Managing triggers and flashbacks is crucial for working with clients who have experienced trauma. In this section, Rory and Ken explore the mechanisms behind trauma responses and how counsellors can help clients manage and reduce distress caused by these experiences.

Key points discussed include:

• What Are Triggers?
  • Triggers are stimuli - such as sounds, smells, images, bodily sensations, or emotions - that remind a client of a past traumatic event and activate a distressing response.
  • These triggers can be conscious or unconscious, meaning clients might not always recognise what has set off their reaction.
• Understanding Flashbacks
  • Flashbacks pull a client back into the past, making them re-experience their trauma as though it is happening in the present.
  • This can be accompanied by emotional regression, where clients may revert to a childlike state in their speech or body language.
• Helping Clients Identify Triggers
  • Therapists can support clients by identifying potential triggers before they become overwhelming.
  • Trigger journals are a useful tool to help clients recognise patterns and gain greater self-awareness.
• Techniques for Managing Triggers and Flashbacks
  • Grounding Techniques: These help bring the client back to the present moment, e.g. the 5-4-3-2-1 Method.
  • Breathing Techniques: Encouraging deep, calm breathing to slow the physiological stress response.
  • Physical Movement: Stretching, standing up, or walking to interrupt the trigger response.
  • Developing a Coping Plan: Creating self-soothing strategies, such as listening to music, using a weighted blanket, or engaging in a creative activity.

Key Practice Tip:

If a client regularly experiences triggers or flashbacks, therapists should incorporate trauma-informed practices into their approach to ensure a safe and supportive therapeutic environment.