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The Freeze Response in Trauma: Why You Shut Down Instead of Fight or Flight
A woman sitting alone in a conference room after a difficult meeting, looking overwhelmed and shut down. Annie Wright trauma therapy

The Freeze Response: Why Your Body Shuts Down When You Need to Fight or Flee

LAST UPDATED: JUNE 2026

SUMMARY

The freeze response is the trauma reaction that drives the most shame in the driven women I work with, because it looks like passivity from the outside and feels like betrayal from the inside. This post walks through the neurobiology of freeze, why it’s involuntary rather than a character failure, and what it takes to widen your nervous system’s capacity so shutdown stops being your only option under pressure.

Last reviewed: June 2026 by Annie Wright, LMFT

When Your Body Went Blank: A Meeting That Broke Through

Whitney is 37, leading a 25-person product team at a fast-growing tech company in Seattle. It’s 3:17pm on a Thursday, and the weekly leadership meeting has just veered into unexpected territory. The CEO questions her project’s timeline, tone clipped but not overtly hostile. Whitney feels her chest tighten and her throat close. The words she’d rehearsed to defend her plan simply dissolve. Her mind goes blank mid-sentence. She can’t speak.

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She sits frozen, fingers gripping the edge of the conference table, heart pounding, face unreadable. When the meeting ends, she quietly leaves the room, the sting of embarrassment burning behind her eyes. On the commute home, the shame swells. Why did I freeze? Why couldn’t I just stand up for myself? She replays the moment on a loop, and underneath the replaying is a harder question: why did my body shut down exactly when I needed it to fight?

This moment, the freeze response in action, is common among driven women who’ve survived relational trauma. It’s the invisible trauma reaction that triggers deep shame because it looks like failure or weakness from the outside. It is neither of those things. Freeze is a deeply wired, involuntary survival mechanism. It’s your nervous system’s last-resort safety strategy, the one it reaches for when fight and flight aren’t available.

In my work with clients like Whitney, this experience is often the single most destabilizing and misunderstood part of trauma recovery. This content is psychoeducational and not a substitute for individualized clinical care. Understanding why freeze happens, what it means biologically, and how it shows up in daily life is the first step toward removing the shame and reclaiming some agency inside your own nervous system.

What Is the Freeze Response?

FREEZE RESPONSE

In polyvagal theory, the freeze response is the activation of the dorsal vagal branch of the parasympathetic nervous system in reaction to a perceived inescapable threat. It’s characterized by physiological shutdown, dissociation, immobility, and reduced engagement with the environment. Freeze is an evolutionarily conserved survival response, involuntary and distinct from fight or flight behaviors (Stephen Porges, PhD, neuroscientist and creator of polyvagal theory).

In plain terms: When your body senses danger it can’t fight or run from, it sometimes shuts down to protect you. The freeze response feels like going blank, numb, or disconnected. It’s your body’s way of trying to keep you safe when nothing else seems to work.

I recently reread Peter Levine, PhD, psychologist and developer of Somatic Experiencing, and I keep coming back to one line: trauma isn’t the event itself, it’s the nervous system’s incomplete response to the event. That distinction matters enormously for freeze. Clinically, freeze is recognized as a core trauma reaction alongside fight, flight, and fawn. Pete Walker, MA, psychotherapist and author of Complex PTSD: From Surviving to Thriving, named freeze the “fourth F” in trauma response patterns (Walker 2013). Unlike fight or flight, which mobilize the body toward action, freeze is a shutdown, an immobilization that helps an organism survive extreme threat when escape or defense isn’t possible.

Freeze isn’t passivity by choice. It’s an automatic, neurobiological reaction that predates conscious awareness. For a woman who prides herself on agency and competence, freeze can feel like a profound betrayal of self, but understanding it as a protective mechanism reframes the experience as a survival strength rather than a weakness. It also shows up in more complex ways than physical immobility: dissociation, a sense of being disconnected from your body, cognitive blankness, or a feeling of going offline. These states confuse a lot of the women I work with, because they appear composed on the outside while feeling fractured on the inside.

