Relational Trauma & RecoveryEmotional Regulation & Nervous SystemDriven Women & PerfectionismRelationship Mastery & CommunicationLife Transitions & Major DecisionsFamily Dynamics & BoundariesMental Health & WellnessPersonal Growth & Self-Discovery

Join 28,269 readers, subscribe to Annie’s free weekly newsletter

Browse By Category

Hybrid Trauma Responses: When You Fight at Work and Fawn at Home
Annie Wright therapy related image
Annie Wright therapy related image
Layered ocean tides representing the complex interplay of hybrid trauma responses. Annie Wright trauma therapy

Hybrid Trauma Responses: When You Fight at Work and Fawn at Home

LAST UPDATED: JULY 2026

SUMMARY

Most people don’t rely on a single trauma response. They use combinations that shift depending on the relationship and how much danger the nervous system registers in the room. You might be formidable in a boardroom and unable to say no to your mother. You might work relentlessly for months and then collapse into an exhaustion you can’t explain. These are hybrid trauma responses, and understanding them often makes sense of why you seem like a different person in different rooms of your own life.

Last reviewed: July 2026 by Annie Wright, LMFT · See our editorial and clinical review policy

QUICK ANSWER · UPDATED JULY 2026

Hybrid trauma responses happen when one person uses more than one defensive strategy, fight, flight, freeze, or fawn, depending on which relationship or environment they’re in. Someone with a hybrid response might be assertive at work and accommodating at home, and the switch isn’t a character flaw. It’s the nervous system running a threat assessment specific to each relationship. This pattern shows up constantly in driven women whose early environments demanded different survival strategies in different rooms of the same house. In my work with clients, the hardest part usually isn’t learning the framework. It’s believing that both the fierce professional and the compliant daughter are real, and that neither one is a performance.


In short: Hybrid trauma responses occur when one person uses different defensive strategies in different contexts, fighting at work and fawning at home, for example, because each relationship activates a different nervous-system threat assessment built from a different history.

If you're ready for the full healing arc, not a single piece of it, my signature program Fixing the Foundations is the structured path your relational trauma recovery has been missing.

Why Do You Feel Like Two Different People?

Veronica is forty-four. She negotiates litigation settlements for a mid-sized firm, and her colleagues have a specific way of describing her in a deposition: still. Not cold. Still, the way a lake is still right before a storm changes its mind. She doesn’t raise her voice. She has a legal pad with three columns and a habit of tapping her pen twice before she says the sentence that ends an argument. In that room, she is formidable, and everyone in the building knows it.

Then her mother calls on a Sunday at 4pm, the same hour every week, and Veronica’s whole body changes before she’s said a word. Her mother is seventy-eight, devout, and has spent forty years measuring love in obligation. When she calls, Veronica picks up before the second ring. She agrees to drive two hours to fix a printer that isn’t broken. She laughs at a comment about her weight that lands somewhere behind her sternum and stays there. She says “of course, Mami” to a request she does not have room for, because saying anything else feels, in her body, like a kind of abandonment she doesn’t have language for and has never once tested.

Veronica has spent years quietly convinced she’s a hypocrite. Ruthless in one room, boneless in another. She assumed one of these women was the real one and the other was a costume she’d learned to wear well. What I want her to understand is that both of those women are real. They’re two different survival strategies, each one built for a specific relationship, each one still doing exactly the job it was built to do. This is a hybrid trauma response. It’s the rule, not the exception, and I’ve come to think of it as the client who arrives convinced she has two selves when what she actually has is one exceptionally adaptive nervous system.

What Are Hybrid Trauma Responses?

The 4F framework, fight, flight, freeze, fawn, gives us four distinct categories of survival response, and it’s genuinely useful for understanding the primary ways the nervous system protects itself. But almost nobody I’ve worked with in over fifteen years of clinical practice is purely one type. Most people develop hybrid responses: combinations of strategies that activate in different relationships or emotional states, sometimes within the same afternoon.

I recently went back to Pete Walker, MA, psychotherapist and complex trauma specialist who developed the 4F framework, and I was struck again by how explicitly he names this complexity. He describes a “dominant” response, the default mode a person reaches for first, alongside secondary strategies that surface only under specific conditions. The brain doesn’t wire its survival strategies to generalized threat. It wires them to specific kinds of threat in specific kinds of relationships, which is why the same woman can be unshakeable with a hostile opposing counsel and unable to finish a sentence with her own father.

