SOUTH TAMPA THERAPY FREE RESOURCES

The 4 Trauma Responses: Fight, Flight, Freeze, Fawn: Examining The Four Trauma Reactions

It's good to notice and speak about your trauma reaction with someone who cares for you, and who won't judge or provide unsolicited advice. Identifying our present behaviors as well as knowing we can make adjustments as needed is the first step toward better health.

In tandem, embodied healing is crucial to processing and feeling safe in your body. Managing your mental and physical health can help you find a new direction in order to cultivate responsive behaviors that are good for your health. Yoga as a method of relaxing the survival brain and meeting with a trauma-informed therapist at South Tampa Therapy will help in your healing journey.

Keep in mind that you're only human. You've been doing all that is necessary to keep thriving. It will take some time to unlearn some of these habits, which is fine. It is all in time... compassion, acceptance and patience in this process takes practice one day at a time.

According to a research on the neurobiological consequences of psychological trauma, our bodies are designed to respond to perceived threats with a set of near-instantaneous, reflexive survival behaviors. Chemicals are introduced into our circulation via a short-term technique in order to rouse the body's defensive measures through the sympathetic nervous system. However, when our stress responses are continually activated, there isn't enough time to break down the chemicals, and our nervous system becomes overloaded and dysregulated—placing us firmly in the survival mode. The short-term protections become permanent as our body undergoes sympathetic nervous system dominance.

These post-trauma responses, on the other hand, aren't limited to those who've experienced significant "Trauma" events (such as war, death, or disaster) frequently associated with profound trauma. The fact is that trauma exists along a continuum of stress. Because trauma is subjective and personal, minor "T" incidents may be just as traumatic as big "T" events. Trauma, for example, might include a terrible breakup, a betrayal of trust, a work environment that is chronically abusive, or anything else that is mildly frightening over time. They may not seem serious at the time, but the long-term effects of trauma can still have a significant influence on you physically, spiritually, and mentally when they are not emotionally processed and integrated—somatically, intellectually. If a problem is left unresolved, past trauma may turn into trapped, frozen energy that your body will respond to physiologically in the form of a trauma response.


Fight, flight, freeze, fawn: the four types of trauma response.

Healthy stress responses aren't inherently negative; they can help you stand up for yourself in the short term. However, while trauma is a major cause of internal upheaval, it may be taken to an unhealthy and wearing extent. 

The fight response

When functioning properly, the fight response enables for assertion and solid boundaries. It's an active self-preservation function when it's used as a trauma response, in which you move reactively toward conflict with anger and aggression. It's a fear state in which you confront the danger of being assaulted or otherwise harmed so that you can defend yourself. A fight trauma response is when we believe that if we are able to maintain power over the threat, we will gain control. This can look like physical fights, yelling, physical aggression, throwing things, and property damage. It's possible to experience a tightening in the throat, along with other symptoms such as balling your hands into fists, stomach knots, tears, contentiousness, or a firm jaw.

Take a few moments to take a look at yourself and determine how you're currently positioned. It may feel wonderful to use your body to get mobility in the situation while having your insides mirror your outsides, but it comes at the cost of connection and others feeling safe around you.

You may use deep breathing, warm baths, routines, mindfulness, and self-love to help you let go of this. The fight response prepares you to be physical, so you can also utilize exercise to help the body return to normal. It activates your parasympathetic system by practicing mindfulness and a burst of constructive activity like yoga or stretching. It relieves anxiety and allows you to reconnect more deeply by releasing tension.

The flight response

The flight response is triggered when a person feels threatened or exposed. Avoidant behavior occurs as a result of the flight response. You can be discriminating in high-stress situations and disengage within limits if you're healthy. However, as a trauma reaction, you go one step farther by shutting yourself off entirely.

When we feel that if we can get away from the danger and avoid conflict, we will be okay, this is known as the flight response. This might look like fleeing and avoiding social interactions. To escape unpleasant emotions, you may stay occupied or flee for the door whenever things become difficult.

