Complex Trauma Symptoms: Why They Don't Stop and What Keeps Them in Place

Written by Roland Bal

It is not easy to make sense of your complex trauma symptoms and what keeps them in place; however, it is vital to your recovery process to be able to make sense of and give meaning to what you are experiencing.

With a single-event trauma — a car accident, a surgery, an assault — there is a clear point of origin. The nervous system was overwhelmed by one event. With complex trauma, there is no single event. There is an environment. The stress is chronic, interpersonal, and often spans years of a person's life. When we talk about developmental issues where abuse and neglect — either psychological or even sexual abuse — happens over a period of time, then the responses become a lot more complex as well.

The effects of complex trauma are bounded by the story of what has happened to us; core emotions of fear, anger or sadness and a loss of control, a feeling of overwhelming helplessness. To put it simply, each trauma, be it developmental or incidental, will have at its core a sense of overpowering helplessness. The impact of that will breach the boundaries and sense of self.

Complex trauma symptoms — why they cycle and what keeps them in place

Why the Symptoms Keep Cycling

Depending on the kind of trauma being confronted, there will be a core emotion which relates to the sense of overwhelming helplessness. Emotion that turns inwards is always coupled with shame, guilt or self-reproach and is related to the story of what has happened. Emotion that flows outwards is always coupled with blame and the story of what took place.

It is these coupled elements that keep trauma going, and which confuse emotion and the sense of helplessness into making the vicious cycle of complex trauma symptoms continue to circle like a revolving door. Understanding this mechanism is essential before asking what can be done about it. That observation itself starts preparing the ground to uncouple the separate elements, step by step, and begin resolution.

The Perpetual Cycle

Here is what the cycle often looks like from the inside:

I am hurting because I have been physically and psychologically abused, and that hurt has stayed with me over time. I have suppressed anger, a deep wound of loneliness out of a lack of love; therefore, I subsequently suffer from anxiety, depression, and lack of self-worth.

Now, I am constantly fighting with my symptoms. I tell myself I should be more assertive, get out of this, take action, and when I fail, I get upset with myself. I self-blame, feel hurt, and retreat again into loneliness until depression takes over. I might also cope through addictive behaviours or substances from time to time. And lastly, I might project that if I just have enough money, or have someone, or if the world was different, or if I can only understand the cause of my suffering, everything would be better for me.

So, my mind is continuously escaping and thus self-perpetuating its own state through constant reaction, and I keep telling myself I should do something because if I stop, things will be worse. I am locked into this perpetual cycle of suffering with apparently no way out through trying to overcome, through avoiding, wanting to force change, and through wanting to get rid of my past and emotions.

Healing complex trauma — moving from the perpetual symptom cycle toward integration

Suppressed Anger, the Fawn Response, and Anxiety

What I have experienced and see in my work is that often, because we need to survive, the core emotion gets repressed — which is often anger. We hold down our own voice, our own force, our own empowerment, and start to adapt or anticipate to the abuser in order to avoid further abuse.

So we get as a core emotion suppressed anger. And then, as a coping emotion, we get anxiety. This is very prevalent in our society, and I would link it directly to developmental issues that span a period of time.

What comes with that is not just fight, flight or freeze — at some point, the fawn response takes over. The anticipation of danger and the adaptation to it. The pleasing of the other. And that morphs into having anxiety later on in life, because your personal boundaries are not intact anymore. What is me and what is the other becomes blurred, because you have given yourself out to survive and respond to the circumstances.

There is often a lot of guilt around anger. The moment the person has been angry, it has been met with resistance or beatings or further abuse. So there is no healthy relationship towards anger. A large part of the work is to reestablish that — because anger, when suppressed, acts in on the sense of self, and when it becomes explosive, it attacks somebody verbally or physically. People either waver between those two extremes, or they stay stuck on one: the suppression of anger.

Listen: Complex Trauma, Depression, Anxiety and the Fawn Response

Roland Bal discusses with Dr. Art O'Malley how suppressed anger drives anxiety and depression in complex trauma, and how carefully expressing boundaries within a safe therapeutic setting can help reintegrate fragmented parts of the personality.

