Triggered Trauma Quotes

If we wrestle with traumas that do not want to give way and our inner little Red Riding Hood cannot get rid of the wolf's threatening giggles, we must not be afraid of opening ourselves to otherness that can trigger a salutary 'orienting reflex' propelling us into a new thinking pattern. ("Into a new life")

Triggers are like little psychic explosions that crash through avoidance and bring the dissociated, avoided trauma suddenly, unexpectedly, back into consciousness.

This is the moment I realize that our traumas never really go away. They live inside of us, in the deepest darkest pits of our own tiny hells. Cocked and loaded, waiting for someone to come along and pull the trigger.

Avoiding triggers is a symptom of PTSD, not a treatment for it.

Hiding my pain and acting strong, afraid to cry and show my tears, I struggle with all this years later.

Intimidated, old traumas triggered, and fearing for my safety, I did what I felt I needed to do.

Mindfulness increases activation of the medial prefrontal cortex and decreases activation of structures like the amygdala that trigger our emotional responses. This increases our control over the emotional brain.

for abused children, the whole world is filled with triggers.

The traumatic moment becomes encoded in an abnormal form of memory, which breaks spontaneously into consciouness, both as flashbacks during waking states and as traumatic nightmares during sleep. Small, seemingly insignificant reminders can also evoke these memories, which often return with all the vividness and emotional force of the original event. Thus, even normally safe environments may come to feel dangerous, for the survivor can never be assured that she will not encounter some reminder of the trauma.

Fear and anxiety affect decision making in the direction of more caution and risk aversion... Traumatized individuals pay more attention to cues of threat than other experiences, and they interpret ambiguous stimuli and situations as threatening (Eyesenck, 1992), leading to more fear-driven decisions. In people with a dissociative disorder, certain parts are compelled to focus on the perception of danger. Living in trauma-time, these dissociative parts immediately perceive the present as being "just like" the past and "emergency" emotions such as fear, rage, or terror are immediately evoked, which compel impulsive decisions to engage in defensive behaviors (freeze, flight, fight, or collapse). When parts of you are triggered, more rational and grounded parts may be overwhelmed and unable to make effective decisions.

For a hundred years or more, every textbook of psychology and psychotherapy has advised that some method of talking about distressing feelings can resolve them. However, as we’ve seen, the experience of trauma itself gets in the way of being able to do that. No matter how much insight and understanding we develop, the rational brain is basically impotent to talk the emotional brain out of its own reality. I am continually impressed by how difficult it is for people who have gone through the unspeakable to convey the essence of their experience. It is so much easier for them to talk about what has been done to them—to tell a story of victimization and revenge—than to notice, feel, and put into words the reality of their internal experience. Our scans had revealed how their dread persisted and could be triggered by multiple aspects of daily experience. They had not integrated their experience into the ongoing stream of their life. They continued to be “there” and did not know how to be “here”—fully alive in the present.

But unfortunately, I do not have one foundational trauma. I have thousands. So my anxious freak-outs are not, as the books say, "temporal." They don't only occur when I see an angry face or someone pulls a driver out of their golf bag. My freak-outs are more or less constant, a fixed state of being. That infinite plethora of triggers makes complex PTSD more difficult to heal from than traditional PTSD. And the way the books seem to think about it, our fixed state of being also makes us more problematic.

Trigger warnings are the most ridiculous, patronizing and infantilizing creations ever to come out of feminism....But feminists adore trigger warnings because it reinforces the idea that women are ruled by their emotions, are incapable of recovering from trauma and are just generally hysterical nitwits unprepared to confront adulthood and reality.

The symptoms of trauma can be stable, that is, ever-present. They can also be unstable, meaning that they can come and go and be triggered by stress. Or they can remain hidden for decades and suddenly surface. Usually, symptoms do not occur individually, but come in groups. They often grow increasingly complex over time, becoming less and less connected with the original trauma experience.

Dissociation leaves us disconnected from our memories, our identities and our emotions. It breaks the trauma into digestible components, so that different aspects of the trauma get stored in different compartments in our brain. What happens as a result is that the information from the trauma becomes disorganized and we are not able to integrate these pieces into a coherent narrative and process trauma fully until, hopefully, with the help of a validating, trauma-informed counselor who guides us to the appropriate therapies best suited to our needs, we confront the trauma and triggers in a safe place.

The reason why you need emotional support is because it's important for survivors to be heard. To be understood. To be able to express yourself without fearing criticism or harsh judgement. To be validated for your pain, suffering, and loss. For others to be there for you to encourage you, especially if you're having a bad day or feeling triggered.

Trauma puts us in survival mode for that first thirty days. And traumas may be coming so fast and furious that we don’t have a moment to stop and breathe. So our brains shut down the trauma-processing experience so we can continue to survive.

Trigger warnings are counter-therapeutic because they encourage avoidance of reminders of trauma, and avoidance maintains PTSD.

Complexly traumatized children need to be helped to engage their attention in pursuits that do not remind them of trauma-related triggers and that give them a sense of pleasure and mastery. Safety, predictability, and "fun" are essential for the establishment of the capacity to observe what is going on, put it into a larger context, and initiate physiological and motoric self-regulation.

Sometimes buried memories of abuse emerge spontaneously. A triggering event or catalyst starts the memories flowing. The survivor then experiences the memories as a barrage of images about the abuse and related details. Memories that are retrieved in this manner are relatively easy to understand and believe because the person remembering is so flooded with coherent, consistent information.

Some traumas, I learned, refuse to remain in the past, wreaking havoc in the form of triggers and flashbacks, nightmares and fits of rage, until they’ve been processed and given their proper place.

Trauma has become so commonplace that most people don't even recognize its presence. It affects everyone. Each of us has had a traumatic experience at some point in our lives, regardless of whether it left us with an obvious case of post-traumatic stress. Because trauma symptoms can remain hidden for years after a triggering event, some of us who have been traumatized are not yet symptomatic.

