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concerned about intensified symptoms after starting trauma therapy

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brokenpony

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ever since i started doing trauma work in therapy i have been panicked almost constantly, always in flight response. i had constant anxiety and dread before this, both of which caused me many problems, but it's not even close to that anymore. now it's intense and relentless dread that i can't even attribute to any specific worry. it's as if i just carry dread in my body, as if it is part of me.

recently it has gotten very bad. i often startle at sounds, but any sound at all from my neighbors upstairs or in the stairwell of my building has been causing a spike in panic symptoms; even though i am not startled by them, i am agitated by them and this makes everything worse. i have slept only about 4-5 hours a night for about the past three months so that might be part of it. part of the reason for this is that late at night (like right now) i get what i can only describe as an adrenaline rush and am especially sensitive/hypervigilant.

but i am wondering if someone can explain these sensations i have been having, which i am attributing to adrenaline from the anxiety, but are somewhat disturbing me. i feel like i am at the onset of a hallucinatory stimulant. if you have taken LSD it feels a little like the onset of that, when it starts to work but before you really start tripping. or maybe if you have taken adderall or sudafed. some sensations:

--i have pronounced hand tremors and i feel a trembling throughout my whole body, like electricity (all day today)
--ears ringing (a few times today)
--everything looks strange around me, a little too vivid maybe, as if i have gone up a glasses prescription
--i feel like tiny mites are crawling on my skin (most of today)
--i see things out of the corner of my eye (not all the time but it has happened today and yesterday)
--if i am trying to sleep in this condition i sometimes hear very faint voices or something like that, but when i concentrate to see if it is someone outside or a neighbor's tv, i do not hear anything
--if i am trying to sleep in this condition i might see very random strange and sometimes terrifying images when i close my eyes
--at times i feel like something is in my mouth or have other phantom sensations
--a strange (constant, all day) feeling in my throat that is a bit like someone is pressing on it slightly, as if my gag reflex is just about to be triggered but is not. sometimes that feeling grows more pronounced and moves up into the mouth and i feel like i either might vomit or cry, i can't tell which. it's like that feeling you get in your face the second before either crying or vomiting happens. (but no nausea, just that.)

i cannot quite describe the feeling in my throat because it is not feeling like a closing/choking sensation or a "lump." i know the lump in the throat is common with anxiety but it is almost the opposite feeling. it feels like my throat is actually clearer than normal, which is kind of like the feeling you get on a stimulant, which is why i mentioned it. it's like a slight scratching or pressing--and then the feeling like something is swelling and rising at the bottom of it and wants to come up but can't.

sometimes if i can't sleep i take half a klonopin to ensure that i at least make it 5 hours. but none of the mindfulness or grounding stuff i have learned so far helps me when i am in this state. i am just pushing through this and trying my best to keep my feet on the ground but any insight into these specific sensations and/or tips are welcome.
 
Hello brokenpony. I am very sorry to hear that you are suffering like this. From my own experience i would say that sleep deprivation can cause many of the symptoms you are dealing with and that should be addressed asap. It's not helpful for you to be having therapy when these issues are there. I would advise telling your therapist and docter. Taking a mood stabilizer like olanzapine at night might help with sleep and generally keep you more at ease. It's not easy i know but I hope this might be of some help. Good luck.
 
Hello brokenpony. I am very sorry to hear that you are suffering like this. From my own experience i would say that sleep deprivation can cause many of the symptoms you are dealing with and that should be addressed asap. It's not helpful for you to be having therapy when these issues are there. I would advise telling your therapist and docter. Taking a mood stabilizer like olanzapine at night might help with sleep and generally keep you more at ease. It's not easy i know but I hope this might be of some help. Good luck.

thank you, yes i was wondering if it could be sleep related. the thing is i am sleeping, it's not severe insomnia, but i am wondering if it has just added up over a period and i have sleep debt. i rarely get over 6 hours because at night i suddenly feel so wired and awake. it's 3am again and i need to take a klonopin but i will ask about the mood stabilizer because part of the issue is i don't want to be taking klonopin every night.
 
