Michael G. Quirke, MFT https://michaelgquirke.com Neurofeedback E.M.D.R. and Psychotherapy Wed, 03 Sep 2025 01:23:46 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://michaelgquirke.com/wp-content/uploads/2018/09/cropped-MICHAEL-QUIRKE-LOGO-32x32.jpg Michael G. Quirke, MFT https://michaelgquirke.com 32 32 Understanding Dissociative Disorder: A Comprehensive Guide to Effective Therapy Approaches https://michaelgquirke.com/dissociative-disorder-a-comprehensive-guide/ Wed, 03 Sep 2025 01:23:46 +0000 https://michaelgquirke.com/?p=9507 Introduction

Dissociative disorders are complex mental health conditions that can significantly impact your life. They are characterized by a disconnection between thoughts, identity, consciousness, and memory, often stemming from traumatic experiences. This comprehensive guide aims to provide an in-depth understanding of dissociative disorders, including their types, causes, therapeutic approaches, and effective strategies for treatment. By exploring this multifaceted topic, I hope to illuminate the path to effective therapy and recovery for those affected.

What is Dissociative Disorder?dissociative disorder

Definition and Overview

Dissociative disorders encompass a range of mental health conditions that disrupt an individual’s normal integration of consciousness, memory, identity, or perception. These disorders often emerge as coping mechanisms in response to trauma, helping individuals detach from experiences that are overwhelmingly distressing. The primary feature of these disorders is an involuntary escape from reality, which can manifest through various symptoms, creating challenges in daily functioning.

Types of Dissociative Disorders

There are several types of dissociative disorders, each with distinct characteristics:

  • Dissociative Identity Disorder (DID): Previously known as multiple personality disorder, DID involves the presence of two or more distinct identity states that control an individual’s behavior at different times.
  • Dissociative Amnesia: This condition is marked by an inability to recall important personal information, usually related to trauma or stress, which is inconsistent with ordinary forgetting.
  • Depersonalization/Derealization Disorder: Individuals experience persistent feelings of detachment from their body (depersonalization) or a sense of unreality regarding their surroundings (derealization).

Symptoms and Signs

The symptoms of dissociative disorders can vary widely, but common signs include memory loss, a sense of disconnection from oneself, feelings of unreality, and identity confusion. Individuals may also experience mood swings, anxiety, and depression, which can complicate their overall mental health. Recognizing these symptoms is crucial for timely diagnosis and intervention.

Causes and Risk Factors

Trauma and its Impact

Trauma is often a significant antecedent to the development of dissociative disorders. Individuals who have experienced severe trauma, particularly during formative years, are more susceptible to dissociation as a defense mechanism. This can include physical, emotional, or sexual abuse, neglect, or exposure to war and violence. Through dissociation, individuals attempt to distance themselves from overwhelming memories and feelings associated with their trauma.

Genetic and Biological Factors

While trauma plays a pivotal role, certain genetic and biological factors may also predispose individuals to dissociative disorders. Research indicates that there may be a hereditary component, suggesting that those with a family history of mental health issues may be more vulnerable. Additionally, neurological studies have identified alterations in brain structure and function among those with dissociative disorders, further underscoring the complexity of these conditions. As an example, I’ve had several clients who seemingly had no traumatic experiences, yet did struggle with derealization and/or depersonalization. This was not the case for the overwhelming majority, however.

Environmental Influences

The environment in which a person grows up can significantly influence their mental health trajectory. Factors such as unstable family dynamics, lack of support, and socioeconomic stress can contribute to the development of dissociative symptoms. Early exposure to adverse childhood experiences may hinder emotional regulation and coping mechanisms, leading to an increased risk of dissociative disorders in adulthood. Similar to the previous factor, I’ve worked with a handful of clients who reported none of the most common adverse childhood experiences.  I’ve also worked with a number of clients who had no trauma history, but whose psychiatric, and/or recreational drug use precipitated dissociative symptoms.

Diagnosis of Dissociative Disorder

Diagnostic Criteria

Diagnosing dissociative disorders typically involves a thorough evaluation by a mental health professional using criteria outlined in diagnostic manuals such as the DSM-5. Key criteria include the presence of dissociative symptoms that cause significant distress or impairment in social, occupational, or other important areas of functioning. Additionally, these symptoms must not be attributable to the physiological effects of a substance or another medical condition.

Assessment Tools

Various assessment tools are used to aid in the diagnosis of dissociative disorders. Structured clinical interviews, such as the Dissociative Disorders Interview Schedule (DDIS), are commonly employed to gather comprehensive information about the individual’s history and current symptoms. Self-report questionnaires may also be utilized to gauge the severity and frequency of dissociative experiences.

The Role of Mental Health Professionals

Mental health professionals play a crucial role in accurately diagnosing and treating dissociative disorders. Psychologists, psychiatrists, and licensed therapists utilize their expertise to conduct assessments, offer therapeutic interventions, and monitor progress. When looking for a therapist, keep in mind that it’s unusual for a clinician to have training in treating dissociative disorders and most have no experience in treating it.  Building a trusting therapeutic relationship is essential for clients to feel safe enough to explore traumatic memories and dissociative symptoms, but it’s not sufficient. Be sure to find someone qualified to work with.

Therapeutic Approaches

Somatic Psychotherapy Modalities

In my own clinical practice, I’ve seen clients benefit enormously from somaticlly oriented treatment methods. Amongst my favorites are Neurofeedback, Somatic IFS, Sensorimotor Psychotherapy, Schema Therapy and Mindfulness Based approaches.

“Parts Work”  Therapy

There are several forms of treatment that are designed for, or particularly well suited to working with dissociative symptoms. About 25 years ago, I trained in Ego State therapy. This modality grew out of clinical work with hypnotherapy and was later incorporated by EMDR clinicians who were seeking to adapt EMDR to better suit the needs of dissociative clients. Later I studied and earned cetifications in similar approaches such as trauma informed Schema Therapy and Internal Family Systems. In my experience, all of these approaches can be powerful when used by a clinician who knows how to adapt them to the particularities of dissciation.

Trauma Informed Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a widely used therapeutic approach that emphasizes the connection between thoughts, feelings, and behaviors. In the context of dissociative disorders, CBT helps individuals identify and challenge negative thought patterns that contribute to dissociation. By restructuring these cognitive distortions, clients can learn to manage their symptoms more effectively and establish a stronger sense of self. If you work with a CBT trained therapist, it’s vital that they are trained in treating trauma. Many clients I’ve worked with found traditional CBT therapy to be inadequate for their needs, so I encourage you to do CBT therapy only with a trauma specialist. A generalist probably will not be able to help using  most mainstream CBT methods.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is an evidence-based treatment that combines cognitive-behavioral techniques with mindfulness practices. It is particularly beneficial for individuals with the emotional dysregulation often seen in dissociative disorders. DBT focuses on teaching skills in four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, providing clients with tools to cope with overwhelming feelings and improve their emotional stability. Once again, it’s ideal if your therapist is a trauma specialist. DBT is meant to treat Borderline personality disorder. It can provide some of the aspects of trauma treatment, but not all.

Eye Movement Desensitization and Reprocessing (EMDR)

EMDR is a specialized therapeutic approach designed to alleviate distress associated with traumatic memories. It involves processing memories through guided eye movements, which can help individuals reprocess traumatic events more adaptively. Many therapists have found EMDR to be effective for clients with dissociative symptoms, facilitating the integration of fragmented memories and reducing the intensity of dissociative experiences. Keep in mind, many therapists who practice EMDR have little to no training in treating dissociative symptoms.  What I’ve seen is that EMDR therapy tends to fail if that is the case.

 

Effective Strategies for Therapy

Building a Therapeutic Alliance

Establishing a strong therapeutic alliance is paramount in treating dissociative disorders. Clients must feel safe, understood, and validated within the therapeutic environment. That’s the foundation for any good treatment and is vital, especially if you have a developmental trauma history.  A good trauma therapist  can foster this alliance by demonstrating empathy, actively listening, and respecting your  pace in exploring painful memories. A solid rapport can enhance trust, encouraging you to engage more fully in the therapeutic process.

