and I cringed often in the early pages of the book, which leans more heavily on the author's personal history, but she does this purposefully. First she lays bear the trauma of experiencing trauma, as only a self-pillorying writer can do, critically examining and over-honestly recounting awful nuances of psychological pain. And crazy bitchiness. McClelland is brutal in her unveiling of the way PTSD can turn one into a crazy bitch-- overwhelmed by or deadened to emotion, hypervigilance unveiling itself as anger and self-protective cruelty. I write as one who also has PTSD, whose experiences have embodied so many of the words McClelland was able to write down. Things I can apologize for or give heads up to lovers about, but cannot articulate. Like I said: Thank you for writing.

I embodied similar experiences of suffering and healing in my own PTSD journey that McClelland writes, right down to embracing the explicit consent of BDSM sex as a healing mechanism, testing physical boundaries with a loving partner to demonstrate to myself that no, it wasn't the physical pain of my assault that was traumatizing-- I can handle pain, can embrace good kinds of pain-- it was the violation, the lack of control, the inability to protect myself. For me, BDSM play was a way to explore and differentiate assault and abuse from the act of sex, things that look very much alike but are so very very different. I remember reading the short essay she wrote soon into her recovery and the controversy that surrounded outting the use of violent sex as a healing mechanism-- even as survivors of sexual assault have long explored consensual BDSM play as a means to physically take back ownership of sex perverted by assault. Controversy is intellectually good, and it's worth reading the critiques of whose story is whose to tell, deeply considering the words to talk about the secondary trauma of witnesses and providers of support. But I am so thankful McClelland braved a world of shame and stigma to share her pain and process in all its mess. That's how this shit is. It is messy and complicated, surprising and embarrassing and awful. That's what McClelland captures-- the whole of it.

This book is a treasure because it's not a textbook but it is substantial. I have my list of psych resources I can list off when I have a new lover or am helping a friend. Those books can help someone learn the technical skills of coping. But what I appreciated about Irritable Hearts is that it tells a story of experiencing these textbook symptoms, and it shows the application of the healing process over time, in all its yo-yoing, layered complexity. It shows the difficulty and importance of growing relationships and love as a part of healing despite the ease with which trauma and abuse can transfer and replicate. This is one you can hand someone who cares but does not understand, one that is harsh and scary at times but shows with clarity and honesty the way that, yes, things can get better. It's a lot of work! But you can heal.

One final thought. I understand that it was some legal and care issues that prevented McClelland from fully disclosing the traumatic incident she witnessed that she feels pushed her over into PTSD. That means the things she does share in detail were all sexual assault close calls. This absence was so important. It prevented the reader from comparing herself with McClelland or other survivors, underlining the point that traumatic stress comes about through complex interconnected lifelong experiences of trauma interacting with one or many traumatic incidents over time. It kept the book readable for triggered trauma survivors-- I don't think I could have handled graphic details of sexual violence at the same time I was absorbing all the descriptions of psychological pain. And finally, it pushed McClelland to focus on the "close calls" themselves: sexual terror, as she finally allows herself to call it late in the book.

If you're trying to heal or understand PTSD, I also recommend:
- Trauma and Recovery
- Healing Sex: A Mind-Body Approach to Healing Sexual Trauma
- The Courage to Heal: A Guide for Women Survivors of Child Sexual Abuse
- Aftershock: Confronting Trauma in a Violent World: A Guide for Activists and Their Allies
- Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others
Profile Image for Karen.
1,021 reviews15 followers
July 31, 2015
I don't really think my rating on this book is fair. The rating and my enjoyment of the book were completely colored by my work. I spend the majority of each day in session with children and families who have experienced horrors. Many of them are struggling with PTSD because of it. This is a hard book to read for anyone (hard for me because I consider reading an escape and this one just had me diving deeper into the reality of life for so many people with whom I work) but if you're looking to better understand one perspective of how PTSD torments the mind, then this is a book for you. If you're a therapist, don't touch it unless you're in a place where you have plenty of time away from trauma in your work. It could be a resource for sufferers/supporters of PTSD but could also just be sentence after sentence of triggers. The theme that stood out most strongly for me was how PTSD drives people to compare their trauma with others' and how it can make you feel as if you haven't gone through enough to have "earned" your symptoms. So frustrating! In the end, if I had such a hard time merely reading this book, imagine what it's like to live it or support someone who is! A very brave and difficult work from McClelland. Grateful it exists to help normalize PTSD and reduce the enormous stigma surrounding diagnosis, symptomology and the ways people cope to survive.
Profile Image for Amanda.
666 reviews
March 6, 2015
I don't want to trivialize what this writer went through, but I think she was still too close to tell this story. I heard Cheryl Strayed say recently that her husband told her for years to write about the hike that later became 'Wild' but she kept telling him there she didn't know what the story to tell was. It too her 15 years of reflection before she did. I think this writer and this book would have benefited from the same kind of reflection and distance. It felt very scattered to me. It wasn't until the end that I realized that the focus was really supposed to be the 'love story' between her and Nico. I felt like that got lost a bit. I also felt like Nico had some interesting parts of his life that should have been covered a little better so that he could have been a part of the love story too.
Profile Image for Jennifer (formerly Eccentric Muse).
539 reviews1,052 followers
June 9, 2019
This is an amazing book in so many ways, not least of all because it takes you right into the heart and mind of someone with PTSD, a set of symptoms both behavioural and psychological, very complex, and very confusing not only to those who suffer them, but also to those who walk alongside those who experience them.

