Developmental and Complex Trauma

Trauma is about fear in its most primal form. It is the fear of total helplessness, knowing that no one can save you or protect you or your loved one... your physical and psychological integrity is breached.
— S. Gerhardt, 2015

What is Trauma?

What we call trauma is a neurological, physiological and psychological experience. A response to something that overwhelms and threatens an individual’s very existence. Trauma isn’t what happened to you. Trauma is what happened within your system of experience when something occurred or you were exposed to circumstances that you registered as a threat to your life. This does not have to be an actual physical threat. It can also be an emotional threat that is so overwhelming that it becomes registered by the autonomic nervous system as a life or death circumstance.  

Understanding that distinction can be one of the most important steps in accepting that what you experience in the present, doesn’t make you crazy or weak or broken.

While the word trauma is commonly used to mean anything that we really don’t like or had a strong negative response to, eg, “that dinner was so awkward, I feel traumatised!” Trauma is much more than that. My work with clients and trauma focuses on overwhelm, shame, lack of relationship, helplessness and the science of the autonomic nervous system.

Traumatic events may go unacknowledged, unexplored and unsupported. This can have a great effect on our physical health and our emotional well being. Medical professionals understand that the phrase, “it's all in your head”, has less and less meaning as we understand more and more about the links between body and mind. I find it an important and empowering part of working with trauma, to share with clients, how their brains and nervous system actually works during trauma. When they understand the machinery, the shame begins to dissipate. And this a critical part of trauma work.

THE IMPACT OF TRAUMA

  • Loss of safety

  • Loss of connection to the body

  • Loss of sense of self

  • Interrupted intimate connections

  • Shame

  • Disassociation

ARE YOU EXPERIENCING SYMPTOMS OF TRAUMA?

  • A persistent sense of threat that leaves an individual hyper-vigilant and easily startled.

  • Prone to emotional or implicit memory flashbacks (rather than explicit memory) when an individual is easily triggered.

  • Avoidance behaviour where more and more gets eliminated from things you can do or places you can go. Basically an avoidance of anything that could raise the anxiety and thus the internal alarm.

TYPES OF TRAUMA I WORK WITH

  • Sexual abuse

  • Domestic Violence

  • Assaults - Stranger and Known

  • Accidents

  • Chronic and sudden illness

  • Bullying - Verbal and Physical

Areas of Expertise

  • As children, certain things may have occurred - neglect, abuse, an inconsistency that felt threatening, etc. As children, we create patterns of relating to ourselves, those we are in relationships with, and the world, in order to keep us safe and protected when trauma has taught us that we can survive no other way. These adaptations are in a sense, a child’s view of what a strong adult, an adult who would not be scared, threatened or weak, would be like. We call these adaptations defences, they defend the wounded child from further emotional harm.

    Psychological defences are incredibly creative processes that illustrate the amazing self-preservation that lies at the core of the human condition. They are created in crisis, for crisis. What happens however is two-fold, first, a nervous system responding to trauma is activated in such a way that it needs specific things to restore it. If those things do not occur, the nervous system is in effect over-activated, thus the system still feels as though the crisis is happening, thus the defence is still in play. Second, given the brain loves a pattern, anything that seems as though it may be of threat will activate the defence and this will happen more and more.

    So what started in crisis, for crisis, becomes something that is used frequently. And as this happens, the feedback loop continues, the brain and body and mind continue to feel as though there is a threat and so respond accordingly. And as the response in the body is activated, the mind says, yes! We have every reason to be scared/threatened/vigilant - see the world isn’t safe! And so it goes.

  • It used to be that clinicians understood trauma as a single catastrophic event. Complex trauma refers to multiple traumas suffered over time. This can include developmental traumas that occur in childhood, or may include experiences in adulthood such as domestic abuse.
    Both developmental and complex trauma, unlike a single event such as an accident, war, or another one-off unexpected event, often take place within intimate relationships with people that we are supposed to trust. It is this that makes these particular kinds of trauma, so devastating and why, with good, safe and effective therapy - so much trust, in self and other, can be restored.

  • Threats perception system is enhanced - the primitive part of the brain becomes fear driven. A filtering system that determines what is relevant right now and what isn’t gets disrupted - it becomes difficult to engage in. The self-sensing system (midline structure in the brain) gets blunted - either through self-medicating or disassociation.

  • Developmental trauma refers to experiences within childhood (for example neglect or abuse) that leaves the individual with responses to self, others and the environment that are defended and limited in their scope. It will also leave the individual with affective and physiological dysregulation, and/or attentional and behavioural dysregulation or self and relational dysregulation.

  • We all have a ‘window of tolerance’ a comfort zone within which we feel as though we can handle our feelings and to some extent regulate our nervous system. Trauma can impact our window of tolerance, making it smaller and smaller. We might move into HYPERarousal or HYPOarousal. Hyperarousal is when you feel out of control in some way. You may anxious or angry and definitely feel overwhelmed within your body and mind. You may have the urge to fight or run away. You do not feel a sense of choice about this, it just happens. In hyperarousal, you are also feeling overwhelmed and have a flash of fear, anxiety or anger before growing completely zoned out, numb or frozen. In this state, your body starts to shut down and you begin to withdraw, as with hyperarousal, you do not feel a sense of choice about this, it just happens.

    Whether chronic stress or earlier trauma has begun to shrink your window of tolerance, when you exist with a tiny window of “ok-ness” quite a lot can throw you off balance and into a defended trauma response.

    Good therapy can help you to expand your window of tolerance.

Relevant Services

  • New Patient Appointment

    £90

    50 minutes

  • Follow Up Appointment

    £120
    50 minutes

  • Deep Dive - Therapy Intensive

    £300

    2.5 hours

“Working with Audrey has changed my life immeasurably. She is warm yet professional. She has the best laugh. Her compassion is truly genuine.”

— Client Testimonial

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