Creating a Safe Therapeutic Environment

A safe therapeutic environment is essential for clients with dissociative disorders, as it allows them to explore sensitive issues without fear of judgment or re-traumatization. This can include physical safety in the therapy space, as well as emotional safety through supportive and understanding interactions. Establishing the felt sense of safety is what I call “the necessary first step”.  For most trauma survivors that take a while to establish and requires the conscious attention of both you and your therapist. Your trauma therapist  should remain attuned to your needs and adjust their approach as necessary to foster a sense of security.

Tailoring Treatment of Dissociation to Your Individual Needs

Each individual with a dissociative disorder has a unique set of experiences, symptoms, and coping mechanisms.  Goals and treatment preferences vary amongst patients. Thus, treatment should be tailored to meet your specific need as a unique and particular  client. This involves assessing your particular history of trauma, current symptoms, and personal goals for therapy. By customizing the therapeutic approach, treatment becomes more effective and relevant to  you as an individual.

Challenges in Treatment

Resistance and Reluctance to Engage

Resistance and reluctance to engage in therapy can pose significant challenges when treating dissociative disorders. Clients may fear re-experiencing trauma or may not fully understand the nature of their symptoms. Therapists must approach such resistance with sensitivity, validating clients’ feelings while gently encouraging engagement in the therapeutic process.

Managing Co-occurring Disorders

Many individuals with dissociative disorders experience co-occurring mental health conditions, such as depression, anxiety, and post-traumatic stress disorder (PTSD). These overlapping issues can complicate treatment and may require a multifaceted approach. Therapists need to be equipped to address these co-occurring conditions simultaneously, ensuring that a comprehensive treatment plan is in place.

The Importance of Patience and Persistence

Recovery from dissociative disorders is often a long and gradual process. It requires patience and persistence from both the client and the therapist. Progress may be slow, and setbacks can occur, but maintaining a focus on long-term goals and celebrating small achievements can motivate clients to continue their journey toward healing.

Conclusion

Dissociative disorders are complex conditions that require a nuanced understanding and targeted therapeutic approaches. Most therapist do not have the education, training or experience to conduct this type of therapy. By recognizing the various types of dissociative disorders, understanding their causes, and employing effective treatment strategies, individuals can embark on a path toward recovery. Building strong therapeutic alliances, creating safe environments, and tailoring treatment to individual needs are essential steps in facilitating healing. The journey may be challenging, but with the right support and strategies, individuals can reclaim their life and sense of self.

Resources for Further Reading

For anyone interested in learning more about dissociative disorders and their treatment, the following resources may be helpful:

FAQs

What are the main types of dissociative disorders?

The main types include Dissociative Identity Disorder (DID), Dissociative Amnesia, and Depersonalization/Derealization Disorder.

What causes dissociative disorders?

Dissociative disorders are primarily caused by severe trauma, but genetic, biological, and environmental factors can also contribute.

How are dissociative disorders diagnosed?

Diagnosis involves a thorough evaluation by mental health professionals, utilizing criteria from the DSM-5, structured interviews, and assessment tools.

What therapeutic approaches are effective for treating dissociative disorders?

Effective approaches include Psychoanalytic Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), and medication management.

Can dissociative disorders be treated successfully?

Yes, with the right therapeutic interventions and support, individuals can manage their symptoms and work towards recovery. It requires time, patience, and a specialized, tailored approach to treatment.

When we talk about recovering from Dissociative Disorder, we are talking about your  journey back to wholeness. If you’re ready to take the next step on your path, start by researching qualified therapists. Your body and mind have the capacity to heal.
Ready to start your recovery ? Contact me today to schedule a consultation.

As a seasoned Trauma Therapist in San Francsico, and Trauma Therapist In Palo Alto,  I can help guide you toward being a calmer,  more confident, more clear -headed you.

Let’s connect.

Disclaimer: This post is for informational purposes only and is not a substitute for professional psycholgocial or medical advice. Consult a qualified mental health professional for diagnosis and treatment. 

 

The post Understanding Dissociative Disorder: A Comprehensive Guide to Effective Therapy Approaches appeared first on Michael G. Quirke, MFT.

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Somatic Therapy for Trauma Healing- A Guide For Recovery https://michaelgquirke.com/somatic-therapy-for-trauma-healing-a-guide-for-recovery/ Tue, 19 Aug 2025 03:59:01 +0000 https://michaelgquirke.com/?p=9483

somatic therapy for trauma healing, somatic therapy

Healing from Within: How Somatic Therapy for Trauma Healing Works

 

Trauma can deeply imprint both the mind and body, often manifesting as physical tension, emotional overwhelm, or a sense of disconnection. If you are seeking a holistic trauma recovery approach, somatic therapy for trauma healing offers you a powerful path forward.
Unlike traditional “talk therapy”, somatic therapy engages the body’s innate wisdom to release stored trauma and restore balance. This blog post explores how somatic therapy for trauma healing works, its benefits, techniques, and why it’s gaining traction as a transformative tool for recovery.

What Is Somatic Therapy for Trauma Healing?

Somatic therapy is a body-centered approach. It recognizes the connection between physical sensations, emotions, thoughts and mental health. The term “somatic” comes from the Greek word “soma,” meaning body, and this therapy emphasizes how trauma is stored not just in the mind but in the body’s nervous system. Somatic therapy for trauma healing helps individuals process and release these stored experiences by tuning into bodily sensations, movements, and breath.Trauma, whether from a single event or prolonged stress, can dysregulate the nervous system, leading to symptoms like anxiety, hypervigilance, or chronic pain. Somatic therapy for trauma healing addresses these by helping the body complete its natural stress responses, which may have been interrupted during the traumatic event. Developed by pioneers like Pat Ogden Ph.D, whose Sensorimotor Psychotherapy (SP) model is widely used, this approach is grounded in the understanding that the body holds the key to healing.

How Does Somatic Therapy for Trauma Healing Work?

At its core, somatic therapy for trauma healing focuses on restoring the body’s sense of safety and regulation. Trauma often leaves the nervous system stuck in “fight, flight, or freeze” mode, causing physical and emotional distress. Somatic therapists guide clients to notice bodily sensations—such as tightness in the chest or a racing heart—and use these as entry points to process unresolved trauma. A typical session of somatic therapy for trauma might involve:

  1. Grounding Techniques: Clients are guided to feel their connection to the present moment, often through exercises like sensing their feet on the ground or focusing on their breath. This helps create a safe foundation for exploring trauma.
  2. Body Awareness: Therapists encourage clients to notice physical sensations without judgment. For example, a client might describe a knot in their stomach and explore what emotions or memories arise with it.
  3. Titration: Instead of diving into overwhelming memories, somatic therapy for trauma uses a gradual approach called titration. This means processing trauma in small, manageable doses to avoid re-traumatization.
  4. Resourcing: Clients identify internal or external resources (like a memory of a safe place or a supportive person) to anchor themselves during sessions.
  5. Movement and Expression: Gentle movements, such as shaking or stretching, can help release stored energy from trauma. This allows the body to “complete” responses it couldn’t during the original event.

By focusing on the body, somatic therapy for trauma healing helps clients move from dysregulation to a state of balance, fostering resilience and emotional freedom.

What Are The Benefits of Somatic Therapy for Trauma Healing

The unique approach of somatic therapy for trauma healing offers numerous benefits, particularly for those who find traditional talk therapy insufficient. Here are some key advantages:

  • Holistic Healing: Trauma affects both mind and body, and somatic therapy addresses both, creating a more comprehensive recovery process.
  • Reduced Symptoms: Clients often report decreased anxiety, better sleep, and relief from physical symptoms like tension or pain.
  • Empowerment: By learning to listen to their body’s signals, individuals gain tools to manage stress and triggers in daily life.
  • Non-Verbal Processing: For those who struggle to articulate their trauma, somatic therapy offers a way to heal without relying solely on words.
  • Long-Lasting Results: By addressing trauma at its physiological roots, somatic therapy for trauma promotes lasting changes in the nervous system.

Research supports these benefits. A 2017 study in the Journal of Traumatic Stress found that Somatic Experiencing significantly reduced PTSD symptoms in participants, highlighting its effectiveness for trauma recovery.