What matters here the most, in my opinion, is that Mac McClelland is not only someone who has experienced trauma and the consequences of it, but that she is a VERY capable writer. Her journalistic style, her diligent fact-checking and research - combined with fearless self-reflection and self-revelation - serve the story she is telling: a memoir of affliction and recovery, an exceptional piece of reporting, and a call to compassion and understanding.

Highly recommended.




Profile Image for Heidi.
1,065 reviews34 followers
June 19, 2015
As the book synopsis says, McClelland suffered PTSD after witnessing some horrible things as a journalist in post-earthquake Haiti. The book is mostly about her symptoms and her treatment and is also partly about saying "I told you so" to the people who didn't believe she had suffered anything traumatic.

I felt terrible for McClelland. It's clear that the after-effects of her trauma were far-reaching. She also makes it clear that this could happen to anyone, giving examples of PTSD diagnosed in survivors of Hurricane Katrina and the 9/11 attacks as well as soldiers, journalists, and rape victims. Current treatment isn't terribly effective and sufferers of PTSD struggle to get credibility.

But I had a hard time getting through the book. The writing was awkward, with overly-long sentences that I had to read several times. Pronouns also seemed to get in the way; I can't count how many times I had to read a paragraph two or three times to figure out what the word "they" or "it" was referring to. And the jumps back and forth through time were confusing since they involved the same characters. I'm not normally so sensitive to writing, but this got frustrating. Halfway through I decided I must have accidentally downloaded one of those self-published and unedited Amazon ebooks that I usually avoid, but Goodreads says the book had a publisher.

I'm not sure the book is worth it unless you're quite interested in PTSD.
Profile Image for David.
Author 12 books150 followers
March 25, 2015
I've seen a lot of negative things said about this book, but after having read I just can't think we were reading the same book. All the negative comments were pretty much about the same thing, disbelief that what the author went through could cause PTSD or that the author was narcissistic. I just don't get that. The book is a serious opening to a much broader discussion about PTSD and all that we don't know about it. Trauma and trying to cope, it's both highly personal and not and is ongoing despite the best that medicine can currently do. My dad has been fighting PTSD my whole life after he was blown off the top of a tank. His sister? She had lifelong PTSD issues from seeing the wreck he was when he first came back from overseas. I don't think my dad would question this author's credentials or presentation for a moment. He'd understand, and I like to think I do too to at least some extent. It's not pleasant by any means, for obvious reasons, but it's a good book.
Profile Image for Alison Rose.
1,219 reviews65 followers
February 26, 2020
(I feel a weird ethical obligation to say that I kinda know the author, or at least I used to IRL. We worked together for a few years (where she worked while doing the reporting she writes of here) and were union officers at that job together, because we're both awesome nerds like that.)

I'm pretty sure this is a book that will divide people, where a lot of people will love it to pieces, a lot will hate it all to hell, and a few in the middle will back away slowly from all of us.

Personally...I loved it. I didn't expect to, I thought I'd just like it, but...for a lot of reasons, it meant a lot to me. It climbed into my heart, and also made my heart want to leap out and into the pages and find its way to the author. People have had some FEELINGS about certain aspects of her work, but a lot of that was based on speculation, on hearsay, on assumptions, and the truth is a lot less salacious or dirty than the general rumors. People also have opinions on the validity of her illness, and seemingly on her worth as a person, a woman, a sufferer, on her right to own and be open about her truth, no matter who she is or what she's done...and seriously, if that's who you are, someone who questions someone else's pain and struggle, who thinks someone should just shut up because of the circumstances of their birth, you need to examine your own life.

