On 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 ways this trauma shows up in our bodies is both universal and individual.  It 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.

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, than 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 live life (including the list of experiences found on the Adverse Childhood Experience (ACE) study) but also those of our ancestors and to also consider the traumatic impact of living in our current patriarchal culture.

Our bodies know.  And they 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.

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, and 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 in a four-part series introducing the topics we will be exploring in my new six month program Trauma Focused Embodiment Level 1.  We begin February 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.

Other Essays & Videos in this series ::

On Trauma :: Types of Trauma Living Within Us

On Trauma :: The Physiological Impacts of Trauma (this essay)

On Trauma :: The Psychological and Emotional Impacts of Trauma

On Trauma :: Processing or Healing?

On Grief :: Loss is loss

You care so much you feel as though you will bleed to death with the pain of it. 

~J.K. Rowling, Harry Potter and the Order of the Phoenix

For three years I worked/interned/externed as a grief counselor for a local family grief support center.  The clients I worked with were as young as four and as old as in their 70s.  The losses ranged from parent loss to sibling loss to child loss to intimate partner loss.  The kinds of deaths our clients loved ones experienced were cancers and heart attacks, car accidents and random shootings, and all forms of suicide.

We mostly offered groups, for appropriate age ranges and types of loss.  One of our tenets for all the groups is: “We do not compare losses.”  Meaning that grief is grief.  Our person is gone and while the way they exited this life may have been dramatic or mundane, our hearts are broken all the same.

In all the groups I co-facilitated, this was never an issue.  We set the boundary up front and no one ever tried to play the “My grief is better/worse than yours” game.

I’ve seen that game played out in life outside the center though.  Hell, I’ve even played that game.

When we are hurting, when we are in the rawness of our grief, the immediate, and traumatic, impact of it, it can be hard to notice how others may be hurting, may have experienced similar loss, may be grieving right along side you with your loss.

Those early days and weeks and months of grief have us self-focused.  Because our pain is so intense.  And even if we need to function and care for others as we are feeling our own pain, the hurt, the what feels to be all consuming hurt, is ours and through this lens we look at the world.

So, it makes sense in those early days and weeks and months that we may deeply believe that our own pain is greater than another’s.  That no one has ever suffered in this kind of rawness as we are.  The no one could possibly understand what we are experiencing.

And as is often the case with the stories we tell ourselves in our heads, none of this is necessarily true.

It is true that no one has experienced the exact form of grief, in the exact way, that we each have.  We are each individuals, with similar, yet vastly unique experiences.

And.

Grief is part of being human.  Loss is part of our lived experience.

And no matter what the loss is, it is uncomfortable at best, excruciatingly painful at worst.  No matter the loss, grief comes and goes in waves that sometimes we feel we will drown in and others we are able to surf.

Yes, our personal experiences are unique, and they are also universal.

I talk more about this in the 12 minute video below.

This essay is the first in a three part series I have written exploring grief and loss, how it affects us, and how our culture attempts to stifle it. Here are links to the others in the series ::

On Grief :: Loss is Loss (this essay)

On Grief :: The Passage of Time

On Grief :: Holidays, Anniversaries, and Other Triggers (link coming soon)

On Self Care :: Stress, Grief, & Embodiment

When we contemplate the miracle of embodied life, we begin to partner with our bodies in a kinder way.

~Sharon Salzberg, Real Love: The Art of Mindful Connection

I have a confession.

I actually love the winter holiday season.

I love all the lights and glitter. I love the promise of snow.  I love the food we eat this time of year.  I love the hustle and bustle and the quiet snuggling in.  I do.  I love it.

And.

This time of year is also challenging for me.  My mother’s birthday is in mid-December and so there is a triple reminder of how she is not here to celebrate this time of year with us.  I notice how certain family members don’t call.  I think of friends who have moved away.  I consider the things and opportunities in life that I have lost.  I think about the life I wanted compared to the life I have.

In short, while I love this time of year, it is also a time of grieving.

And while I do love the bright energy of the hustle and bustle of this time of year, I also am acutely aware of how that bright energy can become heavy and oppressive.  How what is supposed to be fun can become overwhelmingly stressful.  How one moment I may look at my full calendar with excitement and anticipation and the next I may look at it with dread.

Basically, I am human.  Which means I am complex.  Which means I can have a mix of seemingly opposing emotions and feelings all at once.

Just like you.

