#chronic hypervigilance | Explore Tumblr Posts and Blogs

e-november · 7 months

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Hypervigilance is a common symptom of many mental health disorders and social conditions. It is a physiological response of constant alertness to the threats around you and from yourself. I've had a hard time coping with this symptom in general, as it would warp all my relationships, all my perceptions of myself, others and the world. On top of all of this, I felt it was providing me safety from the actual threats I've experienced and feared experiencing; I couldn't be further from the truth. Here are a few ways you can experience hypervigilance:

You might have phobic reflexes. Every unexpected or unpredictable sensory information is perceived as a threat (a sigh, loud walking, cars or people behind you, quick movements from others, etc.). You may jump, or be extremely started and irritable. Other times, you may have extreme emotional reactions or intense dissociation. Phobic reflexes are generally responses to sensory triggers.

Your body may rarely feel relaxed. A lot of stiffness, pain and discomfort can come from keeping your body at a high stress level. At long-term, you may end up developing chronic illnesses as your body is overwhelmed with the constant arousal of fight/flight/freeze/fawn responses.

You struggle doing any task that requires your full attention or a lack of alertness to your surroundings (paperwork, sleeping, reading, etc.). Your ability to function cognitively may be affected by hypervigilance as a whole, which means you'll experience cognitive rigidity, processing disinhibition and other executive dysfunctions. (Note: these are generally partially reversible when recovering from PTSD, GAD, OCD or other disorders with hypervigilant patterns or when you are no longer in a social context which requires this level of conscience of your surroundings).

You may overanalyze what people say or what you think in order to avoid any threat. The latter is particularly common in people with OCD or with trauma around philosophical concepts. You may perceive yourself as one step away from losing control, and may expect others to lose control as well. Generally, the feeling of loss of control resides in hypervigilance itself than actually acting against your values.

You may use escapism a lot, and develop addictions, behavioral or not. This reduces the sense of being constantly threatened temporarily, but increases the hypervigilance on the long-term and worsens the issue. These are a few of the signs you experience hypervigilance as a core coping mechanism ruling your reactions to your current social context as well as the disorders you might deal with. Trauma is the common denominator of this mechanism, although PTSD and C-PTSD isn't implied by default. Since hypervigilance is your body being in constant alertness, in order to reduce it, you must reduce the physiological stress then work on the mental components of hypervigilance at the same time. I will update this blog later with a few ways you could reduce hypervigilance.

#actuallydid #did osdd #did system #ptsd #complex ptsd #actually ocd #ocd #schizophrenia #mental health #psychology

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gaymaramada · 1 year

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HCs: Perrito learning therapeutic / service techniques

Perrito lives up to his self-proclaimed title as “Therapy Dog” with flying colors, and not just due to his unrelenting optimism. He’s smart as a whip, and learns insanely quickly.

He goes beyond basic therapeutic needs, picking up on certain service techniques faster than it would take for a typical dog to be trained in one.

If Puss is feeling anxious at all, Perrito will catch on immediately and make sure to stay extra close to him for the time being. If he starts showing any cues for his anxiety (which, in Puss’ case, can consist of stuttered breathing, hypervigilance, and his fur standing on end), Perrito will gently paw at him or nudge his head underneath his paw, silently telling him to pet him.

He doesn’t just help Puss; Kitty suffers from chronic pain due to her declawing, so Perrito will often fetch things for her before she can even stand up to get it. He’ll also take note of whenever she’s massaging her paws, and will lie down on his back next to her so she can “make biscuits” on his belly, as it works as a form of self-soothing for her.

Both cats had trouble getting used to the sudden increase in care upon traveling with the dog. Puss would sometimes push Perrito away, not wanting to feel coddled like some scared kitten, and Kitty would tend to scold the dog for retrieving things for her, claiming that she could take care of herself and wasn’t some fragile old lady.

However, as time goes on, the two of them do eventually learn to accept his help, and soon to appreciate it. They’re both rather surprised at how much…lighter they feel knowing they all have each other to lean on when they need it.