But anyway...there is a lot here, and it can be very hard to read, but for me it was also very very poignant and beautiful and helpful. I feel like it might be wrong to say a book was good when it's about so much trauma, but for me, and I'm sure many others, it *is* good. It's a good thing in our world. Anything that can perhaps introduce a little more understanding and support and empathy into a world so lacking in all these things is a good thing.
Profile Image for DeB.
1,045 reviews276 followers
February 15, 2016
I loved Irritable Hearts. Mac McClelland has written a raw memoir of her experience with PTSD. Apparently it is a contentious book, harshly criticized by those who need the "true crime" version of details as "proof" of McClelland's story. For me, however, the "proof" IS the story, the reactions, the grief, the searching for answers, the disbelief that one's person could betray oneself so terribly, the awful reality of PTSD. PTSD is difficult to understand, for those who have never encountered it, for those who hide it and for those who try to heal from it. Everyone's experience is different. For health insurance purposes, it must be defined around a specific event. For living purposes, it is probably part of a deeply layered coping system stretched beyond its unique and finite endurance. Those who have any experience with PTSD will truly appreciate this book.
Profile Image for Meghan.
1,330 reviews51 followers
July 6, 2015
"There's a weird but common misperception about how trauma works that was illustrated by the fight they were having - that trauma exists only in the realm of those who have it worse than anyone else in the world. I myself held this misperception, the way I'd argued with Meredith that it was impossible for me to be traumatized. First, I hadn't suffered anything serious. Second, the circumstances of my life generally caused me little suffering. I was in the bottom of the right-to-suffer caste system; it makes a kind of sense culturally, if not biologically."

"According to the contemporary studies, having parents with mental health issues, including depression, is on the list of risk factors that make a person who experiences trauma more likely to develop PTSD. A history of child abuse or neglect is on the list, as are having other mental health problems, and having no good family/friend support system. So is 'being female,' which suggests that the female body is constitutionally unsound, lacking the integrity to withstand trauma when all other things are equal, when in fact it's on the list because being female means being subject to far more threats and violations to boundaries and sexual and physical safety."
24 reviews
October 27, 2015
After starting this book nearly two months ago, I finally finished the other eve. I had to take a break and put it down for a while as I found the author to be somewhat self-absorbed, rambling and a bit dramatic for my taste.
Mac McClelland was diagnosed with Post- Traumatic Stress Disorder after a trip to Haiti to report on an earthquake and its devastating effects. She suffered from dissociation, rage, sadness, depression, suicidal tendencies, addiction. Ms. McClelland is a good story- teller in many ways, which is evident in the fact that she has done reporting for some top magazines. She was extremely candid and forthcoming about her experience and even addressed the criticisms that she was narcissistic, privileged, and dramatic. In spite of that, the book was powerful as it addressed a very sensitive subject matter in a brutally honest manner. Admittedly, another reason it was difficult for me to get through this book is because it hit very close to home.

Although I’ve never been officially diagnosed with PTSD, I had an extremely traumatic experience at a very young impressionable age that has definitely had lasting effects. When I was 9 years old, I was riding bikes with my older brother, Chris, 11, when he was hit by a truck and dragged within an inch of his life. Fortunately I was far enough behind and separated by some large bushes that I did not see him get hit, however, I did see him lying on the ground moaning, covered in blood with his head severely cut open. He survived although suffered severe brain damage, could not talk and was a quadriplegic.
Being an extremely sensitive, shy child, it most definitely had a tremendous effect on me. Chris needed a great deal of care and attention, so this was the main focus of our family in the years following the accident. Since I was always one to repress any problems and issues and to avoid being the center of attention, I never sought counseling, and although it may have been encouraged, it was never required of me and so I really never talked to anyone about my traumatic experience and therefore never dealt with or processed it.

In my teens I had much anxiety, and experienced some dissociation, depression and sadness. I became addicted to cigarettes. I did have some small rages, but nothing particularly notable that I can recall. I was involved in many activities, including suburban 4-H, a drug prevention program, and various sports activities, which all helped tremendously. I had my bicycle, which I still loved to ride in spite of the related trauma, and books which provided me with an escape from reality and the great underlying sadness. And music, which has always been incredible love and a major lifeline of mine.

Once I moved away from home for college and was left to my own accord is when the PTSD really started to rear its ugly head, mostly in the form of addiction, still to cigarettes, and then to alcohol and such. The anxiety got worse and also I started to have serious depression, including suicidal thoughts and feelings. I attempted to see a therapist while in college but it was an old man in a suit with a clip board and very generic, text book questions, so I only went once and gave up.