This clinical framing matters, not just for naming the experience, but for setting up a nervous-system-informed path to healing. Naming freeze precisely is what lets you reclaim the story of your own nervous system, and start working with it instead of against it.

What Happens in Your Nervous System When You Freeze?

TONIC IMMOBILITY

Tonic immobility is an involuntary state of physical and psychological paralysis that occurs in response to extreme threat, when fight and flight options are unavailable or have already failed. It’s characterized by profound motor inhibition, decreased responsiveness, and a shutdown of voluntary movement. This response has been extensively researched in animal behavior by Gordon Gallup, PhD, and it’s directly relevant to understanding human freeze responses in trauma (Payne, Levine & Crane-Godreau 2015).

In plain terms: When your brain senses danger it can’t escape or fight, it sometimes triggers a hardwired shutdown where your body freezes completely. This isn’t under your control. It’s an ancient survival reflex you share with a lot of the animal kingdom.

Stephen Porges, PhD, provides the foundational neurobiological framework for understanding freeze through his polyvagal theory. His research identifies three hierarchical branches of the autonomic nervous system: the ventral vagal system, which supports social engagement and safety; the sympathetic nervous system, which mobilizes fight or flight; and the dorsal vagal system, which is responsible for shutdown and freeze (Porges 2025).

Freeze corresponds to activation of the dorsal vagal branch, the most evolutionarily ancient part of the nervous system. When your brain’s neuroception, the subconscious detection of safety versus threat, determines that escape or defense is impossible, the dorsal vagal pathway triggers a metabolic shutdown. Heart rate slows, muscles go limp, and you may dissociate entirely. As strange as it sounds, this is an adaptive, life-preserving state. Peter Levine’s research clarifies that freeze is often experienced as tonic immobility, a biological last resort seen across mammalian species. What Levine documents in his work is exactly the pattern I see in my office: freeze is a defensive action that was never completed, a body locked into immobility when it should, ideally, have moved to fight or flee.

Importantly, the freeze state isn’t a peaceful calm. Bessel van der Kolk, MD, psychiatrist and trauma researcher and author of The Body Keeps the Score, explains that freeze involves a profound internal survival state, even as the body appears shut down externally (van der Kolk et al. 2024). The brain stays hyper-alert to threat signals, but the body can’t respond. That mismatch is what leaves so many trauma survivors feeling dissociated, no matter how composed they look from the outside. Deb Dana, LCSW, clinician and author of The Polyvagal Theory in Therapy, describes what she calls the polyvagal ladder, a model illustrating how the nervous system shifts between social engagement, mobilization, and dorsal vagal shutdown (Dana 2018). Dana’s framing is one I return to constantly with clients: freeze isn’t a failure. It’s a biological imperative designed to maximize survival in the face of overwhelming threat.

Understanding this neurobiology matters especially for driven women whose survival strategies were built in childhood. The freeze response often first activated in early relationships where asserting yourself felt too dangerous. Yet in adult professional or relational contexts, that same freeze can feel like a betrayal of your competence, a source of deep and disproportionate shame. This neurobiological clarity is the foundation for trauma-informed recovery, honoring your nervous system’s protective intent while opening the door to new ways of responding.

How Does Freeze Actually Show Up in the Life of a Driven Woman?

Whitney’s meeting wasn’t an isolated incident. Months later, in a difficult conversation with her husband about their finances, the same pattern surfaced: throat tight, mind blank, body heavy and far away, watching herself from somewhere outside her own chest. Her experience is far from unique among the driven women I’ve worked with who survived childhood relational trauma. The freeze response shows up in professional settings as sudden silence exactly when you most need to assert yourself, and it shows up at home in the middle of conflict just as often. It’s not laziness, and it’s not a lack of preparation. It’s a neurobiological survival response that often lands as a personal failure to the woman who prides herself on competence.