starting to "disclose" or "talk" about the events for me, which most of them sexual or violent or both, would cause me to have these types of what I call "flashblacks" The throat thing for me was sexual in nature (thus the gagging), but I was also strangled repeatedly, the hearing the voices was auditory memories of me being locked in a room and hearing voices down the hall or in other rooms, the electricity was a type of dissociation, the more intense vision was a hypervigilance and need for keen observation also a type of memory -- so I don't know your events-but I experienced that a lot through various points of trauma therapy and always around disclosing and being unable to disclose and some of the stuff "repressed" and presenting itself because other things were talked about. This stuff usually happened during therapy when I found it impossible to disclose and did not trust the therapist to understand me and I didn't even understand myself anyway.
Were you victimized while tripping? Maybe that's why you have the mites crawling all over you sensation. the tremor may be totally unrelated. and all of your symptoms may be unrelated. But I had some pretty similar sensations as this - they were body memories and auditory memories and even the hyper awareness was a type of memory as I had to be keenly observing people behaviors and demeanors because shit could happen in a split second and you never knew when it would happen or even why. Sometimes for me when disclosing I would dissociate because I dissociated when the events happened, I would feel suicidal because those were memories of what I was feeling after the traumatic events. So, I had to get to a place where I could discern my "today" sensations and feelings and my "back there" sensations and feelings.
 
starting to "disclose" or "talk" about the events for me, which most of them sexual or violent or both, would cause me to have these types of what I call "flashblacks" The throat thing for me was sexual in nature (thus the gagging), but I was also strangled repeatedly, the hearing the voices was auditory memories of me being locked in a room and hearing voices down the hall or in other rooms, the electricity was a type of dissociation, the more intense vision was a hypervigilance and need for keen observation also a type of memory -- so I don't know your events-but I experienced that a lot through various points of trauma therapy and always around disclosing and being unable to disclose and some of the stuff "repressed" and presenting itself because other things were talked about. This stuff usually happened during therapy when I found it impossible to disclose and did not trust the therapist to understand me and I didn't even understand myself anyway.
Were you victimized while tripping? Maybe that's why you have the mites crawling all over you sensation. the tremor may be totally unrelated. and all of your symptoms may be unrelated. But I had some pretty similar sensations as this - they were body memories and auditory memories and even the hyper awareness was a type of memory as I had to be keenly observing people behaviors and demeanors because shit could happen in a split second and you never knew when it would happen or even why. Sometimes for me when disclosing I would dissociate because I dissociated when the events happened, I would feel suicidal because those were memories of what I was feeling after the traumatic events. So, I had to get to a place where I could discern my "today" sensations and feelings and my "back there" sensations and feelings.

thank you. it is interesting how so much of our sensations are similar. yes much of my trauma history is sexual. sometimes the phantom sensation is sexual in nature (once i felt i was as if i was performing oral sex, or my vaginal area suddenly hurt and felt weird) but i wasn't thinking about that as flashback because it wasn't so intense that i felt i was reliving the experience. so the throat thing maybe it does have something to do with that kind of gagging. i feel absolutely insane and i am nervous to tell anyone about it.

i wasn't victimized while tripping, to my knowledge (acid kinda screws with your head so i guess it's possible, also i haven't taken acid in probably 15 yrs), but if i weren't aware of my mental health issues i would honestly think i was having an "acid flashback" those nights the adrenaline surge is so intense. the world seeming suddenly more vivid + the extra clear nasal passages is definitely like the onset of acid.

how did you come to interpret your sensations (like the electricity as dissociation) the way you did? did your therapist guide you or did you come to it on your own?
 
how did you come to interpret your sensations (like the electricity as dissociation) the way you did? did your therapist guide you or did you come to it on your own?
A combination of both. A long, long time ago I told a therapist about hearing the voices and sometimes I'd actually hear my name spoken. He was the one who said it was probably an auditory memory. From there just being self-aware and learning about what hyper vigilance is, why I have it, what it 's doing; and learning what dissociation is and why I do it automatically and working at "self awareness" and connecting dots backwards. I have amenesia for some traumas so so some of it just like "sensations" but I know they are memories back there. There's a chapter in VandeKolk's book BKS and he describes it really well there.
 
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Hi brokenpony
It was hard to read your post tonight. I went to complete psychosis in my first few sessions of therapy. I had many similar sensations especially about the ears and the eyes...not so much throat or sexual sensations. I am an abused child as well in all areas.

