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bearsbeetsbeskar · 2 years ago

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Restoring the Roots (Joel Miller x Therapist! reader)

Chapter 1: Pre-Contemplation

Chapter 2 here | Chapter 3 | Chapter 4 | main masterlist |

Pairing: Joel Miller x therapist! reader, post outbreak Rating: none, will be changed to explicit in future chapters (slow burn, eventual smut, age gap) Summary: Life after moving to Jackson looks drastically different for Joel, survival mode is over and now he and Ellie can finally put down new roots. Ellie adapts easily but Joel finds himself struggling to settle into this new life, in more ways than some. At Ellie and Tommy’s insistence, Joel begrudgingly finds himself in therapy to try and work through his struggles but what he encounters is more than just painful memories and deeply rooted trauma. A/N: I cannot say enough thank you's to the number of lovely humans who encouraged this idea and supported me as I embark on my very first fic! And what better Pedro character to be the guinea pig for this idea? Lots of this story draws on my personal knowledge as a social worker, as I am working towards becoming a certified equine assisted therapist. Consequently, there are lots of horsey terms, therapy terms, and vivid descriptions of trauma at certain points. Feel free like, comment, or reblog if you enjoy it :)

Taglist (for now): @beskarandblasters, @pr0ximamidnight, @theewokingdead, @atinylittlepain, @prolix-yuy, @swiftispunk, @harriedandharassed, @amywritesthings