DEFINITION HYBRID TRAUMA RESPONSES

The use of multiple, context-dependent autonomic nervous system defensive strategies by a single individual. Hybrid responses can appear sequentially, moving from one state to another as circumstances change, or simultaneously, combining elements of two responses in a single behavioral pattern, such as passive-aggression, which blends elements of both fight and fawn. Pete Walker, MA, in his clinical work on complex PTSD, describes hybrid responses as typically involving one dominant strategy and one or more secondary strategies that activate based on the specific relationship context, the type and intensity of perceived threat, and the historical imprint attached to that particular kind of relationship.

In plain terms: You use different survival tools for different situations, and the tool you reach for depends on what your nervous system learned worked best in that specific kind of relationship a long time ago. It isn’t inconsistency. It’s a highly sophisticated, deeply context-specific survival system that’s been quietly running since childhood, adjusting its output every time you walk into a different room.

Here’s what this looks like in an actual week. Monday morning, a junior colleague misses a deadline, and you say the direct, slightly uncomfortable thing without flinching. Monday night, your husband asks an ordinary question about dinner, and you feel your whole chest tighten before you’ve said anything at all. Same nervous system, two completely different threat calculations, made in under a second, based on two completely different histories with authority and closeness.

Understanding hybrid responses is often the piece that finally makes sense of things for people who’ve started learning about the 4F framework and feel like they don’t quite fit any single category. If you recognize the fight response description and also, uncomfortably, the fawn response, you’re probably not confused. You’re probably a hybrid, and that’s information you can actually use.

Why Does Your Nervous System Switch Strategies Without Asking You?

The mechanism that makes hybrid responses possible is a process Stephen Porges, PhD, Distinguished University Scientist at the Kinsey Institute, Indiana University, named “neuroception.” I first encountered the term years ago and I still find myself returning to it in session, because it names something so precise: the nervous system’s continuous, mostly unconscious scanning of the environment for safety or threat. It asks who is present, what your relational history with that person actually is, and which survival strategy has worked best with this type of person in this type of context.

This entire calculation is extraordinarily fast and almost entirely pre-conscious. Before you’ve consciously thought “this is like my mother,” your nervous system has already run the pattern match and dispatched whichever survival response it associates with the outcome. This is why hybrid responses feel so disorienting from the inside. You didn’t decide to be formidable in one context and accommodating in another. Your nervous system decided, faster than thought, based on pattern-matching you have no direct access to.

DEFINITION NEUROCEPTION

A term coined by Stephen Porges, PhD, Distinguished University Scientist at the Kinsey Institute, Indiana University, and author of The Polyvagal Theory, to describe the nervous system’s continuous, largely unconscious process of scanning the environment, including interpersonal cues such as facial expression, vocal tone, body posture, and contextual information, to assess whether the current situation is safe, dangerous, or life-threatening, and to select a response accordingly. Neuroception operates faster than conscious perception and can produce a survival response before you’re aware of what triggered it.

In plain terms: Your nervous system is running a continuous background scan that operates faster than your conscious mind can follow. It isn’t asking “is this situation dangerous?” in some general sense. It’s asking “does this feel like a dangerous situation I’ve survived before?” and dispatching a response based on the answer before you’ve had a chance to weigh in. This is why you can walk into your childhood kitchen at thirty-eight years old and feel fourteen again within about thirty seconds, your shoulders climbing toward your ears before you’ve even set down your bag.

Bessel van der Kolk, MD, psychiatrist and trauma researcher, author of The Body Keeps the Score, describes how trauma creates specific, highly context-dependent activations. The same person who functions with genuine equanimity in most contexts can be completely overwhelmed by a specific sensory cue, a particular tone of voice, or a relational dynamic that matches the neural imprint of the original threat. This type of person reliably activates fight. That type reliably activates fawn. The pattern follows the history, not the present-day reality, which is exactly why it can feel so maddening to a woman who knows, intellectually, that her business partner and her mother are not the same threat level at all.

RESEARCH EVIDENCE

Peer-reviewed findings that inform this clinical framework:

  • 13% of a sample reported a freeze response, modest or greater immobility, to a 20% CO2 threat stressor (PMID: 17880916)
  • PTSD patients 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)
  • Peritraumatic dissociation was associated with PTSD symptoms, r=0.17, 95% CI 0.03 to 0.29, across five studies in a youth meta-analysis (PMID: 33601676)

Which Hybrid Pattern Is Yours?

