Stuff triggers intense feelings. Sometimes the intense feelings are expressed outwardly, kill the trigger wand stuff like that. Sometimes the intense feelings are expressed inwardly, isolation and depression and avoidance and so on. Sometimes the intense feelings that turn inward find expression physically, in muscle tension that does strange and painful things to us. I started in a massage therapy program at the VA 10 years ago and, while the VA program has come and gone, I still get a full body massage every two weeks. It keeps the internal PTSD symptoms manageable for me.
Stuff triggers intense feelings. Stuff does not trigger behavior, although if we haven't yet learned to manage the intense feelings it feels like stuff triggers behavior. Extreme heat triggers intense feelings for me. I was way South in the Mekong Delta in Vietnam, and years later in the Saudi desert for Desert Storm.
Lots of things trigger intense feelings for me. I used to call people who did stuff that triggered me self-nominating targets (external expression of the intense feelings).
Learning to live better with PTSD is all about learning to manage our behavior in our current situation while stuff happening in our current situation is triggering intense feelings. The challenge is to behave appropriately in our current situation, in a way that gets our current needs met. So when the intense feelings say we can't do this, or we have to do that, we have to challenge them (the intense feelings). I can do this. I do not have to do that. I can behave in a way that is appropriate in my current situation even though I have these intense feelings going on in the background.
Over the years passing sets of intense feelings have become like old friends. Stuff triggers one old friend or another, the intense feelings flow, I let myself remember the reframed (through therapy) situation then refocus on behaving appropriately in my current situation. Old friends come and go all the time. Extreme heat is an old friend, but it is no longer appropriate to act on the feeling like I had to in the swamp or desert. I no longer need the self-imposed set of automatic behaviors and strict rules of behavior that got me through (successfully) the situation I had to survive then, even though it feels like I do at the moment.
Ted