The Psychological & Emotional Impacts of Trauma

In PTSD a traumatic event is not remembered and relegated to one’s past in the same way as other life events. Trauma continues to intrude with visual, auditory, and/or other somatic reality on the lives of its victims. Again and again they relieve the life-threatening experiences they suffered, reacting in mind and body as though such events were still occurring. PTSD is a complex psychobiological condition. 

~Babette Rothschild, The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment

It is true that our minds and bodies are connected.  What our body experiences impacts our emotional and psychological states.  Consider how when you have a cold or the flu you also feel crabby or irritable.  Or how when you physically feel good generally your mood is also good.

The unprocessed traumas that live within our bodies also impact our moods and ways of being and connecting with our world, including the people in it.  Some of the ways trauma appears via our emotions and mental state are:

• Unexplained or “illogical” fear

• Anxiety, including “panic attacks”

• Depression

• Hyper-vigilance (also related to fear and anxiety)

• Extreme (for you) irritability

• Emotional dysregulation (mood swings; cannot soothe self easily; once triggered into anger or sadness or fear cannot easily come out of it)

• Disassociated from the present (stuck in past and or future thinking)

• Inability to concentrate and stay focused on one thing for an extended period of time

• Self-isolation (withdrawing from or not connecting to others)

• Feelings of shame and self-blame and claiming responsibility for things that are out of your control

• Addiction

• Inability to trust others, even those you are in intimate relationships with

• Struggle expressing your feelings in a calm or non-agitated way; often “lash out” at others when feeling hurt

• Anger tends to be the “go to” response to emotional pain including sadness and grief

• Hyper emotional defensiveness

Our pasts impact our present and future, this is true. Our experiences impact the ways we interact with our world.  And while it is true that our traumatic experiences were out of our control, it is also true that we have a choice as to how much we allow those experiences to determine our path.

Often when we have experienced a trauma our sense of choice is altered.  Because the experience was out of out control, and not our choice, our brain shifts into thinking-both un/subconsciously and consciously-that we have no control over the impact of the traumatic events.  The event actually impacts our neuropaths and our ways of thinking and the more we think we are stuck and don’t have choice, the deeper those paths become and the more ingrained those thoughts are.

I often think of entering into trauma processing or “healing” in relation to the Physical Law of Inertia :: A body in motion will remain in motion unless acted upon by an outside force.

In addiction circles this “outside force” is called “hitting rock bottom” – something so awful happens to us that it is a wake up call to seek help and change.

I believe trauma works in the same way.  We will be willing to live with the impact of trauma, physical, emotional, psychological, until something happens that “forces” us to move towards processing and shifting.  This could be something huge or small, some action we take or path we start down that is so very much not who we are that we are left looking at ourselves and making a decision to change.

Unfortunately, many people do not understand that it is unprocessed trauma that is driving them through their unconscious.  Perhaps a person’s mind has blocked the memory of a traumatic event so they don’t even know it happened, or perhaps a person doesn’t understand the wide impact trauma has on the mind and body.  Because of this many people are left scrambling for help – going to medical professionals seeking relief from physical impacts and or to mental health professionals seeking relief for their depression or anxiety and not seeing the connection between the two.

Again, this is why it is vital we seek professionals who are trauma informed.  It is also why we ourselves need to better understand the far reaching impacts of trauma.

The more we are willing and able to learn about our Self, the more we are willing to bring our unconscious into consciousness, the more we are willing to face our fears of the discomfort and change that comes from processing our trauma, the more we will be able to reconnect to our Self and our world, in meaningful, loving, and compassionate ways.

I talk more about all of this in the 10 minute video below:

This essay series is also to introduce the topics we will be exploring in my new six month program Trauma Informed Embodiment Level 1.  We begin August 1.  You can learn more here.

Additionally the main focus of my individual work is trauma and utilizing trauma informed embodiment with my clients.  If you are looking for an individual therapist, you can learn more about me and my individual therapy work here.

And finally, I facilitate a free online group on Facebook where we explore trauma, grief, embodiment,and their intersections.  It is called Trauma Informed Embodiment and you can join us right here.

