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I feel guilty for having flashbacks and panic attacks like I should be over it by now. I'll encounter a reminder that leads to an episode but I keep believing I'm responsible for letting it become a full panic attack. I minimize my experience and belittle myself for reacting when I'm supposed to be fine. I've gotten negative feedback from sharing my sexual assault and that insinuates I responded wrongly and am healing sub-par. How can I have grace towards myself? Can you help me identify the thought patterns as to why I might put all responsibility on me? Why do I resist letting it hurt?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Thank you for trusting us with these challenging feelings. What you're experiencing is incredibly common for survivors of sexual assault. The guilt, self-blame, and pressure to "be over it by now" are not signs of healing improperly—they're actually typical trauma responses. Your brain and body are working through a profound violation, and there is no timeline for when this process should be complete.

The flashbacks and panic attacks you describe are your body's natural response to trauma. They aren't happening because you're doing something wrong or because you're not strong enough. These responses occur because your nervous system is trying to protect you from perceived threats based on past experiences. When you encounter a reminder (what therapists call a "trigger"), your body's alarm system activates before your rational mind can intervene.

Many survivors develop these self-critical thought patterns for several reasons. First, we live in a society that often expects people to "move on" quickly from difficult experiences. Second, blaming ourselves can create an illusion of control—if it was somehow your fault, then theoretically you could prevent it from happening again. Third, minimizing the impact of trauma can be a protective mechanism when the full weight of the experience feels too overwhelming to process.

The negative feedback you received when sharing your experience reflects the other person's limitations, not yours. Many people are uncomfortable with trauma discussions and respond poorly out of their own discomfort, fear, or lack of understanding. I am sorry you had to go through that.

Healing from trauma is not a linear process. You might have good days followed by difficult ones, and that's completely normal. The self-blame you're experiencing often stems from a desire to regain control in a situation where you felt powerless. By holding yourself responsible for your reactions, it might seem like you have some control, but this pattern can ultimately add to your suffering which you do not deserve.

To cultivate self-compassion, try speaking to yourself as you would to a dear friend who shared the same experience. Would you tell them they should "be over it"? Would you blame them for having panic attacks? Practicing this perspective shift can help interrupt self-critical patterns. Consider engaging in gentle activities that bring you comfort—journaling, spending time in nature, or something that makes you feel creative and free can all be ways to practice self-care.

Resisting pain is a normal self-protective response, but gently allowing yourself to process emotions when you're in a safe environment with appropriate support can ultimately lead to more integration and healing. Remember that seeking support is a sign of strength, not weakness, and you deserve compassion every step of the way. Your healing journey belongs to you alone, and there is no "right way" to navigate it. Thank you so much for trusting us with this. You are not alone.

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

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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).

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Ask yourself the following questions and answer them out loud:

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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.

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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.

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