#cw anxiety #cw chronic pain #cw internalized ableism #puss in boots #puss in boots: the last wish #puss in boots the last wish #perrito #puss in boots perrito #kitty softpaws #therapy dog #service dog #headcanons

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butts-bouncing-on-the-beltway · 2 years

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I was talking to a client today about "how to identify masking" as part of the process of learning how to shift masking from a reflexive coping strategy to a voluntary and conscious one and I feel like it led to a really important shift in framework FOR ME about masking and social distress.

Paraphrasing, the ideas we came to are as follows:

One of the reasons masking can be so difficult to recognize is because, essentially, masking is the act of performing "yourself" as a mirror for the other person you are interacting with. It's this idea of "I will micro-manage my own mood, affect, behavior, mannerisms, and environment in order to reflect back to you whatever version of "self" you need from me because if I don't there will be consequences". So because masking is essentially performing "mirroring" as selfhood by amplifying or minimizing aspects of yourself based on what you think the other person wants to see in you, it varies significantly from one context to another. The major commonality is that it takes up an INCREDIBLE amount of energy, mental and emotional resources, cognitive processing power, etc. So you don't identify masking by specific behaviors so much as by the feeling of "having a significant amount of your mental/emotional resources be occupied by the act of social interaction" to the point that it doesn't leave enough left-over for other cognitive tasks, or leaves you feeling exhausted and worn out, or basically by the impact that masking has on you during and after.

In this framework, part of why we get so anxious about new or unfamiliar people or situations is because we don't know how to mask in that context yet, and so until we get there and figure it out, we're basically just terrified of what could go wrong since we don't know what we're walking into.*

*This is the underlying framework of anticipatory and obsessive anxiety as well. Anticipatory and obsessive anxiety functions as the mechanism by which we conduct both predictive reasoning-basd advance planning and review/self-correctionof our mental predictive model.

Autistic aversion to uncertainty has a lot to do with our need to be able to use predictive reasoning-based advance planning to cope with "social deficits" aka how much harder it is for us to interpret subtextual/nonverbal cues, learn/meet social expectations, and work through/around disordered sensory processing. That predictive reasoning requires us to be familiar, in advance, with the stable constant factors that influence decision making in social contexts. If we aren't familiar with the constant variables than we can't plan, if we can't plan than we are more likely to make noticeable social mis-steps, and if we take notable social mis-steps there are consequences. It becomes necessary for us to be hypervigilent to observable patterns in other people's behavior in order to try to reverse engineer the social interaction playbook on the fly. That ends up making us more likely to assume personal responsibility for predicting and managing the emotional regulatory needs of people around us at all costs, replicating the behavioral/cognitive impacts of chronic traumatic stress due to the activation of our sympathetic nervous system from chronic hypervigilence.

Essentially, masking is a cognitive defense mechanism to severe and/or persistant traumatic interpersonal stressors. As the neurological impacts of chronic traumatic stress heal, we mask less frequently. But in order to heal from chronic traumatic stress, the human brain requires a safe environment that does not trigger a retraumatization episode or replicate feelings of helplessness/fear for safety. In other words, reducing/terminating masking safely requires us as autistic people to have consistent access to social environments in which we are able to utilize autistic interpersonal boundaries without fear of consequence or chonically unmet need. This requires the people around us to be able to respect not only autistic interpersonal boundaries, but also autistic self-expression/advocacy modalities and mediums.

I feel like a lot of the pieces of this framework have been rattling around in my head for a while but the flavor of words hit just right today and all the connections snapped into place.

Anyway, I'm still sort of sorting through the clinical implications of this framework but I think it's a direction I want to keep exploring for sure.

