What is C-PTSD? How is it Similar and Different from Post-Traumatic Stress Disorder (PTSD)?

Post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (C-PTSD) are both neurobiological disorders that occur when someone experiences or witnesses a traumatic event. Examples include, but are not limited to, war or combat, natural disasters, physical or sexual assaults, and life-threatening accidents.

Almost all of us associate PTSD with veterans. We understand combat is gruesome on the body and devastating to the psyche. If only we look at the faces of our veterans when they return, it is clear that war is hell. We know, even without words, that they went through something far beyond the scope of normal human experience. In fact, generations before the term “post-traumatic stress disorder” became known, PTSD was known by other names: war neurosis, shell shock, soldier’s heart, or combat fatigue. Furthermore, much of the research, advocacy, awareness, and treatment options for PTSD have been through means such as the U.S. Department of Veterans Affairs. Thus, it makes sense we as a collective society to visualize a soldier in battle when we think of PTSD.

However, many times PTSD is most prevalent in people who have experienced dangerous, life-altering events. It seems to be most frequent in survivors of sexual assault or those who went through or witnessed violent car accidents, both which involve powerlessness, danger, and terror. Furthermore, PTSD can occur in populations that often are forgotten to be traumatic, such as ICU stays.

It is believed most people will experience at least one traumatic event in their lives, and a fourth will develop PTSD. It is not known how many people live with Complex-Post Traumatic Disorder, C-PTSD.

Symptoms of PTSD

There are three types of PTSD symptoms:
Hyperarousal symptoms. People with PTSD may have sense-of-threat symptoms, as if they are on edge and hypervigilant of their environment. They can have a startled response such as jumpiness.

Re-experiencing symptoms. Nightmares and flashbacks are the hallmark symptoms of PTSD. The individual may “go through” the trauma again via memories, via sensory experiences and emotions. The individual may feel the same smells, sights, sounds of the trauma.

Avoidance symptoms. Those living with PTSD will participate in avoidance symptoms, as in avoiding triggers associated with the trauma. This is broad, and can include places, situations, people, or events (i.e., holidays). They may also attempt to drown the symptoms through self-medicating with alcohol or other substances.

What is Complex Post-Traumatic Stress Disorder?

C-PTSD is a multilayered version of PTSD involving prolonged or chronic attacks on an individual’s sense of safety, self-worth, and integrity. This is dissimilar to PTSD, which is the result of one traumatic event. The ongoing maltreatment causes a multitude of additional symptoms, which shape neuropsychological development such as personality.

C-PTSD results from situations of chronic powerlessness and a lack of control. This can be from long-standing domestic violence (whether experienced or witnessed), sex trafficking, or child maltreatment. However, it is most common in those who were subjected to child abuse or neglect at a very early age. This is prevalent if the harm is by a caregiver or other significant adult. Also, multiple traumas increase the risk of developing C-PTSD.

Symptoms of C-PTSD

People with C-PTSD have compounded symptoms of both PTSD and those from other mental health disorders. These may include the following:

Psychosomatic issues: Psychosomatic issues are physical issues without a medical explanation. This can be caused or worsened by a psychological reason such as stress. It is common for people with C-PTSD to have vague physical symptoms such as dizziness, chest pains, abdominal aches, and headaches.

Emotional flashbacks: A flashback is a vivid, intense experience in which a person will relive some parts of a trauma. Some people feel as if it is happening in the present. Stereotypically, people tend to think of the war veteran who is having a “movie-like” flashback in which the event unfolds again in its entirety. However, a flashback does not need to be so extreme – and usually they are not.

Difficulty regulating emotions: Those with C-PTSD may experience sharp, vivid emotions which can be inappropriate for the situation. These rapid shifts in mood can be misdiagnosed as bipolar disorder or borderline personality disorder, which can have similar features but are not the same.

Flat affect: People with C-PTSD may also have a flat affect, meaning they appear numb, somber, or emotionless to others. This body language can be misinterpreted by others, making people think the individual is feeling a certain way or is aloof. In truth, the person may have a rich, complex inner world of their emotions and be feeling very differently than how they are expressing themselves.

There are several reasons for a flat affect. One powerful reason is because the individual may not have witnessed emotional expression in their formative years, thus in turn they have been sharpened to be “flat” as an adult. To explain it plainly, imagine a primary caregiver not smiling at their baby. The baby mimics and responds to the caregiver by also not smiling. This is sharpening the baby to respond such a way going forward.

Other Symptoms of C-PTSD

A lack of emotional vocabulary: Finally, individuals with C-PTSD may have difficulty with articulating their emotions or they may not understand what they feel; that is, there is an absence of an emotional vocabulary. They may struggle in therapy when asked “what are you feeling?” and respond with “I don’t know” or they may describe a physiological feeling instead (i.e., tiredness, nausea). This is because in the context of prolonged trauma they had to adapt to shutting down their emotions to survive. For example, they may have been programmed in their earliest years to think “emotions are bad” because they were consistently invalidated or punished for emotional expression by their caregivers.

Dissociation: Dissociation happens to everyone. Dissociation is a sensation of feeling disconnected from oneself and the world through a sensory experience, thought, sense of self, or time. A person who dissociates may feel depersonalization (detached from their body) or derealization (feeling as if their surroundings are unreal). And at one time or another, all of us have dissociated. Getting lost in a daydream, forgetting the details of a car drive, or spacing out during a boring class lecture are all examples of dissociation.

When applied to trauma, dissociation is an innate coping mechanism. It is a protective action taken by the mind to let an individual survive a traumatic experience. At the time of the event, dissociation is beneficial, especially for children as they often lack insight and more sophisticated coping skills. However, the downside of dissociation is that when someone has dissociation and is at risk of developing C-PTSD or another trauma-related disorder, the dissociation does not resolve the trauma. In adulthood, the effects of dissociation can negate the ability to trust, form and maintain healthy relationships, and prioritize self-care. Through the phenomenon of mind-body separation, individuals may develop self-destructive behaviors such as ones that keep them dissociated (“I can’t tell when I’m feeling hungry, so I eat less than I should”) or ones to make them dissociate (“I drink alcohol to numb myself so I don’t have to feel my despair”).