What I see consistently in my clinical work is this pattern: women who are stellar performers in structured environments, who then find themselves “going blank” the moment interpersonal threat enters the room. The freeze response is a physiological shutdown, not a conscious choice, and it carries a stigma that most other trauma responses don’t. Understanding it through a trauma-informed lens shifts the narrative from “I’m broken” to “my nervous system was trying to protect me,” which opens space for strategies that work with your nervous system instead of against it.

Why Freeze Gets Misread as a Character Flaw

The freeze response is one of the most misunderstood reactions in both clinical and popular conversations about trauma. Fight and flight get recognized, even valorized. Freeze remains shrouded in stigma. It’s frequently misread as passivity, weakness, or a failure to act, and that misreading lands especially hard on driven women who measure themselves against internalized standards of control.

Porges identifies the freeze response as activation of the dorsal vagal complex, a branch of the parasympathetic nervous system that triggers shutdown when perceived threat feels inescapable, an evolutionarily ancient defense mechanism shared across mammals, sometimes called tonic immobility. Levine elaborates on tonic immobility as the “last resort” defense, one that activates when fight and flight have already failed. In animal studies, this state looks like death but functions as a survival strategy that can actually increase the odds of escaping a predator.

For trauma survivors, freeze often becomes a habitual pattern rather than a one-time event. Pete Walker names freeze as one of the “four F’s” of trauma response, alongside fight, flight, and fawn, describing it as emotional shutdown, dissociation, and an inability to respond once triggered (Walker 2013). Emotional flashbacks, sudden regressions into an earlier trauma state, can present as freeze too. Van der Kolk emphasizes that freeze states aren’t calm or restful, whatever they look like from the outside. The body shuts down to protect itself from intolerable overwhelm, but it stays in a state of threat the whole time.

EMOTIONAL FLASHBACK

An emotional flashback is a sudden, intense regression into the feeling-state of a past trauma without an accompanying visual memory. It’s marked by disproportionate shame, fear, or shutdown triggered by a present-day event that echoes an earlier threat (Walker 2013).

In plain terms: Something small happens today, a tone of voice, a look, a delay in a text back, and suddenly you feel exactly like you did at seven or fourteen, even though you can’t say why. That’s your body remembering something your mind hasn’t fully placed yet.

Understanding freeze as a complex trauma response dismantles the harmful myth that freezing is a failure of character or willpower. It’s a deeply ingrained neurobiological survival strategy, shaped by early relational experience and repeated exposure to threat you couldn’t out-argue or outrun.

“You may shoot me with your words, / You may cut me with your eyes, / You may kill me with your hatefulness, / But still, like air, I’ll rise.”

Maya Angelou, poet and author, “Still I Rise”

Both/And: You Didn’t Choose to Freeze, and Your Body Was Trying to Protect You

One of the hardest parts of the freeze response for driven women is the collision between lived experience and internalized identity. Maybe you were raised to believe you must always be in control, always speak up, always act decisively. So when your body shuts down in a moment of threat, the internal narrative defaults to harsh self-judgment: I froze because I’m weak. I failed myself and everyone counting on me. Something is broken in me.

What I see consistently in my clinical work is that two truths coexist here, and neither one cancels out the other:

  • You did not consciously choose to freeze. It was an involuntary protective response, faster than thought.
  • Your experience of freezing still has real consequences for your sense of agency, your self-worth, and your relationships.

This both/and framing refuses to flatten the complexity or rush toward premature resolution. It holds the involuntary nature of freeze right alongside the pain and disruption it causes, without asking you to pick just one.

Whitney’s freeze response is not a failure of leadership. It’s a neurobiological reaction shaped by earlier experiences of emotional unavailability, one her body remembers even when her mind has moved on.

And yet, this same experience becomes a catalyst. Recognizing freeze as a survival mechanism opens a door to reclaiming agency. It’s about learning to listen to your body’s signals and work alongside them instead of overriding them. In therapy and coaching, we focus on expanding what Daniel Siegel, MD’s, work calls the window of tolerance, so that moments of activation stop automatically triggering shutdown, using somatic tools to gently mobilize the nervous system toward social engagement. This work takes time, and it leads to real, durable shifts in self-trust.