If you missed the other essays and videos in this series their links are below ::

The Traumas Living Within Us

The Physiological Impacts of Trauma

The Psychological & Emotional Impacts (this essay)

Processing or Healing Trauma

The Physiological Impacts of Trauma

Traumatized people chronically feel unsafe inside their bodies: The past is alive in the form of gnawing interior discomfort. Their bodies are constantly bombarded by visceral warning signs, and, in an attempt to control these processes, they often become expert at ignoring their gut feelings and in numbing awareness of what is played out inside. They learn to hide from their selves.

~Bessel A. van der Kolk, The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

Many have researched and written about the truth that trauma is not all in our heads, but that it also lives in our bodies.  It is there in our epigenetic DNA, in our cellular memory, in our muscle memory, in our sense memory and lives on in our nervous systems (which then impacts the functioning of every other bodily system).

The physiological signs and “symptoms” of trauma are both universal and individual.  They can appear as any (or any combination) of the following ::

• autoimmune disorders

• gastrointestinal disorders

• fatigue

• insomnia and/or nightmares

• racing heart beat and shortness of breath (panic attacks)

• muscle tension

• sexual dysfunction

• reproductive system disorders

• chronic pain

• migraines

• “clumsiness” (i.e. bumping into things constantly or finding bruises on your body that you don’t know where they came from or when you got them)

• neurological disorders (numbness, loss of use or sensation in extremities or in your face/jaw

There has also been research around certain types of cancer and the correlation to specific types of trauma (specifically sexual trauma and reproductive system cancers).

As Bessel van der Kolk and Babette Rothschild have both stated : Our bodies know, and they keep score.

Having trauma living within us causes physical discomfort and dis-ease.  Multiple studies have found this to be true.  When we consider that all of us have unprocessed trauma living within us -if not from our own lived experience, then from that of our ancestors- we can begin to make sense of the different medical diseases and disorders we see passed down through generations.

It is important for us to not only expand our definitions of trauma to include the experiences of our own lived life (including the list of experiences found on the Adverse Childhood Experience study (ACEs)) but also those of our ancestors and to also consider the traumatic impact of living in our current oppressive patriarchal culture.

Our bodies know.  Our bodies remember.  Trauma is not something that can be ignored forever.  It does not just “go away.”  If one generation does not process the traumas they have experienced, future generations will feel the impacts of those traumas within their own bodies and lives.

It is vital when we seek professionals to work with in processing our trauma that they understand and know how to work with the impacts trauma has on our physiological systems.  It is vital when we do our trauma work that we have others versed in body-centered and somatic approaches.  Studies have shown how not having a somatic/body-centered component to trauma work, and only using talk therapies, can actually be re-traumatizing.

As professionals we need to be trauma informed.  Not everyone needs to be an expert, and I do believe that any person working with other humans in the medical, mental health and body-work (massage, chiropractice, acupuncture, physical therapy, etc) need to have a basic understanding of trauma, how it impacts the body, have some very basic tools to help their clients, and have a list of referrals for those who need someone more well versed.

I talk more about all of this in the 10-minute video below

This essay is the second of a four part series I have written exploring trauma, what it is, how it impacts us, and how we can begin to process it.  I hope you find it helpful and informative.

This essay series is also to introduce the topics we will be exploring in my new six month program Trauma Focused Embodiment Level 1.  We begin August 1.  You can learn more here.

Also the main focus of my individual work is trauma and utilizing trauma informed embodiment with my clients.  If you are looking for an individual therapist, you can learn more about me and my individual therapy work here.

And finally, I facilitate a free online group on Facebook where we explore trauma, grief, embodiment,and their intersections.  It is called Trauma Informed Embodiment and you can join us right here.

Links to the other essays in this series::

The Traumas Living Within Us

The Physiological Impacts of Trauma (this essay)

The Psychological & Emotional Impacts

Processing or Healing Trauma

 

 

The Traumas that live within us

(This is a revision of a post originally published in December 2017)

The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable.

~Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence – From Domestic Abuse to Political Terror

There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds.

~Laurell K. Hamilton, Mistral’s Kiss

Let’s talk about trauma.  Because it lives within all of us.  Whether it is trauma from our own lived experiences, trauma from our ancestors, or trauma from our oppressive culture, we each carry trauma in our bodies and psyches and spirits.  So let’s explore the different types of trauma that we each have within us to better understand what I mean when I say “we all have trauma” and so we can all better understand our own Self.