I wish I could tell you what to do but we are all different. For me, my voice changed the first in therapy. I had sort of panicky voice and I recognized that right away...it was like why am I yelling?
I think you are stirring something and your body is feeling same thing as what you probably disconnect and dissociated from for a good reason.

Please share them with your therapist so you can really talk about them and release some of them. I do not think it is sleep related (my opinion). I think you are re-experiencing your trauma in more conscious way and I think this is good because now you can release them from your body and be somatically free.

I want to send you hugs and love. This is extremely difficult thing, I had high frustrations for over a year until things came to uproar and drove me to SANITY. I hold things down cause I thought the eruption would be INSANITY thinking I am still in the battle for my life. my fear was I would go mad if I keep feeling this much anxiety but that was just fear. I am here safe and secure no more there where I was abused as a child.

finally all erupted and I am here still feeling a bit better.
I will make few recommendations that worked for me....try them if you are interested.

No alcohol.
go to bed early - super early to overcompensate (if you can of course)
write a journal and keep track of any patterns
write your dreams - to me a lot of great messages came to me...and they get easier as you start to focus on them
hang out only those that bring the best and calm side of you (skip high strung friends or family if you can)


wishing you find relief. when I look back I felt like I was going to have mental breakdown but that fear was a residue of what put me into dissociation in the first place.

You are not there anymore. You are here with us today.
 
Hi brokenpony

wishing you find relief. when I look back I felt like I was going to have mental breakdown but that fear was a residue of what put me into dissociation in the first place.

You are not there anymore. You are here with us today.

I just want to say that I had similar experience to @grit and the suggestions also worked well for me. @grit described that so well.

thanks to you both. i took a propanalol tonight because i had to teach a class and couldn't do so in this state and it helped with symptoms. i do have an appointment with a psychiatrist, but it is in about a month because he is so busy. i told my subsitute therapist and she seems confused by these symptoms and why i get this adrenaline rush at night, which makes me feel even more crazy, so it is helpful to hear that you have experienced them and no longer do.
 
A confused therapist is like a child mining the store! why is she/he confused? what do they think trauma feels like when it is awaken consciously? I find this hilarious all these therapists doing therapy and none of them ever had their own trauma to recover from...it is just fascinating.

Your whole life should go up in flames if you are waking up from dissociation or dealing with buried trauma...YOUR WHOLE BODY SHOULD FEEL BURNING AND OUT OF CONTROL at some point when you start therapy to deal with issues you ran away or defended psychologically by disappearing, dissociating and completely disconnecting. I do not even need to explain this to a toddler!

Sorry ranting here but what you are experiencing is actually a progress. You are not dead and you have feelings and you are ready to sniff them out and see for what they are. Do not let this newbie confuse you like her and stay on track.

This is the phase most of us run back to the cocoon because it is just too damn painful and hard to focus and all therapists are thinking of is gosh! I have to work harder now for this person....not HOPING this person only needs them today and not tomorrow.

Stay strong. Trust me you survived much worse and you have built in mechanism to live through it differently to let it go out out your body. This is the aftermath not the epicenter of the trauma....that was when it actually happened. No enough memories will ever feel like the first time! I have been there and done that and wished I had a therapist who experienced it so she could tell me...you will not die at least not remembering that trauma somatically or psychologically....

stay strong.
 
Again, I agree so much with @grit .-- let me also say that I had a therapist with very, very excellent credentials and degrees PHd from highly respected universitites. And yet, I also was made to feel crazy by this "textbook" style professional. It is very frustrating when I read about others similar stories with the wrong therapist. You are facing very difficult things. What you are going through is actually "natural" in the truest since of the word. Hang in there. There is freedom in your future, but for now I know from experience it feels awful. Learn to stop and enjoy the moments of peace and joy that you will experience here and there, too.
 
thanks she seems confused by these symptoms and why i get this adrenaline rush at night,.
Just wanted to add the adrenaline rush at night doesn't seem confusing to me at all. There are many reasons my body wants to stay away through the night and the reasons are on many different levels. I've look at each them, they all go back to the traumas. Adrenaline rush at night isn't uncommon.

However, I think it is always best to talk to your psychiatrist to see if any of these symptoms may be related to meds side effects, or something else all together. Best Wishes.
 
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