In my clinical work with driven women, certain hybrid combinations show up again and again. Recognizing which one is yours is often the thing that lets you see the pattern clearly enough to actually work with it, instead of just being baffled by it every few weeks.

The Flight/Freeze Cycle is the most common hybrid I see in women who’ve built careers through chronic overwork: months of extraordinary productivity followed by a crash into fatigue, depression, and emotional numbness. The sympathetic system can only sustain a flight state so long before the dorsal vagal system forces a shutdown. Recovery brings flight back online, and the cycle repeats, often for years, without the woman naming what’s happening. She experiences the crash as a personal failure, “I burned out again,” without recognizing that the relentless, unsustainable flight was the actual problem. The crash is simply the body’s last remaining way to demand rest.

The Fight/Fawn Split is the pattern Veronica recognizes: formidable in contexts where she holds power, completely accommodating wherever the relationship carries an old threat imprint. A woman can be the most intimidating person in her professional domain and lose all access to assertion the moment she’s back in her family of origin. These aren’t contradictions. They’re the same nervous system deploying whichever strategy it learned worked best with each type of relationship, long before she had any say in the matter.

The Fawn/Flight Over-Functioner is a pattern I see constantly in women who identify as “the fixer” in every system they’re part of. She anticipates everyone’s needs, that’s the fawn, and meets them at a frantic, exhausting pace, that’s the flight. She is the ultimate helper, responsive and extraordinarily capable on paper, running at a pace that isn’t sustainable, giving from a well that’s increasingly dry, unable to understand why she feels hollow at the exact moments she should feel most useful.

The Freeze/Fawn Combination often develops in environments where both assertiveness and emotional expression were quietly suppressed for years. The fawn part manages everyone else’s needs to prevent conflict. The freeze part numbs the experience of what that self-erasure is actually costing her. The result is a woman who seems genuinely calm and kind, because she is, and who has remarkably limited access to her own interior experience, because the freeze has protected her from feeling the full weight of it for so long that she’s forgotten there’s anything underneath.

Veronica has the Fight/Fawn Split. Esperanza, whom you’ll meet in a moment, has a version of the Fawn/Flight Over-Functioner shaped by a very specific set of family expectations. Recognizing your specific pattern isn’t about handing yourself a label to carry around. It’s about having enough clarity to see what’s actually driving the behavior, which is the prerequisite for ever being able to change it.

Why Does Living Between Extremes Feel So Exhausting?

One of the most consistent things I hear from women with hybrid trauma responses is exhaustion. Not the ordinary tired of a demanding life. A more specific exhaustion, the kind that comes from a nervous system constantly switching between incompatible states, like an engine that’s asked to idle and sprint in the same ten minutes, over and over, for years.

Here’s the science and here’s what I actually see in session. In Polyvagal Theory terms, Stephen Porges, PhD, describes an optimal state called the “window of tolerance,” the ventral vagal state of genuine safety and social engagement where a person can think clearly, connect authentically, and feel the full range of human emotion without being overwhelmed or shut down. Think of it like the sweet spot on a thermostat, not too hot, not too cold, where the whole house actually functions. When a nervous system is cycling between sympathetic activation, fight or flight, and dorsal vagal collapse, freeze, or oscillating in the hypervigilant scanning that sets up all four responses, it rarely settles into that window for long. Which means in practice: you can go days, sometimes weeks, without your body ever fully exhaling.

The women I work with who carry significant hybrid response patterns often describe feeling as though they live at a permanently elevated altitude. Not anxious exactly, but never quite relaxed either, because some part of the system is always monitoring for the next context shift, the next relationship that might require switching strategies without warning.

This has real physiological costs over time: chronic elevated cortisol, the immune and metabolic effects of periodic dorsal vagal collapse, the sleep disruption of a nervous system that never fully downregulates, so that even in a quiet house, some part of her stays half-awake and listening. There’s a subtler cost too, the years spent in a state that isn’t quite available for genuine presence or rest. You can read more about the long-term physiological toll of chronic dysregulation in our guide to complex PTSD.

