Overcoming Trauma With EMDR Therapy: When the Past is in the Present

Many psychotherapy clients ask me why they continue to feel so bad about a trauma that occurred many years ago.  Most people assume that "the past is in the past." But when you have unresolved trauma, the past is definitely in the present and can get triggered by present day circumstances.  I provided an example of this phenomenon in my prior blog article, EMDR - Overcome Trauma That Keeps You Feeling Stuck and in Emotional Pain.

Overcoming Trauma With EMDR Therapy

Let's explore this further to try to understand how traumatic memories from the past can get triggered in your current life.

A Veteran With PTSD Can Get Triggered By a Loud Noise
The example that's often given is of a veteran who comes home from combat with post-traumatic stress disorder (PTSD) and gets triggered by a loud noise, like the sound of a car back firing.

The loud noise triggers a trauma response.  Depending upon the severity of the veteran's PTSD, he or she could have a range of responses from a mild startle response to diving for cover as if he or she is still on the battle field.

The Body Reacts Before the Mind in Dangerous Situations
The interesting thing is that when a person reacts to the trauma, his or her body reacts first before the mind reacts.

This is true not only for traumatized veterans who are reacting to memories that get triggered, but also for everyone who is in a potentially dangerous situation whether it's in the past or the present.

Having the body react first before the mind when you're actually in current danger can be very useful.

For instance, if you're in the woods and a bear begins to run after you, your body will react first by pumping adrenaline through out your body and usually your legs will start running before your mind even has time to process the thought, "Oh no!  A bear is running after me!"


If you had to wait for your rational mind to react first before your body reacted by running, you might end up as the bear's lunch.  That's why, under circumstances of present danger, it's better for your body to react first because your body knows what to do--run like the wind!

"Is It a Stick or a Snake?"
Another example of the body reacting before the mind is one I remember hearing from Nancy Napier, LMFT in Somatic Experiencing trauma training.

The example is this:  Imagine yourself hiking in the woods when your eye catches something in your path and your body has an automatic response of jumping back.  Only after your body has reacted will your mind ask the question, "Is this a stick or a snake?"

There might be only a microsecond between your body reacting and your mind asking the question, but it's definitely more efficient and safer for the body to react first, especially if it really is a poisonous snake.  Then again, if you realize that it's really just a stick, you're relieved and you can keep walking.

Your Body and Mind Still React, Even When It's a Memory of the Traumatic Event and Not Actual Current Danger
When what you're feeling is the memory of a traumatic event, as opposed to being in actual danger in the present moment, your body will still react when it's triggered by a current event.

Depending upon the severity of your reaction, you could react with a fight, flight, or freeze reaction.  There would be a build up of adrenaline.  You might find yourself shaking and your heart pounding, but since you're not in actual danger at the moment, you won't be discharging this mobilized energy by running--the pent up energy will stay in the body.

If you're constantly being triggered in the present by traumatic memories, you can see how this isn't useful the way it is when you're confronted by a bear or the possibility of poisonous snake in the present moment and you would use that energy to flee.

When you react as if there is present danger when there's none and this happens over and over again, it can be exhausting on a physical and emotional level.  It can compromise your immune system and cause health problems.

There Are Many Different Types of Events That Can Cause PTSD
The example I gave above of the combat veteran, who gets triggered by a loud noise, is the classic example of PTSD.

But there are many different situations, aside from combat trauma, that can cause PTSD, including emotional abuse, physical or sexual abuse, car accidents, getting robbed or mugged, natural disaster, terrorism, and any other emotionally overwhelming event.

What is An Emotionally Overwhelming Event?
What is an emotionally overwhelming event?  It depends on the individual.

Two people can go through the same event and one person might develop a traumatic response and the other might not, depending upon many factors, including personal history, personality, and other factors.

An Overwhelming Event From Your Past Doesn't Have to Cause Full Blown PTSD to Get Triggered in the Present
What many people don't realize is that the overwhelming event doesn't have to cause PTSD in order to get triggered later on.  You don't have to meet the full diagnostic criteria for PTSD to have a traumatic response and get emotionally triggered.

There is what is known in trauma work as "Big T" and "Smaller T" trauma, which I explained in a prior blog article: EMDR and "Big T" and "Smaller T" Trauma.

When You Get Emotionally Triggered By a Memory, It Can Feel Like You're "Going Crazy"
Sometimes, the person who is feeling emotionally triggered might not even realize that they're being triggered by a memory of a traumatic event.  This can make the person feel like they're "going crazy."

So, when I work with clients who are confused by their emotional reactions, I educate them about how past memories can trigger emotional reactions in the present.

It's usually reassuring to clients to know that they're have a common reaction to the memory of an overwhelming event.