#i love my ASD client sessions it's so fucking MAGICAL how much those clients are thriving as we work together #like I don't know how to describe how well therapy goes when the client and clincian are speaking the same language it's really cool #anyway I feel like this is going to be part of how I assert the validity of my new modality because hot damn does it sync up perfectly #this framework so perfectly outlines the logical justification for the modality's clinical foundations #which will be really helpful in asserting the extant body of literature/evidence base for those clinical foundations as relevant #i need to update the files for my thesiiiiiiiiiiiiiis #actuallyautistic

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lakesbian · 1 year

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the more that i think about it, the more i feel like the undersiders are a really good litmus test for ability to understand/be sympathetic towards neurodivergency w/o reacting w/ hatred when it’s unpalatable. like, yes. they do in fact do a lot of violent and terrible things. but they’re from “trauma viscerally literalized as superpowers which are taken to extreme usages to better represent how devastating and emotionally total being traumatized feels” the book--it makes sense that every character is messy, it makes sense that every character does and thinks shit that extremely fucking sucks. trauma extremely fucking sucks! bitch literally tearing a man’s arm off because she’s been taught her entire life that people will always mock and hurt her for who she is and has learned to use aggression as pre-emptive defense feels significantly more relatable to what i was like when i was an autistic teenager than any quirky-funny representation of autism out there, and she’s not even explicitly autistic.

like, yeah, taylor has a paranoid and irrational worldview. lisa is hypervigilant and secretive and manipulative. brian can barely function & still refuses to be vulnerable. aisha acts out and it being for attention doesn’t make the behavior any less grating. rachel is aggressive and stubborn and violent. alec doesn’t understand ethical or social boundaries. those are all things i’ve seen people complaining about, saying they hated those characters for it, saying that it was fucking irritating to read about. which is like...Yeah, That’s How Traumatized Teenagers Act!

taylor had any ability to be “rational” about social interactions eroded from the years of irrational cruelty she faced. lisa micromanages her loved ones’ wellbeing because the last time she didn’t, her brother died. brian genuinely doesn’t know how to function at all if he’s not trying to be strong because it’s the only coping mechanism he’s been taught. aisha, chronically abused and neglected, is trying to assert autonomy & gain attention in the only way she knows how. rachel has learned that the only way she’ll be afforded any respect is if she takes it by force. alec says & does wildly inappropriate things because 13 years of grooming taught him it was normal.

& yeah, all of those things suck to deal with, but that is in fact because trauma sucks to deal with. litmus test for ability to realize that and be reasonably generous about the fact instead of shitting on the involved teenagers for having a hard time being perfect people after experiencing things built to make them feel less than human.

#worm #this one is fully just a ramble but i like the undersiders. I Like Them.#i would like to take them all out for ice cream.#and they can get the large cup size too if they want i don't care #i'll even let them get extra toppings they deserve it

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sarabethsilver · 2 months

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Why does everybody, including Rory, assume that school would be easy for Jess? Because he's smart? Because he's well-read?

Being well-read would do exactly nothing to help Jess pass chemistry, algebra, or Spanish. Reading every book on the planet doesn't mean Jess has the executive functioning skills necessary to study or manage his homework.

And we KNOW that Jess' schooling was interrupted. They moved constantly, which means Jess changed schools constantly. Liz was financially unstable and completely disengaged as a parent: both of those things lead to school absences. If Jess missed entire chunks of math and science, no amount of natural intelligence magically erases that.

AND Jess has obvious mental health issues. You know what makes it really hard to succeed in school? Intrusive thoughts, flashbacks, chronically high anxiety, hypervigilance, poor sleep patterns, and a lack of social skills needed to ask for help. Doesn't matter if you're the smartest human on Earth: nobody can pass a physics test if they're in the middle of a panic attack.

It bugs me that everyone collectively rolls their eyes at Jess' school problems. It's entirely based on the (wrong and VERY dumb) assumption that if he simply walked into the school building and put pencil to paper, he'd instantly ace his classes.