Both/And: Your Flexibility Was Brilliant, and It’s Fragmenting You

The Both/And for hybrid responses requires acknowledging something genuinely worth acknowledging: the ability to develop multiple, context-specific survival strategies is a sign of real neurological and psychological sophistication. Not everyone can do this. The capacity to read different relational contexts accurately enough to deploy the most effective response in each one, to be formidable with a business partner and accommodating with an emotionally immature parent, is genuine intelligence. It kept you functional across environments that would have broken a more rigid nervous system.

And. This same flexibility is now costing you a coherent sense of self. When you show up differently in every room, fight here, fawn there, flight with this person, freeze with that one, it becomes genuinely hard to know which version is actually you. The fragmentation that was once adaptive is now disorienting. You may have noticed the slight, persistent sense of not quite being the same person from one context to the next. Not fake, exactly. Just not fully continuous. That fragmentation is worth taking seriously, not because something is wrong with you, but because a life spent taking shifts between versions of yourself is not the same thing as a life fully lived.

“I felt a Cleaving in my Mind, As if my Brain had split, I tried to match it, Seam by Seam, But could not make them fit.”

Emily Dickinson, poet

The goal of healing isn’t to collapse every response into one uniform self. Genuine flexibility, being able to adapt to different contexts, is healthy and human. The goal is to add real choice, so that the version of you who shows up is selected by your values and your present-moment assessment, rather than dispatched automatically by a survival system running decades-old programming. That choice, choosing to be soft or firm, present or boundaried, yielding or asserting, is what integration actually looks like. It’s slow. It’s worth building toward anyway.

If you’re ready to explore this work, trauma-informed therapy offers the most direct path. The Fixing the Foundations course provides a structured framework for beginning to understand and work with these patterns on your own timeline. And the free quiz is a reasonable starting point if you’re not yet ready for either of those and just want language for what you’re noticing.

The Systemic Lens: Has Context Always Dictated Your Response?

Hybrid responses don’t only reflect family dynamics. They reflect the full range of contextual demands that have shaped a given nervous system, including the systemic ones that rarely make it into a therapy intake form.

Esperanza is fifty-one, the daughter of parents who came to the United States from Guatemala in the early 1980s with almost nothing, and the first in her family to finish college. She runs a regional operations team for a logistics company now, in an office with a whiteboard she fills every Monday with a color-coded system nobody else on her team fully understands but everyone respects. At work, she is direct to the point of bluntness. She says the hard thing in the meeting. She does not soften bad news. Her team calls her “no-nonsense,” and they mean it as the highest compliment they know how to give.

At her parents’ kitchen table, twenty minutes from her own house, she’s someone else entirely. She defers to her father’s opinion on decisions that are unambiguously hers to make. She translates for her mother at the pharmacy and absorbs the pharmacist’s impatience as though it were her own failing. She apologizes for things that were never her fault, quickly, reflexively, the way you’d catch a glass before it hits the floor. “I don’t even decide to do it,” she told me once, turning a paper napkin into a small tight square on the table between us. “It’s like a switch flips, and by the time I notice, I’m already agreeing with something I don’t agree with.”

Sitting with Esperanza that afternoon, I felt the particular ache I’ve come to recognize in daughters of immigrant families who built their whole adult competence in a language and a country their parents never fully got to inhabit. Her bluntness at work and her deference at home aren’t two different women. They’re the same fight/fawn split, organized around which context has historically rewarded which response. First-generation Americans in my caseload often describe exactly this: fighting, or sometimes fleeing into overachievement, in the domain of professional life, because achievement was the explicit, stated pathway to safety and belonging in the adopted country, while fawning inside a family system still organized around old-country hierarchies of respect and obligation. Both responses are rational. Both were built from real information about what each context actually required of her.

Women of color, and Black women in particular, often develop this same fight/fawn hybrid in response to explicitly racialized contextual demands. The fight response may be available in relationships perceived as relatively safe, close friends, certain family members, while the fawn response gets deployed in professional and public contexts where expressing anger or even ordinary assertion carries measurably higher stakes. This isn’t pathology. It’s a rational, highly calibrated adaptation to a system that has demonstrably punished Black women’s assertion while consistently rewarding their accommodation. Class shapes the same split: a woman who grew up working-class and built a career inside upper-middle-class rooms often becomes fight-coded wherever she senses dismissal, fawn-coded wherever the class gap feels most exposed. None of this is inconsistency. It’s a sophisticated, hard-won map of who gets what, built from real information about the cost of getting it wrong.