To people who are reliving a trauma, nothing makes sense; they are trapped in a life-or-death situation, a state of paralyzing fear or blind rage. Mind and body are constantly aroused, as if they are in imminent danger. They startle in response to the slightest noises and are frustrated by small irritations. Their sleep is chronically disturbed, and food often loses its sensual pleasures. This in turn can trigger desperate attempts to shut those feelings down by freezing and dissociation.11

So often we use the word snapped when we don’t know where a burst of anger is coming from or why someone is having a violent reaction. Well, now we know: Something has happened in the moment that triggers one of the brain’s trauma memories. And because the lower, non-rational parts of the brain are its first responders, they immediately set off stress responses that then shut off the reasonable part of the brain. And so that “burst” of violence is actually the result of some highly organized processes in the brain. And in this case, the first thing the school is going to say is, What’s wrong with him?

Hyperarousal causes traumatized people to become easily distressed by unexpected stimuli. Their tendency to be triggered into reliving traumatic memories illustrates how their perceptions have become excessively focused on the involuntary search for the similarities between the present and their traumatic past. As a consequence, many neutral experiences become reinterpreted as being associated with the traumatic past.

Shame attacks can be triggered by the most unremarkable events. We might smell a scent that subconsciously reminds the body of a shameful or traumatic event.

For this brief moment, he was the anchor and I was the boat caught in my sea of doubt and despair until we were back in his house where everything seemed to be so ordinary.

Many of us who are disabled are not particularly likable or popular in general or amid the abled. Ableism means that we—with our panic attacks, our trauma, our triggers, our nagging need for fat seating or wheelchair access, our crankiness at inaccessibility, again, our staying home—are seen as pains in the ass, not particularly cool or sexy or interesting. Ableism, again, insists on either the supercrip (able to keep up with able-bodied club spaces, meetings, and jobs with little or no access needs) or the pathetic cripple. Ableism and poverty and racism mean that many of us are indeed in bad moods. Psychic difference and neurodivergence also mean that we may be blunt, depressed, or “hard to deal with” by the tenants of an ableist world.

If you cannot read Shakespeare, or Melville, or Toni Morrison because it will trigger something traumatic in you, and you'll be harmed by the read of the text because you are still defining yourself through your self-victimization, then you need to see a doctor.

Eating disorders are prevalent among women who were sexually abused as children. They seem to have components of other symptoms such as obsessions, compulsions, avoidance of food, and anxiety, and they primarily include a distorted body image and feelings of body shame. For some women, eating disorders are related to the loss of control over their bodies during the sexual abuse and serve as a means of feeling in control of their bodies now. Eating disorders can also be indicative of the developmental stage and age at which the sexual abuse began. Women with anorexia and bulimia report that they were sexually abused either at the age of puberty or during puberty, when their bodies were beginning to develop and they felt a great deal of body shame from the abuse. By contrast, women with compulsive eating report that the sexual abuse occurred before the age of puberty; they used food for comfort.

He loves me so he hurts me To try and make me good. It doesn't work. I'm just too bad And don't do what I should. My memory has so many different sections and, like all survivors, there are so many compartments with so many triggers. I'll remember a smell which reminds me of a man which reminds me of a place which reminds me of another man who I think was with a woman who had a certain smell — and I'm back to square one. This is the case for most survivors, I believe. When we try to put together our pasts, the triggers are many and varied, the memories are disjointed — and why wouldn't they be? We were children. Even someone with an idyllic childhood who is only trying to remember the lovely things which happened to them will scratch their head and wonder who gave them that doll and was it for Christmas or their third birthday? Did they have a party when they were four or five? When did they go on a plane for the first time? You see, even happy memories are hard to piece together — so imagine how hard it is to collate all of the trauma, to pull together all of the things I've been trying to push away for so many years.

Most dissociative parts influence your experience from the inside rather than exert complete control, that is, through passive influence. * In fact, many parts never take complete control of a person, but are only experienced internally. * Frequent switching may be a sign of severe stress and inner conflict in most individuals.

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

Do not do her work for her. Do not build her up in your mind. She's only one woman.

I read later that breathing exercises can actually be more triggering in certain populations. Sounds about right.

Many freeze types unconsciously believe that people and danger are synonymous, and that safety lies in solitude. Outside of fantasy, many give up entirely on the possibility of love. The freeze response, also known as the camouflage response, often triggers the individual into hiding, isolating and eschewing human contact as much as possible. This type can be so frozen in retreat mode that it seems as if their starter button is stuck in the ‘off’ position. It is usually the most profoundly abandoned child - ‘the lost child’ - who is forced to ‘choose’ and habituate to the freeze response… Unable to successfully employ fight, flight or fawn responses, the freeze type’s defenses develop around classical dissociation.

Until we uncover the actual triggering event in our family history, we can relive fears and feelings that don’t belong to us—unconscious fragments of a trauma—and we will think they’re ours.

We now even know that trauma can actually create genetic changes that can be passed down through generations. If you have a great-grandparent, grandparent, or parent with a serious trauma history, you are wired for a different response than someone who had family members without a lot of life drama.

