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Relentless Flashbacks In Therapy

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Burnt-toast

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Hey guys,

I'm relatively new here so I apologise if this has been covered in other threads! I won't delve into too much detail, because I'm not wanting to write a novel here, but I'm after a little bit of advice...

I suffer with relentless full-blown freak-out flashbacks in therapy that seem to go from 0-100 in a matter of seconds, and they're just feeling more increasingly difficult to control. I would get an A+ for effort and dedication to my trauma work, because I just so desperately want to get it over and done with; but I find these flashbacks take up 3/4 of my sessions at times (I have quite lengthy (2+ hour long) appointments), and seem to be triggered by even the smallest things. I have this desperate need to be able to verbalise my story because I've never been allowed or had the opportunity to do that, but it feels like these flashbacks just hijack the sessions and make it impossible to do that or get any decent amount of work done outside of the emails that we send.

The trouble is this... I have tried just about every medication under the sun to control my PTSD with no success. I found that high dosage beta blockers worked wonders, however had to go off them due to a heart condition. I struggle with, and more often than not become triggered by relaxation and breathing exercises, because the nature of my trauma had me fixated on my breath and ensuring that I stayed conscious and alive (It was incredibly violent, and I was suffocated and choked unconscious countless times over a 12 hour period, and given drugs that slowed me down so much that I had to make a conscious effort to remind myself to breathe enough); it became a survival method not to let my guard down or relax at any cost... the word "relax" itself is a trigger because he repeated it over and over again. I had come to terms with the fact that I was going to die that night, but I still can't seem to shake those triggers, which is making it difficult to find grounding techniques that work when I need them the most!

Does anyone else seem to find that just about everything becomes a trigger once in flashback mode? I've tried all of the sensory things (hot packs, ice, smells, strong tastes etc) but they often heighten the flashback. The only thing I've found useful to date (which we do every session) is throwing a teddy bear back and forth to each other across the room, particularly during tough conversations (we're trying our hand at bilateral stimulation). The issue is that the flashbacks hit me so hard and fast, that even that doesn't seem to be enough at times, and once I'm in full-flashback mode I am unable to speak or move my body other than to respond to body memories and fight him off me, so throwing that bear, or stamping my feet, or getting up out of the chair are impossible tasks.

To come out of these flashbacks, I have to hold onto my therapists hands to feel even slightly grounded, and it is such an active fight to stay in the present moment. I can usually see around the room.. logically I know where I am etc, however they are such overwhelming emotional and physical flashbacks (incredibly painful and indescribably terrifying) that knowing that doesn't seem to make a difference. I feel him on me.. all over me and it doesn't matter how much I know that he's not there, I can't help but respond and it still feels like he's going to kill me at any second. Sometimes she integrates tapping, which seems to bring me back a little faster, but it just feels like there has to be an easier way, or some miracle method that works so I'm not wasting so much of my valuable sessions reliving this horrible nightmare.

All of this may sound completely nonsensical and crazy, but I would love to know what has worked for you if anyone else has faced this battle!

Super Kind regards,

BT x
 
Yup. Right here.
What we've done is back up and started getting me comfortable just being in session. (I tend to stress at being on the room because it came to represent stress) what if you guys divvied up the hard stuff with easy days?
Another thing we do is end EARLY if I start having real issues with flashbacks. So instead of trying to press through to do a full hour we cut it short at 45 if that's what we have to do.
You shouldn't have to walk into ever session knowing that you will be completely trashed afterwords.
 
Thanks for the reply desiderata310!

I think the room for me too represents stress, so we have tried walk and talk therapy which was helpful in reducing the intensity of those flashbacks, but I just don't feel as comfortable disclosing as much in that environment and I tend to get too distracted because we walk along a beautiful gorge overlooking some amazing waterfalls! We are currently looking at the option of using another therapists room, but there's limitations to that because I tend to get noisy during my flashbacks (hyperventilating and crying) and so the room has to be suitable so that other clients can't hear me! (How embarrassing!!!)

This is going to sound completely crazy, but I actually have this sense of relief post those really nasty flashbacks. I have so many repressed memories and gaps that I needed to fill, that often even though they are incredibly traumatising in the moment, they feel somewhat functional which makes them easier to deal with afterwards. Post flashbacks when I'm incredibly numb, also tends to be when my T and I are able to have our most difficult conversations. I think I have some pretty major trust issues (particularly around being believed), so these flashbacks feel as though they reinforce that trust between her and I. Perhaps its an unhealthy relationship to have with my flashbacks, but I guess I've come to the realisation now, that being able to verbalise my story currently feels more important than remembering all of those details.

I am not prepared to take a break from this work (I'm such a stubborn bugger), because it just feels like one step forward and two steps back, and I guess I've reached a point in my journey where this intensive therapy work feels like my last real shot of ever being free of this and living a normal life. I am desperate, and these flashbacks once felt functional, but now they're getting in the way of it all.