Negative core beliefs: Individuals with C-PTSD may have the core belief “I am not safe” or “the world is unsafe.” Alternatively, they may have other core beliefs (“I am unlovable” or “I am not worthy of respect”, for example). These core beliefs are deeply ingrained, at the pool of their identities, which can mean the individual is unaware they even carry such beliefs until they develop more insight.

Relationship difficulties: Individuals with C-PTSD can struggle with developing and maintaining healthy relationships. Such individuals struggle with feeling able to trust others due to their traumatic histories; thus, they may isolate themselves or feel intensely uncomfortable with “opening up” to others. Or they may respond inappropriately in a social situation. Unfortunately, these factors only enhance their risk of disapproval or misunderstanding by others, which makes them more susceptible to social isolation or ridicule.

Additionally, people with C-PTSD are more susceptible to entering and remaining in abusive relationships – especially those who already experienced abuse. 

Treatment for C-PTSD

C-PTSD is a treatable condition. However, clients (patients) should be cautious when selecting their therapist. The treatment of complex trauma is a specialty, and not all therapists have the knowledge, skills, or experience to adequately support those who have C-PTSD. Thus, it is encouraged to “screen” the therapist during the consultation session by asking for their background in treating C-PTSD. Much like we may make thoughtful, careful choices about our medical doctors, the same should be done for therapists too!

Ask the therapist about their intervention styles (treatment approaches) as well.

The following treatments are frequently utilized for C-PTSD treatment:

• Eye Movement Desensitization and Reprocessing (EMDR) Therapy. In EMDR, the individual reflects on a trauma while following a bilateral stimulus that results in the eyes moving back-and-forth.
• Trauma processing therapies.
• Exposure therapy, in which individuals re-experience their traumas in a safe, controlled environment.
• Cognitive Behavior Therapy (CBT), which focuses on the relationship between cognitions (thoughts), emotions, physiological sensations, thereby changing the resulting behaviors.
• Dialectical Behavior Therapy (DBT), an off-set from CBT which also includes interpersonal effectiveness (relationship skills), emotional regulation, distress tolerance, and mindfulness.
• Cognitive Processing Therapy (CPT), a behavioral therapy that challenges and changes unhelpful beliefs associated with the traumatic events

Looking For a Therapist?

All of our counselors here at Long Island EMDR specialize in trauma work. We have a variety of sub-specialties within that including sexual assault, domestic violence, infertility, childhood abuse/neglect, loss of a loved one and bullying.

Wishing you healing and light,

-Valerie Smith, LMSW

How Does Trauma to One Family Member Affect the Entire Family Unit?

When a family member is traumatized it can have a ripple effect on the entire family unit. The nuclear family being parents, partners and siblings will often endure the shock to the system when one member of the family experiences trauma. These family members can either serve to be supports or obstacles to the member of the family that experienced trauma. At their worst the family unit itself can become a system in which the traumatized individual is essentially retraumatized continually based on their families treatment towards them, opinions about them or new role they cast for them after the traumatic experience occurs.

What Does This Look Like When a Child is the Victim of Trauma?

For example, if a teenage girl is raped by a stranger and the parents belittel and blame the teenager for “being stupid”, not “knowing better”, dressing a certain way or being in a certain place- this inevitably leaves that child feeling like they are to blame for what happened to them and something is inherently wrong with them to have caused such a thing to occur. This can leave that teenage girl feeling hopeless, lost, unsupported and very alone.

If she then begins to act out and becomes promiscuous, or her grades drop because she has PTSD and cannot focus as well, or become irritable and has more outbursts towards the parents, the child again will likely be blamed for their behavior. All of her cries for support, her showing she is struggling will only continue to serve the narrative that that child is inherently bad, defective, and unlovable. The parents' reaction to her only continues to show her the world is unsafe, unsupportive, and people in general are not to be counted on or trusted. 

Consequences of When it is Not Discussed

Well meaning parents who struggle to cope with what happened to their child may shy away from conversations about how it’s affecting the child and carry on as if nothing happened- minimizing the effects of what happened to that child. This can foster children feeling all those same feelings, unloved, unsupported but also fosters this idea that “it’s in my head”, “it wasn’t that bad” or “I have no reason to still be upset/sad/angry” causing them to bury their shame, guilt and fears as it is not welcomed to discuss in the household. 

In both cases, parents' own trauma may account for their responses. A parent may be too triggered by that child’s sexual abuse to listen to them discuss it causing scenario 2. Alternatively, the parent could have their own history of sexual assault and blame themselves so they project their anger and blame on the child as they never fully coped with what happened to them. Furthermore, a parent’s lack of experience dealing with trauma themselves can cause them to feel inadequate in supporting their child in coping with trauma.

What Effect Can a Traumatized Parent Have on Their Children?

There are two main ways that children are affected when a parent is traumatized:

1. Witnessing a parent’s trauma.
2. Experiencing posttraumatic symptoms of the parent.

1. Witnessing a Parents Trauma

Witnessing could be through a child witnessing domestic violence or sexual assault of their parent. Children who witness a parent’s trauma may feel fearful and anxious. They may always be on guard, wondering when the next violent event will happen, waiting for the next shoe to drop. This can be seen in different behaviors depending on the child’s age.

Family Trauma Signs in Children under 5:

• Regressive behaviors such as bed wetting, thumb sucking and increased need for attention (whining/crying). 
• Difficulty falling and/or staying asleep
• Development stutters
• Development of fear-based behaviors such as hiding
• Severe symptoms of separation anxiety

Signs in Elementary School Children:

• Feelings of guilt and self-blame for the abuse
• Low self esteem
• Decrease in academic performance
• Increased behavioral issues at school
• Difficult making and keeping friends
• Somatic complaints such as stomach aches or headaches with no known medical cause

Signs in Teens:

• Acting out or oppositional behaviors
• High-Risk Behaviors such as unprotected sex, drug/aclohcol use, stealing, crimal behaviors
• Low self-esteem
• Low threshold for stress

It is important to note that there is a distinction between common behaviors for girls and boys- though this does not mean it cannot present in the opposite way. Boys are more likely to engage in oppositional, aggressive, and what we would generally call “acting-out” activities. Girls are more likely to “act-inward” and thus struggle with low-self esteem, depression, self-harming, and socially isolative behaviors.