I had a bizarre rapport with this mirror and spent a lot of time gazing into the glass to see who was there. Sometimes it looked like me. At other times, I could see someone similar but different in the reflection. A few times, I caught the switch in mid-stare, my expression re-forming like melting rubber, the creases and features of my face softening or hardening until the mutation was complete. Jekyll to Hyde, or Hyde to Jekyll. I felt my inner core change at the same time. I would feel more confident or less confident; mature or childlike; freezing cold or sticky hot, a state that would drive Mum mad as I escaped to the bathroom where I would remain for two hours scrubbing my skin until it was raw. The change was triggered by different emotions: on hearing a particular piece of music; the sight of my father, the smell of his brand of aftershave. I would pick up a book with the certainty that I had not read it before and hear the words as I read them like an echo inside my head. Like Alice in the Lewis Carroll story, I slipped into the depths of the looking glass and couldn’t be sure if it was me standing there or an impostor, a lookalike. I felt fully awake most of the time, but sometimes while I was awake it felt as if I were dreaming. In this dream state I didn’t feel like me, the real me. I felt numb. My fingers prickled. My eyes in the mirror’s reflection were glazed like the eyes of a mannequin in a shop window, my colour, my shape, but without light or focus. These changes were described by Dr Purvis as mood swings and by Mother as floods, but I knew better. All teenagers are moody when it suits them. My Switches could take place when I was alone, transforming me from a bright sixteen-year-old doing her homework into a sobbing child curled on the bed staring at the wall. The weeping fit would pass and I would drag myself back to the mirror expecting to see a child version of myself. ‘Who are you?’ I’d ask. I could hear the words; it sounded like me but it wasn’t me. I’d watch my lips moving and say it again, ‘Who are you?

The deadliest manifestation of white fragility is its reflexive confusion of fear with danger and comfort with safety. When a white body feels frightened by the presence of a Black one—whether or not an actual threat exists—it may lash out at the Black body in what it senses as necessary self-protection. Often this is a fight, flee, or freeze response triggered by the activation of the ancient trauma that began as white-on-white violence in Europe centuries ago.

Twenty years of medical research has shown that childhood adversity literally gets under our skin, changing people in ways that can endure in their bodies for decades. It can tip a child’s developmental trajectory and affect physiology. It can trigger chronic inflammation and hormonal changes that can last a lifetime. It can alter the way DNA is read and how cells replicate, and it can dramatically increase the risk for heart disease, stroke, cancer, diabetes—even Alzheimer’s.

That relative, that temporal plane -- where sensitivities vary, where no one has the same personal history even if they have the same communal history, where something which is a trigger for one person passes off unnoticed by another person -- definitely was the place where the raw living of life and the imperfect mental response to that raw living took place.

It might be possible that 'triggered' may not be the most helpful word ... For me, there is a felt sense of violence in this word, while 'touched and awakened' more accurately describes what happens to these sequestered neural nets. This gentler wording helps us cultivate a sense of meeting the experience every time we are so 'touched' with an appreciation for what it might be offering.

Cheryl was aided in her search by the Internet. Each time she remembered a name that seemed to be important in her life, she tried to look up that person on the World Wide Web. The names and pictures Cheryl found were at once familiar and yet not part of her conscious memory: Dr. Sidney Gottlieb, Dr. Louis 'Jolly' West, Dr. Ewen Cameron, Dr. Martin Orne and others had information by and about them on the Web. Soon, she began looking up sites related to childhood incest and found that some of the survivor sites mentioned the same names, though in the context of experiments performed on small children. Again, some names were familiar. Then Cheryl began remembering what turned out to be triggers from old programmes. 'The song, "The Green, Green Grass of home" kept running through my mind. I remembered that my father sang it as well. It all made no sense until I remembered that the last line of the song tells of being buried six feet under that green, green grass. Suddenly, it came to me that this was a suicide programme of the government. 'I went crazy. I felt that my body would explode unless I released some of the pressure I felt within, so I grabbed a [pair ofl scissors and cut myself with the blade so I bled. In my distracted state, I was certain that the bleeding would let the pressure out. I didn't know Lynn had felt the same way years earlier. I just knew I had to do it Cheryl says. She had some barbiturates and other medicine in the house. 'One particularly despondent night, I took several pills. It wasn't exactly a suicide try, though the pills could have killed me. Instead, I kept thinking that I would give myself a fifty-fifty chance of waking up the next morning. Maybe the pills would kill me. Maybe the dose would not be lethal. It was all up to God. I began taking pills each night. Each-morning I kept awakening.

The natural state of mammals is to be somewhat on guard. However, in order to feel emotionally close to another human being, our defensive system must temporarily shut down. In order to play, mate, and nurture our young, the brain needs to turn off its natural vigilance . . . Many traumatized individuals are too hypervigilant to enjoy the ordinary pleasures that life has to offer, while others are too numb to absorb new experiences — or to be alert to signs of real danger . . . Many people feel safe as long as they can limit their social contact to superficial conversations, but actual physical contact can trigger intense reactions. However … achieving any sort of deep intimacy — a close embrace, sleeping with a mate, and sex — requires allowing oneself to experience immobilization without fear. It is especially challenging for traumatized people to discern when they are actually safe and to be able to activate their defenses when they are in danger. This requires having experiences that can restore the sense of physical safety.

Shame is so painful for children because it is inextricably linked to the fear of being unlovable. For young children who are still dependent on their parents for survival—for food, shelter, and safety—feeling unlovable is a threat to survival. It’s trauma. I’m convinced that the reason most of us revert back to feeling childlike and small when we’re in shame is because our brain stores our early shame experiences as trauma, and when it’s triggered we return to that place. We don’t have the neurobiological research yet to confirm this, but I’ve coded hundreds of interviews that follow this same pattern:

In my personal recovery, mindfulness has helped me to become aware of my trauma responses and given me an anchor to stay present when I have been triggered. Being able to feel my triggers without reacting must be largely credited to learning to anchor myself in my body through mindful body scan meditation.

Stress is one of the biggest causes of epigenetic change, because it knocks your body out of balance. It comes in three forms: physical stress (trauma), chemical stress (toxins), and emotional stress (fear, worry, being overwhelmed, and so on). Each type can set off more than 1,400 chemical reactions and produce more than 30 hormones and neurotransmitters. When that chemical cascade of stress hormones is triggered, your mind influences your body through the autonomic nervous system and you experience the ultimate

That’s one thing about abuse or trauma—small things will trigger you, but in an actual crisis you often stay quite calm.

