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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thank you so much for trusting us with this question. Everything you're feeling right now makes complete sense given what you've survived and what you're facing.
It sounds like for so long, your mind may have protected you by keeping traumatic experiences separated and manageable, allowing you to function day-to-day. Now, as you approach this therapeutic relationship, your body might be recognizing that you could finally be safe enough to feel the full weight of what you've carried. Your nervous system therefore is shifting from protective numbness into a more activated state, which can feel like constant panic. This shift means your body is preparing to heal rather than just survive, even though it feels frightening.
When you saw everything written out on that intake form, your brain may have started putting fragmented pieces together for the first time. This could feel overwhelming because protective walls are breaking down, but it might also signal that you feel safe enough to begin real healing. It seems like your body has been the keeper of these experiences, and seeing them acknowledged feels like a flood of validation and terror all at once.
I urge you to meet your shame about hypersexuality with gentleness. When early experiences of connection become confused with harm, our developing mind creates sexual responses as ways to find connection, reclaim control, or manage overwhelming feelings. Your brain might have been rewiring itself to find safety and comfort in whatever ways were available. This reflects how creative your system was to survive, rather than anything wrong with who you are.
When your sister shared her experiences, it sounds like it may have shattered remaining illusions about your family while validating your own perceptions. This kind of revelation might make your body start feeling the full impact of stored trauma because you're no longer carrying it alone. The decline in your mental health could be your system finally having permission to feel what happened because the defense of "maybe I was the only one" has been removed.
Your fear about therapy making things harder sounds like it comes from real wisdom. What you're experiencing now - the constant panic, feeling out of control - might be signs that your trauma is already demanding attention. It could be that your nervous system can no longer keep everything contained the same way, which often happens when we feel safe enough to begin healing. As you process trauma, parts of your brain that were disconnected might begin talking to each other more, which could temporarily intensify symptoms while your system learns new ways of handling these experiences.
What's happening might not be you falling apart - it could be your system finally trusting that you don't have to hold everything together alone. You might be beginning the process of moving from surviving to healing, which could involve changing patterns in place for years. This might feel overwhelming, but it could reflect your body's wisdom in feeling ready for deeper work.
The anxiety you're experiencing is not irrational - it is your body responding appropriately to both past trauma and anticipating processing it in new ways. Learning breathing techniques and grounding exercises could help you feel more connected to your own strength during this process. You get to control the pace of your healing completely. Working with a good therapist might mean they'll help you develop ways to manage the intensity while respecting your body's wisdom about what feels safe. Having difficult days doesn't necessarily mean you're going backward - healing might not be a straight line.
You've survived incredible harm and shown remarkable strength. The fact that you're reaching toward healing while feeling scared speaks to your courage. Healing is possible with time and you are taking an important first step. Thank you for trusting us with this. You are not alone.
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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.