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Trauma Responses - Tonic Immobility

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I wonder if this relates the recent question I had about anxiety which I decided to call an "exhaustion attack"?

[DLMURL]https://www.ptsdforum.org/c/threads/exhaustion-attack.25131/[/DLMURL]
 
The sequence goes like this ....Freeze ...Listen for the danger ... Fight - Should I stay and fight ... Flight - Should I flee - Fright - Either too young, disabled or elderly and unable to use the first three survival responses, then the mind shuts the body down

Very good Znum. Yes, I would say that from what I am learning that this sounds somewhat correct. And, your comments reassures me of this:

I most definately have had frequent experience of tonic immobility though I've never been able to describe to any professional the experience and therefore have never held the language or terminology for what it is called.

So thank you!

Nope, never have I been able to describe my fear and stress responses using any words like Freeze, Flee, Fight, immobility, tonic, etc., etc. before to any professional and now I've learned that I have not done very well earlier here either in communicating my chronic horrific personal mirrored experiences and silenced cycle with such.

In Steven Taylor's book The Clinicians Guide to PTSD, there is a bit about it.

Split the bit and you get this:

"In humans and many other animals there are four distinct, biologically based fear responses, which often proceed in the following sequential pattern: (1) freezing, (2) fleeing, (3) fighting, and (4) tonic immobility (Bracha, Ralston, Matsukawa, Williams, & Bracha, 2004; Gray, 1988)." Source: Clinician's Guide to PTSD, Steven Taylor, Barbara Rothbaum

The sequence goes like this ....

From my experience and IMHO, I'd say there is additional order and continuation to things after tonic immobility and its very traumatic sequence.

Thereafter is where I mostly landed while commenting earlier. And, likely a disordered time and place related and yet after the fact.

Personally, I prefer the sequence freeze, flee, fight, piss oneself and then tonic immobility.

Having said this, I just realized that what I am acknowledging now in clinical words, plus my own experience here: freezing, and next attempting to and/or helplessly wishing to be able to flee and failing miserably, as well as the fighting and going down all the harder, ...all actually precede #4 tonic immobility.

Anyhow whatever clinical wording is selected for us survivors and Ptsd suffers with all its attempts at supreme clarity and frequency doesn't change a thing of my experience. I'll admit to cycling repetitively through freeze, flee, fight responses if I mustn't deny pissing myself when every hope and attempt fails and additional threats, danger and attacks continue and prevail and all in the same date and very same long, continuing length of time inevitably leading to a catatonic TI despair.

but it does not drop as in playing dead or playing possum. It does not faint or become limp.

When this happens I've passed through and beyond one stage of tonic immobility into a different stage of tonic immobility...

"If fleeing or fighting are not viable options, then tonic immobility occurs. The latter is a "play dead" response, which often occurs when entrapment is perceived or when there is direct physical contact with a predator (Moskowitz, 2004). Unlike the freeze response, tonic immobility is an involuntatry state of profound, reversible motor inhibition." Source: Clinician's Guide to PTSD, Steven Taylor, Barbara Rothbaum

...by then I've continued through additional sequences of events very much mirroring the quote mentioned just above and which includes severe motor inhibition for me.

Severe (yet still not special or as rare as we may sometimes like to think ourselves) is just as real, credible and worthy as are earlier, as well as, those yet unknown later points in stages of severity of things.

---

This next statement is IMHO is too entirely self-centered of me :D ...and for me, :D and not being voiced here out of much paranoia. :roflmao: @ myself...:D...;) (lol)- I am not a slow poke or loser at embracing Ptsd recovery, I have simply been rather unlucky and dealt a hand of trauma and neglect, Ptsd complex in nature starting in preschool and continuing while running simultaneous with (once-upon-a-time) longstanding, habitually minimized, dismissed and undiagnosed, concurrent illness's, and seemingly non-stop boulder-like obstacles. - Now that is a mouthful.
 
I've just become aware that this thread has a second page. Doh!

I have some excellent articles here about TI and the Fight, Flight Response but because I have not responded to 10 topics I am prevented from posting links ... Drats

What to do?
 
When I have flashbacks of the sexual abuse, I am just laying there, numbing emotionally and physically and I can't physically move. I think I just dissociate.

Victim Reactions During Rape/Sexual Assault: A Preliminary Study of The Immobility Response And Its Correlates:

[DLMURL]http://www.aic.gov.au/publications/previous20series/proceedings/127/~/media/publications/proceedings/20/galliano.pdf[/DLMURL]
 
For Meadowsweet - out of the document


Tonic immobility is an adaptive response when one does not perceive the possibility of escaping or of winning a fight. In effect, as predators tend to react basically to the movement of their prey, if the latter remain immobile instead of struggling or fighting, the probability of escaping increases because the predator often is distracted and temporarily releases its prey (Bracha, 2004; Marks, 1987; Moskowitz, 2004).