The worst of it happened throughout my twenties when I was in a relationship with a very patient, kind, wonderful man. In retrospect, I suppose trying to get close to and be in a loving relationship really brought out all the repressed PTSD related feelings and emotions from my childhood. I not only continued to struggle with addiction, but started having many blind rages, sometimes at the drop of a hat. Typically the blind rages were followed by suicidal episodes of swallowing a large bottle of pills. Although we were way too young and I was obviously not even close to ready, we got married. After many chaotic, tumultuous years, almost all a result of my PTSD, I finally went to therapy. Well, we went to therapy. It was a marriage counselor. She was wonderful and I often say she pretty much saved my life. From the first session she said the rages and suicide attempts needed to stop, and they did. For the most part. Finally addressing some of those repressed, deep seeded emotions and issues that were related to Chris’s accident and the PTSD was the beginning of what has been a long journey of healing.

Sadly as I got better, my marriage unraveled. I needed to stand on my own two feet which I had never done as I was always on shaky ground. Although it was empowering and necessary for me, going through a divorce was at the same time very traumatic in many ways and I went on a downward spiral into alcohol addiction to numb the guilt and pain. Even though I no longer had the regular suicide attempts, I did have a few moments, and I did still very much feel stuck in the vortex and black hole of depression and sadness and often wished to die. The anxiety got much worse and started to include panic attacks, which I always drowned in alcohol. It was about this time that I started to really immerse myself in painting as both an escape and therapy, painting mostly portraits and other pretty sad and dismal scenes which was quite obviously a reflection of how I was still feeling.

Shortly thereafter, my brother, Chris, suffered from congestive heart failure and we knew his days were numbered. We were incredibly fortunate that he lived for almost 25 years after his accident and blessed us all with so much love and invaluable life lessons. After he passed away, I moved from Florida back to Chicago for a year to be with my family. While I no longer felt the weight of responsibility of Chris’s accident as I did when I was younger, it most certainly hit me hard and a lot of the PTSD related thoughts and feelings resurfaced. It seems I was either in my apartment, crying, or at the bar, drinking. And forever smoking. My crutches. Thank goodness for my family, which for better and for worse, shit or shine, has always been there for me. And also thank goodness for my bicycle, which at the time I rode for hours a day down the lake front path, and always listening to music; my lifelines.
It was also right around this time that I started to get very sick and have many health issues, likely related to genetic and environmental factors, and exacerbated by drinking and smoking.

After many years dealing with the health concerns and going through countless inconclusive tests, I found a wonderful holistic nurse practitioner who helped me discover that the etiology of my health problems were related to drinking and also likely to food sensitivities. Although drinking was one of my main crutches over the years, tending to my health problems was definitely a priority.
Magically, once I curbed my drinking and pinpointed the foods that triggered various issues, I started to feel like a new person in many regards. In retrospect, I know I had an internal bacterial imbalance, which once that started healing, a lot of the anxiety and depression disappeared, for the most part, as well. I started to feel much more clear-headed and optimistic. It is amazing that once the fog of alcohol, cigarettes and the like is lifted, how much easier it is to deal with any stress, anxiety or hardships in a productive, positive manner.


That said, life and shit happens and there have of course been situations and setbacks that I have attempted to drown. Heartache and break-ups, some work related stress, a bit of social anxiety. I’ve had a moment of rage here and there, although very few and far between. A handful of times I have had that bottomless pit, sinking black hole feeling. But mostly I am super happy to be alive and feel so fortunate and am extremely grateful for all that I have been blessed with over the years. A wonderful family, amazing friends, a sweet dog, good books, awesome tunes, beautiful surroundings.

Mac McClelland’s story is a love story and revolves around meeting a French man, Nico, with whom she fell in love and who helped her tremendously with her PTSD. For a long time now, I’ve had intentions of writing my story, although in a way I’ve been waiting for my happy ending to happen first. To fall in love again and live happily ever after.
Well first of all, the research shows that PTSD actually never really goes away and they have recently found that it resides in the actual brain cells versus in the neurons’ synapses as they originally thought: http://www.scientificamerican.com/art...

So I imagine to some extent that I will always be dealing with the PTSD in some sense. Much like a recovering alcoholic is always an alcoholic, I will always have PTSD. The important thing is to acknowledge it, address it, and to find replacement behaviors and ways to deal with the energy and with the symptoms when they arise. For me, a lot of physical activity, especially biking and walking, yoga, these days swimming, sometimes jogging, kickboxing. Lots & lots of books, and music, always.