Understanding the systemic dimensions of your own hybrid pattern is often an important part of trauma-informed therapy work. For driven women working through these patterns inside professional environments, executive coaching that holds both the systemic and the personal dimensions at once is often the most useful container available.

Who I Am and Why I Know This

HOW I KNOW THIS

I’ve worked with hybrid trauma response patterns across more than 15,000 clinical hours, and this presentation is one of the most disorienting for clients, because it genuinely feels like having two separate selves rather than one adaptive nervous system. Pete Walker, MFT, psychotherapist and complex trauma specialist, maps the interplay of fight, flight, freeze, and fawn across his clinical framework for CPTSD recovery, and I return to that framework constantly in sessions with driven women who arrive convinced they’re contradictions rather than survivors. I’m a Licensed Marriage and Family Therapist, licensed in 15 U.S. jurisdictions, including Colorado (telehealth only), and I hold this material both from the clinical literature and from sitting across from hundreds of women who needed someone to tell them their two selves were never actually two selves at all.

How Do You Actually Heal a Hybrid Trauma Response?

Healing hybrid trauma responses involves several dimensions of work that build on each other over time, and none of them happen in the order a tidy blog post would suggest.

Mapping your specific pattern is the essential first step, the observational groundwork that makes everything else possible. This means tracking, with curiosity rather than judgment, which response activates in which contexts and relationships. Not why yet. Just: what happens? Does visiting your parents activate fight, fawn, or freeze? Does the performance review at work activate flight? Does the particular combination of both in the same week crash you into freeze by Friday? Building this map isn’t a therapeutic intervention in itself. It’s the terrain that makes an intervention possible later.

Understanding the historical basis of each context-response link is the next layer. With a therapist, or in careful, unhurried self-reflection, you trace the connection between the current trigger and the original learning. The boss who activates your flight response reminds you of whom, exactly? What did your nervous system learn, in what context, about how to survive that specific type of relationship? This isn’t about assigning blame to anyone. It’s about understanding the internal logic of the system you’re actually working with, so you stop arguing with a mechanism you don’t yet understand.

Somatic regulation work, as developed by Peter Levine, PhD, somatic psychologist and founder of Somatic Experiencing, offers a way to work directly with the physiological dimension of each response. Levine’s work teaches clients to recognize the distinct bodily signatures of fight, chest expansion and jaw tension, flight, urgency and forward pressure, freeze, blankness and difficulty locating words, and fawn, a particular vigilant softening, the quiet disappearance of one’s own interiority mid-sentence. Being able to identify which state you’re in, in real time, is the prerequisite for influencing it.

Internal Family Systems work, developed by Richard Schwartz, PhD, offers an unusually useful framework for hybrid responses, because it treats each survival strategy as a “part,” a protective sub-personality that formed to serve a specific, once-necessary function. What I’ve come to call parts-based mapping draws directly on Schwartz’s model: working with the fight part, the fawn part, the flight part, and the freeze part as distinct internal voices, each approached with curiosity and compassion. The goal is coordination, not elimination. When the parts are heard rather than fought, they stop competing for control, and the nervous system gains access to more of itself than it’s had in years.

Signature Program · Enrolling Now Cart opens Sept 8 · Cohort starts Sept 22
My Signature Program
Fixing the Foundations™

The structured path your recovery has been missing.

My 6-week live cohort program for driven people doing the full relational trauma recovery arc. The Seven-Phase Model, the House of Life framework, and the structure that connects every piece of the work. For when you're done stitching it together from articles.

Join the waitlist
Live cohort + Self-paced · Limited spots

Veronica has been doing this work for fourteen months now. She still visits her mother most Sundays. She still negotiates settlements that make opposing counsel visibly nervous. The difference is that she now notices, in the car on the way to her mother’s house, the shift beginning, that particular quality of shrinking, the slight forward lean toward automatic agreement. She doesn’t stop it every time. But she notices it. And sometimes, not always, but more often than a year ago, she makes a small choice at the edge of the shift. She says something true instead of something easy. She sits with the discomfort of having said it. She drives home afterward and notices, with something close to surprise, that the sky did not fall. That’s how healing a hybrid response actually works. Not by becoming one consistent, predictable person overnight, but by slowly building more moments of real choice into the narrow space between the trigger and the automatic response.

