Flashback Key Points

  • Many times there is no actual visual or auditory memory with flashbacks.
  • One may have a sense of panic, of being trapped, or a feeling of powerlessness with no memory stimulating it.
  • These experiences can also happen in dreams.
  • During the initial crisis, the survivor had to insulate her/himself from the emotional and physical horrors of the trauma.
  • In order to survive, that insulated part of the self remained isolated, unable to express the feelings and thoughts of that time.
  • It is as though the survivor put that part of her/his self into a time capsule, which later surfaces and comes out as a flashback, feeling just as intense in the present as it did during the crisis.
  • When that part comes out, the survivor is experiencing the past as if it were happening today.
  • The intense feelings and body sensations occurring are frightening because the feelings/sensations are not related to the reality of the present and many times seem to come from nowhere.
  • The survivor may begin to think she/he is crazy and is afraid of telling anyone of these experiences.
  • The survivor may feel out of control and at the mercy of her/his experiences.
  • Flashbacks are unsettling and may feel overwhelming because the survivor becomes so caught up in the trauma that she/he forgets about the safety and security of the present moment.

What Helps – Tips for Survivors

  1. Tell yourself that you are having a flashback
  2. Remind yourself that the worst is over.  The feelings and sensations you are experiencing are memories of the past.  The actual event has already occurred and you survived. Now it is the time to let out the terror, rage, hurt, and/or panic.  Now is the time to honor your experience.
  3. Get grounded.  This means stamping your feet on the ground to remind yourself that you have feet and can get away now if you need to.  (There may have been times before when you could not get away, now you can.)  Being aware of all five senses can also help you ground yourself.
  4. Breathe.  When we get scared we stop normal breathing.  As a result our body begins to panic from the lack of oxygen.  Lack of oxygen in itself causes a great deal of panic feelings; pounding in the head, tightness, sweating, feeling faint, shakiness, and dizziness.  When we breathe deeply enough, a lot of the panic feeling can decrease.  Breathing deeply means putting your hand on your diaphragm, pushing against your hand, and then exhaling so the diaphragm goes in.
  5. Reorient to the present.  Begin to use your five senses in the present.  Look around and see the colors in the room, the shapes of things, the people near, etc.  Listen to the sounds in the room:  your breathing, traffic, birds, people, cars, etc.  Feel your body and what is touching it: your clothes, your own arms and hands, the chair, or the floor supporting you.
  6. Get in touch with your need for boundaries.  Sometimes when we are having a flashback we lose the sense of where we leave off and the world begins; as if we do not have skin.  Wrap yourself in a blanket, hold a pillow or stuffed animal, go to bed, sit in a closet, any way that you can feel yourself truly protected from the outside.
  7. Get support.  Depending on your situation you may need to be alone or may want someone near you.  In either case it is important that your close ones know about flashbacks so they can help with the process, whether that means letting you be by yourself or being there.
  8. Take the time to recover.  Sometimes flashbacks are very powerful. Give yourself time to make the transition from this powerful experience. Don’t expect yourself to jump into adult activities right away.  Take a nap, a warm bath, or some quiet time.  Be kind and gentle with yourself.  Do not beat yourself up for having a flashback.
  9. Honor your experience.  Appreciate yourself for having survived that horrible time.  Respect your body’s need to experience a full range of feelings.
  10. Be patient.  It takes time to heal the past.  It takes time to learn appropriate ways of taking care of yourself, of being an adult who has feelings, and developing effective ways of coping in the here and now.

Tips for Managing Flashbacks 

  • Say to yourself: “I am having a flashback.” Flashbacks take us into a timeless part of the psyche that feels as helpless, hopeless and surrounded by danger as we were in childhood. The feelings and sensations you are experiencing are past memories that cannot hurt you now.
  • Remind yourself: “I feel afraid but I am not in danger! I am safe now, here in the present.” Remember you are now in the safety of the present, far from the danger of the past.
  • Own your right/need to have boundaries. Remind yourself that you do not have to allow anyone to mistreat you; you are free to leave dangerous situations and protest unfair behavior.
  • Speak reassuringly to your Inner Child. The child needs to know that you love her unconditionally—that she can come to you for comfort and protection when she feels lost and scared.
  • Deconstruct eternity thinking. In childhood, fear and abandonment felt endless—a safer future was unimaginable. Remember the flashback will pass as it has many times before.
  • Remind yourself that you are in an adult body with allies, skills and resources to protect you that you never had as a child. (Feeling small and little is a sure sign of a flashback.)
  • Ease back into your body. Fear launches us into “heady” worrying, or numbing and spacing out.
  • Gently ask your body to relax. Feel each of your major muscle groups and softly encourage them to relax. (Tightened musculature sends unnecessary danger signals to the brain.
  • Breathe deeply and slowly. (Holding the breath also signals danger.)
  • Slow down. Rushing presses the psyche’s panic button.
  • Feel the fear in your body without reacting to it. Fear is just an energy in your body that cannot hurt you if you do not run from it or react self-destructively to it.
  • Resist the Inner Critic’s catastrophizing.

(a) Use thought-stopping to halt its exaggeration of danger and need to control the uncontrollable. Refuse to shame, hate or abandon yourself. Channel the anger of self-attack into saying no to unfair self-criticism.

(b) Use thought-substitution to replace negative thinking with a memorized list of your qualities and accomplishments.

  • Allow yourself to grieve. Flashbacks are opportunities to release old, unexpressed feelings of fear, hurt, and abandonment, and to validate—and then soothe—the child’s past experience of helplessness and hopelessness. Healthy grieving can turn our tears into self-compassion and our anger into self-protection.
  • Cultivate safe relationships and seek support. Take time alone when you need it, but don’t let shame isolate you. Feeling shame doesn’t mean you are shameful. Educate those close to you about flashbacks and ask them to help you talk and feel your way through them.
  • Learn to identify the types of triggers that lead to flashbacks. Avoid unsafe people, places, activities and triggering mental processes. Practice preventive maintenance with these steps when triggering situations are unavoidable.
  • Figure out what you are flashing back to. Flashbacks are opportunities to discover, validate and heal our wounds from past abuse and abandonment. They also point to our still-unmet developmental needs and can provide motivation to get them met.
  • Be patient with a slow recovery process. It takes time in the present to become un-adrenalized, and considerable time in the future to gradually decrease the intensity, duration and frequency of flashbacks. Real recovery is a gradual process—often two steps forward, one step back. Don’t beat yourself up for having a flashback.

 

REFERENCES

https://www.ualberta.ca/~uasac/Triggers.htm

psychcentral.com/lib/coping-with-flashbacks/0001415