Practices

Practise this when you are calm and again when you are wound up. The second one is what makes it available in the moment you need it.

Skills learned in one state can be strangely hard to find in another, which is why people say they forgot to use it. Do the first round with someone…

A skill that lives in your own body and your own phone stays with you after the appointments stop. That is worth choosing for.

Plenty of what helps during treatment ends when the relationship does. This does not. People often say afterwards that the breathing thing was the…

Three minutes of slow breathing between one person and the next is not a break. It is part of the work.

Whoever you sit with next is reading your state before they hear a word of what you say, so arriving settled is a professional act rather than a…

A useful picture: the parts of your brain are sections of an orchestra. In dysregulation they are playing different tunes at different speeds. The aim is timing, not repair.

This is a kinder frame than damage, and a more accurate one. Nothing is broken or missing. What has gone is the coordination between parts that used…

Neurofeedback usually starts with an assessment, then a block of sessions, then a review, and it is mostly paid for privately. Ask about all of that before you begin.

It is a referral rather than something your therapist adds to a session, so you are taking on a second appointment, a second bill and a second…

Neurofeedback has its strongest support in attention difficulties, decent support in depression and anxiety, and for trauma it is promising rather than proven.

Reported gains include better sleep and attention, less irritability and fewer trauma symptoms. The honest caveats are cost, wide variation in how…

Calm is not automatically the goal, and arousal is not automatically the enemy. What you are after is a system that can move between them.

The older idea was simple: stress bad, relaxation good. It missed that the same slowing down which feels like peace when you are safe is shutdown…

Gut trouble during a hard stretch is not imaginary and it is not a character flaw. Your gut has its own branch of the nervous system, and it answers threat like the rest of you.

It senses chemical change, runs digestion and talks to your immune system, and it is wired into the same circuits that handle fear. So the churning,…

A stress response is built to finish. The rush comes up, you do something with it, and then it drains away and you are back to yourself.

The trouble is that the doing something rarely happens, because you cannot run or shout in the middle of a meeting. The aim is not to stop the surge.…

If you start shaking or trembling after a fright, or partway through a difficult conversation, that is usually your body finishing something rather than falling apart.

Animals do it visibly. A creature that has been hunted and got away will shake hard for a while and then walk off as though nothing happened. In…

Your stress system needs an all clear as much as it needs an alarm. What often breaks after trauma is the signal that says it is over.

Cortisol rises to get you moving, and a feedback loop is meant to notice you are safe and turn the tap off. When that loop is working badly, avoiding…

Unfinished defence tends to park somewhere specific: a jaw that will not unclench, arms that never got to push, legs that never ran.

Mobilising starts deep in the middle of you and travels out to the edges, first the eyes and jaw and voice, then the arms, then the legs. Stopped…

When the danger still feels like it is happening, that is not a mistake in your thinking. It is a sequence in your body that never got to finish.

This is why arguing with yourself does so little. You can know the date, know where you are, know it is long over, and still have a system reporting…

People carrying long term trauma often show low stress hormone levels rather than high ones. Flat and exhausted is a stress presentation too.

Researchers expected the opposite and found this repeatedly. It matches what people describe: not wired but wrung out, foggy, unable to get started.…

A day has a shape. Energy up in the morning, a real dip in the early afternoon, a second lift in the evening, then down into sleep.

That early afternoon dip is normal and not a sign that you are lazy. Knowing the ordinary pattern gives you something to compare your own against,…

Coming alive at night is a common pattern after trauma. Mornings are flat, the day is heavy, and something lifts around the time you are meant to be winding down.

It is easy to hear that as a lifestyle choice, and easier still to blame yourself for it. It is more accurately a shifted rhythm. Naming it that way…

Relaxation exercises make some people feel worse, and there is a reason for it. The branch that gives you rest when you are safe is the branch that gives you shutdown when you are not.

If your alertness is the thing holding you out of collapse, removing it can drop you into the collapse. That is not a failure to relax properly. If…

Roughly four fifths of the traffic on the vagus nerve is heading up from your body to your brain. Your brain is largely reading a report from your body.

That is the strongest argument for working with the body rather than only with thoughts. If the report says danger, telling yourself a better story…

The shutdown side of this system runs everything below your diaphragm. That is why going flat so often arrives with stomach trouble, bladder trouble and no appetite.

Those symptoms usually get treated as separate problems, or as nothing at all. Seeing them as part of one state can be a relief, and it makes the…

Sound sensitivity is not a fault in your hearing. Under threat the ear opens out towards high and low sounds, the range that carries warning, and that is the range which makes ordinary life feel loud.

Screeching, growling, humming, scraping: those are the frequencies that signal alarm in the animal world, and a system on guard widens to catch them.…