Renegotiating that relationship toward a healthy anger then becomes healthy boundaries, motivation, having a sense of self, being able to distinguish between what is me and what is the other. The objective is not to stimulate hatred or blame, but to allow the person to actually feel the force and the power of anger and to own that again.

A Conversation between Roland Bal & Dr. Art O'Malley

The Role of Dissociation

Excessive thought, the insistence of finding out the "why?" of a particular emotion, feeling or experience, or the reaction of wanting to solve or get rid of it — these are dissociation responses. They are never going to help you bridge the gap between where you are and where you want to be. The "where you want to be" psychologically is an illusion, and is flowing out of the very pain of where you are and your inability to meet that pain in the here and now.

The anger that was held is stored, in my experience, at that earliest time when the abuse occurred. And it is difficult for that person to let go of it because maybe that part of their personality kept them going. I am more interested in looking at the emotional aspects of the personality as serving a function, and how they can be brought to work together to reintegrate the person's personality, which has often become very fragmented.

Complex trauma recovery — from dissociation and fragmentation toward non-dual awareness

Working Through It: Non-dual Awareness

Real change requires a different approach altogether. It requires a willingness to listen to your pain, to become intimate with it, to hold a state of non-duality in which you are not choosing one extreme over the other; in which you are neither fully identified and are becoming your suffering nor where you reject your suffering and your pain.

It is that very listening into the various complex layers of trauma, symptoms, and dissociation that helps you connect to the source of your emotional pain and, thereby, through adequate containment and resilience, you will start to process the emotional residue within and thus start to heal and integrate. The past will become a part of the past because you have fully met the emotional residue and worked through it.

Our personal traumas are what shape our outward society. You cannot separate them. They are intertwined, meshed up.

What You Expose Yourself To Matters

It is far too easy to be influenced by external input these days as we are constantly bombarded with information. If healing from complex trauma is one of your objectives, I think it is wise to think carefully about what you are exposing yourself to on a daily basis.

You most likely know by now that staying in a toxic environment where you are exposed to continued abuse is not conducive to healing. I would argue that extends to what you tune into for information, be it TV news, or social media. If you expose yourself repeatedly and deliberately to news which evokes fear, disgust or anger, you will become fearful, disgusted, and angry; these feelings will seep in and will become part of your reality.

Do cut out the news as much as you can or choose it very wisely. It takes so much more work to observe non-dualistically — to set your boundaries clearly regarding where you want to live, which people you want to have close to you, and what information you allow yourself to be informed by.

It is hard work — as it is hard work to go through complex trauma, its symptoms and layers of complexity — to shape your life according to a paradigm that is not based on the old. This applies both to your inner cosmos, the ways in which you have been dealing with your emotional residue, as well as dealing with the world at large. And they go together.

This world is made up of a mixture of so many realities defined by one's beliefs, convictions, and choices. If you understand that deeply then you know your reality is exactly that; it is made up of your beliefs, convictions, experiences, and choices. You can, therefore, be more fluid, forever questioning the nature of your reality and invite change. It is up to you to want to resonate with another paradigm and thereby bring another reality, another possibility of living into being.

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31 Comments

Sherry • October 14, 2018

This was an excellent article! I have been systematically doing this for about 6 months or more now. Choosing what and who I am influenced by and if I am waylaid by a person or situation taking time to journal out my thoughts on paper, so I can objectively stop and look at the feelings on the page. The very act of writing them down, free flow, helps to disperse the energy they have had when running in a loop in my brain. Then, I do a "feel it" technique and I lay down and as I'm resting I tell/let myself "feel every part of your body" somehow this feeling into the felt sense of pain, anxiety, tightness, anger, fear, etc… helps keep my mind from hijacking my body and emotions further. I allow myself the time of feeling icky knowing this is needed recovery time after my whole system suffering a shock overload. There is no breaker to just flip and reset so the static current must dissipate slowly. I am finding my recovery times getting shorter as I learn each time how to see these as a system malfunction and needed reset. Your teachings are the help I've needed! Thank You Roland!

