Archive for Trauma Therapy

Easy Guidelines for Choosing Your Therapist

This might be one of the most life-changing relationships you ever have. It’s important to choose the right person. But how do you know which therapist is right for you?

What is psychotherapy? It’s different from counseling. A counselor probably gives advice and guides you through an issue in your life.

A psychotherapist works on your psyche, the Greek word for “soul,” or “butterfly.” That is, you will be going deeper, into your unconscious mind. Read more

Introducing My New Facebook Confessions Page

Friends and colleagues, I’m working on a Facebook page so that we can meet and talk and help one another heal. It’s a place where you can meet and talk and ask me questions—I’ll respond regularly. I’ll also post updates for any events such as speaking engagements or book tour appearances. This is a page for victims, survivors, the friends, family members and supporters.

Please visit, comment and share the Confessions of a Trauma Therapsist Facebook Page.

It’s a work in progress, but the page is open to you right now. I look forward to hearing from you.

The Amygdala: your brain’s watchdog

I’m sure you’ve had the experience of stepping off the curb and almost being run over by a truck. But you weren’t! Before you knew it, you’d jumped back on the sidewalk. You were probably amazed that you reacted so fast.

You can thank your brain’s survival system, the fight or flight response. You didn’t have time to register that there was a truck threatening your life. There was no time for thinking. Your limbic system’s amygdala saved your life.

If you’re a trauma survivor, there may be times your amydgala embarrasses you – like when you are startled by someone coming up behind you, causing you to nearly jump out of your skin. When you were a child your amygdala fired and fired, with good reason. It’s as if the amygdala got worn out when you lived with intolerable and inescapable fear as a child.

In your present life, situations that remind the amygdala of the terrifying past–smells, sounds, visual flashes, anything that the brain’s watchdog perceives as threatening your safety–set off the alarm system in your brain.

Your amygdala doesn’t distinguish between your present safety as an adult and your vulnerable life as the child you once were. Trauma therapy and relaxation may lessen its vigilance, but since it’s neurological, you just have to learn to live with it.

It’s worth establishing a friendly relationship with the amygdala. After all, when you were suffering and frightened, it was working very hard to help you survive. Developing a hostile relationship with it will only make things worse.

Telling and "Dying"

The first time I disclosed my own history of child sexual abuse publicly, I was presenting a workshop on trauma to a conference of colleagues. This was early in the North American therapeutic community’s awareness of the brain’s role in trauma. The setting was a resort near Boston. The conference was the annual International Focusing Conference.

In my presentation I mentioned my own history of childhood trauma mainly as a point of interest, merely stating the fact without any of the details.

A number of my colleagues came up to me afterwards and offered their condolences and surprise that something like this had happened to me. I felt pleased with the knowledge I had brought to the conference and with my courage in presenting it.

I went upstairs to my room, intending to get ready for the evening’s socializing. That was as far as I got. I was hit by an inexplicable black hole of depression. Suddenly I felt horrible. Any liveliness I had felt earlier in the day was smothered in grey ashes.

There were several colleagues who would have been very willing to use their therapeutic skills to help me through this mysterious bog of despair. But I was too frozen to ask someone to help me.

It wasn’t until weeks later when I met with Dr. Ralph Bierman that he led me to realize I was living out my father’s threat – you tell, you die. I had told and now I was dying.

Our bodies seem loaded with persecutory triggers, ready to paralyze us with anxiety or depression when we tell our terrible secrets.

How our brains protect us

I’m in Germany where I have been teaching the participants at the annual International Focusing Conference how our brains protect us from whatever is too terrible to assimilate into consciousness.

I explained that normal memory, like the memory of being in my workshop, is an explicit memory. That is, it has details. They will remember much of what I said, who was there and so on.

On the other hand, implicit memory, as in traumatic memory, is carried in the body. It lacks a narrative and details.

A normal event is first registered by the thalamus of the brain, then goes to the amygdala and then to the hippocampus for storage. However, if the event is traumatic, the amygdala acts as a watchdog and doesn’t pass it on to the hippocampus for storage. That means that maybe there never was a whole memory. The memory might fragment into pieces that are visual or olfactory, but lack a context.

The mind doesn’t know about the terrible event, but the body does. Fear is the major emotion of trauma. Anxiety and depression result, even though the person cannot attach a reason for the disturbance.

Time does not heal traumatic memory. The feelings are in the present. It seems as if something terrible or threatening is happening in the present – or is about to happen. The task for psychotherapy or any type of healing is to put the past into the past. This means changing the way the brain experiences your existence.