2. Experiencing posttraumatic symptoms of the parent

Re-Experiencing Symptoms:

PTSD can cause flashbacks and/or nightmares which are what we call re-experiencing symptoms. These symptoms can occur quickly and seemingly to bystanders as “out of nowhere”. They usually bring with them strong feelings and emotions of guilt, shame, anger, grief or fear. For some individuals the flashbacks can be so severe they feel as if the memory is occurring in real time. To children and partners this can be quite scary. The parent’s behavior is unpredictable. They may not understand why the family member is acting this way or what caused it. It can cause children to worry about that parent, feeling that their parent is too fragile to take care of them. For a partner it can put them in a caregiver role and make them feel hopeless about how to get their partner back to who they were before the trauma. 

Avoidance and Numbing Symptoms:

It is common for anyone experiencing PTSD to try to avoid trauma reminders and/or triggers. This may cause them to avoid people, places and things that remind them of their trauma. It can also cause them difficulty in experiencing joy and pleasure in things they used to love. Leaving that family member to feel detached or cut-off from their partner and children. Avoidance and Numbing can leave partners and children feeling unloved, unsupported and unimportant. They may be hesitant to go to family events, holidays, kids games and struggle to connect with and engage with their loved ones like they used to. 

Because the re-experiencing symptoms are so upsetting, people with PTSD try not to think about the event. If you have PTSD, you may also try to avoid places and things that remind you of the trauma. Or you may not feel like doing things that used to be fun, like going to the movies or your child's event. It can also be hard for people with PTSD to have good feelings. You may feel "cut off" from family and children. As a result, children may feel that the parent with PTSD does not care about them.

How Does Trauma of One Sibling Effects the Other Siblings?

In my work, I have seen children whose siblings have experienced trauma struggle with many of the same trauma reactions and negative core beliefs. This is often due to parents focusing on trying to help the traumatized child and thus the sibling feeling neglected or pushed aside and unsupported. These children then tend to have a lot of the same acting-out or acting-in behaviors we described above. Many of them struggle with core beliefs of “I am responsible” “I have to be in control”; “I am unimportant/unlovable/defective”. This also occurs in children who are terrified of what happened to their sibling, happening to them or anyone else they love. This can make a child chronically anxious and fearful of the world.

Where to Start if You're Struggling With Family Trauma

If this is all feeling a bit “close to home” you may want to reach out for support for yourself and your loved ones. Therapy will focus not just on the individual who has experienced trauma but also incorporate family sessions so that we work though any re-traumatizing interactions that are occurring within the family system. Here at Long Island EMDR we are all perfectly imperfect humans who have been through our own “stuff”. We will not judge you, what happened or the aftermath. Our goal is to help you and your family work through what has happened so that you can feel and be the close, loving supportive happy family that you once were or that you long to be. No judgment. Just support and encouragement.

What Therapy Will Look Like for Family Trauma:

Our assessments will focus on both individual and interpersonal consequences of the trauma, including parent-child interactions, discipline, communication and other areas of family functioning. Depending on your family situation, we may recommend individual sessions for multiple family members who are being affected by the aftermath of the trauma, in conjunction with family sessions to work on the interpersonal relationships when everyone is ready. As always our approach will be tailored to each unique family and individual. We have a range of therapists and modalities, including: EMDR, TF-CBT, art therapy, bereavement counseling and couples counseling, to ensure that each family and family member has an approach that works for them.

Experiencing a car accident can be a traumatic and life-altering event. Aside from physical injuries, it can also leave a lasting impact on one's mental health. Many individuals who have been in a car accident often develop anxiety symptoms, such as persistent fear, hypervigilance, and flashbacks. These symptoms can significantly affect their daily lives and prevent them from moving on from the traumatic experience. Fortunately, there is an effective therapy that can help individuals cope with these anxiety symptoms - Eye Movement Desensitization and Reprocessing (EMDR) therapy. EMDR therapy can help individuals struggling with car accident-related anxiety and is an effective treatment option.

Reclaim Your Life After a Car Accident - Break Free from Anxiety!

If you have even been in a car accident, the aftermath of such a traumatic experience can take a toll on your mental and emotional well-being. If you're dealing with:

1. Avoidant Behavior: Constantly trying to avoid situations that remind you of the accident, such as driving, or shying away from discussions and activities associated with a lost loved one.
2. Extreme Mood Changes: Suffering from persistent mood swings and sadness that just won't fade away, signaling a possible case of PTSD.
3. Detachment: Feeling emotionally distant from loved ones, losing interest in once-beloved activities, and experiencing extreme loneliness.
4. Flashbacks: Being haunted by intrusive, distressing memories of the accident that can trigger anxiety or depression, making it hard to engage in everyday activities.
5. Frustration: Struggling with overwhelming frustration and anger, whether it's about the accident itself or the mounting medical bills and financial strain.

You may have developed PTSD in response to the accident and would benefit from Anxiety Treatment

Imagine a life where you:

• Face your fears and travel confidently on the road, free from anxiety.
• Cherish the memories of your loved one and participate in activities they enjoyed.
• Find emotional balance and regain your connection with loved ones.
• Say goodbye to distressing flashbacks and reclaim your life with ease.
• Manage your frustrations constructively and regain control of your finances.

What Treatments are Most Effective in Dealing with PTSD after a Car Accident?

Our brain likes to "code" things. If we experience trauma our brain codes that experience and all things associated with it as threats. There are some problems with this coding though. For example, let's say you were hit by a blue car. Now every time you see a blue car, you get muscle tightness, and begin experiencing anxiety- but blue cars in and of themselves are not threats. EMDR takes the traumatic event stored in the "emotional" part of our brains and assists in making connecting with the "logical" reasoning part of our brain. This way the memory is stored more accurately and we do not experience the physical anxiety symptoms that occur when the memory is stored and processed inaccurately.

How to Start Treatment for PTSD Post-Car Accident in Suffolk County, NY?