Roland • October 14, 2018

Hi Sherry. I am happy to hear you working hard and seeing results. Thanks for elaborating a bit in your comment.

Andrea • October 30, 2018

Wow, I have found this technique also through my own intuitive practice. It's deep isn't it and requires love and patience and is actually kind of fascinating.

Monique • October 14, 2018

Spot on, yet again. Definitely need to rethink with what information I feed my brain with. Feel the urge though to check certain information in order to be aware of the several kind of possible triggers out there. Tend not to take certain things as coincidences at the moment, yet keep my mind open for the bigger picture. I feel I am at a big crossroad intersection in my life. Need to reflect with calm about what kind of changes to make. Safe environment first, healthy relationships too. Eyes open for fake love and kindness. Thank you for all you share out here Roland!

Roland • October 15, 2018

From time to time I think it can be educational to immerse yourself in certain studies of information for a limited period of time. When identification through reaction starts to take over too much it is time to let that information sink onto a deeper level of consciousness and raise one's vibration.

Steven • October 14, 2018

This came at such a timely time. I had made a decision to stop political engagement on Facebook. In a very short time I undid that decision, noticing that I was getting frustrated, furious at "stupid" people, agonizing over the awful things taking place, and noticing how much time and energy it has been sucking out of me. I feel more committed after reading this article. I intend now for sure to divorce myself from this toxic crap, and it is an excellent reminder of what I already knew – that the best thing I can offer the world is my own healing.

Roland • October 15, 2018

Great!

Kristin • October 14, 2018

I'm a bit confused between acknowledging my feelings and going into the "why, what happened" to cause them. I think it's because I don't even know what my feelings are most of the time. It seems to be a mixture of blah, rage, fear, hurt, all balled up. Also, what's the difference between journaling and dwelling on the past? That's not a rhetorical question. So, it's ok to feel the feelings but not analyze the whys of it? Thank you all, Roland.

Roland • October 15, 2018

If you can ask the "why" question as an exploration and not necessarily out of demanding an answer; it can take equally take you inward. The difficulty is that our thoughts quickly take over and try to find meaning rather than face the feeling(s) which then becomes a dissociative response. In regard to confusion, if that is what is present now, that is where you have to start. Keep going Kristin. I know this work is tough. Just keep coming back to these articles and reread them. Best.

Simi • October 14, 2018

Do you treat people virtually?

Roland • October 14, 2018

I do. I am a little full myself at the moment though.

Scott E Hart • October 14, 2018

Yes, the figuring out why was such a drive for me for so long. Having to know why someone felt a certain way and what I could do to fix it. I had to go 40 years like this. I lost everything and everyone and my dreams to this. The recent help that is showing up, like yours Roland, has opened up a whole new perception on the triggers and that it's really ok not to be ok. The pressure had lightened up a little to where I am hungry to get better with my surroundings. Just a sincere thanks to you and those who actually care for our well being and don't just throw us away.

Roland • October 14, 2018

Hey Scott. Good to have you here. "It is ok not to be ok," – I think it is major insight to have and can take away a lot of the load. Keep going.

Carina • October 14, 2018

Thank you

Roland • October 14, 2018

Welcome!

Elaine • October 15, 2018

I am just starting on the road to healing and have a habit of withdrawing becoming a recluse. I went to see my doctor in order to ask for help after 6 years or more of depression and sabotaging everything I did well, or just lost interest. This article has helped me understand myself more, although on a long road to recovery. Thank you

Roland • October 15, 2018

Keep going. Thanks for your comment!

Simi • October 15, 2018

I am suffering from ongoing traumatic stress. It's getting worse. I can recover till my ex spouse stops harming my kids and stops taking me to court. I will help myself by watching only good news. What else can I do.

Roland • October 15, 2018

Hi Simi. Most important thing is to get away from an abusive environment first. Having kids with an abusive ex-partner does make it a lot more difficult and it is a challenge to keep healthy boundaries there.