Subsequent studies revealed that about one-third of the world’s male population carry the warrior gene, the expression of which can be triggered by childhood exposure to trauma.

we create great ways to avoid our trauma responses so we don’t have to deal with them.

Dr. Ham admitted he’d approached the story about my aunt with “asshole energy” and had perhaps been overly critical too quickly. But, he said, “In my mind, the most helpful thing for you is to be reconnected with another person. Self-regulation is a very insular thing. That’s just survival. Like, ‘I’m not going to actually learn how to be connected to you, but at least I’m going to be able to regulate how upset I get from you.’ And I don’t want you to just be self-regulating in a corner by yourself. Shame makes you want to hide and tuck away. But what if instead you were in this state where you could ask, ‘Who are you? What do you need from me right now? And what do I need from you?’ ” What would I have said to my aunt if I hadn’t been triggered? If I’d had the time and mental ability to ask all of those questions? Maybe I would have said something like: “I understand that having difficult in-laws was part of your experience, and for that I’m sorry. But I love my in-laws, and in America, they are my only family. So you saying they aren’t my real family—it’s hurtful.

our traumas never really go away. They live inside of us, in the deepest, darkest pits of our own tiny hells. Cocked and loaded, waiting for someone to come along and pull the trigger.

To the extent that we project responsibility for a dysfunction outside ourselves, we cannot change it. Wherever the wound came from, however many years ago, its healing lies not in the past but in the present. Your subconscious will continue to trigger the wound for along as it takes- a iffy years old experiencing a five year olds pain- until you allow it to be healed.

Assault survivors respond differently. There's no right or wrong way to react after being physically, emotionally, and/or sexually abused. Some people don't discuss it. They prefer to not rehash it. Others may need to communicate their shock, pain, anger, and trauma. Either way, the assault can be so overwhelming that we may respond in three ways - fight, flight, or freeze.

If we ignore our abuse and trauma, it will continue to reveal itself to us. It may be subtle or it may be intense. Trauma can show up in our sleep. We may battle insomnia and nightmares. We can experience physical pain and emotional distress. We may struggle with anxiety and depression. Or we may suffer hypervigilance, dissociation, and Complex PTSD/PTSD. We may have flashbacks. We may battle triggers. Or we can suddenly be slammed with fight, flight, freeze, or fawn mode. Each of these signs are a normal trauma response. Even if we are unaware that it’s linked to our emotional trauma.

We believe that you are the expert of your own life, and we want to help create space for and facilitate additional healing, growth, pleasure, and vibrancy in your life, however that may look for you.

Great sex is not a train you get on as a passive passenger and wait to “get off” at your stop. It is a place, an idyll where you can relax, explore, pause, savor, run around, or leave altogether when you choose.

The act of consciously and purposefully paying attention to symptoms and their antecedents and consequences makes the symptoms more an objective target for thoughtful observation than an intolerable source of subjective anxiety, dysphoria, and frustration. In ACT, the act of accepting the symptoms as an expectable feature of a disorder or illness, has been shown to be associated with relief rather than increased distress (Hayes et al., 2006). From a traumatic stress perspective, any symptom can be reframed as an understandable, albeit unpleasant and difficult to cope with, reaction or survival skill (Ford, 2009b, 2009c). In this way, monitoring symptoms and their environmental or experiential/body state "triggers" can enhance client's willingness and ability to reflectively observe them without feeling overwhelmed, terrified, or powerless. This is not only beneficial for personal and life stabilization but is also essential to the successful processing of traumatic events and reactions that occur in the next phase of therapy (Ford & Russo, 2006).

In 2017, after the Hollywood producer, Harvey Weinstein's sexual assault scandal went viral, the #MeToo movement grew like wildfire. It triggered my trauma. Flashbacks of horrific injustice. Old memories resurfaced.

It has just been discovered that women carry fetal cells from all the babies they have carried. Crossing the defensive boundaries of our immune system and mixing with our own cells, the fetal cells circulate in the mother’s bloodstream for decades after each birth. The body does not tolerate foreign cells, which trigger illness and rejection. But a mother’s body incorporates into her own the cells of her children as if they recognize each other, belong to each other. This fantastic melding of two selves, mother and child, is called human microchimerism. My three children are carried in my bloodstream still…. How did we not know this? How can this be a surprise?

Months later, I learned that what happened that first day at restorative yoga hadn’t been entirely spiritual—I hadn’t just found the exact spot on the astral plane to tap into my sacred core. Instead, my instructor’s techniques happened to be the perfect mechanism to turn down my DMN. The default mode network is so-called because if you put people in an MRI machine for an hour and let their minds wander, the DMN is the system of connections in our brain that will light up. It’s arguably the default state of human consciousness, of boredom and daydreaming. In essence, our ego. So if you’re stuck in a machine for an hour, where does your mind go? If you’re like most people, you’ll ruminate on the past or plan your future. You might think about your relationships, upcoming errands, your zits. And scientists have found that some people who suffer from depression, anxiety, or C-PTSD have overactive DMNs. Which makes sense. The DMN is the seat of responsibility and insecurity. It can be a punishing force when it over-ruminates and gets caught in a toxic loop of obsession and self-doubt. The DMN can be silenced significantly by antidepressants or hallucinogenic substances. But the most efficient cure for an overactive DMN is mindfulness. Here’s how it works: In order for the DMN to start whirring, it needs resources to fuel its internal focus. If you’re intently focused on something external—like, say, filling out a difficult math worksheet—the brain simply doesn’t have the resources to focus internally and externally at the same time. So if you’re triggered, you can short-circuit an overactive DMN by cutting off its power source—shifting all of your brain’s energy to external stimuli instead.

Knowing that, it’s pretty obvious why this part of the brain is so critical to learning, and it’s easy to see how kids with quick-trigger amygdalae are behind the eight ball when it comes to everything from memorizing multiplication tables to spatial memory.