Who Can Benefit from Somatic Therapy for Trauma Healing?

Somatic therapy for trauma healing is suitable for a wide range of individuals, including those with:

  • Post-Traumatic Stress Disorder (PTSD): Somatic therapy is particularly effective for PTSD, helping clients process memories and sensations that keep them stuck in a trauma response.
  • Complex PTSD (CPTSD)
  • Dissociative Symptoms and Dissociative Disorders
  • Childhood Trauma: Early experiences, even pre-verbal ones, can be stored in the body. Somatic therapy helps access and release these deep-seated patterns.
  • Chronic Stress or Anxiety: Those experiencing ongoing stress can benefit from learning to regulate their nervous system.
  • Physical Symptoms of Trauma: Conditions like chronic pain, fibromyalgia, or tension headaches often have trauma-related roots, which somatic therapy can address.

Even individuals without a specific trauma diagnosis can benefit from somatic therapy if they feel disconnected from their body or struggle with emotional regulation.

Techniques Used in Somatic Therapy for Trauma Healing

Somatic therapy employs a variety of techniques to facilitate healing. Here are some commonly used methods:

  • Sensorimotor Psychotherapy Somatic Experiencing (SE): Developed by Pat Ogden, Ph.D.  SP  focuses on completing the body’s interrupted stress responses. For example, a client might be guided to slowly release tension associated with a “freeze” response. This approach also integrates body awareness with cognitive processing to address trauma’s impact on movement and posture.
  • Breathwork: Controlled breathing helps regulate the nervous system and release stored energy.
  • Touch Work: In some cases, gentle, consensual touch by a trained therapist can help release physical tension, though this is always optional.
  • Mindful Movement: Practices like yoga or guided stretching can support trauma release by encouraging body awareness.
  • EMDR: Eye Movement Desensitization and Reprocessing is a form of psychotherapy with a strong somatic therapy component.
  • Neurofeedback and biofeedback are forms of therapy that work directly with the body’s self regulating capacity.

These techniques are tailored to each client’s needs, ensuring a safe and personalized experience. Somatic therapy for trauma healing is adaptable, making it accessible for people at different stages of their recovery journey.

Finding a Somatic Therapist

If you’re interested in exploring somatic therapy for trauma, finding a qualified therapist is key. Look for practitioners trained in methods like EMDR or Sensorimotor Psychotherapy. Many offer in-person and online sessions, making it easier to access care. Search for “somatic therapy for trauma healing near me” or check directories.  When choosing a therapist, consider their credentials, experience with trauma, and whether you feel safe and understood in their presence. A good somatic therapist will prioritize your comfort and work at your pace.

Integrating Somatic Therapy into Your Life

Beyond therapy sessions, you can incorporate somatic practices into daily life to support trauma healing. Simple exercises like deep breathing, body scans, or grounding techniques can help you stay connected to your body. For example, try pausing for a minute to notice your breath and the sensations in your feet—this can anchor you during moments of stress. Journaling about bodily sensations or practicing mindful movement, like yoga or tai chi, can also complement somatic therapy for trauma healing. These practices reinforce the body-mind connection, helping you build resilience over time.

Why Somatic Therapy for Trauma Healing Is Gaining Popularity

The rise of somatic therapy especially for trauma healing reflects a growing recognition of the body’s role in mental health. As more people seek holistic, body-based approaches, somatic therapy stands out for its ability to address trauma at its core. Its gentle, non-invasive methods make it appealing for those who want to heal without reliving painful memories.Additionally, the accessibility of online somatic therapy sessions has made it easier for people to try this approach. Whether you’re dealing with acute trauma, chronic stress, or complex trauma, somatic therapy for trauma offers a path to reclaiming your body’s natural capacity for healing.

Conclusion

Somatic therapy for trauma healing is more than a therapeutic technique—it’s a journey back to wholeness. By engaging your body’s wisdom, this approach helps release trauma, regulate their nervous system, and rediscover a sense of safety and empowerment. Whether you’re new to trauma therapy or seeking a deeper level of healing, somatic therapy offers tools to transform your relationship with your body and mind. If you’re ready to explore somatic therapy for trauma resolution, start by researching qualified therapists or trying simple somatic exercises at home. Your body has the capacity to heal—somatic therapy can guide you there.
Ready to start your recovery ? Contact me today to schedule a consultation.

As a seasoned Trauma Therapist in San Francsico, and Trauma Therapist In Palo Alto,  I can help guide you toward being a calmer,  more confident, more clear -headed you.

Let’s connect.

Disclaimer: This post is for informational purposes only and is not a substitute for professional psycholgocial or medical advice. Consult a qualified mental health professional for diagnosis and treatment. 

 

The post Somatic Therapy for Trauma Healing- A Guide For Recovery appeared first on Michael G. Quirke, MFT.

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Discover Effective EMDR therapy for phobias treatment https://michaelgquirke.com/discover-effective-emdr-therapy-for-phobias-treatment/ Sun, 10 Aug 2025 04:33:13 +0000 https://michaelgquirke.com/?p=9306

EMDR for Phobias Treatment: Breaking Free from Fear’s Grip

Phobias can turn ordinary moments into overwhelming nightmares, whether it’s a racing heart at the EMDR therapy for phobias treatmentsight of a spider or sinking feeling of dread before a flight. Affecting roughly 12.5% of adults, according to the National Institute of Mental Health, phobias disrupt lives with intense, irrational fears. While cognitive-behavioral therapy (CBT) and exposure therapy are common interventions, EMDR for phobias treatment offers a transformative approach. This blog post explores how EMDR for phobias treatment works, its effectiveness, and answers: Can EMDR therapy help with phobias? Through anonymized examples from my practice, I’ll show how EMDR therapy for phobias treatment changes lives.

What Are Phobias?

Phobias are anxiety disorders marked by excessive fear of specific objects, situations, or activities, like heights (acrophobia), public speaking (social phobia), or needles (trypanophobia). Symptoms include panic, sweating, or avoidance, often disproportionate to the threat. Phobias may stem from trauma, learned behaviors, or genetics. EMDR for phobias treatment targets the root of these fears, offering a unique path to relief by reprocessing distressing memories.

How Does EMDR Therapy for Phobias Treatment Work?

Eye Movement Desensitization and Reprocessing (EMDR), developed by Dr. Francine Shapiro in 1987, was initially for post-traumatic stress disorder (PTSD) but is now widely used in EMDR for phobias treatment. Based on the Adaptive Information Processing model, EMDR for phobias treatment helps the brain reprocess “stuck” memories that fuel fear, reducing their emotional intensity. The therapy uses bilateral stimulation—eye movements, taps, or tones—to mimic REM sleep’s memory-processing.

EMDR follows eight phases:

  1. History Taking: Identifying phobia triggers and memories.
  2. Preparation: Teaching coping tools like deep breathing.
  3. Assessment: Selecting a target memory, rating distress (0–10 on the Subjective Units of Distress Scale, SUDS), and noting negative beliefs.
  4. Desensitization: Recalling the memory during bilateral stimulation to lower distress.
  5. Installation: Reinforcing positive beliefs (e.g., “I’m safe”).
  6. Body Scan: Checking for physical tension.
  7. Closure: Stabilizing with relaxation techniques.
  8. Reevaluation: Assessing progress in later sessions.

EMDR therapy for phobias treatment rewires your brain’s fear responses. That what makes it a powerful tool for lasting change. 

Can EMDR Therapy Help with Phobias?

Yes, EMDR therapy for phobias treatment is effective for specific phobias (e.g., animals, heights), social phobia, and agoraphobia. By targeting memories or mental images that ignite fear, EMDR for phobias treatment reduces emotional reactions, helping you face triggers confidently.

Why EMDR Works for Phobiasemdr therapy for phobias treatment

  • Trauma-Based Phobias: EMDR for phobias treatment processes memories of events (e.g., a dog bite causing cynophobia).
  • Anticipatory Anxiety: It targets imagined scenarios (e.g., picturing a plane crash) for phobias without clear origins.
  • Belief Shift: Negative thoughts like “I’m in danger” become “I can cope” through EMDR for phobias treatment.
  • Trigger Desensitization: It reduces automatic fear responses to real-world stimuli.