#gilmore girls #jess mariano #i hate that stupid school #the poor kid needed an iep #or at least teachers who gave a single crap #smart doesn't mean school is effortless

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therapyforblackgirls · 8 months

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10 Things To Remember if You're Chronically Overwhelmed

Feeling chronically overwhelmed may be a trauma response. Trauma activates the flight or fight response in our bodies. This activation engages the sympathetic nervous system. Sympathetic nervous system activation releases stress hormones like cortisol and epinephrine. In the presence of danger, these hormones help us survive. When danger is not present, these hormones can cause you to feel overwhelmed and can lead to physical symptoms of stress to include increased heart rate, sweating and digestive issues. After experiencing trauma, it is possible that your sympathetic nervous system may be hyperactivated. This hyperactivation may culminate in chronically feeling stressed, on edge, hypervigilant, jumpy or on guard. It may be difficult to relax. The good news is that you can reset a hyperactivated nervous system through trauma healing.

#therapyforblackgirls #therapy for black girls #minority mental health month #black mental health matters #mental health #therapy #positivity #black tumblr #blk tumblr #emotional health #mental health recovery #mental health support

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bbcphile · 4 months

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Mysterious Lotus Casebook and Complex PTSD Representations: Part I

One of my favorite things about Mysterious Lotus Casebook is how surprisingly nuanced and unusual its portrayal of complex PTSD is. So many shows either introduce character trauma to make the character Sad and Brooding, Angry and Violent (if they’re a villain) or Hesitant to Start a Relationship (if it’s a romance), and that’s usually as in-depth as it gets. If they address the unique after effects of child abuse that lead to complex PTSD at all, it’s usually either explain why a character is a homicidal monster (which is all sorts of problematic) or it’s limited to a single phobia, which can be overcome by the Power of Love, or it’s just something that crops up occasionally for Plot and then forgotten about the rest of the time.

Mysterious Lotus Casebook gives us two deeply traumatized characters–Li Lianhua and Di Feisheng–who each have clear symptoms of complex PTSD, and yet, their cPTSD manifests completely differently because of the types of traumas that caused it and their relationships to the people causing the traumas. And their manifestations of cPTSD affect just about every level of their being, including their sense of self, their decision-making, and their relationships with others, and it includes some of the incredibly important manifestations of cPTSD that are almost never shown in media while avoiding the most insulting stereotypes!

PTSD vs cPTSD

Post Traumatic Stress Disorder is an anxiety disorder caused by experiencing a single (or short lived) traumatic event (an accident, assault, medical emergency, fighting in a war, etc), where the symptoms last for longer than a month. Symptoms include things like reexperiencing the event (flashbacks), avoidance (of things related to the event), changes in mood (depression, anger, fear, etc), and issues with emotional regulation (hypervigilance–being constantly on the lookout for threats–irritability/angry outbursts, etc.).

Complex PTSD happens if someone has experienced long term, chronic/repeated trauma that induces hopelessness and no chance of escape (survivors of extended child abuse, human trafficking, domestic violence, prisoners of war, slavery, etc.). It’s also often interpersonal in ways a car crash or medical emergency is not, and is particularly linked with chronic trauma during childhood: chronic stress hormones introduce literal physical changes in a growing brain, particularly the amygdala (which processes fear), hippocampus (which is responsible for learning/memory), and the prefrontal cortex (which is responsible for executive function), so it can affect every aspect of life and also affect a child’s progression through developmental stages. In addition to these physical changes to the brain, the prolonged trauma–particularly the helplessness–distorts a child’s sense of self, the perpetrator, and the world in ways that alter their decision making, their memory, and their future relationships.

For instance, whereas a traumatic event that caused PTSD might make you depressed or not trust the person who harmed you (or to fear driving), the trauma from cPTSD might make you suicidal, blame yourself for your victimization, decide to isolate to avoid interpersonal relationships to keep from getting hurt, or become obsessed with never being harmed again.

Basically, cPTSD has the core symptoms from PTSD with some extra challenges, including issues with emotional regulation, self-concept, interruptions in consciousness, difficulties with relationships, perceptions of the perpetrator, and systems of meaning.