Don't let the trauma of a car accident continue to control your life. You have the power to heal and thrive once more. Reach out to us for a consultation, and let's begin your journey toward a life free from anxiety and PTSD. You deserve to live without fear and embrace the peace and joy that awaits you.

Do you constantly feel like you don't belong or aren't good enough? Do you fear being exposed as a fraud and worry that your accomplishments are just luck? If so, you may be experiencing imposter syndrome. This common phenomenon can lead to intense anxiety symptoms and hold you back from reaching your full potential. But don't worry, relief is possible. In fact, with the right treatment, you could start feeling like a confident and capable individual in just a few days. Keep reading to learn more about how EMDR, TF-CBT, Mindfulness, and EMDR Intensive for Busy Professionals can help you say goodbye to imposter syndrome and its anxiety symptoms for good.

Understanding Imposter Syndrome and Its Impact on Mental Health

The impact of imposter syndrome on mental health is significant. It can contribute to the development of anxiety disorders and depression symptoms. The constant fear of being discovered as a fraud can lead to a constant state of stress, which can manifest as physical symptoms, including sleep disturbances, headaches, and gastrointestinal problems.

Recognizing imposter syndrome and understanding its impact on mental health is the first step toward finding relief. By seeking appropriate treatment, individuals can overcome the negative effects of imposter syndrome and regain their self-confidence.

If you are experiencing imposter syndrome, there are innovative therapeutic approaches that can help. EMDR (Eye Movement Desensitization and Reprocessing), TF-CBT (Trauma-Focused Cognitive Behavioral Therapy), and mindfulness techniques have shown promising results in reducing imposter syndrome symptoms. These therapies can help individuals challenge negative beliefs, reframe their thoughts, and develop coping mechanisms to deal with imposter syndrome.

In the following sections, we will explore the role of these therapies in combating imposter syndrome and how they can help individuals embrace their confidence and reach their full potential.

Innovative Therapeutic Approaches to Combat Imposter Syndrome

Imposter syndrome can be a challenging mindset to overcome, but there is hope. Fortunately, there are innovative therapeutic approaches that can help combat imposter syndrome and its negative impact on mental health. Let's explore these approaches and how they can empower individuals to embrace their confidence and reach their full potential.

One such approach is Eye Movement Desensitization and Reprocessing (EMDR) therapy. Originally designed to treat individuals with post-traumatic stress disorder (PTSD), EMDR has shown promising results in alleviating imposter syndrome symptoms. This therapy works by helping individuals reprocess past experiences and negative beliefs that contribute to feelings of inadequacy and fraudulence. Through targeted eye movements or other forms of bilateral stimulation, EMDR helps individuals process and integrate these experiences, leading to a more positive self-perception and increased self-confidence.

Mindfulness techniques are also invaluable in combatting imposter syndrome. Mindfulness involves bringing one's attention to the present moment and cultivating a non-judgmental awareness. By practicing mindfulness, individuals can gain insight into their thoughts and emotions, recognizing them as transient experiences rather than absolute truths. This can help individuals detach from imposter syndrome-related thoughts and instead focus on their skills, achievements, and strengths.

These innovative therapeutic approaches, such as EMDR, TF-CBT, and mindfulness, provide powerful tools for combating imposter syndrome. They offer individuals the opportunity to challenge negative beliefs, reframe their thoughts, and develop effective coping strategies to navigate imposter syndrome. With the right treatment, imposter syndrome and its accompanying anxiety symptoms can become a thing of the past, allowing individuals to step into their confidence and reach their full potential. Don't let imposter syndrome hold you back any longer - embrace these innovative approaches and start living your life with confidence.

The Role of EMDR in Tackling Imposter Syndrome

Imposter syndrome can be a debilitating condition, causing individuals to doubt their abilities and constantly fear being exposed as a fraud. Fortunately, there are effective therapeutic approaches that can help combat these feelings and restore confidence. One such approach is Eye Movement Desensitization and Reprocessing (EMDR) therapy.

Originally designed to treat individuals with post-traumatic stress disorder (PTSD), EMDR therapy has shown promising results in alleviating imposter syndrome symptoms. During EMDR therapy, individuals are guided through reprocessing past experiences and negative beliefs that contribute to feelings of inadequacy and fraudulence. This can be particularly helpful for those who have experienced trauma or have deep-rooted insecurities.

EMDR therapy utilizes targeted eye movements or other forms of bilateral stimulation to help individuals process and integrate these experiences. By doing so, it helps individuals reframe negative beliefs, reduce imposter syndrome symptoms, and increase self-confidence. The effects of EMDR therapy can be long-lasting and can lead to significant improvements in overall mental well-being.

In addition to reducing imposter syndrome symptoms, EMDR therapy has also been found to be effective in treating PTSD symptoms, anxiety attacks, and depression. It addresses the underlying issues that contribute to imposter syndrome, allowing individuals to heal and grow.

If you are struggling with imposter syndrome, consider exploring EMDR therapy as a powerful tool to help you overcome these feelings and step into your confidence. With the guidance of a trained therapist, you can reprocess past experiences, challenge negative beliefs, and embrace your true abilities. Don't let imposter syndrome hold you back any longer - take the first step towards a more confident and fulfilling life with EMDR therapy.

Embracing Mindfulness to Counteract Imposter Syndrome

Mindfulness can be particularly helpful in combatting imposter syndrome because it allows individuals to detach from negative thoughts and beliefs that contribute to feelings of inadequacy and fraudulence. Instead of getting caught up in self-doubt and comparison, individuals can focus on their own skills, achievements, and strengths. This shift in perspective can lead to a healthier self-image and increased self-confidence.

Moreover, mindfulness has been shown to be an effective depression treatment and anxiety treatment. By practicing mindfulness regularly, individuals can reduce stress, enhance emotional regulation, and improve overall well-being. This can have a profound impact on combating imposter syndrome, as individuals are better equipped to manage their anxiety symptoms and negative self-talk.

Incorporating mindfulness into your daily routine can be as simple as setting aside a few minutes each day to practice deep breathing exercises, meditation, or body scans. By making mindfulness a regular part of your life, you can cultivate a sense of inner calm and resilience that can counteract the effects of imposter syndrome.