Barrett said that when we’re dehydrated, we don’t necessarily feel thirsty—we feel exhausted. When we have something odd happening in our stomach, our body doesn’t quite know if we have a menstrual cramp or a stomachache or if we need to poop. We might not even be aware for a long period of time that our stomach hurts. And this isn’t unique to people with PTSD. It’s normal, everyday bodily dissociation that we all suffer from. If we find ourselves in a shitty mood, we might not necessarily be mad about a certain trigger. We could just be running at a metabolic deficit. Our body might be screaming “I NEED FUNYUNS” while we project our hangriness onto, say, this poor sweaty schmuck who’s breathing too loud in the elevator. But Barrett said that PTSD does make these inclinations worse. It affects a variety of systems in the body, throwing them all out of whack. Our hearts might beat faster. Our lungs might pump harder. Our body budget can get tipped off-balance more easily. And when it does, our reactions to these deficits can feel outsized. “Make sure that you get enough sleep, make sure you exercise, make sure that you eat in a healthful way,” she told me when I asked her what I could do to be a better person. When I countered that that didn’t seem like enough, she kindly offered, “You know, all you can do is take as much responsibility as you can. And sometimes it’s the attempt that matters, you know, more than the success.” Then she chuckled at herself. “That’s a very Jewish mother response!” So, first step of hacking my brain: sustaining it with enough oxygen and nutrients

Rikki looked over at me. “Why now?" she asked, looking back at Arly. “Why is this happening now?" "Hard to say." Arly [therapist] replied. "DID usually gets diagnosed in adulthood. Something happens that triggers the alters to come out. When Cam's father died and he came in to help his brother run the family business he was in close contact with his mother again. Maybe it was seeing Kyle around the same age when some of the abuse happened. Cam was sick for a long time and finally got better. Maybe he wasn't strong enough until now to handle this. It's probably a combination of things. But it sure looks like some of the abuse Cam experienced involved his mother. And sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.

Dissociative Identity Disorder is borne out of trauma. Many individuals who survive severe trauma will later experience marked anxiety, which may or may not relate to triggers from the original trauma. Individuals with DID are highly likely to have a great deal of anxiety.

Deliberately placed triggers for learned behaviours (programmes) Although all abuse and trauma survivors may be “triggered” into intrusive flashbacks by present-day experiences that remind them of the trauma, the triggers deliberately installed by mind controllers are different, in that they are cues for conditioned behaviours. Some of these are behaviours such as going home, going outside (where someone is waiting), coming to the person who uses the trigger, or switching to a particular insider. Others are psychiatric symptoms such as flashbacks, self-harm, or suicide attempts, which are actually punishments given by insiders for disobedience or disloyalty. For many survivors, every trigger causes a switch to a part programmed to perform a particular behaviour associated with that trigger. For others, the front person remains present in the world but has an irresistible compulsion to perform the behaviour.

For many of us, the internally generated stress response is triggered by a negative memory or thought that has its roots in past trauma or conditioned learning from childhood. The stress response in the body takes the same form, whether the trigger is the tiger (external) or a negative memory (internal). The adrenaline flows, the heart races, and so on.

Intrusive memories of the trauma and distressing thoughts and feelings fuel arousal and reactivity. This vicious cycle is maintained by the fourth symptom—avoidance. Your life becomes more and more limited as you avoid people, places, and situations that remind you of the trauma or that you are afraid will remind you of the trauma. You avoid these situations because they may trigger upsetting thoughts, emotions, and/or physical reactions.

In the same vein, if you don’t fear your own anger, you’ll be able to stay Self-led when someone’s angry at you. The person’s judgment of you won’t trigger your own inner critics, because you know who you are, and because those critical parts of you have retired or taken on new roles. So many of the obstacles in our relationships are because we fear the mayhem that someone else’s behavior will create in our inner systems. When Self leads, the mayhem is gone. The

Because there are few ways to memorialize the profound loss of a child who never existed, it can be an agonizingly extended grief without validation. Fresh waves of trauma are triggered by anything from watching the school bus picking up your neighbors, to a baby shower invitation in your mailbox, to the lasting legacy of not being able to brag about your grandchildren later in life. Just as Hannah pleaded with Eli, you pray people won’t harshly judge you while your heart sits shattered at your feet.

Individuals with this survival style will not allow themselves to be emotionally close to anyone because closeness stirs up feelings of dependency and triggers the fear of being controlled, as they were in early life. They will stay in a relationship as long as they feel that they are in control and can successfully dominate their partner. To this end they often choose Attunement types as partners: Attunement types are caretakers who are happy to serve while Trust types are more than happy to be served.

Likewise, trauma is a psychic injury, lodged in our nervous system, mind, and body, lasting long past the originating incident(s), triggerable at any moment. It is a constellation of hardships, composed of the wound itself and the residual burdens that our woundedness imposes on our bodies and souls: the unresolved emotions they visit upon us; the coping dynamics they dictate; the tragic or melodramatic or neurotic scripts we unwittingly but inexorably live out; and, not least, the toll these take on our bodies.

And here’s what makes complex PTSD uniquely miserable in the world of trauma diagnoses: It occurs when someone is exposed to a traumatic event over and over and over again—hundreds, even thousands of times—over the course of years. When you are traumatized that many times, the number of conscious and subconscious triggers bloats, becomes infinite and inexplicable. If you are beaten for hundreds of mistakes, then every mistake becomes dangerous. If dozens of people let you down, all people become untrustworthy. The world itself becomes a threat.

This will help boundary your role, and keep you from setting up scenarios when you rescue or enable dangerous and/or self-sabotaging behavior. You may need to set hard limits. You may need to protect yourself. This isn’t just for your well-being, but will help you model the importance of doing so to your loved one. Love the entirety of them. Remind them that their trauma doesn’t define them. Allow them consequences of their behavior and celebrate the successes of newer, healthier ways of being. Be the relationship that helps the healing journey.