"An animal's first response to threat is to freeze. Picture a deer caught in the beam of a car's headlights. Flight is the second option. The deer bolts if the car moves too close. Fight is the third option. Even a deer will fight back if it's trapped. Fright (tonic immobility or "playing dead") is the last option, one that is observed only under conditions of imminent death or, in humans, extreme trauma, for example, rape. The four options are ordered hierarchiacally, so that freezing is the first optioin, flight the second, and so on." (Bracha et al., 2004)

Hope nobody minds me just adding this here alongside what Nicolette posted that precedes it for quick reference and understanding.
 
I suffer from Hypertonic Immobility caused by rape when I was aged 12. Judging by what I have
read in the r...

You seem to have a solid understanding of the condition and I'm wondering about some other examples I haven't seen addressed elsewhere...

I've heard it's especially rare for this to happen when someone else is in danger. I have a tendency to freeze when faced with unexpected emergency situations, or those that I have never experienced before. After knowing what to expect, having serious medical conditions in my family, I can manage the adrenaline surges and do what needs to be done...but the first collapse, the first seizure, the first loss of faculties, the first "what IS this and WHAT DO I DO?" and my body's answer is to freeze, I can't think, move, act - sometimes for seconds (10...15...30), sometimes minutes - similar to the last time I was in a car accident by myself...I was not hurt, but I distinctly remember people outside the window yelling at me for what seemed like forever if I was okay, could I get out, to please unlock the door...I just kept thinking I needed my phone, I needed to call the police, but where did it go? It WAS in the center console...(NOW it was on the floor in the back seat...) The ambulance arrived before I got the car unlocked...This could have been shock, but with no serious injuries besides being jostled by the impact and and ending up with sore muscles. ..I've reacted similarly since childhood, having people yelling at me to run for help after playground injuries of relative seriousness, both current and impending, and have been frozen in place...

I've heard of the phenomenon in both civilian and military life of freezing when being threatened by gunfire. . . Lack of experience in this situation leaves on unsure of where to flee to safety...are you going to run INTO the gunfire or away from it? Right or left? Stay down, or is that going to slow you down, whereas staying upright will make it easier to get away faster? The emphasis on the whole theory is that the response is autonomic; you don't have time to think, so your brain makes the decision for you, but it's still working off of the information available - some instinctual, much based on experience.

In my experience, the person & his/her experiences dictate the primary response with almost as much weight as the situation.
 
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I suffer from Hypertonic Immobility caused by rape when I was aged 12. Judging by what I have
read in the r...

I tend to agree. My experience of TI caused by trauma is a literal frozen state, as if you are playing a game and have to freeze mid movement ... except in this instance it is caused by extreme terror of impending death without any ability to escape. This is the last line of the bodies desperate attempt at survival. People who suffer from this often cannot move out of the frozen state themselves, and require physical intervention from another person to physically be able to move again.
 
I have what are likely really early body memories related to freeze response (not many other options for infants). Also, I froze and went numb during an assault. Then also during consensual encounters with a boyfriend (I don't bother with relationships at this point...maybe some day). During a painful Ob/gyn procedure I also went limp and my eyes must have spaced out or something (near shock or fainting?)...kudos to my doctor for catching it right away and she and the nurse pulled me back to Earth.

I have plenty of memories of hiding and having to freeze. Now when dissociative everything becomes kind of tuned out except my sense of hearing, which becomes more acute. And I suppose this all makes sense. That's more like the freeze of a baby bunny freezing to not be seen. They are still very hyper vigilant. The freeze of when the baby bunny gets picked up by a dog and looks dead...that's a deeper freeze (and more like what I described in first paragraph). I can't remember the link here, but there have been some good descriptions. In that kind of freeze the parasympathetic nervous system floods out the sympathetic nervous system....it prepares you for a painless death, if needed. In brain scans, there would not be much happening internally, which is roughly how I experience that.

For me the hiding-freezing (being "invisible" or not drawing attention to myself) is still very hypervigilant...though I'd appear checked out, there is a lot going on. Very different states and levels of dissociation.

Background for that stuff is physical abuse, terrorizing, and sexual assault (possibly earlier abuse I don't remember, based on my early behaviors). But early medical trauma is likely connected to the immobilization I feel when really sick (respiratory issues and stuff going whacky internally are triggers for me too).
 
I remember a while winter when all I wanted to do was lay down in my recliner. I still like to rest there for hours, not sleeping, just being still. It is like a drug to me too, it is very calming.

I also recall feeling this way when my abuser tried to choke me. I did not have any desire to flee, I just froze into a very still position and closed my eyes. I think he reacted in a positive way to this, as he let go of my neck then. I did not flee or anything. However, I do not recall what happened after he let me go. It is buried in my memory somewhere, but gone from my recollection!
 
I was able to escape from the car of a guy that drugged me and kidnapped me. I came to in the car and without thinking, I just played dead. Time moved slowly I had my right eye open and was able to stay very calm. When he stopped for a red light I bolted and then the adrenaline kicked in to help me run away.
Do you think that is a valid tonic immobility experience?
 
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