Do things that produce an immediate, physical response from your body to drop back into yourself. Pay attention to any tense muscles and relax them to relax the mind. Use bodywork and purposeful movements to stop the stress response so you can reflect on how you want to react rather than reacting spontaneously. 

Coping techniques that are tactile (such as drinking a warm beverage or eating crunchy food) and grounded, such as snuggling with a pet or doing some yoga, can all help. It's critical to make connections with those around you in order to release feel-good, happier chemicals like endorphins and serotonin.

The freeze response.

When healthy, the freeze response may assist you in slowing down and evaluating the situation carefully in order to figure out what to do next. When this protection is activated, it frequently leads to "freezing"—feeling frozen and unable to move or getting trapped in a fog or oblivious to reality. You don't feel like you're really there, and you're mentally checked out as you leave out what's going on around you and what you're feeling in an attempt to obtain emotional security.

When parts of your sympathetic nervous system have reached a state of overload, they may shut down your brain. I compared this reaction to that of our animal friends playing dead in the presence of a predator. When we freeze, it's as though we're at a loss for words; we withdraw into our minds; it's difficult for us to break out and be present; we sleep; we dissociate/spacing out; and we become emotionally or physically numb.

It's the same as temporary paralysis and disconnecting from your body to avoid additional stress.

To counteract that loss of connection with yourself, do grounding exercises if you catch yourself starting to dissociate. My personal therapist taught me this one. I call it "See Red." Look around your immediate surroundings for a red thing. For me right now, my husband's red sweatshirt flashes by. Then I'll look at it and take a deep, slow breath before scanning the area for another red item. I do this five times in a row. This may help us return to our current reality rather than the one we create when we're under stress due on traumatic reaction that takes us out of the present moment.

The fawn response. 

At its most fundamental, fawning is all about pleasing others and engaging in pacifying behaviors. It's characterized by putting people first above all else by doing whatever they want to avoid conflict and gain their approval. It appears to be beneficial to be well liked and defer to others in order to secure safety, but not when it comes at the price of losing yourself. It may eventually lead you to abandon yourself and your needs by merging so completely with others. Most likely, you don't feel understood by others or feel overshadowed by the individuals in your life.

Fawn response is people-pleasing to the point of forgetting oneself entirely; thoughts, feelings, bodily sensations. When someone tells me what I want to hear and I inquire how they're doing, they respond, 'I'm OK,' or 'I'm all right; so-and-so did this to me and I felt terrible.' I'll get a quick answer about how they're doing followed by a longer one about how someone else in their life is doing.If you're noticing that you're fawning often, be extra compassionate with yourself as you begin to separate what feelings belong to you and what belongs to other people. Observe yourself when you're around others to add in buffering time to help prevent resorting to fawning. The first step is awareness and learning how to start putting up boundaries to take up space.

Through my own experience, I've learned that focusing on it when I'm doing it is difficult, and calling attention to it may be uncomfortable. Recognize that your body and mind did their utmost to keep you safe but that you have the ability and worthiness to return to a secure state of mind.

Is it possible to have more than one trauma response?

Because trauma responses don't always neatly fall into a category, you may not overuse the same methods when confronted with fear. It's more likely that you'll primarily identify with one or two of the 4 Fs, but you'll still change between them depending on the context-specific environment in which you find yourself. Responses combine to form hybrids such as fight/fawn and flight/freeze for individuals who have experienced severe trauma.

Another element that influences our responses is the reality or perceived consequences of our behaviors. One stimulus for trauma might cause you to flee, while another may encourage you to fight—an example of this is an age-old battle with a loved one where you both want to hang up the phone and scream. Or if you're fawning, you just want to tell them they're right so they'll stop nagging at you.

The conclusion.

Know you aren't alone if you identify with one of the four trauma responses. Social support and journaling as self-soothing methods to figure out how to handle difficult circumstances and recover.

It's good to notice and speak about your trauma reaction with someone who cares for you, and who won't judge or provide unsolicited advice. Identifying our present behaviors as well as knowing we can make adjustments as needed is the first step toward better health.