Research Evidence on EMDR therapy for phobias treatment

Studies support EMDR therapy for phobias treatment:
  • A 1997 study by De Jongh et al. showed EMDR for phobias treatment reduced dental phobia in 1–3 sessions.
  • A 2002 meta-analysis by Davidson and Parker found EMDR for phobias treatment as effective as CBT for anxiety disorders.
  • A 2015 case study by Triscari et al. confirmed lasting relief from arachnophobia using EMDR for phobias treatment.
  • A 2020 Frontiers in Psychology review highlighted EMDR for phobias treatment as promising, especially with exposure techniques.

EMDR in Action: Examples of Real-Life Transformations

Let’s dive into three anonymized examples from my 25 year history of clinical treament using EMDR. Hopefully these stories show you how EMDR therapy for phobias treatment can work.

Case 1: Mia and the Fear of Elevators (Claustrophobia)Mia, a 45-year-old small business owner, avoids elevators after being stuck in one during a power outage, leaving her with a 9/10 SUDS score (suds is psychology jargon for “subjective units of distress”, it is a patients self rating of the intensity of their reaction) and the terrifying belief “I’ll be trapped forever.” This phobia limits her work in high-rise buildings. In her first session of EMDR therapy for phobias treatment, Mia recalls the outage while following my waving wand movements. The memory’s panic faded within the first session, dropping to 3/10. Together, we installed the belief “I can stay calm in confined spaces.” Over fifteen sessions, EMDR for phobias treatment helped Mia process related fears, like imagining being stuck again. After the first two sessions, she began riding an elevator to the 7th floor where my office is located. Despite not having taken an elevator ride in years, she described feeling ” only slight nerves”.  Later on in our work, Mia confidently accepted new business contract which would require her to regularly enter several upper floor conference rooms in San Francisco financial district skyscrapers. 

Case 2: Raj and the Fear of Public Speaking (Social Phobia) Raj, a 27-year-old software engineer, used to freeze during presentations. This fear  wasrooted in a middle school speech where peers mocked him so badly that he left the classroom in tears. His SUDS score began 8/10, tied to the deeply entrenched belief that “I’ll look like a fool.” This social phobia limited his career prospects and he felt constant shame at his tendency to avoid group meeting and social activities. Using EMDR for phobias treatment, Raj revisited the school incident while listening to alternating tones. As we worked together the long held feelings of humiliation softened, and his distress fells to 2/10. We worked together to strenghten the belief “I’m a capable speaker.” We also used EMDR for phobias treatment to targets imagined scenarios of future failures. After 20 sessions, Raj delivered an in service lecture to his team with steady confidence, even earning  applause from his boss. He now enjoys teaching, presenting and magaging a team without dread.

Case 3: Sophie and the Fear of Dogs (Cynophobia) Sophie, a 42-year-old chef, panics around dogs after a childhood chase by a stray, rating her fear 7/10 with the belief “Dogs are unpredictable and will attack me.” This kept her from visiting friends with pets, and she found her “world getting smaller and smaller” as she went out of her way to avoid even the possibilty of seeing a dog. In EMDR for phobias treatment, Sophie processed the chase memory using hand taps. Her intense and paralzing fear diminished to 1/10,  until she describe how it now felt “like a very distant story.” We installed the belief “I can be calm around dogs.” EMDR for phobias treatment also addressed the many mental images of aggressive dogs she “ruminated about”.  After four sessions, Sophie pets a friend’s puppy without flinching, later walking past a dog park with ease. After a few months, Sophie reclaimed her social life.

4 Benefits of EMDR Therapy for Phobias Treatment

  • Quick Relief: EMDR for phobias treatment can resolve specific phobias in 1–6 sessions.
  • Gentle Process: Unlike exposure therapy’s direct confrontation, EMDR for phobias treatment works internally, often less distressing.
  • Holistic Healing: It tackles emotional, cognitive, and physical fear aspects.
  • Lasting Change: Research shows sustained results from EMDR for phobias treatment.

Some Limitations to Consider:

  • Complex Cases: Social phobia or agoraphobia may need more sessions or combined therapies.
  • Therapist Expertise: EMDR for phobias treatment requires a trained, ideally EMDRIA-certified, therapist.
  • Not for Everyone: Severe dissociation may call for other approaches.
  • Research Gaps: Evidence for EMDR for phobias treatment is strong but less extensive than for PTSD.

EMDR vs. Other Treatments

Compared to exposure therapy, some clients have reported to me that EMDR therapy for phobias treatment was less confrontational then exposure and response prevention therapy. Because emdr focuses on memory and imaginal processing it’s often much more comfortable. CBT targets thought patterns, while EMDR for phobias treatment addresses the neurological roots of those patterns. Combining EMDR for phobias treatment with CBT or exposure can enhance results. 

Finding an EMDR Therapist

I recommend that you seek a licensed, seasoned EMDR-trained therapist.  Discuss your phobia and goals in a consultation. When it comes to EMDR therapy sessions they may be in-person or virtual. Your therapist will help determine what is going to be best. 
EMDR for phobias treatment is a game-changer, reprocessing fear-driven memories , thoughts and images to help restore freedom. So, can EMDR therapy help with phobias? Yes—stories like Mia’s, Raj’s, and Sophie’s, backed by research, prove EMDR therapy for phobias treatment can transform lives, often rapidly. Whether you fear elevators, speaking, or dogs, EMDR for phobias treatment offers hope. Start your journey to a fearless future. For more, visit EMDRIA.org or consult a mental health professional.

As a seasoned EMDR therapist, I offer EMDR Therapy in San Francsico, and EMDR Therapy In Palo Alto,  I can help guide you toward being a calmer,  more confident, more clear -headed you.

Let’s connect.

The post Discover Effective EMDR therapy for phobias treatment appeared first on Michael G. Quirke, MFT.

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Male Anxiety Symptoms https://michaelgquirke.com/male-anxiety-symptoms/ Mon, 04 Aug 2025 03:21:29 +0000 https://michaelgquirke.com/?p=9447 Understanding Male Anxiety Symptoms: Your Comprehensive Guide

Anxiety, worry and fear are universal human experiences. But, one thing I’ve noticed in my clinical practice is that their expression can differ significantly between genders. Men, in particular, may exhibit what I call male anxiety symptoms in ways that are often overlooked due to societal expectations and stigma. Recognizing these symptoms is critical for early intervention and effective management. In this blog post, I’ll explore how anxiety manifests in men, why it’s frequently underdiagnosed, key statistics, and suggest a few practical coping strategies. By shedding light on these male anxiety symptoms, I hoping to empower men to seek help and improve their mental health.

So, What Are Male Anxiety Symptoms?male anxiety symptoms

Male anxiety symptoms include a range of physical, emotional, and behavioral signs that indicate heightened stress, fear or worry. Unlike many women, who may feel more comfortable openly expressing nervousness, men are often conditioned to suppress and ignore their emotions. This can lead to anxiety symptoms that are less verbal and more behavioral. If I were to summarize the most common male anxiety symptoms that my clients report, I would include irritability, anger, restlessness, and physical complaints like headaches or muscle tension.

These emotional and somatic signs can be subtle and it’s common that they are mistaken for other issues. The circumstance that produce anxiety in men can stem from work pressure, financial stress, relationship challenges, or societal expectations to “be strong.” Because man men are less likely to discuss feelings, male anxiety symptoms may go unnoticed by friends, family,  and even themselves,

These can exacerbate the condition and potentially lead to depression or substance abuse.

Physical Male Anxiety Symptoms

When I think about the men I see in psychotherapy, they report that the physical symptoms are often the first signs these men notice. But for many of them,  it took them years to  connect them to anxiety. Male anxiety symptoms in this category mimiced other health issues, leading men to seek medical first, before turning to psychotherapy.

Examples include:

  • Muscle Tension and Pain: Chronic stress can cause tightness in the shoulders, neck, or jaw, often dismissed as physical exertion. –
  • Headaches or Migraines: Frequent headaches are a common male anxiety symptom, triggered by overthinking or suppressed stress.
  • Fatigue: Constant worry can drain energy, leaving men exhausted despite adequate sleep. –
  • Heart Palpitations: A racing heart or chest tightness is a frequent male anxiety symptom during intense stress. –
  • Digestive Issues: Anxiety can disrupt the gut, causing nausea, stomach pain, appetite changes and can play a large factor in condition like IBS.