Also, while I have always loved walking in the woods and being out in nature, in the past few years I have moved out to the country and have really immersed myself in nature and wildlife, which has been particularly healing and so good for my mind and soul. I read an article recently that stated that ‘wild environments boost well-being by reducing obsessive, negative thoughts.’ http://www.theatlantic.com/health/arc...
So true!

I have also been practically obsessed with learning birds, wildflowers and other flora and fauna in the past year, and I believe it is no small coincidence that I have also been happier than ever before in my life. The old, nagging negative thoughts have been replaced by learning and thinking of beautiful birds and flowers.

And while I am still waiting for another good, kind, understanding man to come along to ride off into the sunset with, I have had a happy ending in a sense as in the past couple years in particular, I have actually finally learned to love the most important person: myself.

Lastly, I am posting this publicly as I think it is important to share our experiences and stories, especially those related to traumatic events. I have been so fortunate to have amazing people come into my life when I felt most desperate and truly needed it. I would be very happy to be there for anyone who has had or is having similar experiences and needs to talk or share their story as well. The worst thing to do is to repress or ignore it or try to go it alone.

Xo, lcp
Profile Image for Crystal.
594 reviews186 followers
January 12, 2021
TWs: rape, violence, self-harm, suicidal ideation

I listened to the audiobook on Scribd and found myself doing that mental illness memoir thing of empathizing and, of course, sitting in judgement of both myself and the author (in this case, Gabriel Mac).

Profile Image for Beth.
1,167 reviews10 followers
December 31, 2014
Irritable Hearts: A PTSD Love Story by Mac McClelland (Memoir)
This is a remarkable book for several reasons. First, Mac McClelland is an excellent writer and pulls the reader right into her story. Second, McClelland very bravely shares her own worst moments as well as some of her best times. Third, she delves deeply into the causes, symptoms, and effects of Post- Traumatic Stress Syndrome in a way that is both highly readable and easily understood by a non-psychologist lay person.
Mac McClelland is a journalist who lived in New Orleans and wrote about the Hurricane Katrina aftermath. She also wrote about the Gulf oil spill that happened soon after that. Then, she went to Haiti to research and right about the effects of the devastating hurricane that struck that very poor country. In Haiti, she saw many horrific sights, and was suddenly sent spinning into a downward spiral of PTSD without really understanding the condition and with little recourse but to try to learn more about it.
This was not an easy book to read although the writing is excellent. In fact, it may be that very excellence that had me setting the book down and walking away more than once. I didn’t walk away intending to abandon the reading, but because there was only so much disturbing material that I could handle in one sitting. Nonetheless, I continued to read and learn from McClelland’s experiences and her research into the PSTD among military veterans and their families, as well as other trauma victims.
This book would be an excellent choice for a book group that is willing to tackle a tough subject. There are many points that are well worth discussing. It also could be a good choice for a reader who knows someone with PTSD or who is dealing with it personally. For someone who is in therapy, I would recommend discussing it with a therapist before reading the book alone, as it could bring up unresolved or upsetting issues.
Profile Image for Byron.
Author 9 books109 followers
September 26, 2015
I enjoy the author's magazine work, and I find this to be an interesting topic, but damn this was a difficult read. Not difficult in the sense that I was bothered by the subject matter, like a millennial college student, but difficult in the sense that it seemed to take forever and I couldn't wait for it to be over.

The author does deserve some credit for her sheer candor. There's a lot of weird sex stuff in this, a lot of really inexcusable behavior most people would never admit to, and she put a lot of her family's business out there in the street (I'm surprised they let her—or did she ask?). She also dishes on the minor Internets scandal she was involved in a few years ago, though she must not be allowed to discuss some aspects of it, legally.

There just isn't much to the book's main narrative, from which it gets its subtitle. Most of it takes place in the first few pages, and then most of the rest of this is the same story over and over about how she spontaneously started crying and couldn't stop or couldn't feel her limbs anymore during sex, plus a tedious notebook dump of her research on PTSD, much of which reads like pseudoscience, or not very convincing science anyway.
Profile Image for Alicia.
662 reviews39 followers
January 30, 2019
This is an important book because it describes trauma as something in the eye of the beholder. What traumatizes one person may not traumatize another. The type or "quality" or force of the trauma does not decide whether it will induce PTSD. I think everyone should read McClelland's compassionate description of people who are in pain from an unseen source combined with the statistics that these people are a shockingly larger percentage of the population.

