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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Highly emotional & stressful experiences “trigger” a part of the brain called the amygdala. Usually, the amygdala is helpful and works to keep us safe from dangerous situations by activating a fear response.
After a traumatic experience, the amygdala can become overactive, causing fear responses even if you are not in any danger. Your reaction may be to fight, flee, or freeze, interfering with daily tasks and functioning, even if you’re in a completely safe situation.
Sometimes triggers are more obvious—like seeing violence on a tv show or hearing about it on the news. It makes sense why watching or hearing something traumatic would bring up memories or feelings from your own trauma.
Other times, triggers can feel more subtle or hard to anticipate. They can include just about anything--from hearing a song, to hugging someone, to smelling something, to the way a piece of fabric or clothing feels, or even just going to a doctor’s appointment.
While triggers can feel isolating & scary, especially when they happen in public or around other people, know that you are not alone. Over two-thirds of survivors of sexual assault report experiencing triggers.
Over time you can identify the situations that might trigger you. Anticipating these situations and learning relaxation strategies can make it easier to cope with them. While it feels good to avoid triggers in the short-term, it’s not always possible to predict all potential triggers.
Experiencing a trigger in a safe situation that does not pose danger & coping with it, can help your amygdala re-learn that these cues aren’t actually signs of real danger. This process can help decrease the intensity & frequency of triggers over time.
Many survivors of trauma or viσlence will notice an improvement in post-traumatic symptoms naturally over time. For others, these symptoms might not improve on their own & can interfere with their daily lives.
If you notice that your triggers are affecting you & not improving, you might consider reaching out to your social network for support or consider seeking professional help to navigate recovery. You know yourself best & what type of support sounds right to you.
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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.