Thanks so much for the reassurance and encouragement
@scout86 and
@Friday It still feels uncomfortable but I think I am feeling less self-critical about it.... I can now better see that writing the story in this way – where I end up being the abuser – doesn't make me an abuser or like him...but that, instead, it has allowed me to tap into my emotional experience of being on the receiving end of abuse. So, rather than it reflecting badly on me that I've written this, I suppose the exercise is helping me to process my own historical experiences on a more emotional level than I am generally able to do. And that must be a good thing. Even though it still feels yuck. Shame is still there but not as intense as the other day.
it’s a bit strange to me to think of *trying* to activate fight or flight instead of trying to find a healthy way to deal with it (since I can’t imagine either of those would be helpful in a situation with medical professionals either,
I think
@shimmerz and
@scout86 have addressed this well but I just wanted to add....it's not really that we are trying to trigger a fight/flight response...more just to get my brain used to having other options so that, if I find myself in a fight/flight/freeze provoking situation again, my brain is able to choose another option so that I don't 'just' freeze and potentially end up helpless/get harmed.
And, as
@scout86 says, these things are on a continuum. So, it's not like a fight response has to be literally punching someone in the face (which, I agreee, is not often going to be an appropriate or helpful response) For instance: a recent-ish, minor example with a medical professional (I say minor because it was by all accounts – but it so happened that it triggered the hell out of me and it took several days to regulate myself!) was with a dentist who was taking a mould of my teeth for a mouth guard to sleep in. As soon as I walked in, I was overwhelmed and highly anxious – the set up was not what I expected. It was in a hospital rather than my usual dentist practice and I wasn't just in a separate room, in the way I would expect to be with a dentist. It was a huge, huge open space with loads of adjoining cubicles, just separated by low screens. It was crowded, noisy, I could overhear other people's medical conversations so it didn't feel private, the chair I had to sit on meant that I had my back to the walkway where people were just walking past centimetres away from my head, everything felt very rushed and abrupt....the whole thing was horrible and didn't want to be there and was panicking.... I had a freeze response (lower end of the scale – I wasn't completely immobile, I wasn't dissociating) – voice got hijacked so I couldn't speak up...and I just allowed myself to be guided into my cubicle and sat in the chair while they started getting ready, putting a gown and goggles on me, preparing the materials etc. I was just sort of 'floating' there. So, I had a freeze.
Flight mode in that scenario would have only needed to be lower end of the continuum...just the decision to leave because I didn't want to be in that environment, I didn't feel safe, I found it frightening. No dramatic running for my life required. Just a realisation that I could choose to leave and that choice would be ok. But, I didn't...I sat in the chair and let them do what they needed to do to me.
Fight mode in this scenario, for me, would have been speaking up – asking if there was somewhere quieter we could go...seeing if I could make an appointment to come back another day and just see someone in a room 1:1. Asking if he could slow down a bit and explain what he was doing. After he'd done the mould and taken it all out my mouth, I could feel putty all around my mouth and over my lips. I reached for a tissue on the table to wipe it off. He saw me reaching and – being 'helpful' – said, 'Oh, don't worry – I'll do that for you' and I very quietly managed to half-protest but he just grabbed the tissue and started wiping my mouth. It felt HORRIBLE and led to more panic. He had no idea it was having such a negative effect, no idea I was so distressed by it. He was just doing his job and thinking he was providing great customer care, cleaning my mouth for me so that I didn't have to do it myself. It still distresses me to think about that! So fight mode there would have been finding my voice and being assertive, perhaps putting my arm up to block him: 'No thank you – I would prefer to do it myself.'
So, we're certainly not looking for me to start ninja kicking my way out of every day situations. Just trying to train my brain so that freeze isn't the only option it sees when I find myself in triggering situations. I guess that, ideally, yes....we all would like to get to a point where we don't get triggered anymore. But fight/flight/freeze is always there as a threat response, whether we have PTSD or whether we have done lots of work on managing our triggers or not – it's how all human – and animal – brains are wired for survival and to respond this way to threat.
My T is trying to get me to come up with a “rescue” visualization - something safe (like a memory, place or situation that makes me feel good) that isn’t associated with any sort of trauma I’ve experienced
I was in a group once (Sleep CBT) where the psychologist facilitating the session asked us to imagine a safe space so that then we could go on to do this particular guided mediation to help her sleep. Everyone else was saying that theirs was a beautiful beach or a sunny meadow full of flowers or a forest with a stream trickling through it with fish and birds and butterflies everywhere....all described in minute detail! I couldn't 'see' anything/anywhere – I find it difficult to see places I've actually been too! But I was able to 'sense' somewhere without seeing, so I did get something from it....though, where everyone else had beautiful, lush places in nature, the place I sensed was being in a cage in a basement/dungeon. Not quite so glamorous. And it was a bit of a conversation stopper when we were each invited to share where our safe space was!
I can’t prepare because it’s like how you wake up in a nightmare and it’s already happening
I think I know what you mean here....because, fight/flight/freeze/fawn responses are automatic....we don't actively pause to ponder the options and decide which one to go for. It just happens unconsciously. So, the idea of doing an exercise like this to open up other possibilities, when my brain will just automatically select the response anyway....I do feel a bit sceptical about it. Though, the way my T explains it, imagining different responses to my norm, creates new neural pathways...and the more I go over those visualisations and write those stories with different endings etc the more those new neural pathways will strengthen and embed....and the stronger we make them, the more possible/likely it is that my brain may choose one of those options as they are now more available and accessible rather than going to the only one that has always been available (freeze)
We'll see...!
There's nothing innately wrong with any of those responses. (Fight, flight, freeze, or fawn.) They are all designed to help you survive something
Yes, this is important to remember, I think.
I think I have always felt frustrated with myself and ashamed for my tendency to freeze and dissociate....why didn't I run, why didn't I say no, why didn't I shout out, why didn't I fight him off, why did I go mute and just lay there and let it all happen etc etc.
Last session, we were talking about fight and flight feeling more powerful/less helpless and about wanting to be able to access them as empowered responses. And then my T said 'And freeze is an empowered response too...' And then she said more about that but I can't remember what...because my mind was so blown by that line. That freeze is an empowered response too. It gets to protect the self/the psyche. Which is pretty awesome! So, perhaps I don't need to beat myself up so much about freezing and spacing out in the past...there's a thought...!