RESEARCH EVIDENCE

Peer-reviewed findings that inform this clinical framework:

  • 13% of one sample reported a freeze response, meaning modest or greater immobility, to a 20% CO2 threat stressor in a 2007 study (PMID: 17880916).
  • PTSD patients in a 2017 study showed no significant valence effect on a body-sway freezing measure, F(2,26)=0.756, p=0.480, while controls did, F(2,26)=5.308, p=0.012 (PMID: 28352237).
  • A 2021 meta-analysis of five youth studies found peritraumatic dissociation associated with PTSD symptoms at r=0.17 (95% CI 0.03 to 0.29) (PMID: 33601676).

The Systemic Lens: The Myth of Agency and Why We Judge Freeze as Failure

The shame and self-blame that so often accompany freeze aren’t just internal problems. They’re embedded in cultural narratives about agency, control, and competence that most of us never chose and rarely examine.

Western professional culture, especially in the entrepreneurial and executive spaces where a lot of my clients operate, prizes autonomy, decisiveness, and visible action. The cultural script says that to succeed, you must always be active, assertive, and in command. Hesitation or shutdown gets read as weakness almost automatically, with no room left for what’s actually happening in the body.

This mythology of agency leaves no space for involuntary survival responses like freeze. When a woman freezes in a meeting or a relationship, she’s often met with both external judgment and internalized shame at the same time. The unspoken message is simple and cruel: you should have been able to act differently.

From a systemic view, this reflects a broader failure to understand what trauma actually does to a nervous system. Trauma-informed care still isn’t the norm in workplaces, schools, or healthcare settings. Women who experience freeze responses get mislabeled as disengaged, unprepared, or unreliable, which only deepens their isolation and self-doubt.

That systemic failure compounds the individual burden, building an environment where freeze responses stay invisible or get pathologized rather than understood and accommodated. Recognizing these systemic forces can be genuinely freeing. It removes the false burden of sole responsibility and opens up the possibility of collective change: workplaces that build in trauma-informed leadership, cultures that treat nervous system diversity as real. In my clinical work, I help women connect their personal experience of freeze to these larger systemic dynamics, which alone can reduce shame and fuel advocacy for environments that understand nervous system realities instead of pathologizing them.

You are not alone in this. The freeze response is a universal survival strategy, shaped by biology and magnified by culture. Understanding it both clinically and systemically is the first step toward healing, and toward reclaiming your voice in every domain of your life.

Why Isn’t Insight Enough? The Window of Tolerance and Co-Regulation

In my work with clients who struggle with freeze, one framework I return to constantly is the window of tolerance, a concept developed by psychiatrist Daniel Siegel, MD, and now widely integrated into trauma-informed practice across modalities. The window of tolerance describes the zone of nervous system activation where you’re able to process experience without shutting down or becoming overwhelmed. Inside that window, you can feel, reflect, respond, and connect. Outside it, through hyperarousal (anxiety, panic, rage) or hypoarousal (freeze, shutdown, dissociation), your access to the reflective, meaning-making parts of your brain narrows fast, sometimes disappearing altogether. For women who freeze, that window tends to run chronically narrow, shaped by years of threat signals that never got fully processed, and by a nervous system that learned to skip straight from mild stress to full collapse with nothing recognizable in between. The narrowing itself often stays invisible until the shutdown has already arrived.

What I see consistently is that driven women find the concept of co-regulation genuinely hard to accept, even though it’s one of the most clinically important tools for widening that window over time. Co-regulation is the neurobiological process by which one person’s regulated nervous system helps settle another’s, through tone of voice, eye contact, proximity, and attuned presence. It’s the mechanism every human being is designed to regulate through, starting at birth. Porges has documented how the autonomic nervous system constantly scans the environment for signals of safety, a process he calls neuroception, and how the presence of a calm, attuned other is one of the most powerful safety signals a nervous system can receive. You can’t think your way into a regulated state. Insight travels through the cortex, and freeze lives somewhere older and faster than that. You can borrow someone else’s regulation while you build your own, and there’s no shame in that. It’s biology, not weakness.