To me, it’s never a question of my complexity.  Rather, it’s a question of how I hold all of me at once.

In other words, how to do I allow all my complexity to flow and be?  How do I sit with the bittersweetness of this time of year?  How do I not only allow myself, but also encourage myself, to feel all the various and opposing emotions, thoughts, and well, feelings?

For me, that answer is being in my body.  Not leaving it, not sitting or hovering outside of it.  Rather, being in it, in the now, and finding ways to tolerate all the complex sensations and emotions that I may be having.

Embodiment is both simple and not easy.  Coming home into our bodies, and deeply feeling and sensing our lived experience can feel overwhelming at times.  It can feel too much.  And also, with practice, we learn to tolerate those challenging emotions and sensations more and more.

We stop stuffing them down, only to wait for them to explode.

We stop ignoring them, only to have them crop up as various illnesses.

We start connecting to them, dipping out toes into them at first, and in time and with practice, going further and further in, finding new ways to embrace our own complexities, our own disparities, our own both ands.

I talk more about this in the 14 minute video below ::

This essay is the third and final essay in a three part series I have put together to introduce some of the topics we’ll be exploring in my winter self-care circle, Self Care for Challenging Times :: Holiday Edition.  If you’d like to learn more and possibly join us, you can click right here.

Other essays in this series::

Holidays, Trauma, & Our Nervous Systems

Boundaries, Boundaries, Boundaries

 

On Self Care :: Boundaries, boundaries, boundaries!

Boundaries define us.  They define what is me and what is not me. A boundary shows me where I end and where someone else begins, leading me to a sense of ownership.  Knowing what I am to own and take responsibility for gives me freedom.

~Henry Cloud

Boundaries.

We talk about them a lot.  On my most recent Open Office Hours call we talked about them, in fact.

We talked about what a boundary is.  What they mean to us.  What some of our “obstacles” may be in honoring or defending our own boundaries.  What some of our stories are when others honor their own boundaries. How boundaries run both ways.  How they are fluid.  How they are complex.

There are many things I believe about our boundaries.  One is that they are fluid and living and breathing; they change from day to day and person to person.  In a phrase, what our boundaries actually are depends on All The Things.

In my experience there are no hard and fast rules when it comes to boundaries.  What may be a firm boundary with person A today may not be a boundary at all tomorrow with person B.  Many of our personal boundaries change with time, and some never change at all.  This is part of life – we all change and grow and it makes sense that our boundaries would do so too.

I also deeply believe our boundaries, physical, psychological, and emotional, are directly tied to our bodies.  What I mean by this is that I believe we can sense when a boundary is being violated long before we are fully consciously aware of what it happening.  Our body reacts, in one way or another, to this intrusion.  It could show up as a knot in our stomach or literal pain in our neck.  It could show up as suddenly feeling agitated or anxious, without any “real” or “logical” explanation.  It could show up in any number of ways.  The point being, our body is giving us information, long before our brain can comprehend what is going on.

Our boundaries are also tied to our histories.  If we have trauma in our past, how our caretakers modeled boundaries when we were children, both inform what our boundaries are as well as how we react when our boundaries have been violated.

Our culture also informs our boundaries, and more importantly, how or if we defend them.  We all have messages about “being nice” and “not hurting people’s feelings” in our psyches and bodies to unravel.

We have all been told in one way or another that our Noes don’t matter, aren’t valid, and should never be voiced.

Most of us learned at a young age that when we say no to someone or something we are giving them a message that we don’t love them.  And of course, while we internalized this direct message, we also internalized the reverse :: that if someone says no to us it means they don’t love us.

Again, boundaries go both ways.  There are our own boundaries for us to connect to and consciously and intentionally decide to defend (or not!) and there are the boundaries of others that may stir up some of our own stories of worth and value and instigate an unconscious response from us.

There is so much for each of us to unravel around our boundaries, including becoming consciously aware of where they come from and when and if we want to honor  and defend them (and I’ll tell you now, the answer isn’t always yes, there can be many different reasons why we don’t defend our boundaries and none of them have to do with us being “weak” or having “poor judgement.”)

I talk more about this in the 13 minute video below ::

This essay is the second in a three part series I have put together to introduce some of the topics we’ll be exploring in my winter self-care circle, Self Care for Challenging Times :: Holiday Edition.  If you’d like to learn more and possibly join us, you can click right here.