If anyone wants to be on the taglist please let me know! If you don't want to be on it then also let me know lol.

~~~~~~~

You sat up taller in your chair, arching your back and rolling your shoulders in an effort to stretch out your spine, exhaling softly as you heard the cacophony of crunches and protests from your muscles. You had been hunched over your notepad for over an hour, eyebrows scrunched together and your mind running on autopilot, as you caught up on client notes that you had fallen behind on for the last couple days. The downside of having a small therapy practice, hell any therapy practice, was that there was a never ending litany of documentation to fill out. Seeing as you were the only therapist in the tiny commune of Jackson, there was never a shortage of clients and consequently, never a shortage of session notes that you had to write.

“Hun.”

You hear your name spoken in a warm tone from behind you. You barely look up from the page as you try to rewrite the word ‘diagnosis’ after what feels like the fifth time. The word has basically lost all its meaning at this point.

“Honey, c’mon, the sun is about ready to set and you can wrap that up tomorrow.” The cover page to the notepad closes on top of your hand and you look up to see your assistant, Tracey, giving you a knowing look and then glancing towards the front of the office. You follow her gaze to the front windows and take in the deep ember orange hue washing over the business faces and windows on the opposite side of the street, signaling the end of another day. Sighing softly, you lean back in your chair and cross your arms over your chest with a frown. You know she’s right and yet you still have the same dispute every day.

“Trace, you and I both know that if I don’t get them done today, they will just be added to tomorrow’s to do list, besides this is the last one I swear,” you say to her with a smirk, as if she has not heard that excuse before.

You were never the kind of person to half-ass your responsibilities at your job, including client documentation, even if there was no longer any governing body or association to uphold professional social work standards. You did your job with integrity, even the mundane administrative tasks that involved more writing than actual talking with clients. Tracey knew this of course, it was something she admired about you, how suited you were for this line of work. It was clear that you cared deeply for the clients that you supported. But it doesn’t mean it was not a fight when the end of the workday rolled around and she had to tear you away from your desk and practically shove you out of the office door.

She rolled her eyes at you and her lips curled into a small smile as she headed towards the door with her coat and bag in tow. “Promise me you will at least be out of here before the night patrol starts?” She points her finger at you as she stops just ahead of the door. You nod and wave her off as you turn your focus back to the notepad, smoothing your palm over the words etched into the cover ‘Restorative Reins.’

You had only been in Jackson for roughly over a month, though it felt like much longer. Much like everyone else who had survived the outbreak and came to find refuge in the small settlement after the world went to shit, you were grateful to accept any basic decencies of normal life that were afforded to you. Warm meals, warm showers, hell running water in general was a miracle in and of itself at that point. So when you actually arrived in Jackson, you were dumbfounded to see how much normalcy surrounded you. Children running and playing in the streets, storefronts of various thriving businesses, sheep being rounded up in a nearby corral - hold on, a fucking MOVIE THEATER?

While it took some time to grow out of the perpetual fight or flight mode that you were entrenched in from life on the road, you did eventually fall into a good pace in Jackson. Especially after getting involved in the community and taking up the job as the local therapist, you had never been busier, and you loved it.

The world felt unflinchingly obsolete post outbreak, but being able to support others with their mental health never failed to bring you joy and an unshakeable sense of purpose. You wanted to help others as they navigated their pain and broke down the mental blocks that entrapped them in their trauma. You wanted to help them realize the innate strength that they possessed. Sadly, you never got the chance to practice long term, as you finished up grad school just before the outbreak happened. But that didn’t seem to matter now as you had an endless stream of community members that you saw on a weekly basis at your practice, all with their own pain and struggles, seeking support.

It was crazy to think about the short period of time that had passed since you started at the job, how much you had done for the residents, how much more that you wanted to do. You were pulled from your memories when the office phone rang, internally groaning as you looked at your watch.

4:58 p.m. Of course.

Steeling yourself you picked up the phone, praying that it was a quick call.

“Restorative Reins Practice, how can I help you?” you answered.

“Oh! hi ma'am,” a warm, mellow Southern drawl greets you on the other end. “Are you the local therapist that has been helpin’ folks out around here with their mental health?”

"That's me,” you reply warmly, “what can I do for you?”

The man hesitates briefly, “Well, I was uh wanting to know a bit more about the business I guess, how the therapy process works, fees and stuff for someone who was interested in getting help. Not me though, it’s not for me, it’s for my brother, Joel. My name is Tommy by the way,” he mentions quickly.

“No problem Tommy, I can explain the basics to you including the different types of therapy I offer and how the process works,” you reassure him. You explain to him the different services, how the equine therapy worked, walk in hours, session lengths and so on.

“I should probably mention that my brother ain’t keen on getting help and reaching out to others when he needs it, he’s too damn proud to acknowledge it, so he really doesn’t think he has any issues and thinks everything is fine… but he’s having a real tough time settlin’ down here. He’s so haunted by his past and he’s been acting differently lately, more temperamental, well, more than usual,” Tommy adds. You smile to yourself and nod, as you’ve had many clients before who were stuck in similar struggles and closed off to therapy initially.

“I can definitely understand that,” you sympathize with him. “It sounds like your brother has been through a lot and you just want him to get some support, which is great. Therapy isn’t for everybody but I have worked with many individuals like him who were going through similar situations, and they found great success.”

“That’s great to hear. That’s all I want for him is to get some help,” Tommy states.

“Now with that being said,” you continue, “therapy is voluntary, I cannot force someone to attend, but if your brother would agree to a consultation with me, I could chat with him more about where he is at, the kind of support he could benefit from and go from there. No pressure to commit to anything,” you propose to him.

“Hmm, I think he could be persuaded to try that, now that you mention it like that,” Tommy chuckles, sounding pleasantly surprised.

“Awesome! You can tell him to stop by the office any time and we can discuss it more. We’re open from 9-5,” you tell him, silently relieved that it was an indeed quick call. He thanks you and hangs up.

Something else akin to curiosity creeps into your mind as you recount what Tommy briefly told you about his brother. Maybe more so intrigue. You wonder how resistant he is to therapy, what happened in his past to hurt him so deeply, but you catch yourself before your thoughts run away from you further, either way you look forward to helping another person in need.

~~~~~~~~~~~

“Tommy, I swear to god if you bring up this damn therapy shit again, I won’t hesitate to shoot you next time we’re out on patrol,” Joel growled through clenched teeth, as he walked away from his brother into the kitchen of the house.

“Boy, it ain’t like I never heard that before,” Tommy quipped sarcastically, rolling his eyes as he followed Joel into the kitchen, pausing in the doorway as he leaned against the frame, hands shoved into his pockets. He observed his brother's rigid stance, the tightness in his shoulders, as Joel stood over the sink, looking out the window.