As a PTSD survivor, parts of this book were hard to read and parts of it were boring -- like the lengthy defense of PTSD as a real thing (someone who's suffered from it doesn't need to be convinced it exists but unfortunately others do). McClelland's writing style is journalistic and not terribly entertaining. She is also perhaps a bit too proud of the fact she worked through her "complex PTSD" without taking medicine. The process was likely even more agonizing for her and the people around her as a result and that does a disservice both to her and to anyone reading this book for encouragement. That simple lesson is the only thing missing from her extensive research: If you're in pain, meds can help.
Profile Image for Renata.
2,928 reviews438 followers
May 15, 2015
I like and respect Mac McClelland as a journalist; I remember when she wrote her first article about developing PTSD after reporting in Haiti (which is partly incoporated into this memoir) and got so much nasty backlash from people who somehow didn't feel that she'd "earned" PTSD or something? UGH.

I loved her honesty about her trauma and all the ways she worked through it, as well as her information about other PTSD patients (interviews and outreach with veterans, spouses of veterans, etc). And the titular "love story" is pretty sweet and kind of bonkers.

I'd recommend it to fans of narrative nonfiction, especially if you're interested in learning more about PTSD/trauma/etc.
Profile Image for Jessica.
152 reviews
March 5, 2015
I try to make it my goal to finish every book I begin to read. I couldn't even finish the book, it was THAT terrible. The author is very narcissistic. I don't know what to say other than this is a terrible read.
Profile Image for Janet.
2,306 reviews27 followers
March 31, 2015
I don't mean to minimize what the author went through, but I can't believe her story was published as is. Here's my review, in alphabetical order: Hot Mess, Nightmare, Trainwreck.
Profile Image for Sara-Kathryn.
14 reviews
August 15, 2021
It feels almost disrespectful to finish a story so personal in under 24 hours, but I simply could not put this book down. The honestly, the vulnerability, the determination in this book is so comforting, even though the subject matter is dark. I am so glad I read this book.
Profile Image for Jay Klyman.
19 reviews1 follower
November 3, 2019
As a survivor of PTSD I found this book incredibly engaging and accurate. Smattered with statistics that are earth shatteringly important. I devoured this book and can't wait to read more of their work!
Profile Image for Michelle.
628 reviews233 followers
April 18, 2015
Described by SheSource as "the rising star of progressive media" journalist Mac McClelland presents her compelling deeply intense memoir: "Irritable Hearts: A PTSD Love Story" (2015). The book begins when she was assigned to report on the 2010 earthquake that struck Haiti, shocked at the tremendous violence and rape of Haitian women, she suffered a mental breakdown and fled the country. This is her startling account of her PTSD diagnosis, the challenging road toward recovery, and the loving support of Nico; the Frenchman she met while in Haiti and later married.

This memoir features a highly detailed account of symptoms, thought process, behaviors, reactions, therapy sessions and exhaustive research. The storyline and subject matter of non-combat PTSD may not appeal to some readers. Mac was severely criticized and character bashed when her assigned article covering the Haiti earthquake appeared. A tirade was leashed by fellow journalists calling her article self absorbed, narcissistic, (and a host of other insults) for the perceived self focus theme of the article, (she included personal information about her sexual affair with Nico). Another comment defined her as "UN prostitute". The actor/activist Sean Penn sponsored a Haiti humanitarian relief organization, wrote her a "scary" email and demanded she rewrite the article. On the other side, she received supportive praise for exposing the harshness and reality of the unchecked rape and violence against Haitian women, and overall genuine truthful reporting.

The practice of sending female journalists alone to cover worldwide events is questionable. As Mac told her story it became easier to understand some of the root causes as to how she experienced PTSD. The instability of her family background, her father running-up large amounts of debt tied to Mac's student loans to cover his own bills was reprehensible. The loss of younger cousin adopted siblings due to her parents accusations of serious child neglect. Mac had a quick marriage where her and the husbands apartment was destroyed when hurricane Katrina struck New Orleans; their marriage ended in divorce.
Nico's move to San Francisco, his understanding and loving commitment to her was a major step aiding in her mental wellness and recovery. It was interesting to note that her PTSD diagnosis did not effect or impair her ability to work. On the first year anniversary following the earthquake, Mac returned to Haiti, "buffered" by a male photographer. It wasn't surprising that the problems and issues she recognized from her first trip were still present, on the second trip however, Mac had more strength, resolve, and coping skills. The assignment was a success.

Mac McClelland is an award winning journalist, covering numerous worldwide events, and social issues. In addition to this memoir, she has authored additional books and novels, her articles have appeared in many notable publications, including Mother Jones.


