The images, thoughts, memories, and physiological sensations that accompany a flashback can make you feel as though the trauma is happening right now. Acknowledge you are experiencing a flashback with kindness (i.e. “There I go again, this is a flashback”). Although this sounds simple, the natural tendency is often to push intrusive images out of awareness. However, suppression and denial just cause the imagery to come back stronger and more frequently. Acknowledge the flashback, and notice the emotions, thoughts, and physiological sensations that go along with it.
Even though I’ve listed using a mantra farther down in this article, often it can be helpful to use it when you acknowledge the flashback, because it helps establish that the trauma has passed – “It’s over”. And, the mantra can be repeated during the next step: slowing and following the breath.
Take a deep, full breath in through your nose – one that you feel right into your abdomen – and exhale through your mouth.
When we feel out of control, our breathing also tends to be out of control. The experience of a flashback can cause emotional flooding, and can immediately trigger a change in our breathing: this might look like extremely rapid, shallow breathing, or breath holding. Both of these can lead to a shortness of breath feeling and can cause light-headedness, numbness or tingling in the hands or feet, dizziness, chest pain, and difficulty putting thoughts into words. These symptoms will exacerbate fear and anxiety, and can escalate a person into distress and panic. The breathing pattern itself can even come to trigger anxiety (for those who experience anxiety). In essence, they become caught in a cycle where anxiety brings on shallow breathing, and shallow breathing brings on anxiety. That is why slowing and deepening the breath is the very crucial second step here.
Rapid breathing and breath holding can amp the body up into a state of activation – but this capacity also means that we can harness the breath to shift the body into a settled place of calm. It is by slowing and deepening the breath that we learn to help our body out of activation. In fact, it’s one of the fastest ways to shift out of nervous system activation.
Try one of these tips if you are new to focusing on your breath:
Anchor With Your Senses
Your senses are an excellent way to ground you back into the present moment. Some examples include:
Use a Mantra
Mantras are statements we repeat to ourselves and which can have quite the potential to impact our attention, outlook, and mood. The sound or words of a mantra are simple and don’t demand a lot of effort. A mantra can be said aloud or silently, and is often most powerful when the words have meaning to you. It’s kind of like a tool for attuning your body and mind. A mantra can be used to increase our level of awareness and provide us with strength and focus, and even give us a sense of mental stability.
What mantra would you like to try? Above we looked at “It’s over, in this moment I am safe”. Some additional ideas include:
Practice Letting Go
The final step in this coping process is to visualize letting it go. It won’t serve you to think further about the flashback, and may be even more distressing. You have acknowledged it, and by doing so you have recognized that a memory is still distressing. Work through it with a mental health professional. In this moment, practice visualizing letting it go.
To do so, as you exhale, imagine exhaling the whole flashback into a balloon. As you exhale, the balloon inflates. Then you imagine tying it off, keeping the memory safely inside the balloon. Picture extending your arm and releasing the balloon, to be taken away on the wind to be kept safe until you are supported in working through the trauma.
Every time the flashback comes back, use this strategy. Inhale deeply, exhale the traumatic memory into the balloon, tie it off, lease it for safe keeping.
Thank you for reading, and I hope you find this strategy useful. Focusing awareness using this 5 step anchor can shift thoughts away from flashbacks, racing thoughts, and obsessive thinking, and can bring awareness back into the present moment.
For more tips on shifting out of a flashback, check out Calm in the Storm: A Collection of Simple Strategies You Can Use Right Now to Shift Out of Anxiety
Ana Gomez is a child therapist and an EMDR practitioner extraordinaire. With all the changes and stress we have all been trying to come to terms with, Ana wrote a book that can help us explain the virus to children.
Ana is offering the pdf version of the book for free, because she is an amazing human! If you need help explaining what is going on in the world right now to the children in your life, please use this free resource. Ana invites you to share it with anyone you might know that would benefit for it.
Thank you Ana!
Click this link to access the pdf: AnaGomez_OysterandtheButterflyMar312020
Click this link to access the Spanish Version: AnaGomez_OysterandtheButterfly_Spanish
Click this link for a narrated Version on YouTube
Rarely do we truly have control. But, the illusion that we do sustains us in our daily life. It gives us a sense of the world around us as a predictable place. Right now as our world is battles with the COVID-19 virus, we don’t have that sense of predictability. And that can leave many folks worried, fearful, and desperate. I’d like to offer a few simple ideas for you to consider bringing into your daily life. In the face of uncertainty, these mindfulness-based tools can assist you in returning to the present moment.
Please know that these ideas are not ‘one size fits all’. Take what works for you, adapt it, or grow it to make it more suitable to your daily life.
Start your day with a Reflection: Take a quiet moment before the action of your day amps up. Listen to meditation on your smart phone, or just draw your attention inward and ask yourself what you need to stay well this day. Then, set your intention for the day. Setting an intention can just foster an area of focus for the day. For example, it could be “Today I will be present and kind”. It creates an anchor for you to return to throughout the day. Writing down the intention and placing it somewhere you will see it throughout your day can help ensure your bring your attention back to it as needed.
Get out of Bed and Get Dressed: If you are isolated or in quarantine at this time, and your daily life has been interrupted (you are no longer going to work, to school, etc.), please still get up and get dressed. Maintain your morning hygiene routine, or start the one you’ve always wanted and never had time for. Your mental health with benefit from the day being bookended with getting up and getting dressed in the morning, and washing up and putting on pyjamas at the end of the day.
Daily Goal Setting: Regardless of your living situation, set 3 small, achievable goals for each day. These goals can range from “I will get out of bed at 8am and take a shower this morning”, to “I will sit on the floor and play a game with my child today”. Set 3 small goals every morning, and take a moment to reflect on them each evening. Achieving the small daily goals will build self-esteem and integrity with yourself, because you accomplished that which you intended to accomplish.
Go Outside: If you are socially distancing or in quarantine, take a few moments to go outside. You don’t have to be in a public place to be outside. Take a short walk or even just sit outside. The change of scenery will help bolster your mood.
Connect with Love: if you are living with children or have a spouse, make sure to connect with them with love each day. These are uncertain times for them as well, and they are likely also feeling fearful and/or worried. Try speaking their love language at least twice a day. If you aren’t familiar with the concept of love languages, check out: https://www.5lovelanguages.com/quizzes/
Don’t Stop Connecting: If you live alone, please maintain your social connections. Call, text, or e-mail with at least one person a day. Do not go this alone.
Susan Guttridge is a trauma-informed Master level Counsellor with the clinical designation of Canadian Certified Counsellor (CCPA). She has 20+ years experience providing individual and group therapy.