This felt like the umpteenth time that Tommy had broached the subject of Joel getting help and talking to a ‘shrink,’ as he dismissively described it, for the issues that he was struggling with. Joel was fine. He didn’t have any fucking issues. He was doing just fine and didn’t need some professional to scrutinize him, reduce him to his vices, and open old wounds from his past life. He was encouraged to go to grief counseling after Sarah died but by some grace of God, or whatever godforsaken omnipotent entity existed at that point, the outbreak occurred. Forget mental health, physical health and survival became the only focus.

Tommy exhaled softly. “Listen, I'm only suggestin’ it because I care about you. Ellie cares about you. You both have been through hell and back in the last year, I mean shit, we all have. But it seems like everything y’all went through is still affecting you, holding you back from letting your guard down and settling in here,” he states plainly, sadness lacing his tone.

“That’s bullshit Tommy and you know it,” Joel snaps, turning to face his younger brother and leaning back against the counter, arms crossed in defense. His gaze narrows. “I go out on patrol don’t I? Pick up extra shifts wherever it’s needed, help out with the contracting jobs, go out with Ellie in town.” Joel stood up taller, puffing out his chest, challenging his younger brother. Tommy shook his head, running his hand over his face with an exasperated expression. Heaven forbid Joel did anything for himself that did not involve contributing or providing for someone, period. He just couldn’t shake that from his identity, and it broke Tommy’s heart as he watched his brother’s stubborn pride, ridden with guilt and trauma, swallow him whole.

“Man when are you gonna fuckin’ do something for yourself Joel?!” Tommy asserted, his frustration reaching a boiling point. “Forget the damn commune, forget the community, forget Ellie for a sec and think about the last time YOU did something for yourself, the last time YOU reached out for help goddamnit.” He pushed off the doorframe and crossed the threshold of the kitchen as he strode towards Joel.

“You’re not on the run anymore brother. You don’t have to just survive. You can have a life here. You can sleep without keepin’ one eye open and relax without lookin’ over your shoulder. Don’t you want that? Don’t you think you deserve that?! Don’t you think you deserve this?!” Tommy said as he gestured around the cozy kitchen and fixed his older brother with a pleading stare.

Joel’s eyes widened as he tried to step back, the edge of the counter biting into his lower back as he took in Tommy’s weary face, the pain in his soft brown eyes, mirroring his own. His younger brother rarely raised his voice anymore. The outbreak took its toll on his hot headed temperament that never seemed to simmer down, even after he was discharged from the army. Joel knew that Tommy cared about him, hell he knew how deeply his brother loved him, after all they had respectively been through in the last twenty years, it had to be serious for him to raise his voice.

Joel opened his mouth, ready to bite back but his brother raised his hands in the air in surrender, “Look, this is the last time I will bring this up, I swear. But yesterday I called up the therapist in town who’s been helpin’ folks out, and asked her about the therapy process and she seems real nice, and supportive. She said you could come in for a consultation and talk to her and see if you’re interested,” Tommy said quietly.

Joel’s gaze narrows as he scrunches his eyebrows together in incredulity, “You-”

“I had nothing to lose Joel. Absolutely nothing. And neither do you,” Tommy cuts him off, raising his chin in defiance. “At least go talk to the therapist, if you don’t like her or you’re not feelin’ it, then I’ll drop it and let it go. Okay? The office is on the main street, just beside the clothing store, adjacent to the stables and they’re open everyday from 9-5.”

“Jesus fucking Christ Tommy,” Joel leaned back as he looked up at the ceiling, wishing it would collapse in on him. Gotta love that brotherly love.

“Look I should be getting back now, Maria will be waiting for me. Here’s the number and address for the business. I’ll see you around okay?” Tommy patted through his pockets and retrieved a small piece of paper with writing scribbled on it, placing it on the counter beside Joel. He gave him a last placating look before he walked out of the kitchen, the front door closing behind him with a soft click.

