I'm feeling really anxious and unsettled after a night of heavy drinking and cannabis use, during which I have memory gaps. I realized I was intimate with someone I don't fully trust. How can I safely process this experience and these feelings?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Thank you so much for trusting us with this and I am so sorry this happened to you. What you're feeling right now makes complete sense, and it's important to honor that your nervous system is responding to something that feels confusing and distressing. Memory gaps are particularly disorienting because they leave you without a full picture of what happened, and that uncertainty on its own can be really difficult to sit with. You don't have to have all the answers about what occurred in order for your feelings to be valid.

When substances are involved and memory is fragmented, it's common to feel a complicated mix of emotions, sometimes all at once...sometimes in waves. It's worth knowing that substances like alcohol and cannabis can significantly impair the ability to make clear decisions and to give or understand consent, which means the context surrounding what happened matters deeply. You don't need to label or define the experience right now if you're not ready to. What you can do is allow yourself the space to feel what you're feeling without pressure to resolve it all immediately. You don't have to solve every question about that night in one moment.

Giving yourself some gentle time and space to process these emotions can be a meaningful first step, even if that just looks like finding a quiet, comfortable place to sit. Grounding yourself in the present can also help when anxiety feels overwhelming. Simple things like focusing on your breath or naming five things you can see or touch can help your nervous system settle enough so that you can process without feeling flooded. Journaling can be another valuable tool...not to analyze or reach conclusions, but simply to get the swirling thoughts and feelings out of your head and onto paper. You might also consider confiding in a trusted friend, letting them know you're experiencing anxiety and memory gaps and that you're worried about the dynamics of what happened. Just naming these concerns out loud often provides relief, because it reminds you that you are worthy of validation and support.

If you continue to feel distressed or suspect you were harmed, speaking with a trauma-informed therapist or advocate can give you a structured, non-judgmental space to untangle what happened at your own pace. It might feel scary to consider, but they understand how confusing these gaps can feel and can help you work through it without any pressure. The National Sexual Assault Hotline (1-800-656-4673) is available 24/7 and offers confidential, compassionate guidance. It can be a first step if you're not ready to talk to someone you know.

No matter what, please remember that you were deserving of safety throughout that night, and the way you are feeling now does not mean you did something wrong. Be as gentle with yourself as you would be with a dear friend walking a similar path...you deserve that same compassion. Thank you for trusting us with this.

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Grounding activity

Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:

5 – things you can see (you can look within the room and out of the window)

4 – things you can feel (what is in front of you that you can touch?)

3 – things you can hear

2 – things you can smell

1 – thing you like about yourself.

Take a deep breath to end.

From where you are sitting, look around for things that have a texture or are nice or interesting to look at.

Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).

Take a deep breath to end.

Ask yourself the following questions and answer them out loud:

1. Where am I?

2. What day of the week is today?

3. What is today’s date?

4. What is the current month?

5. What is the current year?

6. How old am I?

7. What season is it?

Take a deep breath to end.

Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.

Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.

Take a deep breath to end.

Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.

Take a deep breath to end.