In tandem, embodied healing is crucial to processing and feeling safe in your body. Managing your mental and physical health can help you find a new direction in order to cultivate responsive behaviors that are good for your health. Yoga as a method of relaxing the survival brain and meeting with a trauma-informed therapist at South Tampa Therapy will help in your healing journey.

Keep in mind that you're only human. You've been doing all that is necessary to keep thriving. It will take some time to unlearn some of these habits, which is fine. It is all in time... compassion, acceptance and patience in this process takes practice one day at a time.


Read More

Couples Counseling South Tampa: Couples Reveal What They Have Learned In Therapy

Couples reveal what they learn from therapy.

As a marriage and family therapist in Tampa, Florida, I have received feedback from several different clients. I combine some of the most powerful approaches utilizing Internal Family Systems, Compassionate Communication and Non-Violent Communication, The Gottman Method, Emotion Focused Therapy, Holistic Psychology, CBT, and DBT.

Here are the 10 best lessons couples learned from therapy.

  1. Go to therapy sooner rather than later.

    It is best to go to a counselor before sh*t hits the fan. This way, you can start to develop conflict resolution and communication skills before resentment builds. Establishing a therapeutic relationship with a counselor early on can be beneficial when and if you find yourselves in a rut. Having an unbiased and supportive counselor can help you and your partner maintain a healthy relationship when and if you need support along your relationship journey.

  2. You are on the same team.

    There is no winning and you don’t need to fight against each other. Therapy is a great tool and safe space to really work through things together. Meeting both of our needs, growing, and thriving together is the goal. We often ask ourselves, are you trying to listen to understand or are you trying to be right?

  3. Play and have fun together.

    Unstructured quality time to just be living purely in the moment increases connection, creativity, and releases negativity. A couple that plays together stays together!

  4. Unfinished business of childhood can show up in adulthood.

    Continuing to work on intrinsic positive change is a lifelong learning process. Insight and empathy can help partners understand conflict in a whole new light. When we create an awareness of patterns and habits we are able to create awareness regarding intentional choices in real time. If we are not aware, we keep reacting. Responding intentionally knowing what is happening is being awake to our inner experiences. Self-witnessing is a tremendous tool that can be used in so many facets of our lives. Practicing compassion for our partner's story, and becoming more empathetic to each other, we could actually help our partner heal from their painful childhood experiences.

  5. It is not about changing the issue, it is about understanding.

    We have learned so much about communication and the ways to really listen to understand one another. Most people listen to try to change the other person’s perspective. When we get into trying to change the other person, defensiveness comes into the game. When defensiveness shows up, it creates disconnect. Communication either connects us and helps us get needs met or it disconnects us and sabotages our needs. We feel all sorts of negative feelings when our needs are not being met. However, we are in homeostasis when our needs are met and feel positive emotions. Our feelings are always signals to pay attention to which provide data about whether our needs are being met or not. When we know what we need, we are in a powerful position to get the needs met intentionally. When we do not know what we need, we will probably be in autopilot, reactionary-mode. Tune into your inner worlds so that you can understand yourself. When we understand, we can communicate honestly about what is happening internally.

  6. Our thoughts are the root cause of anger.

    Anger masks more vulnerable feelings like hurt, disappointment, and sadness. It's helpful when both partners understand that the words or behavior hurts their partner, even when their partner tends to react with anger or stonewalling. Therapy can help couples connect — which includes learning how to get calmer and go slower rather than to lay out their arguments about who's "right".

  7. Hear your partner out before letting emotions get in the way.

    Getting guidance from a therapist around how to listen to each other without being emotionally charged about the topic can help couples stay engaged in the conversation, to accept influence from one another, and compromise based on needs. This is huge! We can stay curious about what is actually happening in the moment. When our partners feel heard and understood, they are in a better position to hear us too. Listen to each other without reacting! This sounds so simple but bad habits can be hard to break and its beneficial to have a therapist as a sounding board to make neutral observations.

  8. Conflict is normal, you will have different perspectives at times, and disagreements are inevitable in every relationship.