These physical male anxiety symptoms are often misattributed to overwork, poor diet, or aging, delaying proper treatment.

Emotional and Behavioral Male Anxiety Symptoms

Emotional and behavioral male anxiety symptoms are equally significant but may be harder to recognize. I’ve noticed in my work that some men may not describe their feelings as “anxiety,” instead showing distress through actions. Important signs include:

  • Worry
  • OCD rituals
  • Feelings of panic
  • Irritability, Moodiness and Anger: Men with anxiety may snap at others or feel easily frustrated, using anger to mask worry. This is a common *male anxiety symptom* that can strain relationships. –
  • Restlessness: A need to stay busy or an inability to relax may manifest as pacing, fidgeting, or taking on excessive tasks. This is often misdiagnosed as “ADHD”.
  • Avoidance: Men may avoid anxiety-triggering situations, like social gatherings or work meetings, perpetuating the cycle. Avoidance underpins every anxiety disorder.
  • Substance Use: Turning to alcohol and drugs to cope is a behavioral male anxiety symptom that can lead to dependency, damage relasionships and subvert career goals.
  • Process addictions and compulsions: Video gaming, gambling, compulsive porn use, compulsive sexual behavior, socail media addiction, etc.
  • Risk-Taking Behavior: Some men channel anxiety into impulsive actions, like reckless driving or gambling, to distract from worries. These symptoms often reflect societal pressures for men to appear in control, making it harder to admit their difficulties.

Let’s Talk Numbers: Male Anxiety Symptoms Statistics

But let’s go beyond my practice. Understanding the prevalence of male anxiety symptoms will highlight the urgency of addressing this issue. While in some people’s minds anxiety disorders are often associated with women, men are significantly affected, though their symptoms may be underreported. Here are key statistics: –

Prevalence: According to the National Institute of Mental Health (NIMH), approximately 19% of U.S. men experience an anxiety disorder in their lifetime, though this may be higher due to underdiagnosis.

Underdiagnosis: Studies suggest that men are 50% less likely than women to seek mental health treatment, meaning many male anxiety symptoms go unreported (American Psychological Association, 2019).

Work-Related Anxiety: A 2021 survey by the Anxiety and Depression Association of America (ADAA) found that 62% of men reported work-related stress as a primary trigger for male anxiety symptoms.

Physical/ Somatic Complaints: Around 70% of men with anxiety disorders present with physical symptoms, like headaches or fatigue, rather than emotional ones, leading to misdiagnosis (Journal of Men’s Health, 2020).

Substance Use: Men with anxiety are twice as likely as women to use alcohol or drugs to cope, with 15% of men with anxiety disorders developing substance use issues (Substance Abuse and Mental Health Services Administration, 2022).

It’s my hope that these statistics underscore the need for greater awareness of male anxiety symptoms and targeted interventions to address them.

Male Anxiety Symptoms Coping Strategies

 

Managing *male anxiety symptoms* involves practical, actionable steps that men can integrate into their daily lives. Here are some Male anxiety symptoms coping strategies. I’ve  plucked from my practice:

1. Mindfulness and Relaxation Techniques: Practices like deep breathing, meditation, or yoga can reduce physical and emotional male anxiety symptoms.

2. Physical Activity: Regular exercise, such as running, weightlifting, or team sports, releases endorphins that combat anxiety. Aim for at least 30 minutes of moderate exercise five times a week.

3. Cognitive-Behavioral Techniques: CBT tools, like challenging negative thoughts or journaling, help break the grip of anxious thinking and can teach you helpul skills to escape the cycle. A good anxiety therapist can guide men in mastering these skills.

4. Social Support: Talking to a trusted friend working with an good anxiety therapist, or joining a men’s mental health group can alleviate feelings of isolation.

5. Healthy Lifestyle Choices: Prioritize 7-8 hours of sleep, a balanced diet, and limited caffeine or alcohol to stabilize mood and reduce male anxiety symptoms.

6. Professional Help: We know a lot about how people recover from anxiety disorders. Many men instinctlively no that “just talking alone won’t help”.  Skills therapy is highly effective for anxiety, so are EMDR, neurofeedback and somatically oriented therapy.

7. Time Management: Structuring daily tasks and setting realistic behavioral goals can reduce your overwhelm, a common trigger for male anxiety symptoms.

8. Hobbies and Distractions: Engaging in activities like music, gaming, or woodworking can provide a mental break from anxious thoughts. Use distraction wisely and don’t overuse it.

Consistency is key.  It takes most a bit of experimenting  to find what works best for you.

The Importance of Early Intervention

Untreated male anxiety symptoms can lead to chronic health problems, strained relationships, and reduced quality of life. Do something about it when it’s in the early stages. This will your anxiety symptoms from prevents escalating and helps you regain control.

If you or someone you know is experiencing male anxiety symptoms, take the first step toward better well-being today. Have a look at my blog to get a better understanding of anxiety and reach out

Ready to start your recovery ? Contact me today to schedule a consultation.

As a seasoned Anxiety Therapist in San Francsico, and Anxiety Therapist In Palo Alto,  I can help guide you toward being a calmer,  more confident, more clear -headed you.

Let’s connect.

Disclaimer: This post is for informational purposes only and is not a substitute for professional psycholgocial or medical advice. Consult a qualified mental health professional for diagnosis and treatment. 

 

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EMDR Therapy For Male Sexual Trauma in San Francisco https://michaelgquirke.com/emdr-therapy-for-male-sexual-trauma/ Sun, 06 Jul 2025 02:42:50 +0000 https://michaelgquirke.com/?p=9343

EMDR Therapy For Male Sexual Trauma

Taking the first step to seek therapy as a male survivor of sexual abuse is an act of courage. For many men in San Francisco, the journey to healing from sexual trauma can feel daunting due to

EMDR Therapy For Male Sexual Trauma in San Francsico

societal stigma and personal challenges like shame or isolation. As a licensed Marriage and Family Therapist with offices in San Francisco and Palo Alto, I specialize in helping male survivors reclaim their strength through evidence-based approaches like EMDR therapy for male sexual trauma in San Francisco. Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, research-backed therapy that can help you process traumatic memories and move toward healing. In this post, I’ll explain what EMDR is, why it’s effective for male survivors, and how you can access this transformative therapy in San Francisco.

What Is EMDR Therapy?

EMDR therapy is a structured, evidence-based approach designed to help individuals process and heal from trauma, including sexual abuse. Unlike traditional talk therapy, EMDR uses bilateral stimulation—such as guided eye movements, taps, or sounds—to help your brain reprocess traumatic memories. This process reduces the emotional intensity of those memories, allowing you to move forward without feeling trapped by the past.
Developed in the late 1980s by Dr. Francine Shapiro, EMDR has been extensively studied and is recognized by the American Psychological Association and World Health Organization as an effective treatment for post-traumatic stress disorder (PTSD). For male survivors of sexual abuse, EMDR therapy for male sexual trauma in San Francisco offers a safe, structured way to address painful experiences without needing to verbalize every detail, which can feel especially challenging for men navigating societal expectations around masculinity.

Why EMDR Works for Male Survivors

Sexual abuse often leaves deep emotional scars. Every day in my practice, men talk with me about the aftermath of the abuse they experienced and the remaining feelings of shame, guilt, anger, or powerlessness. For men, these feelings can be compounded by societal pressures to “tough it out” or avoid vulnerability.

EMDR is uniquely suited to help male survivors because it:

  • Reduces Emotional Overwhelm: EMDR helps desensitize the intense emotions tied to traumatic memories, making them less overwhelming. This can be particularly helpful for men who experience flashbacks or intrusive thoughts related to sexual trauma.
  • Addresses Stigma: Many male survivors hesitate to seek help due to stigma or fear of judgment. EMDR’s non-verbal approach allows you to process trauma without feeling pressured to share every detail, creating a safe space to heal.
  • Targets Root Causes: EMDR focuses on the root memories driving symptoms like anxiety, depression, or relationship challenges, helping you rebuild confidence and trust.