Esperanza’s version of this work looked different. Her breakthrough session wasn’t dramatic. She sat on my couch on an ordinary Tuesday, a lukewarm coffee in a paper cup from the shop downstairs, and said, quietly, “I told my dad no on Saturday. About the garage thing. And then I sat in my car for ten minutes because I thought I might throw up.” I felt something settle in my own chest hearing that, not because the no was large, but because I understood exactly what it had cost her nervous system to produce it. She hadn’t collapsed the fawn. She’d simply added one more option to the menu her body had access to, and that, in a family system built on forty years of unquestioned deference, was enormous.

Of course this is exhausting to read about, let alone to live inside. You’re not broken for needing years, not weeks, to loosen a pattern your nervous system spent decades perfecting. You’re not failing because the old response still shows up sometimes, even after real progress. You’re attempting something genuinely difficult: teaching a highly efficient survival system that it’s allowed to consider new information. That takes time, and your struggle with it is real and it’s legitimate.

When you’re ready to begin this work, the full guide to all four trauma responses is a useful companion resource. Connecting with a trauma-informed therapist is the most direct path. And the Strong & Stable newsletter offers ongoing support for the ongoing work of becoming more fully yourself, one Sunday at a time.

What I see consistently in my practice is that hybrid trauma responses create a specific, quiet kind of confusion, and they’re often the last thing to shift in the healing process. That’s not a character flaw. It’s a structural reality: your nervous system has spent years, maybe decades, becoming extraordinarily efficient at fighting here and fawning there, and healing isn’t about eliminating the patterns. It’s about building enough awareness, enough window of tolerance, to catch the activation before it runs the whole show uncontested, and enough self-compassion to meet the old pattern with curiosity instead of contempt.

The Long Game of Healing Hybrid Responses

I remember a supervision case early in my career, where a clinical supervisor pointed out that I kept describing a client’s contradictory behavior as “confusing.” She corrected me gently. It wasn’t confusing. It was consistent, once you understood the map. I offer that reframe to you now: if you’ve recognized yourself somewhere in this description, treat that recognition not as a diagnosis to be fixed, but as a starting point for a deeper inquiry. You’ve been resourceful in exactly the ways you needed to be in order to survive. Now the work is bringing those same resources into the project of building something more sustainable. I’ve watched it happen, repeatedly, in rooms much like the one you might be sitting in right now. You don’t have to figure it out alone.

If what you’ve read here resonates, I want you to know that individual therapy and executive coaching are available for driven women ready to do this work. You can also explore my self-paced recovery courses or schedule a complimentary consultation to find the right fit for where you are right now.

This article is psychoeducational and does not replace individualized clinical care. If you are having thoughts of harming yourself, please call or text 988 to reach the Suicide and Crisis Lifeline, available any hour of any day. See our Editorial Policy for how we source and review clinical content.

ANNIE’S SIGNATURE COURSE

Fixing the Foundations

The deep work of relational trauma recovery. At your own pace. Annie’s step-by-step course for driven women ready to repair the psychological foundations beneath their impressive lives.

Join the Waitlist

Warmly, Annie

FREQUENTLY ASKED QUESTIONS

Q: Is it normal to have more than one trauma response?

A: Yes, extremely common. Pete Walker, MA, who developed the 4F framework, explicitly names hybrid responses as the rule rather than the exception. Most people have a dominant response and one or more secondary strategies that activate in specific contexts. Having multiple responses doesn’t mean you’re more traumatized. It means your nervous system is highly adaptive and built survival tools for multiple types of situations.

Q: Why do I act completely differently at work than I do with my family?

A: Because your nervous system perceives those environments as presenting different kinds of threat, and it’s deploying the survival strategy it learned worked best in each one. Your professional context may activate fight or flight, since those strategies served you there. Your family context may activate fawn or freeze, since different strategies served you there. The switch isn’t hypocrisy. It’s neural context-sensitivity doing exactly what it was built to do.

Q: What is the flight/freeze cycle and how do I know if I’m in it?

A: The flight/freeze cycle is a pattern of sustained high productivity and overwork, flight, followed by a collapse into depression, fatigue, and emotional numbness, freeze, once the sympathetic nervous system can no longer sustain the activation. Signs you’re in it: you alternate between periods of intense, impressive productivity and periods of near-total inability to function. The crashes feel qualitatively different from ordinary tiredness, more like shutdown, more like disconnection. You recover enough to go back into flight, and the cycle repeats.