DFS and LLH: CPTSD Symptoms

There’s so much more to say about this than I can cover in this superficial introduction, so this will be the first of a series of metas; I’m hoping to go into more depth about some of these categories in future posts (the DFS and emotional regulation/violence one is already drafted, so stay tuned).

Difficulties with Relationships (problems with trust, communication, missing red flags): Both DFS and LLH have a history of trusting the wrong people and not trusting the right people, both in the past and in the present of the show: in the past, LLH missed the fact that SGD hated him and DFS missed the fact that JLQ was obsessed with him, and as a result, both sects were destroyed, many people died, and the two almost destroyed each other. If they had communicated with each other instead of fighting at the donghai battle, they might have realized they were being set up and could have worked together, but their difficulties with trust after perceived betrayal made that impossible for them. They both have a history of overlooking red flags in the present–DFS in particular, keeping the red-flag-personified-JLQ around despite her history of poisoning people, including himself–and they both tend to struggle with relationships in the present: LLH runs away from and/or drugs the people who care about him, and DFS sends endless mixed messages by not telling Li Lianhua most of his plans to help him.

Self-Concept (Self-hatred and self-fragmentation): Li Lianhua is basically the poster child for having a negative self concept: he has an overdeveloped sense of self-blame and responsibility, even believing he deserves to die for leading his men to their deaths, and once he learns he was manipulated and SGD was behind it all, he seems to think it’s his own fault that he was manipulated, lied to, and abused. His self-loathing is so extreme that he imagines his earlier self, Li Xiangyi, to have died, and tries as much as possible to be nothing like that earlier persona. His repeated insistence that Li Xiangyi and Li Lianhua are NOT the same person is reminiscent of the fragmentary sense of self that comes with more extreme trauma, like Dissociative Identity Disorder (DID) or Other-Specified Dissociative Disorder (OSDD), where traumatic experiences are so painful that people form different alters, or differentiated self-states, that can have different names and skills and memories and identities.

Di Feisheng doesn’t have the self-hatred or guilt that LLH does, and it seems like he tries to skip over questions of self worth, blame, or hatred by focusing exclusively on staying true to his code of ethics he’s developed for himself and focusing on gaining the strength necessary to fight for his freedom from mind control and the Di Fortress. But even though he’s kept his Di name, kept his goals the same since escaping Di Fortress, and hasn’t tried to separate himself from his trauma the way LLH did with LXY, he’s even more willing than LLH to take on different identities: it’s literally one of his martial arts skills. The Bone Constriction Skill lets him become someone else for a time, whether that’s a child or Shi Hun. It fits well with his willingness to be whoever he needs to be to accomplish his goals: he’s perfectly willing to be seen as a heartless villain if it lets him protect LLH, and he’s willing to flirt with and pretend to be jealous of JLQ to get information from her, and he’s willing to be LLH’s a-Fei, both with and without his memories.

Interruptions in Consciousness (Amnesia and nightmares for Everyone): LLH and DFS both have nightmares and flashbacks/memories of traumatic events, and as mentioned above, both have interesting hints of having fragmented/fluid senses of self. They both also dissociate, or separate themselves from the present when dealing with traumatic things: LLH spaces out and gets stuck in his past memories about SGD when talking to FDB after burying SGD, and DFS dissociates from physical pain so as not to make noise both after he’s been stabbed and poisoned with Wuxin Huai and again when JLQ is torturing him in her water dungeon.

They both also have dissociative amnesia that takes away trauma memories, although one is from a poisonous incense plus the magic of qi macgyvering: LLH forgot the existence of his older brother who died in front of him, and DFS as a-Fei had just about all of his memories (except a few of killing as a child) taken away. Amnesia is a huge part of cPTSD, because it’s the brain’s way of trying to protect you from truths that you might not survive. It can manifest as blocking out one single traumatic event, a bunch of thematically or temporally linked traumatic events, a skill set related to the trauma, or, in the case of something like DID or OSDD, just about everything. It’s endlessly fascinating to me that the show gives us one example of definite traumatic amnesia through LLH, and then seems to almost transform the experience of having DID and being a new part and finding yourself with a new name and very little else into an exaggerated fantasy setting (interestingly, people often report experiencing debilitating headaches when they try to regain memories behind the amnesia barrier). I doubt this is what they were actually going for, since DID is almost universally portrayed incorrectly and offensively in media (one of the alters is almost always portrayed as a serial killer, but that’s a rant for another day), but the different names and the presence of amnesia with LLH made it a fascinating enough parallel that I had to mention it.