Getting Help
EMDR is a safe and effective form of trauma therapy when it is used by a skilled therapist.  

Rather than continuing to be triggered by past memories, you owe it to yourself to get help from an experienced EMDR therapist to resolve your trauma.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.

Overcoming Emotional Trauma and Developing Resilience

During the course of a lifetime, everyone goes through hard times.  Unfortunately, emotional suffering is part of life and we can't expect to avoid it.  It's how you respond to these times that can make a big difference in the quality of your life.  Responding with resilience can help you get through difficult times and increase your self confidence.

Overcoming Emotional Trauma and Developing Resilience

Trauma Can Affect Your Ability to be Resilient

Unfortunately, people who have trauma in their lives can find it very difficult to respond with resilience.  Of course, there are always exceptional people that we hear or read about who have gone through a lot of trauma who seem to maintain their resilience.  They can be inspiring, but if you're someone who has been traumatized and you're not as resilient because of your experiences, hearing about these exceptional people can also cause you to feel badly about yourself, feeling like  you don't measure up to them.

Many people who have had multiple experiences with trauma feel hopeless and helpless in the face of new adversity.  This is a common experience for people with multiple traumas.  No amount of telling them to be resilient will change this.  After a while, many of them feel that bad times are all that they can expect, which is unfortunate and, often, a distortion.  

Unresolved Trauma Can be Triggered by New Difficult Experiences

People who have suffered trauma that keeps them feeling beaten down need to work through their trauma in psychotherapy.  If the trauma is not worked through, they are vulnerable to being triggered by new events because new events can trigger old trauma.  

Often, when we think of being triggered, we think of the example of the war veteran who is triggered by a loud noise, which takes him or her back emotionally to the battlefield.  But there are all kinds of triggers, aside from the ones that veterans experience with noise, that can trigger old trauma.  Potential triggers can be loss, including loss of a loved one, loss of a job, loss of a pet, and so on;  physical or emotional abuse; a medical problem; a car accident; a major life change, etc.

Overcoming Emotional Trauma and Developing Resilience: Coping with Unresolved Trauma

Trauma, by nature, is an emotionally overwhelming experience that hasn't been "metabolized" by the mind.  So, it remains in its "unmetabolized," untreated form just under the surface and it's there to be potentially triggered by new difficult events.

What might be traumatic to one person might not be traumatic to someone else for a variety of reasons, including personal history, environment, learned attitudes, and a person's inherent ability to deal with overwhelming events or experiences.  It's not about being "weak" or "strong."  

Trauma, Compassion and Self Compassion

Recognizing that it's not about "weakness" requires self compassion as well as compassion for others.       I once met someone who was a retired Marine who had gone through a series of traumatic events while in the military and afterwards in civilian life.  He never got treatment, and he berated himself severely whenever he cried about his experiences, saying, "I'm a Marine.  I should be able to handle this."  Possibly, this was part of his training in the Marines, but it was only making matters worse until he got psychological treatment to overcome his trauma.

Getting Help in Therapy:  You Can't "Tough it Out"

This is why it's so important to get psychological help when you experience trauma. Trying to "tough it out" doesn't help.  In fact, it can make things a lot worse because you might "disown" and suppress your traumatic feelings rather than acknowledge them and get help.  Suppressing these feelings, even if you can for a while, doesn't make them go away.  They're still there to be triggered in ways that you might not expect or want.  They can also develop into physical problems, like migraines, irritable bowel syndrome, body aches and other physical manifestations.

Overcoming Emotional Trauma and Developing Resilience: Getting Help in Therapy

I've worked with many clients over the years who have experienced trauma, including PTSD (posttraumatic stress disorder).  My experience has been that talk therapy can be helpful, but Somatic Experience, hypnotherapy and EMDR are more effective in overcoming trauma and developing a greater sense of resilience.

There's no magic bullet when it comes to working through trauma, but these treatment modalities take into account the connection between the mind and the body, not just the mind.  I have nothing against psychodynamic psychotherapy.  In fact, my original training is in psychoanalysis and psychodynamic itreatment.  I also use cognitive behavioral therapy for some clients.  But when it comes to trauma, I find the mind-body oriented psychotherapies to be most effective.

If you think you might have PTSD or trauma symptoms, you owe it to yourself to get help.  I will provide websites below so you can find licensed mental health professionals to help you.  My personal recommendation is that you find someone who has a mental health license.  There are many people who do hypnosis and Somatic Experiencing who are not clinicians.  

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  I work with individual adults and couples.  I've helped many clients to overcome trauma.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Resources:

Somatic Experiencing:  Somatic Experiencing Treatment

Clinical Hypnosis:  American Society of Clinical Hypnosis

EMDR:  EMDR Treatment