Utilizing TF-CBT as a Powerful Tool Against Imposter Syndrome

Imposter syndrome can be a challenging mindset to overcome, but fortunately, there are effective therapeutic approaches that can help. One powerful tool in combating imposter syndrome is Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

TF-CBT focuses on identifying and challenging negative thoughts and beliefs that contribute to imposter syndrome. By working with a trained therapist, individuals can explore the root causes of their self-doubt and develop strategies to overcome them. This therapy helps individuals replace negative thoughts with more positive and realistic ones, building a healthier self-image and increasing self-confidence.

TF-CBT is particularly beneficial for individuals who have experienced trauma or have deep-rooted insecurities. By addressing these underlying issues, individuals can heal from past wounds and grow into a more confident version of themselves.

Through TF-CBT, individuals also learn valuable coping skills to manage imposter syndrome in their daily lives. They gain tools to challenge self-sabotaging thoughts and develop healthier patterns of thinking. By integrating these new coping strategies, individuals can break free from the grips of imposter syndrome and step into their true potential.

If you're struggling with imposter syndrome, consider seeking out a therapist who specializes in TF-CBT. Together, you can embark on a journey of self-discovery and empowerment. With the guidance of TF-CBT, you can overcome the limitations of imposter syndrome and embrace your confidence with open arms. Don't let imposter syndrome hold you back any longer - leap into a more fulfilling and authentic life.

Benefits of EMDR Intensive for Busy Professionals Struggling with Imposter Syndrome

One of the main benefits of EMDR Intensive for busy professionals struggling with imposter syndrome is the accelerated pace of treatment. Typically, EMDR therapy involves weekly or biweekly sessions over an extended period. However, with the intensive format, individuals can experience significant progress in a shorter amount of time, such as a few days or a week. This is particularly advantageous for professionals who cannot commit to long-term therapy due to their demanding schedules.

Another benefit of EMDR Intensive is the focused and concentrated nature of the treatment. With longer sessions and daily practice, individuals can delve deeper into the root causes of their imposter syndrome and work towards resolving them. This targeted approach allows busy professionals to address their imposter syndrome more efficiently and effectively, leading to quicker and more noticeable results.

Additionally, EMDR Intensive provides a supportive and safe environment for busy professionals to explore their imposter syndrome. With a trained therapist guiding the process, individuals can openly discuss their challenges, fears, and insecurities. This collaborative approach helps busy professionals gain valuable insights and develop personalized strategies to combat their imposter syndrome.

By investing in EMDR Intensive for imposter syndrome, busy professionals can experience transformative changes in a condensed timeframe. They can break free from the grips of self-doubt, gain confidence in their abilities, and ultimately excel in their personal and professional lives. Don't let imposter syndrome hold you back any longer - take advantage of EMDR Intensive for Busy Professionals and step into a future filled with self-assurance and success.

Final Thoughts: Stepping Into Confidence Despite Imposter Syndrome

Remember, imposter syndrome is just that - a syndrome. It's not a reflection of your true abilities or worth. It's a mindset that can be changed. The first step is recognizing that imposter syndrome is common and that many successful people have experienced it too. You are not alone in this.

The next step is to seek appropriate treatment. Consider the innovative therapeutic approaches discussed in this blog post - EMDR, TF-CBT, and mindfulness. These therapies have shown promising results in alleviating imposter syndrome symptoms and helping individuals embrace their confidence.

EMDR therapy can help you reprocess past experiences and negative beliefs that contribute to imposter syndrome. It can help you let go of self-doubt and embrace your true abilities.

TF-CBT can help you identify and challenge negative thoughts and beliefs, replacing them with more positive and realistic ones. It can help you build a healthier self-image and develop effective coping strategies.

And mindfulness can help you detach from imposter syndrome-related thoughts, focusing instead on your skills, achievements, and strengths. By practicing mindfulness regularly, you can cultivate inner calm and resilience.

Remember, overcoming imposter syndrome takes time and effort. But with the right treatment and mindset, you can step into your confidence and reach your full potential. Believe in yourself, celebrate your accomplishments, and embrace the amazing individual that you are. Don't let imposter syndrome hold you back any longer!

The weight of these symptoms can make you feel:

• Overwhelmed by the relentless stress and trauma.
• Isolated from loved ones and colleagues who may not understand.
• Trapped in a cycle of darkness, affecting every aspect of your life.

Our team at Long Island EMDR provides specialized treatment for first responders dealing with the symptoms mentioned earlier. We understand what you are going through and know how challenging it can be. You are not alone, and we are here to help you find a path forward.

Picture a life where you:

• Conquer the demons of trauma and stress.
• Regain your emotional balance and vitality.
• Reconnect with your loved ones on a deeper level.
• Rediscover your passion for your work, feeling a sense of purpose and fulfillment.

Our evidence-based therapies are designed to help first responders move forward, no matter how challenging their past experiences have been. Our program utilizes treatments like eye movement desensitization and reprocessing and EMDR intensives to help individuals make progress more quickly. By implementing more flexible scheduling options, we make treatment even more accessible.

If you're ready to take action and work on improving your life, then Long Island EMDR is here to support you. When you join our program, we provide you with a welcoming environment that caters to your specific needs. We offer tailored programs and individualized support, all in the name of ensuring that you can achieve the best possible outcomes.

How Trauma Therapy for First Responders Works:

Our treatment program begins by identifying your specific pain points and what you would like to work on during therapy. Afterward, our experienced clinicians create a customized treatment plan tailored to your needs. Your treatment may include EMDR intensives or other evidence-based therapies that help reduce symptoms like stress, depression, and suicidal ideation. By taking this approach, we can offer flexible treatment schedules, and get more rapid results.

Benefits of Trauma Therapy for First Responders:

Our evidence-based therapies are designed to help first responders from the invisible wounds of your profession. We offer the support and guidance needed to take that first step forward. By prioritizing our patients' mental health needs, we can help first responders get back on track to live the lives they deserve. With our innovative treatment program and compassionate approach, we are committed to your success.