In fact, some might argue that starting C-PTSD treatment by diving into the back of your closet and chasing out your scariest, most deeply buried skeleton is a terrible idea. You could find a murderous clown in the storm drain of your life, and he could start haunting your everyday existence. You could dig up something that triggers you badly and makes your symptoms worse or is so unpleasant to look at that you just quit therapy and never come back. That’s why many trauma therapists try to set up a strong framework of coping mechanisms before people launch into their foundational traumas.

The truth is not an easy thing to discern. If it were, the world would be a much more peaceful place. Instead, each of us is a delicate bundle of triggers, desires, emotions, and needs—and we all have our own ways of concealing those needs. And so, when our understanding of what people need fails to match up with what they want—therein lies conflict. In order to minimize conflict, the trick is to ascertain some version of that truth. To identify what is actually happening around us. Only, as in a quote often attributed to Anaïs Nin, “We don’t see things as they are. We see them as we are.

The overwhelming majority of combat veterans whom I have known are painfully aware of the absence of intimacy, tenderness, light playfulness, or easy mutuality in their sex lives. For many, sex is a trigger of intrusive recollection and emotion from Vietnam as the sound of explosions or the smell of a corpse. Sex and anger are intertwined that they often cannot conceive of tender, uncoerced sex that is free of rage. When successful treatment reduces their rage, they sometimes report that they have to completely relearn (or learn for the first time) the pleasures of sex with intimacy and playfulness.

This burden makes them toxic—parts of ourselves that we need to deny at all costs. Because they are locked away inside, IFS calls them the exiles. At this point other parts organize to protect the internal family from the exiles. These protectors keep the toxic parts away, but in so doing they take on some of the energy of the abuser. Critical and perfectionistic managers can make sure we never get close to anyone or drive us to be relentlessly productive. Another group of protectors, which IFS calls firefighters, are emergency responders, acting impulsively whenever an experience triggers an exiled emotion.

It turns out that many genes work together to influence a single outcome. Even more important, genes are not fixed; life events can trigger biochemical messages that turn them on or off by attaching methyl groups, a cluster of carbon and hydrogen atoms, to the outside of the gene (a process called methylation), making it more or less sensitive to messages from the body. While life events can change the behavior of the gene, they do not alter its fundamental structure. Methylation patterns, however, can be passed on to offspring—a phenomenon known as epigenetics. Once again, the body keeps the score, at the deepest levels of the organism.

The fundamental issue in resolving traumatic stress is to restore the proper balance between the rational and emotional brains, so that you can feel in charge of how you respond and how you conduct your life. When we’re triggered into states of hyper- or hypoarousal, we are pushed outside our “window of tolerance”—the range of optimal functioning.4 We become reactive and disorganized; our filters stop working—sounds and lights bother us, unwanted images from the past intrude on our minds, and we panic or fly into rages. If we’re shut down, we feel numb in body and mind; our thinking becomes sluggish and we have trouble getting out of our chairs.

Next, I called neuroscientist and psychologist Lisa Feldman Barrett, author of How Emotions Are Made. She told me that our bodies have a limited number of metabolic resources. We need a certain amount of sleep and water and nourishment in order to think, to learn new things, to produce the correct hormones. If we don’t get all of those things, our bodies are “running at a deficit.” But we don’t often understand what deficits we’re running at. We are not like The Sims, where we can see our hunger and rest and boredom levels represented as little progress bars at the bottom of the screenBarrett said that when we’re dehydrated, we don’t feel thirsty—we feel exhausted. When we have something odd happening in our stomach, our body doesn’t quite know if we have a menstrual cramp or a stomachache or if we need to poop. We might not even be aware for a long period of time that our stomach hurts. And this isn’t unique to people with PTSD. It’s normal, everyday bodily dissociation that we all suffer from. If we find ourselves in a shitty mood, we might not necessarily be mad about a certain trigger. We could just be running at a metabolic deficit. Our body might be screaming “I NEED FUNYUNS,” while we project our hangriness on, say, this poor sweaty schmuck who’s breathing too loud in the elevator.

Childhood adversity increases depression risk via "second hit" scenarios - lowering thresholds so that adult stressors that people typically manage instead trigger depressive episodes. This vulnerability makes sense. Depression is fundamentally a pathological sense of loss of control (explaining the classic description of depression as "learned helplessness"). If a child experiences severe, uncontrollable adversity, the most fortunate conclusion in adulthood is "Those were terrible circumstances over which I had no control." But when childhood traumas produce depression, there is cognitively distorted overgeneralizations: "And life will always be uncontrollably awful.

We react constantly through life. Breathing, noticing, thinking, swallowing, feeling, and moving are all reactions. Most reactions are not really observed because they are commensurate with their stimuli, but a triggered reaction stands out because it is out of sync with what is actually taking place. When we are triggered, we have unresolved pain from the past that is expressed in the present. The present is not seen on its own terms. The real experience of the present is denied. Although reacting to the past in the present may make sense within the triggered person’s logic system, it can have detrimental effects on those around them who are not the source of the pain being expressed, but are being punished nonetheless. They are acting in the present, but are being made accountable for past events they did not cause and cannot heal. The one being falsely blamed is also a person, and this burden may hurt their life. The person being triggered is suffering, but they often make other people suffer as well. There is narcissism to Supremacy, but there is also a narcissism to Trauma, when a person cannot see how others are being affected. Although the triggered person may be made narcissistic and self-involved by the enormity of their pain, both parties are in fact equally important. And it is the job of the surrounding communities to insist on this.