Profile Image for Lu.
Author 1 book55 followers
April 3, 2018
This book took me a while to read. I think the writer is sharing a real ptsd experience but I didn't really enjoy reading it. I did however love her one night stand/boyfriend/husband Nico. He's amazing and supportive. He starts out as just a guy she has sex with when she is healthy and he falls in love with her immediately and continues to love her despite her getting (secondary?) ptsd and him dealing with all the fallout from her life. AND he stays by her and supports her through everything even when she is a total b*, cursing at him, pushing him away, and everything. He just wants to help her bc he loves her. The author focuses more on what she is experiencing in the book/her life/her story. You might feel bad for the guy bc she says he's her greatest love story yet he is just mentioned on the periphery. Does she really love him? I'm not sure. I wish she would have talked more about their relationship but maybe she didn't bc her ptsd is like "what about me? it's all about me" & she didn't want to share her spotlight. I don't really think people who have ptsd are as selfish as her so I don't know if it'd be helpful for you to read if you're trying to understand ptsd.

If this is really what ptsd is like maybe the book will be good for other ptsd sufferers to read to see a shared experience or to learn about the 2 military wives that run ptsd organizations in the usa. (they're only briefly mentioned).

I personally would not recommend this book. I would however recommend finding yourself a Nico.

----

These are the parts of the book that I like.

Nico:

"I would rather be unhappy loving you than never having seen you" (J'aime bien mieux etre malheureux en t'aimant, que de ne t'avoir jamais vu).

-

"I could destroy you" I said. By then, he'd pulled me on top of him and started kissing my cheeks, all his fingers tangled in my hair. "You can" he said heavily, "I don't care"... "You're my life" he said "I don't want to make it without you".

-

"Do you want to marry me?" ... "I understand now this is as bad as it gets... but I still want to make my life with you. You tell me this is what you're really like. And I tell you I'm still here. Nobody is better to do this with you than me." (She says she should do it alone). "No... I'm here. I'm ready".

----

I also like the random 80 year old French woman's love story:

"She had been a young woman during WWII, she told us, living in her town, trying her best to mind her own business, when the Americans arrived. One paratrooper fell in love with her immediately and started pursuing her. He asked her to tutor him in French and she complied. As his lessons progressed, he asked her to marry him, and she refused. When the war ended he went back home. But he returned, several times, to try to persuade her to come to America with him as his wife. Finally she consented. She'd been in California for 60 years, she said, given birth to some insane number of sons, gone on to live happily ever after".

----

* Dr. Van Der Kolk ~ yoga for trauma patients *

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Random other couple mentioned:

"He had quit getting drunk, & found jesus and every time they passed each other that day, they touched and kissed. A decade into their marriage, Steve called Charlene "my bride". "I've never known love like this... He's awesome" (Charlene said)

----

The author:

"The less I drank and the more I felt, the more ofter I wanted to cut myself open. And not for the distraction but for the bloodletting. In my head, it seemed I could feel better if I could open up and just pour some of this suffering out".

-

"I managed to leave the house every day. I told myself I had to if I was going to hang on to my one remaining, sappy source of joy. I had the opportunity to experience the greatest love I believed could exist. Nico loved fearlessly, the way he spoke English and did backflips into hotel pools in Haiti; he had so much love to give and no qualms about giving it, even though, frankly, he knew better. That was what I wanted, a life like that. Around that kind of person. I wanted to feel myself in the world so I could feel the best thing the world had to offer, and that was Nico's love."

-

"Nico was lovely, and strong, and his chest felt like home. I relaxed into him, into the space he was holding in the room, and some of the tightness strangling my throat thawed".

-
(their wedding vows)

When it was his turn, Nico said he wouldn't forget what a beautiful creature I was, every day, & that he would let me put my fingers into his glass of milk to do Oreos even though he hated that. He said his conscience and ask his body and spirit were engaged in keeping me satisfied and making me happy for the rest of his life. "I'm not a military... anymore... but this is my mission now".

-

One day I had said to Nico "yes I want to marry you". He was silent for a while as a slow smile permeated his face. He cried a little bit. "I will make you happy" he said. Some days later we woke up smiling at each other and he said "I was dreaming we were shopping for engagement rings". ~ "Oh yeah?" I said. "I was dreaming I stepped in a decomposing face".

( ^^^ 😂 - for me this part was like she was telling him how much she didn't want to marry him in the rudest way possible)

-

"He had been raised to experience the present. I had been raised to live in the future. ... Nico ate dinner so he could wring every available bit of pleasure and taste and human company out of an evening. When he could locate himself in the present, it was as if he carried the weight of centuries, the bricks of a whole village, inside him. Those times, when he lay down next to me, he sunk like a thousand pounds of soft, rare stone".