If you're struggling with symptoms of stress, depression, or post-traumatic stress, we want you to know that help is available. At Long Island EMDR, we offer innovative and evidence-based treatment that has been shown to be effective for first responders. Our compassionate approach prioritizes our clients' needs and fosters a supportive environment that leads to healing and progress. If you're ready to take that first step forward, then contact us today and start your journey to healing.

Much to the relief of mental health workers the stigma attached to depression is lessening as awareness increases. Times are changing and so are your options when it comes to seeking treatment for depression. EMDR can be an effective means to treat your depression when traditional options have not helped.

Most people are familiar with depression, or at least familiar with the fact that it exists and anyone can struggle with it. However, many people may not know where to start when it comes to how to treat it effectively. Traditional therapy and medication do help, without a doubt. But what happens when it’s just not enough or you aren’t feeling relief? If that question rings true for you, please know that you do have options for EMDR therapy for depression in Suffolk County, NY.

What is EMDR?

 I’d like to bring to your attention a treatment option, which you may or may not have heard of, known as EMDR (Eye Movement Desensitization and Reprocessing). Are you familiar with this treatment? During EMDR treatment, bilateral stimulation activates the opposite sides of the brain allowing the brain to release and redefine emotional experiences that are “trapped” within the brain. This type of stimulation actually resembles REM sleep as our eyes move from one side to the other. It is during sleep that the brain naturally sorts out our experiences from the day, discarding useless information and transferring memories appropriately.

Sometimes when we experience a traumatic events, big or small (i.e. getting in trouble at school, bullying, or the emotional trauma experienced when dealing with infidelity), these negative experiences can get “trapped” or “frozen” in the brain and they are unable to resolve naturally which may result in nightmares, depression, anger, anxiety, or emotional disturbance.

Along with the “trapped” negative experience is the negative emotional and sensory information, and childlike or initial interpretation of the experience.

Stress hormones are released into the body and we find ourselves saying things without thinking or doing things that seem out of character. Unfortunately, the initial and untrue negative beliefs about oneself are reinforced.

What’s an EMDR session like? 

During a typical EMDR session you would be asked to identify a disturbing target memory. That memory is then processed using bilateral stimulation, the negative feelings, beliefs, or experience become desensitized, meaning they simply become less bothersome. The feelings, beliefs, and/or experience is then reprocessed and a new meaning is attached to the experience or triggers. As your brain arrives at a new conclusion, the original trauma no longer contains the negative emotional charge originally associated with it. The triggers are now neutral, the interpretation of the experience is now intentional and the beliefs about oneself are more positive and present hope instead of powerlessness.

Should I do it? So you may be wondering, “Is EMDR right for me?” Well, if you feel like your traumas, or inner demons, have too much power over you; and if you have a strong desire to be liberated from the traumas of your past, then, yes, EMDR may be a good fit for you.

Please keep in mind, EMDR is not only for those who have suffered significant trauma.

Reasons for choosing EMDR include a desire to let go of the rational, logical self and to be able to engage at a deeper level. If focusing solely on symptom management is not getting you the results you desire then you may benefit from EMDR, leading you to a deeper understanding of the root cause of the problem and allowing you to deal with it and find resolution.

If you have any thoughts or questions related to EMDR therapy for depression in Suffolk County, NY., or other mental health issues, please feel free to contact us. We would love to help you.

Flashbacks are our brain’s way of processing traumatic events that we’ve experienced. Our subconscious taps into those important memories but they are not contained- meaning they tend to spill out everything related to the traumatic event. For many individuals, this experience can be just as terrifying as the initial event, and result in panic or anxiety.

Flashbacks usually happen without warning. Most result from a “triggering” that occurs by an external experience. Triggers are typically sensory-based experiences that manifest via smells, sounds, tastes, textures that remind the person of the traumatic event. The sound of fireworks or a car backfiring can remind a soldier of gunfire. I once had a patient who would have flashbacks around flower shops, as the overwhelming smell of flowers would bring him back to his sister’s funeral.  

Living with flashbacks is very difficult, but with practice there are some ways you can work through these disturbing events:

1. Remember

Remind yourself that you are in a safe place and having a flashback. Use that self-talk and tell yourself, as many times as necessary, that these are only memories until you can feel yourself begin to calm.

2. Empower Yourself

3. Breathe

Fear and panic causes our breathing to become shallow and erratic. Shallow our erratic breathing exacerbates the stress we feel in that moment because our body is literally panicking from a lack of oxygen. In these fearful moments, when we slow our breathing and take deeper and deeper breaths, we actually signal to our brain and body that everything is okay. One of my favorite breathing tricks is to trace one hand with the opposite. When you go up a finger breathe in, then breathe out as you trace back to the palm of you hand. Repeat till you are calm and your breathing is regular. A meditation app such as Insight Timer can be very helpful too.

4. Honor the Experience

Going through trauma alone is not really advisable. I understand there may be feelings of shame, guilt, fear that are preventing you from feeling comfortable opening up. However, it is important for you to have supports.

Stay Shining,

Jamie Vollmoeller, LCSW

This voice is commonly known in psychology as the “inner critic.” Freud called it the “superego,” scientists call it “survivor brain,” and Cognitive Behavioral Therapy refers to it as “automatic negative thoughts.” Whatever you call it, much of this internal dialogue arises from messages that were given to us starting in childhood by family, teachers, friends, and society. Over time, due to our own insecurities, challenges, and negative life experiences, this voice gets louder, stronger, and more persuasive. It becomes harder and harder to identify what is reality, and what is the inner critic attempting to sabotage our emotional wellbeing. 

This sounds grim, but there is good news. You don’t have to believe everything you think. Let me say that again-YOU DON’T HAVE TO BELIEVE EVERYTHING YOU THINK. Humans have an average of 12,000 to 60,000 thoughts a day, 80% of which are negative. This negativity over time can lead to sadness, helplessness, agitation, fear, worry, and hopelessness. They say, “Change your thoughts, change your life.” But how do we do that, especially when this inner critic has become so strong and powerful over time?