Our most surprising finding was a white spot in the left frontal lobe of the cortex, in a region called Broca’s area. In this case the change in color meant that there was a significant decrease in that part of the brain. Broca’s area is one of the speech centers of the brain, which is often affected in stroke patients when the blood supply to that region is cut off. Without a functioning Broca’s area, you cannot put your thoughts and feelings into words. Our scans showed that Broca’s area went offline whenever a flashback was triggered. In other words, we had visual proof that the effects of trauma are not necessarily different from—and can overlap with—the effects of physical lesions like strokes. All trauma is preverbal.

The conditions that breed a disorganized attachment adaptation are not specific to CNM by any means, but I have seen a variation that is unique to CNM. There can be something very disorienting that happens for some new CNM couples who were first monogamous together and were accustomed to being each other’s main source of comfort, support and relief from distress. As the relationship opens, a partner’s actions with other people (even ethical ones that were agreed upon) can become a source of distress and pose an emotional threat. Everything that this person is doing with other people can become a source of intense fear and insecurity for their pre-existing partner, catapulting them into the paradoxical disorganized dilemma of wanting comfort and safety from the very same person who is triggering their threat response. Again, the partner may be doing exactly what the couple consented to and acting within their negotiated agreements, but for the pre-existing partner, their primary attachment figure being away, unavailable and potentially sharing levels of intimacy with another person registers as a debilitating threat in the nervous system. As someone in this situation simultaneously wants to move towards and away from one’s partner, the very foundation of their relationship and attachment system can begin to shudder, and people can begin acting out in ways that are destructive to each other and the relationship. When this happens, I recommend working with a professional to re-establish inner and outer safety.

Awakening The historical agonizing moments of hysteria mocking, left negative imprints into my tomorrow mourning, triggering constant anxiousness in the moment worrying, worrying about the past is not living for tomorrow. Awakening from historical trauma is moving forward to live today and for tomorrow. Facing tomorrow, must be living in the present day. Living at the moment, awakening begins. Feeling the moment awakening awakens. Awakening allows genuine moments to penetrate. Awakening creates new memories of the present time. Awakening aware of the past. Awakening is in the present. Awakening willing to be there for tomorrow. You have awakened from the past, living in present and facing tomorrow. You are well awaken living your life. by Tina Leung: I Face Forward poem

Because the amygdala can become hypersensitive, chronic stress can make you more jumpy and anxious. This is why a war veteran with posttraumatic stress disorder (PTSD) will hit the floor and cover his head when he hears the loud blast of fireworks. Before he has a chance to think about it, the blast reminds him of an improvised explosive device (IED) exploding or a gunshot. His amygdala triggers the fight-or-flight response—a false alarm. When you experience severe trauma or excessive chronic stress, the once-cooperative partnership between your hippocampus and your amygdala becomes skewed in favor of the amygdala. This is because the hippocampus is assaulted by excess cortisol and glutamate when the amygdala is pumped up. Cortisol and glutamate act to excite the amygdala, and the more it is excited, the more easily it is triggered.

What I just presented to you was my timeline,” she explains. “And all of you are going to do your own timelines this week. Who here has childhood trauma?” Everyone raises his hand except for me, Adam, and Santa Claus, who probably didn’t hear the question. Lorraine stares at us incredulously. “Trauma comes from any abuse, neglect, or abandonment. Think of it this way: Every time a child has a need and it’s not adequately met, that causes what we define as trauma.” “But by that definition, is there anyone in the world who doesn’t have trauma?” I ask her. “Probably not,” she replies quickly. “We link and store any experience that brings us fear or pain because we need to retain that information to survive. All you have to do is touch a hot stove once and your behavior around hot stoves changes for the rest of your life—whether you remember getting burned or not. So think of anything in your childhood that was less than nurturing as a hot stove, and when you encounter something similar as an adult, it can trigger your learned survival response. We have a saying here: If it’s hysterical, it’s historical.

Peter Block is an author and consultant who writes about community development and civic engagement. He is a master at coming up with questions that lift you out of your ruts and invite fresh reevaluations. Here are some of his: “What is the no, or refusal, you keep postponing?…What have you said yes to that you no longer really believe in?…What forgiveness are you withholding?…How have you contributed to the problem you’re trying to solve?…What is the gift you currently hold in exile?” Mónica Guzmán, the journalist I quoted in the last chapter, asks people, “Why you?” Why was it you who started that business? Why was it you who felt a responsibility to run for the school board? A few years ago, I met some guys who run a program for gang members in Chicago. These young men have endured a lot of violence and trauma and are often triggered to overreact. One of the program directors’ common questions is “Why is that a problem for you?” In other words they are asking, “What event in your past produced that strong reaction just now?” We too often think that deep conversations have to be painful or vulnerable conversations. I try to compensate for that by asking questions about the positive sides of life: “Tell me about a time you adapted to change.” “What’s working really well in your life?” “What are you most self-confident about?” “Which of your five senses is strongest?” “Have you ever been solitary without feeling lonely?” or “What has become clearer to you as you have aged?

For many, an explosion of mental problems occurred during the first months of the pandemic and will continue to progress in the post-pandemic era. In March 2020 (at the onset of the pandemic), a group of researchers published a study in The Lancet that found that confinement measures produced a range of severe mental health outcomes, such as trauma, confusion and anger.[153] Although avoiding the most severe mental health issues, a large portion of the world population is bound to have suffered stress to various degrees. First and foremost, it is among those already prone to mental health issues that the challenges inherent in the response to the coronavirus (lockdowns, isolation, anguish) will be exacerbated. Some will weather the storm, but for certain individuals, a diagnostic of depression or anxiety could escalate into an acute clinical episode. There are also significant numbers of people who for the first time presented symptoms of serious mood disorder like mania, signs of depression and various psychotic experiences. These were all triggered by events directly or indirectly associated with the pandemic and the lockdowns, such as isolation and loneliness, fear of catching the disease, losing a job, bereavement and concerns about family members and friends. In May 2020, the National Health Service England’s clinical director for mental health told a Parliamentary committee that the “demand for mental healthcare would increase ‘significantly’ once the lockdown ended and would see people needing treatment for trauma for years to come”.[154] There is no reason to believe that the situation will be very different elsewhere.

