How does trauma show up in our bodies and how can we start to heal ourselves, create change and get better? Can our bodies really tell what is going on? How can we start paying attention to it?

What is trauma? 

Trauma is not something that happened to us, it is what happened in us after we experienced it. A complex childhood environment, neglect, moving countries frequently as a child, abuse, broken relationships, and bullying can all leave us with long-lasting effects. Trauma can show up through physical pain, feeling disconnected, not finding joy in what used to lift you up or having intrusive memories that disrupt your daily life. 

Understanding the impact of trauma 

Traumatic experiences can leave us feeling overwhelmed, dissociated from ourselves and others, feeling sad, anxious, numb, agitated, or confused. Trauma shows up different in all of us, depending on our environment and circumstances, depending on social structures, race, gender and sexuality. Hence, there is no straight-cut answer to who gets traumatised and who does not and wounds can run deeper than we think.

Can trauma be stored in our bodies? 

Trauma can show up as an intolerable felt sense such as psychosomatic pain from emotional and mental stress. It may be a tightness in your chest, neck, or back without any seaming reason. In therapy, we can start to work with these sensations and get curious about why that may be. What are our bodies trying to communicate to us? Hence, relieving the nervous system from hyper-arousal such as feeling anxious or overwhelmed or hypo-arousal, like dissociation, numbness, feeling unmotivated or stuck is vital for our emotional regulation and well-being.

Working with trauma 

When we work with trauma on a pre-verbal level, we can start to unlock our painful experiences. Getting curious about our felt senses through breathing, movement and non-verbal expression. Gabor Maté has said that artistic expression itself is not a form of working through trauma. However, working through trauma in a relationship with the other such as in a therapeutic relationship is invaluable in creating change. Someone who can hold space for your thoughts and emotions, be it artistic expression or through words, has a different kind of value. Someone who is there to receive and reflect back on what might be going on for you. For people who have grown up in stressful households since early childhood, the absence of stress can create a sense of unease, boredom and meaninglessness. People may become addicted to their stress hormones, adrenaline and cortisol (Maté, 2003). Therefore, creating new neural pathways and ways of thinking, re-directing you from your old beliefs has immense value. How can we start to create awareness of our bodies and create change?

1. Checking in with yourself:

Use this five-point check-in when you are feeling overwhelmed, anxious, or disconnected: 

1. Mind - notice your thoughts and mental focus

2. Breath - are you restricting or holding your breath?

3. Body - notice your body's sensations

4. Emotions - what about feelings and associations?

5. Energy - do you feel fatigued or energised?

Emotional regulation plays a big part in how we connect to ourselves. For some clients, breathing can be a great anchor. For some, singing or vocal sounds are the most comfortable in grounding themselves. You can use this check-in throughout the day to notice where your mind and body are—checking in with yourself and your feelings. 

2. Finding your community

Having a support network around you who can support you and understand your experiences is good for our well-being and a part of taking the step towards healing. Winnicott has said that there is no such things as a baby, but that we are all related to one another, dependant on one another and we all deserve to have that care and supporting environment.

When living in a city different from where you grew up, the language may be different, the culture may be unfamiliar and you are in an unfamiliar environment. In this case, having a solid support network around you is important. Finding community and the people that support you through your difficult experiences, who can be there for you and understand your experiences.

3. Noticing your environment:

• Do you feel safe in your surroundings?

• Do you feel supported by others?

• Do you have people around you who you can turn to in times of difficulty?

• How do you feel when you're around them?

• Do they lift you up?

It's okay if you answered 'no' to these questions. The purpose is to just notice where you are and how you feel in your environment. There is no judgment. From this place, we can start to make slow changes. Maybe it is about coming to therapy and finding a safe place there. Perhaps it is about going to nature and finding your safe place there for a start or deciding to make changes about the relationships with people who make you feel good. Meditation and visualisation exercises can also create these places in our minds. 

4. Working with the body 

Working with the body grounds from our thoughts that may be overwhelming and triggering. Observing your breath and how the body moves and feels through movement, art-making, or music creates awareness. Through these mediums, we can slowly return to our bodies, building connections and starting to feel and see ourselves as a whole. Being more present, mindful, grounded in making decisions, and connecting with others. We don't always have to know what happened to us, but our bodies know. It stays with us. This means that we can change its course. We can take action and responsibility towards healing. We can start to learn about ourselves and show compassion towards ourselves.

Trauma is complex, challenging and a long-term process. And it is even more difficult to be alone in it. But working together with a therapist treating trauma can support healing and understanding yourself. You shouldn’t have to go through it alone. I look forward to connecting with you to discuss your needs and whether I could be of support to you. I am an English-speaking therapist in Berlin, offering online and in-person counselling for adults. You can contact me here or email me at arulacounselling@proton.me.

Please note: If you live in an abusive household, you can find your closest counselling centre in Berlin here. If you are thinking of hurting yourself or others, please call 112, where professional mental health workers can help you. 

References

Maté, G. (2003) When the Body Says No: The Cost of Hidden Stress. Penguin Random House.

Siegel, D. (1999) The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are. Guilford Publications.

Winnicott, D. W. (1960) The theory of the parent-infant relationship. The International journal of psycho-analysis, 41, 585–595.