    There will be different stages throughout life and couples will never stop getting to know one another. The most important thing is that you listen, respect, and acknowledge each other's viewpoints. Many times, people listen to respond and not to understand — which is one of the biggest reasons why many relationships fail. Attending couples therapy, can help partners communicate feelings, emotions, and concerns more effectively. Counseling equips couples with valuable skills that will be instrumental throughout their lifetime and once they become parents.

  9. Marriage therapy taught us how to communicate about our needs and desires without hurting the other person.

    When we are emotionally and intimately disconnected, it is challenging to help each other to feel heard and understood. The way we deal with conflict is directly correlated to intimacy. Change the way we fight, change the way we love. When we trust each other more and give each other the benefit of the doubt, we're less hurt when the other person isn't in the same place as us in the moment, We may still have issues and hurt feelings from time to time, but we're better equipped to handle those problems when they come up.

  10. Psycho-education and therapy helped couples identify patterns.

    One partner was pretty direct and the other partner tended to be more thoughtful in the way he delivered information. One partner said the thing that stuck with her the most was that the therapist was able to reframe and articulate her partner's concerns in a way that he couldn't — which then helped her to understand him better. Therapy can help couples become aware of how reactions to difficult situations can be unhelpful. Attempting to respond in a way that is more productive for the relationship can feel very different. Psycho-education can be of tremendous value when co-morbidity plays a role in relationships. Trauma informed therapy can help partners empathize, respond to each others needs, and heal together. It is advantageous to the relationship when partners learn about mental health together.

To learn more about how therapy can help you, please text or call Dr. Mahaney directly 813-240-3237 or book an initial consultation: www.SouthTampaCounselor.com/BookAppointment

Read More

The Miracle Question!

The Miracle Question – an old standby for many different types of therapy! This question can be used in individual therapy as well as couples therapy, and it can be applied to a wide range of situations, issues, or problems.

The general idea of this technique is to both help the client (or couple) explicate their needs or desires and help the therapist better understand what his or her client(s) is hoping to achieve in therapy. It is especially helpful for those who have never really taken the time to clarify what they want out of their relationship, either for themselves or for their partners.

This question can generally be worded as such (Howes, 2010):

“Suppose tonight, while you slept, a miracle occurred. When you awake tomorrow, what would be some of the things you would notice that would tell you life had suddenly gotten better?”

Even if one or both clients give describe a scenario that is absolutely impossible to achieve, their answer can still be useful for understanding their goals. In the scenario of an impossible ideal future state, the therapist can dig deeper into the couple’s “miracle” by asking, “How would that make a difference?” (Howes, 2010).

This question helps the couple believe in a more positive future for themselves, a future in which their problems are solved. This exercise can result in greater motivation to work at improving their relationship, enhanced confidence in the efficacy of couples therapy, and even instantaneous (but incremental) improvement in interactions between the two people.

Solution Focused Therapy (aka Brief Therapy) emerged in the 1980's as a branch of the systems therapies. A married therapist couple from Milwaukee, Steve de Shazer and Insoo Kim Berg, are credited with the name and basic practice of SFT. The theory focuses not on the past, but on what the client wants to achieve today. By making conscious all the ways the client is creating their ideal future and encouraging forward progress, clinicians point clients toward their goals rather than the problems that drove them to therapy. 

The Miracle Question fits perfectly with this model. Imagining an ideal future and connecting it to the present immediately actualizes the work. Clients are challenged to look past their obstacles and hopelessness and focus on the possibilities.

It's cool because it's a relatively simple intervention that can have a powerful impact. Just take a look at the question (response #2). You're probably crafting your response already. It's creative, bold, healing, a bit mysterious and definitely has a cool name. The Top Ten designation is well deserved. 

Don't just listen to me, hear it from an expert. Linda Metcalf, Ph.D. is founder of the Solution Focused Institute of Fort Worth, Texas and author of ten books including The Miracle Question: Answer It and Change Your Life. Beyond writing and therapy, she speaks internationally to schools, agencies and universities. She was kind enough to share her wisdom with us today. 