Joel pinched the bridge of his nose and exhaled sharply before turning back around to look out the kitchen window. He hung his head in defeat, rounding his back as he rested his elbows on the counter and glared into his matte reflection in the sink. He didn’t need any help. He was doing fine. He’s still upright and breathing, with blood coursing through his veins isn’t he? Albeit, he's not jumping out of bed like a sprightly thirty year old anymore. His knees pop and crackle when he gets up from crouching over machinery for too long, his joints protest the next day when he pushes himself too far, moving slower than usual on job sites.

Hell, even his memory is starting to get cloudy around the edges. If it weren’t for Ellie some days, he’s sure he would leave the house without pants on, what with her always reminding him where things are in the house, special events that are coming up in the community that he forgets about. He had been a bit more snappy than usual, as Ellie so lovingly pointed out one day, but that’s nothing compared to his normal demeanour.

“You’re becoming a grumpy motherfucker y'know that? Jeez, who shit in your cornflakes this morning?” She grumbled at him with a mouth full of cereal, after he snapped at her reminder that it was parent day at the local school. Parent day, P.A. day, Joel hadn’t dealt with any of this shit in over twenty years since Sarah was in school. Even then he managed to swiftly neglect many of the parental events, seeing as Sarah was the perfect student, with nothing but glowing reviews from her teachers. The fact that Ellie was going to school amidst a fucking apocalypse was enough for Joel to be content.

But still, he’s doing fine, right? Just fine.

“Maybe talking to someone that’s not related to you would help you, y’know? Being able to talk about shit that you can’t talk to me, or Tommy, or anyone else about you know?” Ellie proposed to him later that night.

As luck would have it, she was already home when Joel and Tommy spoke in the kitchen and she had heard pretty much the entire conversation. And like Tommy, she only wanted Joel to get support because she cared about him.

“Think of all the shit that we went through in the past year, forget the infected, and the raiders, and FEDRA, and almost dying,” she casually listed off on one hand as if she was reciting a grocery list.

“There's so much shit that we’re both carrying with us, demons from our past, and it’s gotta come out one way or another. Look, therapists aren’t there to judge you, or analyze you,” she continued, “they’re kind of like a sounding board for you to bounce your thoughts off of, and they help you process shit you’re going through. You never know unless you try it,” she said matter of factly.

“Like Tommy said, you got nothing to lose man. Plus the whiskey and pills will only help you numb reality for so long, you’re gonna go insane eventually,” she said, fixing him with a knowing look as she leaned back into the couch beside him.

Joel just grunted in response and frowned. Damn this kid for being too insightful for her own good.

Ellie might be young but she most certainly wasn’t naive. And as much as Joel would have liked to assume that her easy transition into life in Jackson was on account of her youthfulness, it really wasn’t. It was just the fact that she had never known a normal life, as heartbreaking as that was. She never had the chance to experience such normalcy before everything turned on its head. But she developed friendships with a few of the other teens in the community, namely one girl Dina, who she hung out with after school, went to the movies and other community events with.

She didn’t have to actively try to fit into Jackson, she just did. Joel would never acknowledge the pangs of jealousy he felt gnawing at his insides when he saw her getting on so well, but it didn’t mean they chipped away at his morale any less.

Ellie smirked at his lack of response, knowing he was mulling it over in his mind. With the relationship they had developed over the past year, she was grateful to be able to talk to Joel and actually get through to him.

“Damn maybe I should be a fuckin’ therapist, that was good advice wasn’t it?” she grinned at him, elbowing him in his side.

Joel snorted and shook his head. “Christ, I must be losing my mind for real this time if you’ve got me considering it.”

“Now c’mon,” she wiggled her eyebrows at him, “you owe me at least a few games of Boggle for that pep talk,” she said triumphantly, holding up the weathered board game that was on the coffee table.