What van der Kolk’s work reminds me of, again and again, is that freeze isn’t a cognitive failure. It’s a body memory. Because freeze is stored in the body, widening the window of tolerance requires working at the level of the body, in relationship. That’s the both/and of co-regulation: it isn’t a sign that you’re weak or dependent, it’s a sign that you’re human, doing exactly what nervous systems do, which is seek safety through connection. For driven women who’ve spent years perfecting the art of needing no one, using co-regulation as a deliberate tool can feel countercultural. But isolated nervous systems don’t heal as readily as connected ones. Connection isn’t a reward you earn after enough healing work alone. It’s the medium through which healing happens.

Clinically, this means one of the most powerful things you can do the moment you notice yourself starting to freeze, the narrowing attention, the heaviness in your limbs, the sense of drifting somewhere far and unreachable, is to reach toward another regulated presence instead of trying to haul yourself back alone. Over time, with enough of those co-regulatory moments woven into daily life, the window widens. Freeze becomes less automatic. And the gap between stimulus and shutdown grows large enough that you can find yourself, and choose, before your body has already decided for you.

How to Heal the Freeze Response

Understanding freeze as an involuntary biological survival mechanism is the first step in healing. For driven women, freezing in a board meeting, a difficult conversation, or a flashback can feel like a personal failure of agency. But what I see consistently in my work with clients is that the nervous system is doing exactly what it was designed to do: protect you when fight or flight weren’t real options. If you’re ready to begin, you can schedule a complimentary consultation. Healing freeze is a layered process, rewiring implicit survival patterns, strengthening your capacity to stay present in discomfort, and reclaiming your voice across relationships. Here’s what that looks like clinically.

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1. Establish Safety and Expand Your Window of Tolerance

Porges teaches that the nervous system operates on a hierarchy of states, from ventral vagal (safe and social) to sympathetic (fight or flight) to dorsal vagal (freeze and shutdown). Freeze sits at the bottom, the last-resort strategy your body defaults to when it detects inescapable threat. Dana emphasizes that healing begins with expanding your window of tolerance, the zone within which you can experience activation without becoming overwhelmed or dissociating. If that window runs too narrow, your body flips into freeze at the slightest hint of threat.

In my work with clients, we begin by building neurophysiological safety, learning to recognize subtle signs of activation and practicing tools that shift you from dorsal vagal shutdown toward ventral vagal engagement: paced breathing, orienting to your environment, somatic grounding. Driven women often resist this phase because it feels passive compared to the pace they hold themselves to everywhere else. But the nervous system can’t be hurried.

2. Develop Somatic Awareness and Track Sensations

Levine highlights the importance of tracking the felt sense, the body’s internal sensations, as a doorway into healing freeze states. In practice, this means developing a mindful curiosity about your body’s own messages. What sensations arise when you start to feel overwhelmed? These cues often show up before dissociation fully sets in, which makes them useful early warning signs. Somatic awareness helps you pendulate, or oscillate, between activation and safety, a core healing mechanism Levine describes in his research: moving between uncomfortable sensations and resourcing experiences like feeling your feet on the ground. This back-and-forth builds resilience and, over time, integration.

3. Complete the Incomplete Defensive Response

Clinicians often describe freeze as an incomplete defensive action. When fight or flight prove impossible, the body drops into tonic immobility instead. Healing requires completing that response, letting your nervous system finally discharge the energy that got trapped during the original trauma. This can feel unfamiliar, even a little frightening. The urge to move, shake, or vocalize may arise on its own. Levine’s Somatic Experiencing and Pat Ogden, PhD’s, Sensorimotor Psychotherapy both use body-based techniques to gently invite these movements, letting the nervous system resolve the freeze state on its own terms (Ogden, Pain & Fisher 2006). In therapy, this gets carefully titrated. You complete the physical responses that were interrupted the first time, and that alone can shift freeze toward more adaptive states.