TYPES OF TRAUMA

Lived Experience Trauma.  This is the trauma that lives within us as a result of the traumatic events we personally experienced in our lives.  It can be chronic (multiple events, like ongoing childhood sexual abuse, physical abuse by a caregiver or later in life an intimate partner, neglect, living in poverty, etc) or acute (one time events like a surgery, car accident, a one time assault like a rape or mugging).  This trauma is based in our own personal history and story.  We may remember or not remember events consciously, and either way they occurred during our lifetime, and our body very clearly remembers them.

Ancestral and Inter-generational Traumas.  These are the traumas that are passed down to us from our family.  Ancestral trauma, in my definition, is what is passed down through our bloodline – it appears in the epigenetic markers of our DNA and our cellular memory.  Inter-generational trauma is passed down by our family too, however it is passed down through actions.  The impacts of a trauma experienced by a mother for example would include how she was able to care for her children, and could impact attachment bonds.  Additionally inter-generational trauma can also be passed down through language (we all have specific “trigger” words that either we don’t want to be associated with or we desperately do want to be associated with and our reactions to these words influence our own actions and thoughts; these words are often passed down through generations).

Cultural Relational Trauma.  This is the trauma of living in a white-supremicist, misogynist, ablist, homophobic, capitalist, patriarchal culture.  It is a trauma that lives in all of us, but to varying degrees.  It is the trauma we need to explore when considering intersectionality and remembering that not all of us are having the same experience in our world.

All of us carry at least two of the three traumas in our own bodies and being : inter-generational and ancestral trauma and cultural trauma.  Most of us also have our own lived experience traumas coursing through us too.

Having an understanding of these different types of trauma allows us to begin to understand what is impacting us, what our triggers are, how some of the ways we view world are from our own experiences and also much of how we view the world is from those who came before us.

As we are able to unravel and decipher our traumas, we are able to dismantle and process them out of our bodies and being.  This is intense work and cannot be done alone in a vacuum.  It is work that needs to be done in community, with some parts worked through in settings with only one other person and others in larger groups.

We are relational beings and trauma impacts our ability to relate with each other.  As we learn more about trauma and our own trauma we can also begin to understand how others are also impacted and influenced by trauma.

I talk more about this in the 7-minute video below.

This essay is the first of a four part series I have written exploring trauma, what it is, how it impacts us, and how we can begin to process it.  I hope you find it helpful and informative.

This essay series is also to introduce the topics we will be exploring in my new six month program Trauma Focused Embodiment Level 1.  We begin August 1.  You can learn more here.

Also the main focus of my individual work is trauma and utilizing trauma informed embodiment with my clients.  If you are looking for an individual therapist, you can learn more about me and my individual therapy work here.

And finally, I facilitate a free online group on Facebook where we explore trauma, grief, embodiment,and their intersections.  It is called Trauma Informed Embodiment and you can join us right here.

Links to the other essays in this series:

The Traumas Living Within Us (This Essay)

The Physiological Impacts of Trauma

The Psychological & Emotional Impacts

Processing or Healing Trauma

Learning the difference between emotional and physical safeness

Unlike other forms of psychological disorders, the core issue in trauma is reality. ~Bessel A. van der Kolk, Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society

One of the things we’ve been talking about lately in a few of the groups I facilitate, is learning to differentiate between emotional safeness and physical safety.

In other words, the difference between the potential for our feelings to be hurt in some way and our bodies to be harmed, tortured or murdered.

Reading those words, I’m guessing some of you may be wondering why we would need to differentiate these things.  In so many ways we are all logically aware of the difference between these two very different types of situations. Most of us can look at different events in our own lives and be able to determine in which ones we were in actual physical danger and in which ones the risk was more about being told no, or being wrong, or not feeling heard or understood.

In our logic brain, we can completely understand the difference.

And.

Our primal brain, or reptilian brain as some call it, doesn’t know the difference.

So, when our frontal lobe (where logic and empathy live) isn’t able to communicate with our limbic brain and brain stem, our systems see any type of “threat” as life threatening.  When we are in a trauma state, when we are in that elevated state where we are almost always in fight, flight, or freeze, our logic brain can’t communicate with our primal brain, because our logic brain has pretty much gone “off line” so our primal brain can try to keep us alive.

Because that is the role of our primal brain: to literally keep us alive.  To make sure we physically survive a situation.

