So how can we come to bear the knowledge that our awful childhoods have created some permanent damage? It helps me to see my Cptsd as somewhat analogous to diabetes, i.e., a condition that will need management throughout my life. This is a piece of bad news that naturally feels offensively unpalatable, but the good news, as with diabetes, is that as we become more skilled at flashback management, Cptsd can gradually become infrequently bothersome. And even more importantly, we can evolve towards leading increasingly rich and rewarding lives.