4. Practice Nervous System Regulation in Relational Contexts

Co-regulation, the biological process of calming your nervous system through safe relational connection, is irreplaceable here. Siegel describes what he calls earned secure attachment, the capacity to build secure relational patterns in adulthood, even when your childhood attachment wasn’t secure. For driven women who freeze, practicing regulation with trusted others retrains your nervous system’s neuroception, its automatic safety detection. In my clinical work, I support clients in gradually approaching the exact situations that trigger freeze, within a secure therapeutic container, so they can experiment with new responses without getting overwhelmed.

5. Reclaim Your Voice and Agency

Freeze responses often silence your voice long after the original moment has passed. The woman who went blank in that meeting may start avoiding future confrontations out of fear of getting trapped again. Reclaiming your voice is a vital part of healing, not a footnote to it. This is a process of rebuilding trust with your body, learning that you can be present in discomfort and still act with intention. It might include communication skills, boundary-setting practice, and somatic exercises paired with cognitive reframing. Reclaiming agency isn’t about forcing yourself to “be brave.” It’s about recognizing when your nervous system is triggered and taking steps to regulate before you engage.

6. Integrate Trauma Processing Approaches

Once safety, somatic awareness, and regulation capacity are in place, trauma processing therapies such as Eye Movement Desensitization and Reprocessing (EMDR) or Somatic Experiencing can help integrate traumatic memories stored in the nervous system. Van der Kolk emphasizes that trauma is stored in body memory and can’t be fully resolved through talk therapy alone. In my practice, I combine relational safety, somatic work, and evidence-based trauma processing to help clients heal freeze and the trauma that first triggered it.

7. Be Patient and Compassionate With Yourself

Healing freeze isn’t a linear path. You’ll likely have days when you feel more present and engaged, and days when old freeze triggers still overwhelm you. That fluctuation is part of how nervous systems recalibrate, not a sign you’re doing it wrong. What often surprises clients is how much courage it takes just to notice a freeze moment without judgment. Building self-compassion, informed by Kristin Neff, PhD’s, research on self-kindness, helps counter the internalized shame that freeze responses so often carry with them (Neff et al. 2021). Your nervous system is protecting you. This isn’t a flaw. With time, support, and consistent work, you can build new patterns of safety, presence, and agency, ones that hold even when the room gets tense.

If you’re ready to begin this work, consider exploring my Fixing the Foundations course, my proverbial foundational work for relational trauma recovery, or book a session for therapy with me. This process intersects with understanding emotional flashbacks, healing from complex PTSD, and learning to set boundaries even when your nervous system resists. You can also take my free trauma recovery quiz to learn more about your own nervous system’s patterns.

You’re not alone in this, even when freeze feels isolating in the moment. What you’re facing is a deeply human response to overwhelming threat, one your nervous system chose in order to protect you, not to betray you. The real strength is in recognizing it and gently learning to work with it instead of against it.

Warmly, Annie.

FREQUENTLY ASKED QUESTIONS

Q: Why do I freeze instead of fight or run when I’m stressed?

A: The freeze response is your nervous system’s last-resort survival strategy when fight or flight feel impossible or too dangerous. It’s an involuntary shutdown that helps reduce pain and perceived threat. This reaction isn’t a choice or a weakness. It’s a deeply embedded biological response designed to protect you.

Q: How can I tell if I’m freezing or just feeling calm?

A: Freeze is often mistaken for calm because the body appears still or numb. But freeze is a state of disconnection and shutdown, not relaxation. Common signs include numbness, difficulty speaking, a “blank” feeling, heavy limbs, or emotional detachment. True calm feels integrated, alert, and connected to your surroundings, not far away from them.

Q: Can therapy help me heal my freeze response?

A: Yes. Trauma-informed therapy that includes somatic approaches, like Somatic Experiencing or EMDR, combined with relational safety, helps retrain your nervous system. Therapy gives you a safe environment to track sensations, complete interrupted defensive responses, and build your capacity to tolerate activation without dissociating.