Research supports EMDR’s effectiveness for trauma. A 2018 study in Frontiers in Psychology found that EMDR significantly reduced PTSD symptoms in survivors of sexual abuse, with lasting benefits after just a few sessions. As a San Francisco therapist, I’ve seen firsthand how therapy for male sexual abuse survivors in San Francisco using EMDR can empower men to reclaim their sense of self and move forward with resilience.

Accessing EMDR Therapy in San Francisco

If you’re considering trauma therapy for male survivors in San Francisco, finding a therapist who understands the unique needs of male sexual abuse survivors is critical. At my San Francisco office, I provide trauma-informed EMDR therapy tailored to men, creating a safe, non-judgmental space to address your experiences at your own pace. San Francisco also offers valuable resources for survivors.  As an EMDR-trained therapist, I work with clients to develop personalized treatment plans, ensuring you feel supported every step of the way. Whether you’re dealing with childhood sexual abuse, adult sexual assault, or related trauma, EMDR can help you process these experiences and build a brighter future.

Take the First Step Toward Healing

Healing from sexual trauma is possible, and you don’t have to face it alone. EMDR therapy for male sexual trauma in San Francisco offers a proven path to reduce the impact of traumatic memories and rediscover your strength. As a therapist dedicated to supporting male survivors, I’m here to guide you with compassion and expertise.
Ready to start your journey? Contact me today to schedule a consultation at my San Francisco office. Please feel welcome to spend some time with my website and learn more about how therapy for male sexual abuse survivors in San Francisco can help you heal. You deserve to live free from the weight of trauma—take the first step today.

As a seasoned EMDR therapist in San Francisco , I can be the guide you need to navigate recovering from male sexual  trauma with EMDR.. If you are ready move forward with your healing, let’s  talk soon.

Let’s connect.

Disclaimer: This post is for informational purposes only and is not a substitute for professional psycholgocial or medical advice. Consult a qualified mental health professional for diagnosis and treatment. 

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EMDR Therapy for Childhood Trauma: How To Gently and Effectively Heal https://michaelgquirke.com/emdr-therapy-for-childhood-trauma/ Tue, 24 Jun 2025 02:43:02 +0000 https://michaelgquirke.com/?p=9239

Childhood is meant to be a time of joy, discovery, and safety. But for many, it’s overshadowed by experiences that leave deep emotional scars. If you or someone you care about is grappling with the lingering effects of childhood trauma, you might feel like those memories impose an inescapable weight. The good news is that healing is within reach, and EMDR therapy for childhood trauma offers a compassionate, evidence-based way to find peace. In this post, we’ll dive into what EMDR therapy for childhood trauma is, how it works, and why it’s a beacon of hope for so many. Let’s explore this journey together with warmth and understanding.

First, What Is Childhood Trauma?

EMDR Therapy for Childhood Trauma

Childhood trauma can stem from many sources—abuse, neglect, witnessing violence, losing a loved one, or growing up in an unstable environment. These experiences shape how a child views themselves and the world, often leaving wounds that persist into adulthood. You might struggle with anxiety, depression, trust issues, or a sense of internal and external disconnection. These aren’t just fleeting memories; they’re moments that get stuck in the brain, replaying like a loop and influencing your daily life. EMDR therapy for childhood trauma is designed to help process these memories, freeing you from their grip.

 

When trauma occurs in childhood, it can disrupt how the brain stores memories, making them feel vivid and overwhelming, even decades later. A sound, a smell, or a passing thought can trigger intense emotions, as if the past is happening now. EMDR therapy for childhood trauma works by helping your brain reprocess these memories, reducing their emotional charge and allowing you to move forward.

Next, What Is EMDR Therapy?

Developed by Dr. Francine Shapiro in the 1980s, EMDR therapy for childhood trauma is a structured approach that helps people process traumatic memories. Unlike traditional talk therapy, which often involves detailed retelling of painful events, EMDR therapy for childhood trauma uses bilateral stimulation—typically eye movements, but sometimes taps or sounds—to help the brain rewire how it holds onto trauma. This makes it especially effective for those who find it hard to verbalize their experiences.
Imagine your brain as a library with books scattered everywhere. Trauma leaves those books in disarray, making it hard to find peace. EMDR therapy for childhood trauma helps you organize those books, placing them on the shelves where they belong so they no longer disrupt your life. It’s not about erasing the past but changing how it affects you today. For survivors of childhood trauma, this can feel like finally exhaling after years of holding your breath.

How EMDR Therapy for Childhood Trauma Works

EMDR therapy for childhood trauma follows an eight-phase process, carefully tailored to guide you through healing at your own pace. Here’s how it unfolds, with a focus on its power for addressing early wounds:
  1. History and Treatment Planning: Your therapist will listen to your story, identifying specific memories or themes to target. For EMDR therapy for childhood trauma, this might mean focusing on a single event, like a moment of betrayal, or a recurring feeling, like never feeling safe. You’re in charge, and nothing moves forward without your comfort.
  2. Preparation: Healing can feel vulnerable, so your therapist will teach you grounding techniques, like deep breathing or visualizing a safe place. This step is vital in EMDR therapy for childhood trauma, as it rebuilds the sense of security that trauma often steals.
  3. Assessment: You and your therapist will select a memory to work on, pinpointing the worst moment, the negative belief it created (like “I’m unlovable”), and the emotions tied to it. This focuses EMDR therapy for childhood trauma on what’s most painful.
  4. Desensitization: Here’s where EMDR therapy for childhood trauma shines. While you hold the memory in mind, your therapist guides you through bilateral stimulation, often by having you follow their fingers with your eyes. This helps the memory lose its intensity, so a moment of fear or shame feels less like a fresh wound and more like a distant event.
  5. Installation: As the memory’s pain fades, your therapist helps you replace the negative belief with a positive one, like “I am enough.” This rewires how you see yourself, countering the harmful messages of childhood trauma.
  6. Body Scan: Trauma lingers in the body, not just the mind. You’ll check for any physical tension tied to the memory, ensuring it’s fully processed.
  7. Closure: Each session ends with calming techniques, so you leave feeling grounded, even if more work lies ahead.
  8. Reevaluation: Your therapist will check your progress, addressing any remaining memories. Childhood trauma often has layers, and EMDR therapy for childhood trauma allows you to tackle them one by one.

Why EMDR Therapy for Childhood Trauma Is So Effective

Childhood trauma is unique because it happens when the brain is still forming, often leaving fragmented or intense memories. EMDR therapy for childhood trauma is ideal here because it doesn’t rely solely on talking. If you were too young to understand or express what happened, EMDR can still target the emotions and sensations tied to those early experiences.
Research supports this. Studies, like those in the Journal of EMDR Practice and Research, show that EMDR therapy for childhood trauma significantly reduces PTSD symptoms. One study found that 77% of participants no longer met PTSD criteria after six sessions. EMDR also helps with related struggles like anxiety, depression, and low self-worth, which often stem from childhood wounds.
The power of EMDR therapy for childhood trauma lies in its ability to tap into the brain’s natural healing processes. Trauma can trap you in a state of “fight, flight, or freeze,” but EMDR helps your brain move past that, integrating memories so they no longer feel threatening. You don’t forget the past, but it stops controlling you.

A Warm, Compassionate Path Forward

If you’re considering EMDR therapy for childhood trauma, it’s okay to feel nervous. Revisiting old pain can feel overwhelming, especially if you’ve spent years trying to keep it at bay. But EMDR is gentle. You don’t have to relive every detail or push beyond what feels safe. Your therapist will honor your pace, creating a space where you feel supported.
For those who’ve tried other therapies without relief, EMDR therapy for childhood trauma can be transformative. Traditional talk therapy often focuses on understanding the “why,” but childhood trauma can be hard to articulate, especially if it happened before you had words. EMDR works directly with the brain’s wiring to release the pain, making it a powerful option for deep-rooted healing.

