Hi Starfish,
First I want to reassure you that you are DEFINITELY not the only one, I've dealt with flashbacks for a long time (more on that below) and I don't think I've EVER known anyone who has dealt with long-term trauma who doesn't get them. Part of the PTSD diagnosis is having flashbacks. So you're normal, at least for someone who has had the experiences you have.
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Do any of you get flashbacks? Have they lessened during therapy, or have they increased as things have been talked about and uncovered? How have you dealt with them either by yourself and/or with the help of your Ts? Do you get them in sessions and if so how do your Ts deal with that?
I definitely do, although my experience of the flashbacks has kind of been a bell curve. Before I recovered memories of the abuse, I hardly had any. Actually they took the form of fear responses and intense emotions which seemed really over the top. I just assumed I was an overly sensitive, overly reactive person for years when in reality, I was getting triggered and bringing up old emotional responses which looked wildly inappropriate because they were being viewed out of context. Once I started recovering memories, they got more frequent and intense.
I should explain the my flashbacks tend to be body memories. No sights or sounds except for a rare flash, but I physically "feel" the memory and often physically am reacting and flinching away from things that aren't there, as well as being flooded and almost overwhelmed by very intense emotions, terror being foremost. (And yes, I felt like a complete nutjob when these first started happening.) I tended to most of them in session with my T but they would occasionally hit outside of therapy. But even at their worst, I never had a flashback where I couldn't handle them. I think, internally, I need to feel fairly safe, before whatever level which "held" these memories was willing to let them out.
But as I have gone on, they have become less frequent and less intense until now I would say that if I have two really intense flashbacks in a year it's alot. As I processed the memories I became much more aware of when I was triggered. Knowing I was being triggered often allows me to take steps to soothe myself by reminding myself I'm no longer in the past and have many more resources in the present so that the flashbacks don't push as hard or become as intrusive.
As I said, I usually dealt with them in sessions which would usually consist of letting the feelings "come closer" I'm sorry I know that's a vague answer but it's more of a gut feel thing than an intellectual understanding. I think the hardest part of processing the flashbacks is because of the sense that they are happening NOW and not in the past, you often lose the connection with all of your adult resources to deal with the feelings. So it took a weird balancing act for me, of letting myself go enough to be flooded by the feelings and memories but keeping a connection to my therapist so that I could retain a sense of being safe and then be able to verbalize what I was feeling (which was an ongoing confusing struggle). I would often think of it as letting the Little AG communicate her experiences to the Adult AG so that I could put the feelings into words, and then make sense of them and form a coherent narrative of what happened to me, to make sense of myself. This process transformed the traumatic memories, into normal memories, so that now when I remember, it's like my other memories, something I recall but that doesn't kick me between the eyes. I remember very clearly hitting the point when my abuse became something that had happened to me in my past, not something I was still experiencing. (A fairly recent development, I hasten to add, in the last six months after years of work in therapy.)
My Ts had different ways of dealing with it. My first T, who I did the bulk of my trauma processing, would hold my hand when they were really intense to ground me. She would also be careful to warn me ahead of time when we approached the end of the session (10-20 minutes) depending on the intensity, so I could pull back totally into my adult self and recover so that I was able to be together when I left. When my sense of humor returned and I was able to make a joke, was usually the signal I was ok again. She also dealt explicitly with a "parts" or "voices" therapy in which I saw the disassociated parts of myself as a Little AG who needed to communicate with my adult self, as I said earlier. We would often work on trying to make Little AG feel safe enough that she would let the memories she "held" out. (I do want to clarify that these were emotional states and not separate personalities, such as you have with DID. Each part felt like "me.")
My present T tends to approach it more as a process of more explicit integration. That I need to allow myself to experience feelings that I have held at bay without seeing myself has having separate parts. I went from using the semantics of "a part of me is feeling" to "sometimes I am feeling" to help me develop a sense of a consistent self who was experiencing changing emotions. This really worked for me but I'm not sure it would have if I had not first done the work with my earlier T. When I am having an intense time with him, having emotional flashbacks, he very effectively uses his voice and will keep up a consistent stream of reassurances usually geared toward my "apparent" age. If you could not see me and could only hear my T, it would sound like he was soothing a small child. He's really good at it, so much so that I would often feel physically held although we hadn't touched. (The only touch he ever provides is a handshake at the end of the session. Strict no hugs policy.
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It's difficult and exhausting work though. Having flashbacks is, I think, one of the most draing experiences I've ever had. And especially since so many came with such a deep sense of shame. Learning to be compassionate with yourself about flashbacks is really important. I spent way too much energy beating myself up for having them, that would have been better used in processing and understanding them.
I'm looking forward to hearing other responses because in my experience, people have flashbacks in a myriad of ways and hopefully someone's experience will be close enough to yours to help you. This was a really good question, thanks for asking it.
AG