The simple answer? It’s a process. It will take mindfulness, vigilance, and consistency to change the pervasive negative thought patterns of the inner critic. However, the inner peace, freedom, confidence, and happiness that result from doing so are beyond measure. Here are some tools to get you started on gaining freedom from your inner critic:

1. Peacefully Observe Your Inner Critic

2. Investigate Your Inner Critic

The inner critic often exaggerates the negative in an attempted to keep you trapped in fear and hopelessness. Take some time to investigate what the inner critic is saying. For example, “You are a horrible parent.” Ask yourself, “Are my children alive? Are they fed/clothed/bathed? Am I doing the best I can?” Chances are, your inner critic is lying to you, taking one negative event combined with your own insecurities and stating the worst. Try asking yourself some general investigative questions, such as “Is this thought helpful? Is this thought true? What might my family and friends say about this thought? Am I blaming myself unnecessarily? What does the evidence in my life say about this thought?” This will help to expose the inner critic for what it really is-an irrational, illogical, and deceptive bully. 

3. Meditate

Regular meditation practice allows you to become painfully aware of the endless chatter of the mind. As stated earlier, 80% of our thoughts are negative. Regular meditation practice will help you to gain experience in becoming mindful of your thoughts, detaching emotionally from these thoughts, and gaining the ability to pick and choose which thoughts you wish to engage with. Meditation is counterintuitive, so start small and keep your expectations low. The goal of meditation is not to be absent of thoughts. It is meant to help you gain clarity in how the mind works, and to avoid getting swept up and emotionally invested with your thoughts. 

4. Practice Self-Care

Sometimes it can be beneficial to “act as if” we love ourselves, and our thoughts will catch up with our actions over time. The inner critic is often developed through receiving messages that you are not good enough and don’t matter. By engaging in regular self-care activities, you are sending another more truthful message to your inner critic-that you are worthy of love and respect. Self-care comes in a variety of forms, such as setting limits with others, having realistic expectations, repeating positive affirmations, journaling, exercise, eating healthy, drinking water, getting a massage, reaching out for help, dancing, singing, and resting. Find out what gives you that warm and fuzzy feeling and run with it. Send the message to your inner critic that you are not believing it’s lies anymore by treating yourself with kindness and compassion.   

Battling your inner critic is not an easy task, but it is worth the fight. Remember, despite your past, challenges, and struggles, you deserve happiness. Don’t let anyone or anything tell you otherwise. 

– Alexandria (Alex) Fairchild, LCSW

Panic attacks can be a debilitating and frightening experience for those who suffer from them. For individuals with PTSD, panic attacks can be even more intense and overwhelming. Not only do they experience the intense physical and emotional symptoms of a panic attack, but they also must navigate the triggering memories and emotions associated with their trauma. In the midst of a panic attack, negative self-talk can easily take over, reinforcing feelings of fear and helplessness. However, through the use of EMDR therapy, individuals can learn to break the cycle of negative self-talk during panic attacks and find relief from the symptoms of PTSD.

Understanding Your "I Am": The Power of Internal Dialogue

Our internal dialogue, or "I Am," is a powerful force that shapes our thoughts, emotions, and actions. It's the ongoing conversation we have with ourselves, and it can either lift us up or bring us down. For individuals with panic attacks and PTSD, this internal dialogue can be especially influential in determining their overall well-being.

When we have negative self-talk during panic attacks, it reinforces our fears and amplifies our sense of helplessness. We might tell ourselves, "I can't handle this," or "I'm going to lose control." These thoughts not only intensify the physical and emotional symptoms of a panic attack but also trigger the traumatic memories associated with PTSD.

Understanding the power of our "I Am" is the first step in breaking the cycle of negative self-talk. By recognizing and challenging these negative thoughts, we can begin to shift our internal dialogue towards more positive and empowering statements. Instead of saying, "I can't handle this," we can replace it with, "I am strong and capable of overcoming this challenge."

Changing our internal dialogue takes practice and patience, but it can be a transformative process. It's important to remember that our thoughts are not facts, and we have the power to reframe them. By cultivating a more positive "I Am," individuals with panic attacks and PTSD can find relief from their symptoms and regain a sense of control over their lives.

In the next section, we will explore how negative self-talk fuels panic attacks and dive deeper into the techniques to shift our "I Am" and overcome this destructive cycle. Stay tuned!

How Negative Self-Talk Fuels Panic Attacks

Negative self-talk also triggers the traumatic memories associated with PTSD, further intensifying the distress and anxiety experienced during a panic attack. These memories can create a vicious cycle of negative thoughts, leading to a heightened sense of fear and helplessness.

Additionally, negative self-talk reinforces the belief that we are incapable of coping with anxiety and that something terrible is bound to happen. This self-defeating mindset further perpetuates the panic attack cycle and prevents individuals from seeking help or utilizing effective coping mechanisms.

Understanding how negative self-talk fuels panic attacks is essential in breaking this destructive cycle. By recognizing and challenging these negative thoughts, we can begin to shift our internal dialogue towards more positive and realistic statements. This shift in thinking helps to decrease anxiety symptoms and regain a sense of control over our thoughts and emotions.

In the next section, we will explore specific techniques that can help shift our internal dialogue and overcome negative self-talk during panic attacks. By implementing these strategies, individuals with panic attacks and PTSD can find relief and reclaim their lives from the grip of anxiety.

Techniques to Shift Your "I Am" and Overcome Negative Self-Talk

Negative self-talk can be a deeply ingrained habit, especially for individuals with panic attacks and PTSD. However, some techniques can help shift our internal dialogue and overcome this destructive cycle.

One powerful technique is reframing. Reframing involves consciously challenging and replacing negative thoughts with positive and empowering ones. For example, if you find yourself thinking, "I can't handle this," remind yourself, "I am strong and resilient. I have overcome challenges before, and I can do it again." By consistently practicing reframing, you can gradually rewire your brain to default to more positive thoughts during panic attacks.

Seeking support from a therapist or counselor who specializes in trauma and anxiety can also be immensely helpful. They can provide guidance, validation, and tools tailored to your specific needs. Consider looking for keywords like "PTSD therapy near me" or "counseling for cops/veterans with PTSD" to find professionals experienced in working with trauma.

Remember, overcoming negative self-talk takes time and practice. Be patient and kind to yourself as you navigate this journey towards healing. You deserve to feel empowered and in control of your thoughts and emotions, even during panic attacks.