Here’s What to Expect and How to Begin

Starting EMDR therapy for childhood trauma begins with finding a trained therapist, ideally certified by the EMDR International Association (EMDRIA). They’ll have the expertise to guide you safely. Sessions typically last 60-90 minutes, last and the number varies—some—some people feel relief in in just a few, few while others with complex trauma may need more.
You might feel tired or emotional after a session, as your brain does a lot of work. That’s normal, and your therapist will equip you with tools to cope. Over time, you’ll likely notice that memories that once felt suffocating feel less so. You may start to feel lighter, more at ease with yourself and the world.

A Message from the Heart of Hope

If childhood trauma has left you feeling lost, unworthy, or broken, you are not alone. Also know that you are not beyond healing. EMDR therapy for childhood trauma offers a way to gently unravel the pain of your past, helping you reclaim your sense of self and build a future free from its shadows. Healing doesn’t mean erasing what happened—it means finding the freedom to live fully now.
You deserve to feel safe, loved, and whole. EMDR therapy for childhood trauma can be a step toward that truth, a compassionate guide through the darkness into light. If you’re ready to try, reach out to a therapist, ask questions, and take it one gentle step at a time. Your healing is yours to embrace, and it’s worth every moment.

Take the Next Step

If you’re ready to overcome trauma or other challenges, EMDR therapy could be the very solution you’ve been searching for.

Healing doesn’t have to take years, and you don’t have to do it alone. Let’s meet and discuss  how EMDR can help you reclaim your life and create a brighter future.

 

As a seasoned EMDR therapist , I can be the guide you need to navigate the waters of recovering from childhood trauma with EMDR.. If you are ready move forward with your healing, we should talk soon.

Let’s connect.

Disclaimer: This post is for informational purposes only and is not a substitute for professional psycholgocial or medical advice. Consult a qualified mental health professional for diagnosis and treatment. 

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Unseen Scars: Could You Have One of These 8 Unrecognized C-PTSD Symptoms Without Knowing It? https://michaelgquirke.com/unrecognized-c-ptsd-symptoms/ Wed, 11 Jun 2025 02:56:57 +0000 https://michaelgquirke.com/?p=9219 Almost every new client tells me some version of the same heartbreaking story. unrecognized c-ptsd symptoms

 

 They descibes years of effort to impove their lives. They describe working deligently with mental health providers and turning to mental health clincians for help. They relate tales of all the self help efforts they made.  But they were reaching out to me because they remained unsatisfied with the results they got. The failure to find relief is for one reason. They are facing unrecognized C-PTSD Symptoms 

Unrecognized C-PTSD symptoms, and trauma symptoms in general often linger in the shadows, weaving themselves into the fabric of your daily life. This means that you might not even notice. Complex Post-Traumatic Stress Disorder (C-PTSD), a condition born from prolonged or repeated trauma like childhood abuse or ongoing stress, often hides in plain sight. Its symptoms can feel like “just who you are” rather than signs of a deeper struggle. If you’ve ever felt inexplicably on edge, disconnected, or weighed down by shame, you might be living with unrecognized C-PTSD symptoms.
In this post, we’ll uncover the signs of C-PTSD, why they’re easy to miss, and how to take the first steps toward healing.

8 Types of Unrecognized C-PTSD symptoms:

The Silent Weight of Emotional Dysregulation

Have you ever felt like your emotions are a runaway train—intense, unpredictable, and overwhelming? C-PTSD often shows up as emotional dysregulation, where anger, sadness, or shame surge without warning. You might cry over a small criticism or feel rage that seems disproportionate to the moment. These aren’t just “bad days”; they could be emotional flashbacks, where past trauma floods your present, making you feel like that scared child or overwhelmed adult all over again.
For many, these feelings are so ingrained they seem normal. If you grew up in a chaotic environment, you might not question why you’re always bracing for the worst or why joy feels fleeting. This constant emotional turbulence can leave you exhausted, wondering why you can’t “just get it together.”

The Hidden Pain of Negative Self-Perception

Do you carry a quiet belief that you’re fundamentally flawed? C-PTSD often plants seeds of worthlessness, shame, or guilt that grow into a harsh inner critic. You might feel like you’re “broken” or don’t deserve happiness, even when evidence—like a successful career or loving relationships—says otherwise. These thoughts can feel like truths, not symptoms, especially if trauma shaped your early years. This negative self-perception can sabotage your confidence, making it hard to pursue goals or accept love. It’s like living with an invisible weight, pressing down on every decision, whispering that you’re not enough.

Struggling to Connect: The Relational Toll of C-PTSD

Relationships can feel like a minefield when you have C-PTSD. You might avoid closeness, fearing abandonment or betrayal, or struggle to trust even those closest to you. Some swing between pushing people away and clinging to them for validation, leaving connections strained or unstable. If you’ve always felt disconnected or like “nobody gets you,” it might not be a personality quirk—it could be one of the common unrecognized symptoms of C-PTSD. 
These struggles often stem from early betrayals or neglect, making intimacy feel risky. You might not realize these patterns are rooted in trauma, instead blaming yourself for being “bad at relationships.”

The Body Remembers: Physical Signs You Might Miss

Trauma doesn’t just live in your mind—it settles into your body. C-PTSD can manifest as unexplained physical symptoms like chronic headaches, stomach issues, or bone-deep fatigue that no amount of sleep relieves. You might feel tense, jumpy, or startled easily, a sign of hypervigilance—your body’s way of staying on high alert for threats, even in safe spaces.
During emotional flashbacks, you might sweat, shake, or feel your heart race, as if the past is happening now. These physical cues are often dismissed as stress or illness, but they could be your body signaling unresolved trauma.

Dissociation: When You Feel Like a Stranger in Your Own Life

Ever feel like you’re watching your life from the outside, or like you’re moving through a fog? Dissociation, a hallmark of C-PTSD, can make you feel detached from your body, emotions, or surroundings. Dissociation is one of the most commonly unrecognized C-PTSD symptoms. If you are experiencing it, you might “zone out” during conversations, lose chunks of time, or feel numb, as if you’re not fully present.
This disconnection can be a coping mechanism, protecting you from overwhelming pain. But if it’s constant, it might leave you feeling like a ghost in your own life, unaware that trauma is pulling the strings.

Avoidance and Hypervigilance: You are Living in Survival Mode

C-PTSD can keep you in a state of hypervigilance, where you’re always scanning for danger—whether it’s a critical tone or a crowded room. You might avoid places, people, or even memories that stir discomfort, without understanding why. For example, steering clear of loud gatherings or certain smells might feel instinctive, not traumatic.
This survival mode can be exhausting, leaving you irritable or unable to focus. You might not connect these behaviors to past trauma, especially if they’ve been part of your life for years.

Flashbacks and Nightmares: Your Past Invades the Present

Unlike the dramatic flashbacks in movies, C-PTSD often brings emotional flashbacks—sudden waves of fear, shame, or despair that feel like they belong to another time. You might not see vivid images but instead feel the weight of past trauma, like being scolded as a child or abandoned in a moment of need. Nightmares or intrusive thoughts can disrupt sleep, leaving you drained and anxious.
These experiences can be so subtle you might not recognize them as flashbacks, assuming you’re just “overreacting” to stress.

Unrecognized C-PTSD symptoms: Why You Might Not Know You Have C-PTSD

Unrecognized symptoms of C-PTSD are sneaky. If you grew up in a traumatic environment, symptoms like hypervigilance or emotional numbness might feel like your baseline. Its gradual onset, unlike PTSD from a single event, makes it harder to pinpoint. You might not see past experiences—like emotional neglect or verbal abuse—as traumatic, a phenomenon called trauma denial. Plus, C-PTSD’s overlap with anxiety, depression, or borderline personality disorder can lead to misdiagnosis, leaving you treating the wrong condition.
The controversy around C-PTSD adds to the confusion. While it’s recognized in the ICD-11 (used globally since 2022), it’s not in the DSM-5, the primary diagnostic manual in the U.S. This gap can mean even professionals overlook it, leaving you in the dark about what’s driving your struggles.