I guess I just want my cake and to eat it too... I want to be able to just tell my entire story- purge myself of all of the horror in the hope that it will somehow fix everything, but I am frustrated because my flashbacks don't allow me to do that! I want a quick fix... I guess I signed up for the wrong program! ha. I am probably my own worst enemy!
 
If things start getting too intense, my therapist backs things up. she keeps saying that this is not a race and trying to force through things ends up slowing down the healing process anyway. So, if we spend a session talking about the weather, it's ok.

we also use a theratapper in session. It's that bilateral stimulation you mentioned. It has a little device that I hold in each hand that vibrates. It alternates, hand to hand. I can set the speed, strength and length of the vibrations. I think it's bizarre it works, but it helps a ton.
 
If things start getting too intense, my therapist backs things up. she keeps saying that this is not a r...

Oh, my therapist mentioned borrowing these from her colleague in the coming weeks! She calls them "egg tappers" or something ridiculous. We started working on EMDR, but the flashbacks were so much more intense that I was often outside the therapeutic window, and so we've backed off on that but have continued with some occasional tapping- it's incredibly mind blowing stuff!
 
And my therapist has encouraged me to use the tappers even when we aren't doing super deep trauma work. she feels like it can benefit .... sort of normalizing the brain. I wish I could remember what she said
 
it just feels like there has to be an easier way, or some miracle method that works so I'm not wasting so much of my valuable sessions reliving this horrible nightmare.

The good news is that it does get easier. The painful news is that there isn't a magic method - it gets easier the same way that pushups get easier. If you do it (find your way out of a flashback) enough times, the relevant muscles get stronger.

I wish there was a miracle trick that meant I didn't have to practice.
 
Hey guys,

I'm relatively new here so I apologise if this has been covered in other threads! I won'...

So wish l could take all your memories away and leave peaceful thoughts in it's place. So glad you are alive, you are telling your story, and reminding me to do my best to keep moving forward. You are a hero, though you don't know it. You are brave, but you don't feel that. You are super ,super strong,even though you can't see that. So proud that you will move forward and not let this stand in front of you.
 
Boy this sounds very intense. You are so brave, i also have a strong fear response with the therapy room. I don't want to waste sessions talking about nothing because I feel an urgency to tell my story, but things have gotten hard enough that we have to change the association with that room or else I can't walk back in there. I don't advise it but when I was having flashbacks I got an RX for Xanax because I couldn't get my heart rate down or eat or sleep at all. Takes me 5 days of Xanax to recover from even a tenth of what you describe.

I have a similar experience with breathing. My therapist tried to control my breathing in session and I've felt like I was suffocating ever since. Part of my trauma is from severe strangulation from a man in control of me so having my therapist try and control my dissociation by controlling my breathing was not helpful.

I think it's important to note that you don't have to be talking to tell your story. Your therapist is learning so much about your harrowing experience by going through these flashbacks with you. Your body is talking for you.
 
it feels like these flashbacks just hijack the sessions and make it impossible to do that or get any decent amount of work done outside of the emails that we send.

It could be the flashbacks come hard during therapy sessions because that's where you feel safe enough to experience them. This is not a negative. What better place to have flashbacks?

just feels like one step forward and two steps back,

Therapy often feels this way. It doesn't mean you aren't progressing.

I want to be able to just tell my entire story- purge myself of all of the horror in the hope that it will somehow fix everything, but I am frustrated because my flashbacks don't allow me to do that!

Well, in a sense, your flashbacks are allowing you to do just that!

When you experience a flashback in-session, you are drawing your therapist directly into the story; watching you experience a flashback is as close as she will ever get to witnessing what happened.

I'd say, as uncomfortable as it is, you're doing good work.
 
Thanks for all of the kind words and support. I've been working nightshifts so I apologise for the late response! My therapist has definitely seen her fair share of my flashbacks by now, and I have always had a sense of relief after those flashbacks.. I guess it makes sense now- it is a way of sharing that story, even if they are incredibly horrific!

Xanax and I don't mix well... I have tried that method, along with many others and it tends to heighten those flashbacks because it is too much of a reminder of that drugged up feeling! I have a very similar response to sleeping tablets as well, and so really struggle with nighttimes also... my sleep fighting instincts are alive and kicking at the moment which I'm sure makes these tough days worse! i cope well with working nightshifts (I'm a registered nurse) because I sleep so much better throughout the day, but unfortunately my unit manager is one for sharing the load with nights, so I don't work them permanently.

I'm having a bit of a f**k PTSD day today. I've not had a therapy session in 3 weeks because my T has been away, and it always seems to bring up this anxiousness around not progressing and feeling stagnent in my trauma work. Onward and upward though right?!

Many thanks for all of the responses- they're a great reminder that I'm not doing this alone!

Kind regards,
BT x
 
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