Much of my research had stated that people with PTSD had shrunken prefrontal cortices—that experiencing triggers often shut down the logical centers of our brains and left us irrational and incapable of complex thought. But Siegle told me he’d discovered that research to be flawed. He’d found that with many people with complex PTSD, the exact opposite was happening. In moments of intense stress and trauma, our prefrontal cortices were actually far more active. Normally, if you’re facing a threat, your body immediately reacts to it. Your heart starts pumping blood. The hair on the back of your neck stands up. This is all in service of getting blood to your legs so you can run the hell away from it. On top of this, you feel your heart beating faster. You recognize that you’re freaking out. That makes you even more anxious, and your heart beats even faster. But Siegle told me, “As far as we can tell with complex PTSD, in really stressful situations, you’ve got this coping skill that allows the prefrontal cortex to just shut off some of our evolutionary freak-out mechanisms and instead have high levels of prefrontal activity. So our bodies stop reacting.” In other words, in some moments of intense stress, we are super-duper good at dissociation. Our hearts don’t pump as hard. Our brains cut themselves off from our bodies, so we don’t really have that feedback loop of getting anxious about getting anxious. Instead, our prefrontal cortices blink online—we become hyperrational. Super focused. Calm. Siegle explained it this way: “If running away has never been an option for you, you have to be cunning and do other things. So it’s like, this is time to bring all of our resources online, because we’re going to survive this.

I would never call myself a “survivor.” I’m just—I’m not one of these trauma people. OM: What’s a trauma person? FEW: Someone who can’t stop saying the word “trauma.” Trauma people are almost as unbearable to me as Trump people. If you try suggesting that they let go of their suffering, their victimhood, they act retraumatized. It’s like, yes, what happened to you is shitty, I’m not denying that, but why do you keep rolling around in your own shit? If they stopped doing that for two seconds and got over themselves, even a little, they might actually become who they were meant to be. “Whoa,” Greta said. “Hello.” OM: So, suppose someone has been gang-raped at gunpoint and can’t seem to pull themselves together, stop drinking, return to work, or find meaning in their lives, would you tell them to just “get over themselves”? FEW: Well, there is a hierarchy, isn’t there? OM: I don’t think so. FEW: If you didn’t think there was, you wouldn’t have used that example. You would have said, “Suppose someone has been molested by a neighbor” or “neglected by their mother” or “bullied all their lives.” But there is a hierarchy. Trauma people don’t like to hear that. To them, all trauma matters. OM: Where would you place your trauma on the hierarchy? FEW: All I’m saying is that trauma doesn’t get you a lifelong get-out-of-jail-free card. It also doesn’t necessarily confer wisdom, or the right to pontificate, which I realize I’m doing right now. OM: Well. I’m willing to concede that life handles some people more roughly than it does others, and that you do have a choice in how you deal with it. You can decide what you want to do with it, but not until after you address it, which—I’m sorry to say—involves talking about it, for as long as it takes, identifying fears and triggers— FEW: Triggers. God. This is why I’m not crazy about therapy. I really hate the language.

THE INTERCONNECTION OF MEMORY IMPRINTS THAT FORM COLLAGES OF SHAME As shaming experiences accrue and are defended against, the images created by those experiences are recorded in a person’s memory bank. Because the victim has no time or support to grieve the pain of the broken mutuality, his emotions are repressed and the grief is unresolved. The verbal (auditory) imprints remain in the memory, as do the visual images of the shaming scenes. As each new shaming experience takes place, a new verbal imprint and visual image form a scene that becomes attached to the existing ones to form collages of shaming memories. Children record their parents’ actions at their worst. When Mom and Dad, or stepparent or caregiver, are most out of control, they are the most threatening to the child’s survival. The child’s amygdala, the survival alarm center in their brain, registers these behaviors the most deeply. Any subsequent shame experience that even vaguely resembles that past trauma can easily trigger the words and scenes of the original trauma. What are then recorded are the new experiences and the old. Over time, an accumulation of shame scenes is attached.

There are some DID clients whose pathological dissociation was triggered by accidents or natural disasters. For example, I treated one client whose first alter was created after the young host accidentally fell off a raft and was pulled under by a strong wave. In sheer terror, she utilized her innate capacity to dissociate before she was rescued.

Activation of this fear center triggers the cascade of stress hormones and nerve impulses that drive up blood pressure, heart rate, and oxygen intake—preparing the body for fight or flight.

Trauma-triggered anger usually manifests itself in one of three ways: fight, flight, or freeze.

Awakening is the first glimpse that “things” or “reality” are not what we thought. Awakening is an ongoing process throughout recovery. To begin, we generally require an entry point or trigger—anything that shakes up our old understanding or belief system of reality, of the way that we thought things were (Ferguson 1980; Whitfield 1985; 2003). Because our True Self is so hidden, and because our false self is so prominent, awakening may not come easily. Nonetheless, it often happens. I have witnessed this process in hundreds of children of trauma. The entry point or trigger may range across a wide spectrum. It may start with hearing or reading someone describe their own recovery or own True Self, or being “sick and tired” of our suffering, or beginning to work seriously on another life problem in counseling or therapy. For others, it may be attending a self-help meeting or an educational experience, reading a book or hearing about it from a friend.

Laughter is a response triggered by the discomforting awkwardness. A child responds to the awkwardness caused by tickling with laughter. The other end of this is trauma.

We have yet to develop fourth-generation antibiotics in the fight against toxic stress, but we can use the knowledge of how the stress response triggers health problems to institute some basic hygiene: Screening, trauma-informed care, and treatment. Sleep, exercise, nutrition, mindfulness, mental health, and healthy relationships—these are the equivalent of Lister dipping his instruments in carbolic acid and requiring his surgical students to wash their hands.