Q: What can I do in the moment when I feel myself starting to freeze?

A: Grounding techniques help: noticing your feet on the floor, feeling the texture of an object in your hand, or taking slow, extended exhales. These actions signal safety to your nervous system and can shift activation toward ventral vagal engagement. Practicing them regularly, even when you’re calm, builds your window of tolerance for the moments you’re not.

Q: Why am I so hard on myself for freezing?

A: Shame around freeze is common, especially for driven women who prize competence and agency above almost everything else. That shame is usually internalized from early experiences where vulnerability wasn’t safe to show. Freeze is a survival mechanism, not a personal failing, and compassionate awareness is the actual antidote to that shame, not more self-criticism.

Porges, Stephen, PhD. The Pocket Guide to the Polyvagal Theory. W.W. Norton, 2017.

Levine, Peter, PhD. Waking the Tiger: Healing Trauma. North Atlantic Books, 1997.

van der Kolk, Bessel, MD. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking, 2014.

Dana, Deb, LCSW. The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation. W.W. Norton, 2018.

Walker, Pete, MA. Complex PTSD: From Surviving to Thriving. CreateSpace Independent Publishing Platform, 2013.

References

Peer-Reviewed Research (Vancouver)

  1. van der Kolk BA, Wang JB, Yehuda R, Bedrosian L, Coker AR, Harrison C, et al. Effects of MDMA-assisted therapy for PTSD on self-experience. PLoS One. 2024;19(1):e0295926. doi:10.1371/journal.pone.0295926. PMID: 38198456.
  2. Payne P, Levine PA, Crane-Godreau MA. Somatic experiencing: using interoception and proprioception as core elements of trauma therapy. Front Psychol. 2015;6:93. doi:10.3389/fpsyg.2015.00093. PMID: 25699005.
  3. Porges SW. Polyvagal Theory: Current Status, Clinical Applications, and Future Directions. Clin Neuropsychiatry. 2025;22(3):169-184. doi:10.36131/cnfioritieditore20250301. PMID: 40735382.
  4. Reisz S, Duschinsky R, Siegel DJ. Fear without solution: fearful-avoidant attachment and defense, exploring John Bowlby’s unpublished reflections. Attach Hum Dev. 2018;20(2):107-134. doi:10.1080/14616734.2017.1380055. PMID: 28952412.
  5. Ogden P, Pain C, Fisher J. A sensorimotor approach to the treatment of trauma and dissociation. Psychiatr Clin North Am. 2006;29(1):263-79, xi-xii. PMID: 16530597.
  6. Neff KD, Bluth K, Tóth-Király I, Davidson O, Knox MC, Williamson Z, et al. Development and Validation of the Self-Compassion Scale for Youth. J Pers Assess. 2021;103(1):92-105. doi:10.1080/00223891.2020.1729774. PMID: 32125190.
  7. Suarez-Jimenez B, Zhu X, Lazarov A, et al. Sensory overstimulation and freezing in PTSD assessed via body-sway. J Psychiatr Res. 2017. PMID: 28352237.
  8. Alisic E, Barrett A, Bowles P, et al. Peritraumatic dissociation and PTSD in children and adolescents: a meta-analysis. Eur J Psychotraumatol. 2021. PMID: 33601676.

Books & Cultural Sources (Chicago Author-Date)

  • Walker, Pete. Complex PTSD. CreateSpace Independent Publishing Platform, 2013.
  • Dana, Deb. The Polyvagal Theory in Therapy. W.W. Norton & Company, 2018.
  • Angelou, Maya. I Know Why the Caged Bird Sings. Random House, 1969.
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About the Author

Annie Wright, LMFT

LMFT · Relational Trauma Specialist · W.W. Norton Author

Helping driven women finally feel as good as their résumé looks.

Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven women, including Silicon Valley leaders, physicians, and entrepreneurs, in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information. She’s currently writing her first book with W.W. Norton.

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AI use: Researched and drafted with AI assistance, reviewed, edited, and approved by Annie. See our Editorial Policy for details.

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