Taking the First Steps Toward Healing

Do these unrecognized C-PTSD symptoms signs resonate?
If they do, you’re not alone, and there’s hope. Recognizing C-PTSD is the first step toward reclaiming your life. Here’s how to start:
  • Journal Your Experiences: Write down moments when you feel overwhelmed, disconnected, or triggered. Look for patterns—do certain situations spark intense reactions? This can help you see trauma’s fingerprints.
  • Seek a Trauma-Informed Therapist: Look for someone trained in therapies like EMDR (Eye Movement Desensitization and Reprocessing), somatic therapy, or Internal Family Systems (IFS). Experts like Bessel van der Kolk or Pete Walker emphasize these approaches for C-PTSD.
  • Explore Screening Tools: like the PCL-5 (PTSD Checklist) or ACE (Adverse Childhood Experiences) questionnaire can offer clues, though they’re not diagnostic. 
  • Practice Body Awareness: Mindfulness or yoga can help you reconnect with your body and notice physical signs of distress, like tension or racing thoughts. Be sure to work with a trauma specialist if you use any of these practices, as the modalities can easily make sympotms worse when they are not trauma informed 
  • Be Gentle with Yourself: C-PTSD is not your fault. Acknowledging it is a brave step, and healing is possible with the right support.

A Path to Understanding and Recovery

Unrecognized C-PTSD symptoms can feel like an invisible chain, holding you back in ways you might not see. Its symptoms—emotional storms, fractured relationships, physical aches, and a sense of disconnection—can blend into the background of your life, mistaken for personal flaws, difficult external circumstances or “just stress.” But by recognizing these signs, you’re shining a light on what’s been hidden. You don’t have to carry this alone.
If you’re wondering whether C-PTSD might be part of your story, reach out to a professional who understands trauma. A C-PTSD specialist can help you untangle the past and build a future where you feel safe, whole, and worthy. Your pain is real, but so is your strength. Take that first step today—you deserve to heal.

Getting Help

Specialized C-PTSD therapy offers a powerful path to your recovery.

Ready to explore further? .

Let’s connect and talk about what’s going on.

Contact Me

Disclaimer: This post is for informational purposes only and is not a substitute for professional medical advice. Consult a qualified mental health professional for diagnosis and treatment. Don’t share identifying information online.

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Neurofeedback For CPTSD Video https://michaelgquirke.com/neurofeedback-for-cptsd/ Thu, 03 Apr 2025 01:15:13 +0000 https://michaelgquirke.com/?p=9152

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What Is Neurofeedback? 6 Min Video- https://michaelgquirke.com/what-is-neurofeedback-6-min-video/ Mon, 24 Mar 2025 00:08:17 +0000 https://michaelgquirke.com/?p=9140

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What Is Neurofeedback? nonadult
Acceptance and Commitment Therapy-Your Practical Guide https://michaelgquirke.com/acceptance-and-commitment-therapy-your-practical-guide/ Mon, 03 Mar 2025 00:02:18 +0000 https://michaelgquirke.com/?p=9098 Acceptance and Commitment Therapy (ACT): A Practical Guide to Psychological Flexibility

Ever feel like you’re battling your own mind? Like your thoughts and feelings are holding you back? It’s a common struggle. Acceptance and Commitment Therapy, also known as ACT, provides an alternative. It helps you manage those inner experiences.

ACT acceptance and commitment therapy

ACT isn’t about feeling good all the time. It’s about living a meaningful life. It’s about embracing your values. It’s possible, even when facing internal challenges.Understanding Acceptance and Commitment Therapy (ACT)

ACT takes a unique approach to mental well-being. What exactly is it? And what makes it so different?

What is ACT?

ACT stands for Acceptance and Commitment Therapy. It’s a type of behavioral therapy.It focuses on accepting what’s out of your control. You commit to taking action. Action that enriches your life. ACT helps you respond effectively. Respond to difficult thoughts and feelings. It does this without letting them derail you.

The Six Core Processes of ACT

ACT operates on six key principles. Think of them as fundamental principles and tools. When used well, these tools help with building psychological flexibility.

  • Acceptance: Acknowledge your thoughts and feelings. Do so without judgment.
  • Cognitive Defusion: Learn to separate yourself from your thoughts. See them as just thoughts.
  • Being Present: Focus on the here and now. Engage fully in the present moment.
  • Self-as-Context: Recognize that you are not your thoughts or feelings. You are the observer.
  • Values: Identify what’s truly important to you. Use these values to guide your actions.
  • Committed Action: Take steps towards your values. Do this even when facing challenges.

How ACT Differs From Traditional Cognitive Behavioral Therapy (CBT)

ACT and CBT are both effective therapies. But they approach mental well-being differently. What are those key differences?

The Role of Acceptance vs. Change

CBT often focuses on changing negative thoughts. ACT emphasizes accepting difficult thoughts and feelings. It doesn’t try to directly change them. ACT believes struggling against these inner experiences can backfire. Acceptance opens space. Space to focus on what truly matters to you.

Values-Based Action vs. Symptom Reduction

CBT often aims to reduce specific symptoms. For instance, to help reduce panic attacks or depression. ACT focuses on living in line with your values. You move towards what’s important. This is true even when facing difficult experiences. The idea is that a fulfilling life reduces suffering. A fulfilling life is more than just the absence of symptoms.

The Benefits of Acceptance and Commitment Therapy

ACT offers numerous potential benefits. Let’s check out some of the most significant ones.

Improved Mental Well-being

ACT can significantly improve mental well-being. It helps reduce anxiety, depression, and stress. By accepting difficult emotions. ACT helps you respond to life’s challenges. Respond in a more balanced way. You can get off the emotional rollercoaster.

Enhanced Psychological Flexibility

Psychological flexibility is key. ACT builds your ability to adapt to changing situations. You learn to persist in valued actions. This is true, even when facing obstacles. You become more resilient and adaptable.

Increased Resilience

Life throws curveballs. ACT can help you build resilience. You learn to bounce back from adversity. ACT teaches skills to cope with stress. You develop a greater sense of self-efficacy.

ACT Techniques and Exercises You Can Try

Want to give ACT a try? Here are some practical techniques you can implement.

Mindfulness Exercises

Mindfulness is a core ACT skill. Try this simple exercise:

  1. Sit comfortably.
  2. Focus on your breath.
  3. Notice when your mind wanders.
  4. Gently redirect your attention back to your breath.
  5. Practice for 5-10 minutes daily.

Mindfulness helps you become more aware. Aware of your thoughts and feelings. You can learn to observe without judgment.

Cognitive Defusion Techniques

Cognitive defusion creates distance from your thoughts. Try the “Leaves on a Stream” technique:

  1. Imagine a stream.
  2. Picture leaves floating down it.
  3. Place each thought on a leaf.
  4. Watch it float away.

This helps you see thoughts as just thoughts. Not as absolute truths.

Values Clarification Exercises

Knowing your values guides your actions. Ask yourself:

  • What’s most important to me in life?
  • What kind of person do I want to be?
  • What do I want to stand for?

Reflect on your answers. Use them to set meaningful goals.

ACT in Action: Real-World Examples

How does ACT apply to real-life situations? Let’s look at some examples.

Managing Workplace Stress with ACT

Work can be stressful. ACT helps manage this stress. Accept that stress is part of the job. Identify your values. Focus on what you can control. Take committed action towards your goals. This reduces the impact of stress.

Overcoming Anxiety with ACT

Anxiety can be crippling. ACT helps you approach anxiety differently. Accept anxious feelings without resistance. Practice cognitive defusion. Focus on the present moment. Take action aligned with your values.

Using ACT for Chronic Pain Management

Chronic pain is a challenge. ACT helps manage the emotional impact. Accept that pain is present. Don’t fight it. Focus on what you can still do. Do things that bring you joy. This improves quality of life.

 

Getting Help

Acceptance and Commitment Therapy offers a powerful path. A path to psychological flexibility and a meaningful life. ACT’s core principles—acceptance, defusion, presence, self-as-context, values, and committed action—provide tools. Tools for navigating life’s challenges with increased flexibility and improved resilience.

Ready to explore ACT further? Consider working with an ACT therapist. They can help guide you. Start living a rich and meaningful life. It is possible even with difficult thoughts and feelings.

Let’s connect and talk about what’s going on.

Contact Me

The post Acceptance and Commitment Therapy-Your Practical Guide appeared first on Michael G. Quirke, MFT.

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