Renee • October 15, 2018

Roland, thank you for sharing your article. This is exactly what I am working on now. I must admit it can be very emotional and a bit overwhelming. It certainly must be done for proper healing. I never really thought about the outside influences, agree and will be more conscious about what goes in. Thank you and have an amazing day!

Roland • October 15, 2018

A full cup easily spills over. Good to hear the article is of help to you.

Lorraine • October 15, 2018

Thank you for sharing this with me. I have been working on healing from a variety of different things. I stopped watching news a long time ago, I look up what I need to know. I think my next step will be social media as it is overwhelming.

Roland • October 15, 2018

Good to hear. It takes some restraint but it does help in not crowding the brain.

Salena Reding • October 15, 2018

I completely understand your blog on setting up a positive environment… I have just had to rid myself of a toxic friendship I got involved with whilst I was recovering from a major breakdown (which is when I got diagnosed earlier this year) my vulnerability allowed this to happen and it started to take over my life. Through a process of CBT and engaging in high intensity training exercise program I have managed to rid myself of this and create a more positive environment for myself and my family. On reflection and getting to understand my condition I have been able to recognise that I have been suffering on and off with this for 40 years with the main trigger being a parent. Thanks to the information you share and explain has been invaluable to me getting to know who I am.

Roland • October 15, 2018

Hi Salena. Happy to hear the resources here are of help to you. It takes various approaches and reflection to become aware of one's condition.

Martha • October 17, 2018

I am finding, through these articles, that all the anger I have bottled up for so long MUST come out! I have always been the one who just "took it," whatever "it" was, and I tried so very hard to be kind and understanding of other people's flaws, fears, and insecurities, that I never really paid attention to ME! I allowed myself to be emotionally abused by a husband, (and made excuses for HIS behavioural problems) and in doing so, I completely lost track of who I am, my own values, my own physical and emotional needs, and my core personality! I allowed it for WAY too long, and then I pushed the rightful anger and frustrations down into my body and soul! It is now coming forth through tears, but the anger is still needing to be let out! I think reading your articles and then sitting alone to think about them is helping me glean information which is helping me make progress in healing! And I thank you, most sincerely!!

Roland • October 20, 2018

Hi Martha. Good to hear. It is not easy this work!

Celeste • October 20, 2018

Thank you Roland!!! You are a lifeline. I am in South Africa and diagnosed myself with PTSD after my cousin's murder, uncle's suicide and a narcissistic, abusive mother and bad childhood. I am so bad I cannot even peel potatoes in the kitchen if the news talks about any murder… and there are lots in our country!! Regards.

Roland • October 20, 2018

Welcome. Take good care Celeste.

Thana • October 24, 2018

Loved this article. It has been my journey through trauma therapy for the last year… the work of healing at times can be a rocky uncomfortable road, but I have found coming out the other side to be so rewarding and like being reborn into a new life every time… like living a billion lives in one lifetime. Now that I've experienced what awesomeness healing can be, I would NEVER go back to my old shut down self. I recommend this journey to everyone. Thank you for this article. I love me today, maybe not everyone does, but they don't belong on my journey and tend to do something to be removed from my journey. Oh and on watching the news? I don't and have avoided it for years now when my doctor (holistic) told me to avoid it at all cost as it was causing trouble for my adrenal system due to the stress it causes. That was the start of finding my journey to healing ALL my childhood trauma. Peace

Hele • October 26, 2018

This is very interesting to me, Roland, and my experience shows me what you say to be true. Over the past year or so, I have taken "news breaks" and have found these breaks to be most helpful in dealing with dissociation. Since I'm an avid outdoor enthusiast, I've placed my time and energies into hiking, biking… and have stayed away from the political/opinion type of news. I still have my convictions and beliefs, yet I've chosen not to feed them on a regular basis. Now I am able to (more often) enjoy swimming, biking… for the pleasure and exercise it offers rather than do it for anxiety dumping. I'm not sure if I'm explaining myself clearly, but what I mean is… while I still have my "worldview", I choose not to feed it continually.

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