#joel miller x reader #joel miller x female reader #joel miller x f!reader #joel miller x therapist! reader #joel miller x you #joel miller smut #joel miller fanfiction #the last of us fanfiction #tlou fanfiction #joel miller #the last of us #tlou #the last of us hbo #equine assisted therapy #equine therapy

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pacifichyperbarics · 2 months ago

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Exploring the Impact of Hyperbaric Oxygen Therapy on Chronic Pain Management

Chronic pain is a debilitating condition that affects millions of people worldwide, often leading to a reduced quality of life. While traditional treatments like medication, physical therapy, and surgery can provide relief, they don't always address the root causes of pain. Hyperbaric oxygen therapy (HBOT) is emerging as a powerful and non-invasive alternative for managing chronic pain. At Pacific Hyperbarics in Chula Vista, California, we offer the best hyperbaric oxygen therapy in the state, tailored to help patients struggling with chronic pain conditions. In this blog, we’ll explore how HBOT works to manage chronic pain, its benefits, and who can benefit from this cutting-edge treatment.

Understanding Chronic Pain

Chronic pain is defined as pain that lasts for more than 12 weeks, even after the injury or illness has healed. This condition can manifest in different ways, such as:

Neuropathic pain (nerve-related)

Musculoskeletal pain (e.g., arthritis, back pain)

Inflammatory pain (e.g., rheumatoid arthritis)

Chronic regional pain syndrome (CRPS)

The persistence of pain despite traditional treatments can be frustrating for both patients and healthcare providers. This is where hyperbaric oxygen therapy enters the picture, offering an innovative approach to pain management.

How Hyperbaric Oxygen Therapy Works

Hyperbaric oxygen therapy involves breathing 100% oxygen in a pressurized chamber, allowing oxygen to dissolve in blood plasma and be delivered to areas of the body where it’s needed the most. For chronic pain patients, HBOT can help by:

Reducing Inflammation: Chronic pain is often driven by inflammation in the tissues. HBOT has powerful anti-inflammatory effects, reducing swelling and irritation, which helps alleviate pain.

Improving Oxygenation: In many chronic pain conditions, certain areas of the body may not receive adequate oxygen, impairing the healing process. HBOT increases oxygen supply to these areas, promoting healing and tissue repair.

Stimulating Endorphin Release: Hyperbaric oxygen therapy has been shown to trigger the release of endorphins, which are the body’s natural painkillers. This helps reduce pain perception and improves overall well-being.

Promoting Nerve Repair: For patients with nerve damage (e.g., neuropathic pain), HBOT can accelerate the healing of nerves by enhancing oxygen delivery and stimulating the growth of new blood vessels (angiogenesis).

The Science Behind HBOT and Pain Relief

Hyperbaric oxygen therapy works on the principle of supplying oxygen under increased atmospheric pressure, which allows oxygen to reach tissues that are otherwise oxygen-deprived. This increased oxygen supply has several physiological effects that are particularly beneficial for chronic pain sufferers:

Inhibition of Pro-inflammatory Cytokines: Research shows that HBOT reduces the production of pro-inflammatory cytokines, which are responsible for driving the inflammatory process. By decreasing these molecules, the therapy helps reduce pain and inflammation.

Reduction of Oxidative Stress: Chronic pain often leads to increased oxidative stress in the body, damaging cells and tissues. HBOT acts as an antioxidant by promoting the repair of damaged cells, reducing pain caused by oxidative stress.

Increased Blood Flow: One of the hallmarks of chronic pain conditions is poor blood flow to the affected areas. HBOT promotes the formation of new blood vessels, improving circulation and providing tissues with the nutrients and oxygen they need to heal.

Conditions That Can Benefit from HBOT for Pain Management

Hyperbaric oxygen therapy is beneficial for a wide range of chronic pain conditions. Some of the most common conditions treated with HBOT include:

1. Fibromyalgia

Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness. Many patients with fibromyalgia find traditional treatments to be ineffective or only provide temporary relief. HBOT has been shown to improve blood flow and reduce inflammation, which can alleviate the pain and discomfort associated with fibromyalgia.

2. Complex Regional Pain Syndrome (CRPS)

CRPS is a chronic condition that often develops after an injury or surgery and is characterized by severe, persistent pain, often in the arms or legs. HBOT has shown promise in treating CRPS by reducing inflammation, improving circulation, and promoting nerve repair, which helps reduce the intense pain associated with the condition.