1. When would a clinician use the Miracle Question?

The Miracle Question is a goal setting question that is useful when a client simply does not know what a preferred future would look like. It can be used with individuals to set the course for therapy, with couples, to clarify what each person needs from each other and with families, who too often see one person as the culprit. By using the Miracle Question and asking each person what a better life would look like, it is apparent, perhaps for the first time, what others need from each other.

2. What does it look like?

"Suppose tonight, while you slept, a miracle occurred. When you awake tomorrow, what would be some of the things you would notice that would tell you life had suddenly gotten better?"

The therapist stays with the question even if the client describes an "impossible" solution, such as a deceased person being alive, and acknowledges that wish and then asks "how would that make a difference in your life?"  Then as the client describes that he/she might feel as if they have their companion back again, the therapist asks "how would that make a difference?"  With that, the client may say, "I would have someone to confide in and support me."  From there, the therapist would ask the client to think of others in the client's life who could begin to be a confidant in a very small manner.

3. How does it help the client?

It catapults the client from a problem saturated context into a visionary context where he/she has a moment of freedom, to step out of the problem story and into a story where they are more problem free. But, more importantly, it helps the therapist to know exactly what the client wants from therapy...and this is what makes Solution Focused Therapy so efficient and brief.

4. In your opinion, what makes the Miracle Question a cool intervention?

It helps the therapist see where the client wants to go. Too often, therapists assume that a client needs to grieve, leave their spouse, quit their job, after the client describes why he/she has come to therapy. The Miracle Question helps the client and therapist to address exactly what the client wants, not what the therapist thinks is best.

Read More
balancing life, growth, self awareness, stages of change Elizabeth Mahaney balancing life, growth, self awareness, stages of change Elizabeth Mahaney

The Stages of Actual Change: There's A Hole In My Sidewalk by Portia Nelson

The Stages of Actual Change: There's A Hole In My Sidewalk by Portia Nelson

(Autobiography in Five Chapters, from There's A Hole In My Sidewalk by Portia Nelson)

Chapter One

I walk down the street.

There is a deep hole in the sidewalk.

I fall in.

I am lost . . . I am helpless.

It isn’t my fault.

It takes forever to find a way out.

 

Chapter Two

I walk down the same street.

There is a deep hole in the sidewalk.

I pretend I don’t see it.

I fall in again.

I can’t believe I am in this same place.

But it isn’t my fault.

It still takes a long time to get out.

 

Chapter Three

I walk down the same street.

There is a deep hole in the sidewalk.

I see it is there.

I still fall in . . . it’s a habit . . . but,

My eyes are open.

I know where I am.

It is my fault.

I get out immediately.

 

Chapter Four

I walk down the same street.

There is a deep hole in the sidewalk.

I walk around it.

 

Chapter Five

I walk down another street.

Read More
self awareness Elizabeth Mahaney self awareness Elizabeth Mahaney

Increase Self Awareness With One Simple Fix

Self-awareness has countless proven benefits -- stronger relationships, higher performance, more effective leadership. Sounds pretty great, right?

“Yesterday I was clever, and I wanted to change the world." Today I am wise, so I am changing myself.” — Ruminator

Ask WHAT, NOT why, for more accurate and satisfying Self Awareness.

Why questions trap us in the rear view mirror.

WHAT questions move us forward to our future.

Self-awareness has countless proven benefits -- stronger relationships, higher performance, more effective leadership. Sounds pretty great, right? Here’s the bad news: 95% of people think that they’re self-aware, but only 10-15% actually are!

Luckily, Tasha Eurich has a simple solution that will instantly improve your self-awareness. As a third-generation entrepreneur, Dr. Tasha Eurich was born with a passion for business, pairing her scientific savvy in human behavior with a practical approach to solving business challenges.

As an organizational psychologist, she’s helped thousands of leaders improve their effectiveness, from Fortune 500 executives to early-stage entrepreneurs. Her new book, Insight, reveals the findings of her three-year research program on self-awareness, which she calls the meta-skill of the 21st century. This talk was given at a TEDx event using the TED conference format but independently organized by a local community.  


Self-awareness has countless proven benefits -- stronger relationships, higher performance, more effective leadership. Sounds pretty great, right? Here's the...
Read More