3 mins

Overcoming trauma

Re-establishing the routine of daily life, after trauma

If you’ve been following the news lately, you’ll know that a group of teenage boys and their coach have been trapped in a partially flooded cave system in northern Thailand. While everyone involved in rescue efforts are doing their best to keep the spirits of those trapped as high as possible, it’s very likely that the boys and their coach will need to deal with the psychological impacts of trauma, for some time to come.

Survivors of such incidents can begin to experience trauma symptoms immediately, or months after the event – it all depends on how the individual in question processes their emotions and life experiences. Trauma sufferers commonly experience recurring images, scenes, nightmares, flashbacks or disruptive feelings. Or they experience distressing memories that remain ‘frozen’ within their neurobiological system.

When this happens, we recommend Eye Movement Desensitisation and Reprocessing (EMDR) to help the individual change the meaning associated with such events and integrate their emotions. Again, depending on how trauma symptoms evolve, we may combine EMDR with other therapies, for effective healing that lasts.

I seem to have the above symptoms, yet I didn’t go through such an event – could I be dealing with trauma?

Yes, it’s entirely possible to have trauma trapped within your nervous system from what one would call a ‘normal life’ – which means, you haven’t experienced anything major like a car accident, or been trapped in a cave as we’ve discussed above.

Trauma can build up due to constant stress over a long period of time. Say, for example, you’re caring for a loved one who is constantly on the brink of dying. This is a life situation where you have no time for yourself and your nervous system is in a constant state of high-alert, as you might need to call an ambulance at any moment.

Another example, is of a young person who is constantly on high-alert because their parents argue frequently, or perhaps their parent frequently takes out their emotions on them.

Constantly being on high-alert, in flight-or-flight mode or in a state of panic, is extremely costly to the nervous system. This kind of trauma, also known as complex Post Traumatic Stress Disorder (cPTSD), pushes your nervous system into a state where it’s permanently “on”. Such people frequently experience anxiety, panic, anger and hyperactivity. When your system can’t cope anymore and it switches “off”, you’ll then experience chronic fatigue, depression and lethargy. Some people simply do not know what the experience of self-regulation feels like, and so live their lives fluctuating between “on” and “off” states.

So how does a healthy nervous system behave?

Say, for example, you’re driving and you have to suddenly slam on the brakes. It’s quite likely your body will give you a burst of fight-or-flight energy to react quickly and keep your car safe. A healthy nervous system will recover naturally after a burst of fight-or-flight energy has been used. A healthy nervous system knows how to relax and forget about the event once you are safe. It self-regulates and operates comfortably somewhere between its “on” and “off” states.

We’ve helped countless people get through traumatic events, PTSD and complex PTSD, in addition to a wide range of associated conditions that are sometimes unearthed by the original trauma at hand. If you would like to discuss how you process trauma with a qualified professional, then please do contact us for a confidential chat.

Dr Elena Touroni

Dr Elena Touroni

11 July 2018

"Dr. Elena Touroni is a skilled and experienced Consultant Psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector."

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Marina Hilleary

Dr Marina Hilleary is a Clinical Psychologist working in the NHS and private practice. She completed her BSc in Psychology at the University of Exeter, graduating with first-class honours and was subsequently awarded an MSc in Mental Health Studies and a Doctorate in Clinical Psychology at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London.

Dr Hilleary has 9 years of clinical experience in various NHS mental health settings, her current position being on a Specialist Adolescent Team at a Community Child and Adolescent Mental Health Service (CAMHS). She has a specialist interest in working with children, young people and their families and has worked with young people presenting with a wide range of difficulties including depression, low self-esteem, anxiety (specific phobias, GAD, social anxiety, separation anxiety, panic and OCD), PTSD, behaviours that challenge and additional neurodevelopmental needs.

Dr Hilleary is experienced in carrying out comprehensive psychological assessments (including cognitive assessments) and recognises the importance of working towards a shared understanding of the presenting difficulties to enable a positive therapeutic outcome. She draws on a range of evidence-based psychological therapies and models, including Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT) and Mindfulness-Based approaches. In addition, Dr Hilleary utilises systemic family approaches when working with young people and their families.

Dr Hilleary adopts an integrative, compassionate and person-centred approach to engage young people, building their motivation to participate in decisions around their care plan and achieve their therapeutic goals. She works creatively with her clients and, where appropriate, alongside any of their important support systems.