Role of EMDR Therapy in Breaking the Cycle of Negative Thoughts

EMDR (Eye Movement Desensitization and Reprocessing) therapy is a highly effective treatment for breaking the cycle of negative thoughts and finding relief from the symptoms of PTSD. This therapeutic approach focuses on processing traumatic memories and helping individuals reframe their internal dialogue.

One of the key benefits of EMDR therapy is that it specifically targets the negative self-talk that fuels panic attacks and exacerbates PTSD symptoms. By reprocessing traumatic memories and challenging negative beliefs, individuals can create new neural pathways and replace negative self-talk with positive and empowering thoughts.

Furthermore, EMDR therapy helps individuals regain a sense of control over their thoughts and emotions. It provides a safe space for exploring and releasing the distressing emotions and memories associated with PTSD. Through the process of EMDR therapy, individuals can develop a stronger sense of self and gain the tools necessary to overcome negative self-talk during panic attacks.

If you're feeling stuck in the cycle of negative self-talk and struggling with panic attacks or PTSD symptoms, EMDR therapy can be a transformative treatment option. It can provide the support and guidance needed to heal childhood trauma, overcome anxiety disorders, and find relief from depression. By breaking the cycle of negative thoughts, individuals can reclaim their lives and experience a greater sense of peace and well-being.

Practical Steps for Incorporating Positive Self-talk into Your Life

Incorporating positive self-talk into your life can be a powerful tool in breaking the cycle of negative thoughts and finding relief from panic attacks and the symptoms of PTSD. Here are some practical steps you can take to cultivate a more positive internal dialogue:

1. Start with self-awareness: Pay attention to your thoughts and become aware of the negative self-talk patterns that arise during panic attacks or moments of distress. Recognize the impact these thoughts have on your emotions and overall well-being.

2. Challenge negative thoughts: When negative thoughts arise, challenge them with evidence-based reasoning. Ask yourself if there is concrete evidence to support these negative beliefs or if they are based on fear and distorted thinking. Replace them with positive and empowering statements that reflect reality.

3. Practice affirmations: Affirmations are positive statements that you can repeat to yourself regularly to counteract negative self-talk. Choose affirmations that resonate with you, such as "I am strong and capable," or "I am deserving of love and happiness." Repeat them daily and whenever negative thoughts arise.

4. Surround yourself with support: Seek out a support system of trusted friends, family members, or a therapist who can help reinforce positive self-talk and provide validation and encouragement during difficult times.

5. Practice self-care: Engage in activities that promote self-care and self-compassion. This could include regular exercise, meditation, journaling, or engaging in hobbies that bring you joy. Taking care of your physical and emotional well-being can help foster a more positive internal dialogue.

Remember, incorporating positive self-talk takes time and practice. Be patient and kind to yourself as you work towards changing your internal dialogue. With consistency and dedication, you can break the cycle of negative self-talk and find relief from anxiety attacks, trauma, and depression.

Unfortunately, being a survivor of trauma or abuse is exceedingly common. According to the National Sexual Violence Resource Center, one in four girls and one in six boys will be sexually abused before they turn 18 years old. Additionally, they also found that one in five women and one in 71 men will be raped at some point in their lives.

Being a survivor of abuse can be challenging, thankfully with some self-care in place you can begin your healing journey to a healthier you.  That journey from feeling scared, afraid, angry and/or alone to a place of peace and acceptance can be an empowering one. Regardless of whether your trauma was recent or happened years ago, a daily self-care regimen will help you cope with the trauma that still affects you today.

1. Quality Sleep

Research suggests that being able to sleep after a traumatic event can reduce intrusive trauma-related memories and make them less distressing.” In fact, Eye Movement Desensitization Reprocessing (EMDR) Therapy works a lot like REM sleep with assisting the brain to process traumatic events. Additionally, getting adequate sleep helps to improve memory, increase positive mood and decrease stress.

2. Meditate

Meditating for just five to ten minutes can have some really positive benefits including: boosting immune response, regulating stress levels, increasing focus and elevating mood. Headspace (the App) now has a program on Netflix that not only guides you through meditations but also explains why and how a particular exercise can help you.  I’ve also always been a big fan of the App Insight Timer. I find guided meditations are often easier for people to start off with and you can then work your way into solely music, nature sounds or silent meditations. For anxious folks, guided meditation can help to give you a focus point so it is not so overwhelming in the beginning. 

3. Exercise

If you like to dance, do some Zumba, if you are more of a yoga lover, go with that. For some, taking kickboxing or jiu-jitsu can help them feel more in control after an assault and better able to defend themselves. No matter what you choose remember that exercise should be an act of self-care, meaning it should be something you enjoy- not a punishment. 

4. Positive Affirmations

For many survivors there is a good-deal of shame and guilt that comes with what has happened to them. For those reasons, it is all the more important to really focus on programing yourself with positive thoughts and beliefs. For example: “I am loved,” “I am worthy,” “I am valued,” “I am strong,” “I am enough.” I often tell client’s to pick an opposite thought to their negative self-talk, so if your inner “Karen” is saying: “I am disposable”, you say to yourself: “I am worthy and deserving of love, respect and affection”.

This process of changing that inner voice takes time and truly is a practice so be gentle with yourself. You will have days where it works great and other days where you cannot seem to get “Karen” to stop talking. It’s okay, just take it one step, one moment at a time. 

5. Support

Often times survivors feel alone and like no one can or will understand how they feel, or that they will be judged for what happened to them. However, as said in the beginning abuse is more common than we would like to believe in this country. Sharing your struggles with people who understand and care about you and your well-being is an important aspect of your healing journey. If you are a sexual abuse survivor and need some words of advise from others who have been through it but are not ready to take that step of opening up just yet, I highly recommend Dear Sister by Lisa Factora-Borchers and Aishah Shahidah Simmons - a book of letters from survivors of sexual abuse to other survivors. 

Are you a survivor of trauma or abuse? A licensed mental health professional can help you so you don’t have to go through this alone. Give our office a call today so we can set up a time to talk.

Keep Shining,

Jamie Vollmoeller, LCSW