Other essays & videos in this series ::

Holidays, Trauma, & Our Nervous Systems

Stress, Grief, & Embodiment

On Self Care :: Holidays, trauma & our nervous systems

Caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare.

~Audre Lorde

We are entering into that time of year again.  That time here in the northern hemisphere where the light recedes and we enter into more and more darkness as each day passes.  It is also the time of year of the winter holiday celebrations, which can for some of us, bring their own darkness with them.

I have always declared that the winter holiday season begins with my birthday in mid-October.  Then quickly is Halloween and the All Souls and All Saints Days.  Next is Thanksgiving.  And then we move into December when most religions have a festival of lights celebration of one kind or another.  With all these holidays often comes gatherings with family – ones that we either attend or avoid.  With these gatherings come all the stresses of connecting with our families, be that in person or in spirit.

There is also the truth that for many of us this time of year is a painful reminder of the people we have lost in our lives, either through death or severing of ties.  It can be a reminder of those we loved who aren’t here to celebrate with us, and the grief that comes forward has its own way of showing up at a time of year we are told over and over we need to be joyous.

There are a million plus different reasons why the this time of year can be challenging in many ways and why we all need to remember self-care, real self-care, during this coming seaon.

One of my frustrations with our current culture is how the term self care is defined. For many this term has a very white, privileged look to it.  It looks like spa days or mani-pedis, or days at the salon, or weeks at some tropical local.  It’s looks like, according to many, something only the wealthy can afford.

I have a very different definition of self care.

For me, self care is first and foremost about calming and soothing our nervous systems.  It is self-regulation and being able to bring ourselves back from a “triggered” or highly emotional state.  This can look like many different things, including drinking water, getting sleep, any of the numerous Nervous System Soothing tips I share with you in the weekly love letter and on Facebook, drinking tea, locking ourselves in the bathroom for five minutes of solitude… all of those things are self care. These are the small, non-glamorous things that keep us going and keep us feeling calm and sane.

And, self-care isn’t 100% regulating our nervous systems.  The other big piece of self care, for me, is boundaries.

You know, that whole being able to say No thing.  (I’ll talk more about boundaries as self-care in the next essay in this series.)

However, I do believe that before we can really connect to, and then honor and enforce, our boundaries, we need to be able to connect to our bodies and calm our nervous systems.

What do I mean by “calm our nervous system,” “triggered state,” or “activated nervous system”?

I deeply believe that all of us have trauma living within our bodies.  It could be a trauma (or multiple traumas) of our personal lived experience.  This could look like abuse, neglect, rape, or car accidents, surgeries, living through natural disasters.  Any and all of those events that we may personally experience our bodies experience as traumatic events.

In addition, we have intergenerational, or ancestral, trauma living in our DNA. Epigenetics has shown us how these “trauma markers” are passed down through the generations and how they are “mutable” or “reversable”.  This means that the unresolved, unprocessed traumas of our parents, grandparents, and back to the beginnings of time, live in our bodies today.

Finally, there is what I call Cultural Relational Trauma.  This is the trauma we experience living in a white supremacist, capitalistic, misogynist, patriarchal culture.  This is the trauma of isolation, of being told we are less than, not enough, too much, that we should feel shame for who we are and for existing at all.  This is the trauma that tears us from our communities and teaches us that one “group”is somehow superior to another.  It is the trauma we hold in our bodies that is put in us every day.

Because we all carry trauma in us, our nervous systems are generally all out of sorts.  What this looks like day to day is that we are easily irritated, or anxious, or depressed, or have rapid and far ranging mood swings, or feel like we want to crawl out of our skin on a regular basis – but with all of these things happening we can’t always pinpoint the why or what actually caused the dysregulation or what is also called an “activated” nervous system or a triggered state.

Calming or soothing our nervous system brings us out of this activated state.  It allows us to feel good in our bodies, to be in our frontal lobes (where empathy and logic live), and eventually to respond to stimulus (or triggers) in a way that isn’t harmful to ourselves or others (and by harmful I mean not only physically, but also emotionally, psychologically, and physiologically).

I talk more about this in the 11-minute video below ::

This essay is the first in a three part series I have put together to introduce some of the topics we’ll be exploring in my winter self-care circle, Self Care for Challenging Times :: Holiday Edition.  If you’d like to learn more and possibly join us, you can click right here.

Other essays in this series :: (active links coming soon)

Boundaries, Boundaries, Boundaries!

Stress, Grief, & Embodiment