From Survival to Healing: Insights into Our Brain and Body's Response
Trauma is a complex and often misunderstood phenomenon that affects countless individuals worldwide. Despite being a common experience, many of us struggle to comprehend why trauma can feel so present and persistent, failing to fade into the past like other memories. The key to unlocking this mystery lies within the intricate workings of our brains and bodies, which are engineered for survival above all else.
The Role of the Brain in Survival
Our brains are not designed to process horrific experiences through logical reasoning or deliberate planning. Instead, when faced with potential life threats, our survival instincts kick in automatically. This is because certain areas of our brain are specialized to help us navigate danger. According to renowned psychiatrist Bessel van der Kolk, these brain structures are part of the limbic system, which governs our emotional, sensory, and relational experiences, along with the nonverbal memories linked to traumatic events.
The limbic system includes key components such as the thalamus, which acts as a sensory information relay station; the hippocampus, specialized in memory processing; and the amygdala, often referred to as the brain's alarm system. These structures work in concert to detect and respond to imminent threats.
The Automatic Response to Threat
When our senses detect danger signals, this information is swiftly transmitted to the thalamus. Within nanoseconds, the thalamus collaborates with the amygdala and the prefrontal cortex to assess the threat level. The amygdala, in particular, plays a crucial role in stimulating the sympathetic nervous system, triggering an adrenaline-fueled stress response that primes our body for fight or flight. This response increases heart rate and respiration, channeling oxygen to our muscles and temporarily sidelining non-essential functions, including parts of the prefrontal cortex responsible for conscious decision-making.
The Cost of Survival Instincts
While these instinctive reactions are vital for immediate survival, they come at a significant cost. The heightened state of alertness and readiness can impair our ability to make conscious decisions and fully process the traumatic event. This can lead to automatic reactions such as crying for help, freezing in fear, or attempting to flee or fight.
Following a traumatic event, the hippocampus attempts to organize the nonverbal experience into a coherent memory. However, its functionality can be compromised under extreme stress, leading to fragmented or inadequate memory records. This disruption in memory processing can leave survivors with a sense of incompleteness and a lack of understanding of their own survival.
Chronic Trauma and Its Long-Term Effects
For individuals exposed to ongoing traumatic environments, such as child abuse, neglect, or domestic violence, the body's survival mechanisms can become overly sensitized. This chronic state of alertness can lead to perpetual physical reactivity, as if the danger were still present. Without a coherent narrative of the traumatic experiences, survivors might conclude that they are either in constant danger or fundamentally flawed.
The Evolutionary Basis of Triggers
Our ancestors, the cavemen and cavewomen, navigated a world fraught with dangers, from harsh climates and diseases to threats from predators. Their survival hinged on an acute sense of danger and an unyielding resilience in the face of adversity. The quick, protective reactions to potential threats, without the luxury of time to deliberate, were key to their survival. This instinctual ability to sense danger, rather than analyze it, has been passed down through generations.
Today, our brains and bodies remain primed to respond to cues of potential danger, a legacy of our evolutionary past. These cues, or triggers, can evoke profound physical and emotional responses, a process known as triggering. Triggers can be linked, sometimes tenuously, to past traumatic events, and they can reactivate the intense, nonverbal emotional and bodily memories associated with those traumas.
The Impact of Triggers on Trauma Survivors
For survivors of trauma, the world can feel like a minefield of triggers, each with the potential to reawaken past horrors. The lack of a coherent, chronological memory of traumatic events, coupled with the constant reactivation of these nonverbal memories, can lead individuals to act in ways that might exacerbate their situations. Understanding the brain's role in these reactions can be empowering for survivors, helping them make sense of their responses to triggers.
Reflecting on Symptoms as Survival Mechanisms
An essential step in healing from trauma involves reevaluating the symptoms associated with it, not as signs of weakness, but as adaptive responses that aided survival. This reflection encourages individuals to ask themselves how their symptomsβbe it shame, depression, disinterest, insomnia, substance use, or suicidal thoughtsβserved as survival mechanisms. Questions like "How did the shame help me survive?" or "How did not sleeping help?" prompt a reexamination of these responses in a new light.
Trauma impacts people in many ways that go beyond just bad memories affecting their day and night. It leaves behind a mix of signs and struggles that might not always look related to the trauma.
Feeling down, sad, or depressed
Getting easily upset or angry
Having trouble focusing
Feeling numb or disconnected
Trouble sleeping or too much sleep
Not enjoying things that used to be fun
Feeling overwhelmed by emotions
Feeling bad about oneself or worthless
Not remembering parts of the event
Having nightmares or flashbacks
Hypervigilance or not trusting people
Feeling very anxious or having panic attacks
Having ongoing/chronic pain or headaches
Using alcohol or drugs to cope
Dissociation, depersonalization, derealization (Feeling like you're not really here or real)
Problems with eating too much or too little
Acting in ways that can be harmful
Not seeing a future for oneself
Feeling hopeless
Losing track of who you are
For example, anxiety and panic attacks, while often viewed as debilitating, can also be understood from an evolutionary psychology perspective as part of the body's natural alarm system, designed to prepare and protect individuals from perceived threats. In the context of surviving trauma, these intense emotional responses can play several adaptive roles:
Heightened Alertness and Risk Assessment: Anxiety can heighten an individual's state of alertness, increasing sensitivity to potential threats in the environment. This heightened state of vigilance can be crucial for survival in dangerous situations, allowing individuals to detect and respond to new threats more quickly. This heightened alertness can also mean constant scanning of the environment for potential threats, which leads to a more cautious and calculated approach to potentially dangerous situations. This can help in making safer choices and avoiding unnecessary risks that could lead to further trauma.
Preparation for Action: Panic attacks often trigger a "fight or flight" response, where the body prepares for immediate action. This physiological response, characterized by increased heart rate, rapid breathing, and a surge of adrenaline, can provide the physical strength and speed necessary for either confronting a threat (fight) or escaping from danger (flight).
Avoidance of Future Trauma: Anxiety can lead to the avoidance of situations or stimuli that are associated with past trauma, which can be protective by preventing re-exposure to traumatic events. While this can limit an individual's activities and quality of life, from a purely survival standpoint, such avoidance can serve to minimize the risk of further harm.
Social Signaling: Visible signs of anxiety and panic can serve as non-verbal cues to others that an individual is in distress, potentially eliciting support, protection, or assistance from those around them. This social aspect of anxiety can be crucial in situations where collective action or support is needed for survival.
It's important for individuals to acknowledge that these symptoms, although challenging, were part of their body and brain's strategy to protect them. If an answer isn't immediately clear, one might consider how the absence of a particular symptom (e.g., depression, irritability) might have made their situation more difficult.
Moving Forward
The journey through understanding trauma, the role of triggers, and the reevaluation of symptoms as survival strategies offers a profound opportunity for healing and self-compassion. By understanding and acknowledging the deep-seated origins of our responses to trauma and reflecting on the adaptive nature of our symptoms, we can begin to forge a path toward recovery that honors our resilience and strength.
Journaling: Writing Your Discoveries
Writing down your insights about how each symptom helped you navigate your trauma can be a powerful step toward changing your relationship with these symptoms. This process allows for a compassionate understanding of oneself and one's survival strategies, fostering a pathway to healing.
Understanding the brain and body's response to trauma offers valuable insights into the enduring nature of traumatic memories. Recognizing the automatic and survival-oriented reactions of our limbic system can foster compassion and empathy towards ourselves and others who have experienced trauma. It highlights the importance of therapeutic approaches that address not only the mind but also the body, helping individuals to integrate and heal from their traumatic experiences.