Our primal brain isn’t actually concerned with our “feelings” such as shame, emotional hurt, embarrassment, etc.  It only cares that our hearts keep beating, our lungs keep working, and we are physically functioning enough to potentially procreate (regardless of whether we are within the years that procreation is actually possible.)

When the trauma that lives within us has not been processed, our nervous systems stay in a state of hyper alert.  This shows up in various ways, most commonly as anxiety, and can show up as irritability, moodiness, being “overly” emotional, etc.  When our sympathetic nervous system is in a heightened and activated state, when it doesn’t have the opportunity to calm down and allow our parasympathetic system to come online, and a traumatic event occurs, it affects our systems exponentially.

When we consider that we have not only the trauma of our own lived experience within us, but also that of our ancestors and we are constantly being re-traumatized to varying degrees by our culture, it is no wonder that our systems are on over-drive.

When our systems are in this constant state of over-load, we begin to be unable to differentiate between an actual physical threat and a perceived emotional threat.

This is why we get nervous speaking up to that racist uncle or aunt at the holiday dinner table.  It is why we don’t speak up. It is why we don’t share our intimate details or inner most thoughts with those who can hold them.

It’s why we isolate.

Perceiving emotional risk – from speaking up at the holiday table, to sharing our deepest self with a lover and all things in-between –  as life threatening is what perpetuates our isolation.

Our nervous systems and fight/flight/freeze responses are so over stimulated and over activated that any situation that is remotely uncomfortable emotionally, yet completely physically safe, is perceived as a threat to our lives.

To say this is problematic is an understatement.

This is why it is so important for the first step of processing our trauma to be integrating tools, techniques, and practices to soothe and calm our nervous systems (i.e. self regulate) and bring our “baseline” back down to a non-activated state.

It is why I share nervous system soothing (self-regulation) exercises on social media and in my weekly newsletter.  Because truly, this is where we need to start.

We literally are incapable of doing any deeper trauma work until we are able to soothe our sympathetic nervous system. Without that first step we only re-traumatize ourselves and keep ourselves on a very painful and frustrating treadmill.

The good news is, there are literally dozens, if not hundreds, of ways to begin the work of calming our systems.  When we look at our Self from a holistic lens, we can then find the different combination of ways that work for us.  For many people taking supplements, vitamins and or herbs, is incredibly helpful.  For others, pharmaceuticals are necessary.  For all of us having a somatic approach of some kind, anything from a somatic trauma therapy like my TIE™ approach to massage, acupuncture or chiropractic work, is incredibly beneficial.

In the end, it doesn’t matter which approaches you use, it only matters that they work for you, are nourishing, and allow for the space in time for you continue on to the deeper work of processing the trauma that lives within you.

I don’t believe in a “one size fits all” approach to trauma processing and healing.  We are each unique, and therefore the ways our systems respond to different exercises, practices, approaches, and modalities is unique to each of us.

And.

I also believe that the very first step we all need to take is in calming our elevated and activated systems into a more stable and steady state.  So we can then dive into the deeper work.  So we can truly connect with our body and the present moment.  So we can internally and systemically understand the difference between an actual physical threat and a perceived emotional one.

I believe this work is not only part of the ways we find healing for our individual selves, but is also part of the way we find healing, growth, and change in the greater collective and in our society.

The individual is part of the collective and the collective is part of the individual.  We need each other for greater internal and external change to happen.  And our ability to connect and be in right and meaningful relationship is dependent on bringing our nervous systems down from an elevated and threatened state and being more in our frontal lobes so we can respond to situations mindfully and intentionally instead of reacting to them from a state of fear, anxiety, and stress overwhelm.

Originally published on January 28, 2018 as a weekly newsletter and revised for publication here.  Did you enjoy reading this?  If so, I invite you to sign up to receive my weekly love letters right here.

On Safeness, Stabilization, and Self-Care :: Shifting from Overwhelm to Safeness & Stabilization

…repeated trauma in childhood forms and deforms the personality. The child trapped in an abusive environment is faced with formidable tasks of adaptation. She must find a way to preserve a sense of trust in people who are untrustworthy, safety in a situation that is unsafe, control in a situation that is terrifyingly unpredictable, power in a situation of helplessness. Unable to care for or protect herself, she must compensate for the failures of adult care and protection with the only means at her disposal, an immature system of psychological defenses.
~Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence – From Domestic Abuse to Political Terror

When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.
~Bessel A. van der Kolk

For those of us who live with trauma, and are in a state of constant feelings of overwhelm (thanks to being in that fight/flight/freeze response), the idea that we can find a sense of calm, safeness, and groundedness can feel incredibly foreign, if not impossible. Many of us have bought into the narrative of “this is just the way I am” or worse, that we are broken and can’t be fixed.

