6/22/23

Trauma Responses

Our bodies give us a lot of important information about what we’re experiencing, what we’ve been through, and what we need to survive. Paying attention to our physical and emotional sensations is essential if we hope to function in the world effectively. Our survival relies on our ability to tune into the body’s signals that let us know when we’re tired, happy, afraid, hungry, angry, hurt, etc.

Whenever we sense danger, our nervous systems automatically set off little alarm signals to let us know that we’re not safe. This internal alarm prompts a stress response that's known as the “Fight-or-Flight” response. These threat responses come in very handy when there’s danger. Without needing to stop and think, our bodies automatically jump into action to protect us. 

As research on stress responses has grown, we’ve come to recognize at least two additional responses: Freeze and Fawn. Let's explore each one briefly.

  • The Fight Response helps you deal with the danger head-on by attacking the threat (verbally or physically) before it hurts you. In non-physical forms, fight responses can look like blaming, insulting, threatening, or shaming someone who seems threatening.
  • The Flight Response helps you get away from the threat as fast as possible by running away physically, mentally, or emotionally. Less overt forms of the flight response are avoidance, procrastination, overworking, and distraction.
  • The Freeze Response is like "playing dead" or avoiding detection by staying still and quiet until the threat passes. Freeze responses include feeling overwhelmed and unable to move, think, or speak clearly. A freeze response can sometimes override other options even if we'd prefer to fight, flee, or fawn.
  • The Fawn Response is a strategy of trying to placate or appease the threat in order to earn temporary safety. Some common forms of fawning include extreme hospitality, people-pleasing, flattering, apologizing, etc.

Most people can experience threat responses in healthy and adaptive ways. When someone has PTSD, however, they perceive that threats are happening all around them all the time. This traps their nervous system in a miserable cycle of triggers and threat responses. When someone spends a long period of time in an unsafe environment, it gets harder and harder for them to respond appropriately to the threat.

When the body experiences trauma, the nervous system goes into overdrive to protect us from danger. You can think of PTSD as a nervous system that's stuck in “survival mode” even after the threat has ended. These are the common symptoms associated with PTSD:

  • Hypervigilance: a state of anxiety and tension due to compulsively monitoring for danger or any potential threats.
  • Exaggerated Startle Response: intense physical reactions to unexpected stimuli or changes in one's environment.
  • Flashbacks: an involuntary reliving of a traumatic experience, often including the connected emotional or physical responses.
  • Avoidance: repeated efforts to reduce exposure to reminders of the traumatic experience.
  • Social Withdrawal: increased isolation and difficulty connecting with social supports.
  • Depression: hopelessness, irritability, excessive guilt, or shame (a negative view of one's own worth).
  • Sleep Disturbance: difficulty falling or staying asleep (insomnia), nightmares, or night terrors.
  • Dissociation: mental or emotional detachment or disconnection from one's current circumstances.
  • Self-Harm or Neglect: intentional or unintentional acts that increase one's risk of injury or deterioration.

"The bodies of child-abuse victims are tense and defensive until they find a way to relax and feel safe. In order to change, people need to become aware of their sensations and the way that their bodies interact with the world around them. Physical self-awareness is the first step in releasing the tyranny of the past.” – Bessell Van Der Kolk

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