Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
Protective denial guards your client from its opposite- intrusions. Intrusions take the form of...
Intrusions As Flashbacks
Remind your client that flashbacks are a normal reaction to what has happened to them, but flashbacks are also frightening because there is a fear they might, in a sense, become caught in them. Encourage them to remember that flashbacks pass. If your client is having flashbacks, it may be helpful to know that they do end, just as the traumatic event ended. Your client will not stay in the flashbacks for long. If flashbacks persist over time, advise him or her to seek help from a trauma counselor. There are techniques available to help control flashbacks. Take advantage of professional help.
Actress Kelly McGillis commented during our interview about the way a memory can just overwhelm someone: “I haven’t thought about [the rape] in a while. It was a whole lifetime ago. it’s funny though, I will tell you something that’s very strange. I’m doing this play years later, and [the main character] threatens my character and one night, in the middle of the performance, it struck some kind of visceral memory where I just started crying; I couldn’t stop. For the first time in my life I ralized that any traumatic experience we go through is somehow kept and stored, and for some reason that one time or one word triggers a whole chain of emotional responses not felt for years. Right when it happened, I knew what was happening. It was like being on an out-of-control train. You can’t stop it.”
Intrusions As Overwhelming Feelings
These and other feelings may accompany a memory of the event, or they may be experienced, but remain isolated from the memory. In this circumstance, it may seem they come out of nowhere. With some scrutiny, your client will probably discover that something triggered them. That something will always be connected to the trauma. It may be something obvious or something remote, but it will always be linked. For example, if your client was assaulted by someone, the feelings might be triggered by seeing someone who looked similar to the person who hurt you.
Knowing the feelings are linked makes them more manageable. In recognizing the link, your client can let him or herself know that the intrusion was triggered by something tied to the past and had nothing to do with the present. This way he or she can begin to differentiate past from present, which begins to make the present safe.
Intrusions As Confusions
Intrusions as confusions are disorienting. Your client may suddenly feel they don’t know where they are and that they don’t know what period of time you are in. This can be alarming because it makes them feel as if you are not in charge of themselves.
Once again, confusions are to be expected and are not unusual. It is one of the ways your client’s unconscious is attempting to deal with what happened.
Intrusions As Dreams
Shawnee had terrifying nightmares where she was chased by “guys with guns” They were nightmares that intruded violently into her sleep, as the two men had intruded violently into her life.
Dream images often are just as vivid and repetitive as daytime flashbacks and memories, and they usually include intense feelings. If these types of dreams are occurring, your client may also be experiencing: • An inability to fall asleep. • Sleep deprivation. • Fear of sleeping. • Night terrors. • Night sweats.
If they persist and are too disruptive, your client may need to get help to deal with their effects, via counseling or medication.
Shawnee realized she had to do something about the nightmares that were leaving her drained and exhausted She went for help and they soon ended.
The Upside Of Intrusions
You might explain to your client that traumatic experience, until it becomes a part of us, has the potential to be reexperienced in its original form— that is, as a trauma. However, when it becomes a part of you, it is a puzzle piece that fits into and together with the rest of you. Each time there is an intrusion, there is an opportunity to deal with the trauma and make it a piece of the puzzle that is you. The intrusion can become an opportunity to think about the trauma in order to understand it and its meaning, to put it in perspective, and to resolve it by putting it into place.
The goal in this process is to no longer have the trauma be a puzzle piece that is floating off by itself, out of your control. Each intrusion is a chance to capture that piece and make it yours.
The article above contains foundational information. Articles below contain optional updates.
More Articles on 50+ topics
The Unique Features of Complex PTSD - September 15, 2017
â€śIf we could somehow end child abuse and neglect, the eight hundred pages of DSM (and the need for the easier explanations such as DSM-IV Made Easy: The Clinician’s Guide […]
Can Art Therapy Help Heal the Pain of PTSD? - August 07, 2017
Art therapy has experienced tremendous growth over the past two decades, not only advancing treatment options but also advancing into different populations and treatment settings. In particular, art therapists have […]
Book Review: The Posttraumatic Growth Workbook - July 26, 2017
IfÂ you toldÂ most people that after a traumatic event, they could feel stronger, more open to new experiences, more appreciative of life, a deepened sense of spirituality and closer, more authentic […]
Postpartum Psychosis: Is It Real? - July 21, 2017
â€śI donâ€™t remember too clearly,â€ť says Sarah, 40, now divorced. â€śThere was a rat. It was black and silky, the size of a cat, and it ran across the closet […]
Book Review: Mindfulness Skills for Trauma & PTSD - July 12, 2017
Post-traumatic stress disorder affects a wide range of individuals, from combat veterans and law enforcement to the survivors of sexual assault and childhood abuse. The disorder expresses itself in a […]