I understand.  I’ve been there.  When we are in that constant state of overwhelm, and especially when we are deep in it, we can’t see a way out.  What I mean is, we literally cannot imagine other ways of being – our brain will not allow it.  When we are in the fight-flight-freeze state our ability to be creative, imaginative, or problem solving oriented simply isn’t there, that part of our brain isn’t online, only the part of our brain focused on immediate survival is.

I’m writing all this to say – it is not your fault that you aren’t able to see a way out.  It is how we as a species are made.

And because we ourselves are unable to see that way out, we need our outside resources to help us find ways to learning to calm our systems, learn about feeling that sense of safeness, and find our ways to our own center and ground.

For me, I had a few outside resources to help me find my way out of overwhelming and crushing anxiety, depression, and being in a constant state of feeling highly triggered.  One was my therapist, another my husband, and also a couple good friends.

But my true motivation to do this work was, and is, my daughter.  I wanted to be a different mom for her.  I didn’t want to be yelling all the time.  I wanted to be able to sit with her loudness and not feel overwhelmed by it.  I wanted to be able to hold space for her big emotions (quite a feat since I couldn’t hold space for my own).  I wanted to be present with her, to have fun with her, to not constantly be looking for distractions from the here and now.

Where the journey truly began for me, even after literally decades of talk-therapy, was in learning how to self-soothe and self-regulate my system in non-harmful ways.

Once I began to learn about self-regulation, through various body centered mindfulness approaches, my life oh-so-slowly began to change.  But it did begin to change.  In time my automatic reactions (yelling) to triggers and feelings of overwhelm became a little less automatic.  I began to learn to anticipate by listening to my body when I was beginning to move into that state of extreme overwhelm and could distract myself, and then in time I was able to incorporate exercises to actually calm my system in the moment without distraction or dissociation. In even more time, I adopted and developed my own practices to help regulate my system even when it wasn’t triggered to help bring my base-line state back down and out of constant fight-flight-freeze.

After I  gained the tools to self-regulate, I began the journey of connecting to my boundaries and reclaiming my body and deeply learning where I actually end and another begins.  Eventually I found my way to centering and grounding and then acknowledging my resources.

Then, and only then, was I in a place to truly begin my own trauma processing through somatic therapy.

My own journey has been literally decades long in some ways, and yet the real work of learning to self-regulate and come into my body is something I truly embarked on in the last eight years.  And the last two years have been when my own personal trauma processing has actually (finally) been occurring and I have developed my inner sense of safeness, peace, and groundedness and my ability to be present in the moment, in my environment, in relationship with another, and within myself (all at once!).

All of my individual clients as well as most of the folks who participate in my online programs, have been on similar journeys.  Most have had years of talk therapy, some of have had some experience with somatic therapies or approaches.  Each step along the way a building block to help them prepare for this deeper body-centered trauma processing work.

We come to this work in our own ways.  And rarely, if ever, is it a direct path from point A (traumatic event(s)) to point ZZZZ (trauma processing).  It takes time, patience, bravery, and curiosity to do this work.  And it also requires that we have the tools to self-regulate, and that we use those tools when we need them.

This work can feel so overwhelming (and perhaps more so because we are already in a constant state of overwhelm).  Because of this, I feel it is vitally important for us to approach it in small steps, at our own pace, and always where we start is learning to self-soothe, self-regulate, and develop our own rituals and practices of self-care.

The only way we can move through any of this work is at our own pace.  It can never be forced.  And I deeply believe that our very first steps are learning to self-regulate and calm our nervous system, connecting to our boundaries, and finding our ways to center and ground, and all of those are acts of self-care.

I talk more about all of this in the 8-minute video below:

This essay series is to introduce the themes we will be exploring in the spring program Trauma Informed Embodiment™ : Basics. We begin May 1.  You can learn more here.

You can find the other essays in this series at the links below:

On Safeness, Stabilization, & Self Care :: Definitions

Self Regulation as Self Care

Shifting from Overwhelm to Safeness & Stabilization (this essay)