3. Migraine and Cluster Headaches

Chronic migraines and cluster headaches can be debilitating and resistant to standard treatments. HBOT can help reduce the frequency and intensity of these headaches by increasing oxygen levels in the brain and reducing inflammation in the blood vessels that contribute to migraines.

4. Arthritis

Both osteoarthritis and rheumatoid arthritis can lead to chronic joint pain and inflammation. Hyperbaric oxygen therapy reduces inflammation and enhances cartilage repair, helping to alleviate pain and improve joint function in arthritis patients.

5. Neuropathic Pain

Neuropathic pain is often caused by nerve damage due to conditions such as diabetes, chemotherapy, or injury. HBOT helps repair damaged nerves by increasing oxygen supply, improving blood flow, and promoting the growth of new nerve cells.

6. Chronic Back Pain

For patients with chronic back pain caused by disc degeneration, herniated discs, or sciatica, HBOT can provide relief by reducing inflammation and promoting the healing of damaged tissues in the spine.

Benefits of Hyperbaric Oxygen Therapy for Chronic Pain Management

1. Non-Invasive Treatment

One of the key benefits of hyperbaric oxygen therapy is that it’s a non-invasive treatment option. Patients who have been dealing with chronic pain for years may find relief without the need for surgery or invasive procedures.

2. Reduction in Medication Use

Many chronic pain patients rely on pain medications, including opioids, to manage their symptoms. These medications come with significant side effects and risks of dependency. HBOT offers a safer alternative that can reduce the need for pain medications over time.

3. Improved Quality of Life

Chronic pain can take a significant toll on a person’s physical and emotional well-being. By addressing the root causes of pain and promoting healing, hyperbaric oxygen therapy can help patients regain their quality of life, allowing them to return to their daily activities with less discomfort.

4. Long-Lasting Effects

Unlike some treatments that provide only temporary relief, the benefits of hyperbaric oxygen therapy can be long-lasting. By improving tissue health and reducing inflammation, many patients experience sustained improvements in their pain levels even after completing their treatment protocol.

What to Expect During Your HBOT Session at Pacific Hyperbarics

At Pacific Hyperbarics, we strive to make every patient’s experience as comfortable and effective as possible. Here’s what you can expect during your hyperbaric oxygen therapy session:

Initial Consultation

Before starting HBOT, you’ll meet with our medical team to discuss your medical history, pain condition, and treatment goals. We’ll develop a personalized treatment plan tailored to your specific needs.

The HBOT Session

During the session, you’ll enter a hyperbaric chamber, where you’ll breathe 100% oxygen under increased atmospheric pressure. Sessions typically last between 60 and 120 minutes, and most patients find the experience to be relaxing.

Post-Treatment Care

After your session, you may feel a sense of relaxation and reduced pain. Our team will monitor your progress and make any necessary adjustments to your treatment plan to ensure you achieve the best results.

Is HBOT Safe?

Hyperbaric oxygen therapy is generally considered safe for most individuals. However, certain medical conditions may prevent some people from undergoing HBOT, such as untreated pneumothorax (collapsed lung) or certain lung diseases. At Pacific Hyperbarics, our team will conduct a thorough evaluation to ensure that HBOT is safe and appropriate for you.

Conclusion

Chronic pain doesn’t have to control your life. With the help of hyperbaric oxygen therapy, you can find relief from pain, improve your overall health, and restore your quality of life. At Pacific Hyperbarics in Chula Vista, California, we are dedicated to providing the best hyperbaric oxygen therapy in the region, helping our patients manage chronic pain and achieve lasting wellness.

If you’re ready to explore how hyperbaric oxygen therapy can help you, contact us today to schedule your consultation. Let us help you take the first step toward a pain-free life!

Call us today Visit us at https://pacifichyperbarics.com

Location: Chula Vista, California

#health recovery #brain health recovery #pain management #hyperbarics oxygen therapy #health and wellness #hbo therapy #oxygen therapy #california #usa #chula vista

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