When you've been deeply traumatised, and then traumatised some more, and a bit more, and then some more for good measure, and you've spent the first too many decades of your life just trying to survive repeated trauma when finally a light at the end of the tunnel appears... It seems like things are finally changing, all your perseverance and determination is going to pay off. You kept going for a reason.
The trauma stops accumulating and instead you have people saying "we can help" and "things will get better for you".
And you work with them, and you build trust in them, and you start to be able to picture how all this work and years in the dark just trying to survive endless pain is finally going to pay off. You start to hope. You dream a little bit. You can see how with a bit more time this work you're doing with them will change things.
And then more trauma. But you try not to be deterred because you could see a reason to keep going for the first time and a life without (round the clock pain and bone crushing levels of) trauma seemed possible. You can't bear the thought you've lost that when you'd only just dared believe it would happen for you. You make yourself keep going.
And then more trauma. And at first you try to be brave and strong and positive that this time is a temporary blip, unlike all the others, and soon you'll be back on course.
Except that doesn't happen. It gets worse. And now everyone is saying they've exhausted everything they can do and there's nothing more they can do to help you. And you have already exhausted everything in your armoury (and over the years you had developed lots of strategies to call upon to survive unbearable pain). So you have nothing and no way to change this or heal it or survive it and no hope anymore.
But they tell you not to despair because "there's always hope" (although clearly not of a cure or being healed or living without trauma/pain), even though they and you both know - because apparently the universe hates you - you're already consigned to a future filled with repeated trauma that you can't do anything to avoid or mitigate. Not a "maybe" or an "if" but a "definitely" and "repeatedly". It's already been confirmed.
What the hell do you do?
I can't spend the rest of my life having trauma heaped on top of trauma heaped on top of trauma faster than I ever have any chance to reduce the burden I'm carrying, no respite in between, no quality of life, just endless pain that's promised to continue for the rest of my horrific existence.
I can't even lie and tell myself all my trauma is behind me now and exist in a delusion that in five, ten, fifteen or twenty years my suffering might finally reduce and my life might be worth living. It's guaranteed I will be traumatised again. Nobody can help me, there is no hope. And I am alone.
I'm aware of Samaritans and the various other helplines, GP, CMHT, crisis team, a&e, 111\999, IAPT, etc etc and have dutifully raked up my worst experiences and apparently endless pain for multitudes of strangers to poke around in and then bin me off as unhelpable. It's just retraumatising at this point.