-

Caleb told Brannan that she should learn a little something about gift expectations from watching us when I asked Nico what he was getting me for my birthday and he said, "Love".

-

"you're so intense" he said. Earlier in the trip, I'd found Nico going through my closet, & when I asked him what the heel he was doing he said "I was smelling all your clothes". This was a guy who sometimes said, "if you stop to love me, I will stop to live". Who, after he hurt my feelings once, after I retreated to the shower, stepped into the stream of water alongside me without bothering to take off his pants and belt first, lest one more moment pass without my understanding how sorry he was. It was not easy to out-intense the French. But here I was, being that unstable and extreme. "Don't worry" he said with my face in his hands and his lips against my ear after I started crying about his comment. "T'inquiete pas". I will not stop to try to understand.
Profile Image for Michelle Gragg.
337 reviews4 followers
February 28, 2015
I really wanted to love this book. It addresses such an important topic from such a unique way. But the writing is so hard to get through. This book only spans 4 maybe 5 years but the author constantly switches from past to present to omnicient future tenses. Which jumbles the writing and confuses the reader. She references "years later" so many times you think it must have been a decades long process. Also, it is clear that this book was rushed, that it was so important a topic that she had to get it out there without the benefit of time and hindsight. So many things really frustrated me about this book. The author picks up so many threads and then drops them incomplete after making them a main subject of the chapter and book. This gives the book a sense of grasping at loose ends and trying to see if they pertain to the rest of the book. The author also struggles to decide if this book is personal memoir, journalistic expose, or informative non fiction. The lack of clear purpose shines through making the message muddied and unclear.

I feel so sad for Mac McClelland and all who struggle with PTSD and its debilitating effects. The positives of this book is that it shines a light on a relatively under reported and misunderstood topic. I hope she revisits or rewrites this book in 10 years when enough distance has passed that it will be a coherent narrative instead of a glimpse into a journal of her current struggle.

Goodreads uses 2 stars as "it was OK" although I think that underestimates this book, that most represents my reaction to it.
Profile Image for Candace Marie.
44 reviews2 followers
April 13, 2015
I'll be honest. I wanted to like this book.
As a survivor and advocate for those with PTSD speaking up and speaking out about their experiences with the devastating illness, I really, truly wanted to like this book that I randomly picked up at the library on a whim.
I read several of the reviews before hand, which seem to be mixed. Some people are keen on it, some people can't choke it down. Some even say that the reason other people hate it is because they found themselves uncomfortable with the content.
I'm not uncomfortable with the content and I couldn't keep reading it past page 148. That's not a specific stop zone. It's just the place I put it down and couldn't bring myself to pick it back up.
The fact that, legally, she couldn't talk about the actual experience, disengaged me. I'm not reading it for the horrors, per-se, but without an actual story to relate to, it made it difficult to understand why she was traumatized. That, I believe is a crucial point for any writer to make in order to reel in the readers sympathy. I would have rather she made something up completely and entirely than tell me, the reader, that, for legality sake, she can't actually write what happened.
The content is also riddled with statistics, indicative of a journalists style. While it's good information to know, too much of it disengaged me from the story even further.
I'm glad McClelland wrote this book. Awareness of PTSD is always a good thing, and it takes guts to raise a voice for that. I just couldn't connect to the story enough to keep going.
1,360 reviews16 followers
March 17, 2015
This book is written by an author who witnesses a brutal attack while covering a news story in Haiti. It, along with other events in her life starts her long struggle with PTSD which triggers bouts alcohol abuse and desire for abusive sex. She has done a lot of research on the topic and the book would be helpful to anyone who suffers from PTSD or is a family member of a person that does. Through it all she maintains a love with an understanding partner.
Profile Image for Laura Anne.
407 reviews9 followers
August 18, 2015
Let me be forward.
I have PTSD. It is horrible. But it stems from my experience not seeing something awful happen to someone else.
I tried really hard not to judge this woman but I couldn't even finish the book it just made me angry that she could be so incredibly self centered. Hey while we're at it the premise of this book is ridiculous.
PTSD is a relationship ender. I should know. You can't try to fix your PTSD to save a relationship. You have to fix your PTSD to save yourself.
Profile Image for Ocean.
Author 4 books52 followers
January 21, 2016
i liked the author's honesty and willingness to share uncomfortable parts of herself. this book also inspired me to stop trauma-shaming myself. it pointed out that usually the people who make you feel like your trauma "wasn't bad enough" are usually not people who are dealing with the lingering aftereffects of trauma, and how trauma survivors usually police ourselves but don't police each other. that was simple but helpful to read.
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