Problems with Emotional Regulation (Lashing in vs. lashing out): Li Xiangyi and Di Feisheng are polar opposites when it comes to struggles with emotional regulation: whereas LXY turns his anger inward, directing it all toward self-hate in what’s often called a “toxic shame spiral,” both after the donghai battle and after he finds out about SGD’s role in his shifu’s death, DFS lashes out physically at those who have harmed him, usually via choking people, although he is usually exerting an impressive amount of control over his emotions and strength. To put in perspective just how different their emotional strategies are and how much effort DFS puts into emotional regulation, compare how much more calm he is than LLH during any revelation of past betrayal or painful information, any scene where they confront the people who have abused them, or any scene where they learn they’ve been wrong about something big; LLH is most likely having an emotional flashback (re-experiencing the emotions from the earlier traumas) and DFS is probably compartmentalizing them or dissociating from them to process later/never so he can stay semi-functional and not show a potential opponent a weak spot.

NOTE: This means that DFS is loooong overdue for a very dramatic breakdown when it eventually all catches up to him and he can’t distract himself from it anymore.

Perceptions of Perpetrators: In this way only, Di Feisheng has one advantage: he knows the head of Di Fortress is a cruel, abusive tyrant. While he clearly still fears him, even as a physically strong adult (he has nightmares, flashbacks, and dedicates his life to being free from him, which means he still to some extent feels young, small, and helpless when he thinks of him), DFS knows that he hates him and wants to be free of him. This is probably part of why he’s spared some of the self-hatred LLH experiences: he knows he didn’t deserve the abuse because seeing it happen to other children means he knows the abuse wasn’t a personal reflection on him. It does, however, motivate him to want to be stronger and invulnerable so as to never be helpless again, and that obsession is what drives him to have a single-minded focus on reaching the pinnacle of the jianghu.

It’s so much more complicated for Li Lianhua (and for a more detailed analysis, check out this meta): the childhood perpetrators were manifold–a slew of bandits, whichever children and adults on the street would abuse him for existing and being poor–it probably felt like life itself was to blame. It’s no wonder that when his shifu and shiniang took him in, they were the ultimate rescuers whom he hero-worshipped, so when he felt he made a mistake and his life fell apart, he blamed himself: at least there would be someone to blame that way and something he could do about it (try to kill his past self and hate everything about him). It’s also very telling that LLH doesn’t blame JLQ or YBQ all that much when he learns they poisoned him, and that he’s more angry that SGD murdered their shifu than he is that SGD set him up, hated him, and was the real mastermind behind everything he had blamed himself for; he struggles to stay angry at people who harm him, and would rather blame and hate himself for being tricked than hate the person who tricked him. So, whereas DFS tries to destroy the people who abused him, LLH tries to destroy himself.

If you read this far, thanks! I’m probably going to be posting the DFS and emotional regulation/violence against perpetrator meta next, because it’s drafted, but if there are any of these you desperately want me to talk about more sooner rather than later, let me know! :D

#mysterious lotus casebook #mlc meta #di feisheng #li lianhua #Li Xiangyi #complex PTSD #child abuse #sorry it's so long! This is the short version #The original version was 2700 words #dissociation #trauma #I am so here for non-monolithic representations of mental illnesses #PTSD #In case you can't tell I am very invested in depictions of PTSD and cPTSD #I'm always up for talking about fictional portrayals of trauma #so feel free to message if you have questions about any of this and don't want it to be in the notes for some reason

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