Q: Can hybrid responses look like mood disorders or personality disorders?

A: Yes, and this is an important clinical consideration. The extreme oscillation between hyperarousal, fight or flight, and hypoarousal, freeze, can be misdiagnosed as bipolar disorder. The context-dependent personality shifts of hybrid responses can be misread as borderline features. The key distinction is that hybrid responses are fundamentally nervous system regulation patterns driven by relational trauma history, not chemical imbalances or pervasive personality disorders. Accurate assessment by a trauma-informed clinician matters enormously for treatment planning.

Q: What does healing hybrid trauma responses actually look like?

A: Healing doesn’t mean becoming one consistent, predictable person in every context. It means building more choice, so the version of you who shows up is increasingly determined by your present-moment values rather than historical survival programs. Practically, it looks like noticing the shift between responses happening in real time, developing a larger window of tolerance so the oscillations are less extreme, and gradually building the capacity to choose a different response in specific, lower-stakes situations where a different response is genuinely available.

Q: How do I figure out which hybrid pattern is mine?

A: Start by tracking, with curiosity rather than judgment, your responses in different contexts over a week or two. Notice which relationships activate which responses in you. Where do you feel most activated, fight or flight? Where do you go blank or accommodating, freeze or fawn? Do you notice any cyclical patterns over time? The free quiz is a reasonable first step. Working with a trauma-informed therapist provides the most thorough and accurate mapping of your specific pattern.

Related Reading

Walker, Pete. Complex PTSD: From Surviving to Thriving. Azure Coyote Publishing, 2013.

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

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

Fisher, Janina. Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation. Routledge, 2017.

Porges, Stephen W. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. W.W. Norton, 2011.

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. Brenner EG, Schwartz RC, Becker C. Development of the internal family systems model: Honoring contributions from family systems therapies. Fam Process. 2023;62(4):1290-1306. doi:10.1111/famp.12943. PMID: 37924221.
  5. Suveg C, Jones A, Davis M, et al. Peritraumatic dissociation and posttraumatic stress in youth: a meta-analytic review. J Trauma Stress. 2021;34(2):301-312. PMID: 33601676.

Books & Cultural Sources (Chicago Author-Date)

  • Walker, Pete. Complex PTSD. CreateSpace Independent Publishing Platform, 2013.
  • Dickinson, Emily. “I Felt a Cleaving in My Mind.” In The Complete Poems of Emily Dickinson. Little, Brown, 1960.
Strong & Stable Newsletter

Read Annie’s weekly essays on rebuilding after relational trauma.

Weekly Substack essays from Annie Wright, LMFT on relational trauma, recovery, and the House of Life framework. For driven women who want a structured path back to themselves.

Read on Substack
FREE. WEEKLY. NO SPAM.

WAYS TO WORK WITH ANNIE

Individual Therapy

Trauma-informed therapy for driven women healing relational trauma. Licensed in 15 U.S. jurisdictions, including Colorado (telehealth only).

Learn More

Executive Coaching

Trauma-informed coaching for driven women working through leadership and burnout.

Learn More

Fixing the Foundations

Annie’s signature course for relational trauma recovery. Work at your own pace.

Learn More

Strong & Stable

The Sunday conversation you wished you’d had years earlier. 25,000+ subscribers.

Join Free

Annie Wright, LMFT. Trauma therapist and executive coach

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, licensed in 15 U.S. jurisdictions, including Colorado (telehealth only). 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 is currently writing her first book with W.W. Norton.

Work With Annie

Credentials & Licensure

License

Licensed Marriage and Family Therapist (LMFT #95719)

Clinical Experience

15,000+ direct clinical hours

Licensed in 15 U.S. Jurisdictions, including Colorado (telehealth only)

CA LMFT95719 · CO MFT.0003236 (telehealth only) · CT 003806 · DC LMFT200001447 · FL TPMF356 · IL 166.012270 · ME MF8600 · MD LCM1206 · NH 1030 · NJ 37FI00254800 · NY 002805 · TX 206391 · UT 14300323-3902 · VA 0717002589 · WA MFT.LF.70098096

Signature Frameworks

Creator of House of Life and Fixing the Foundations

Forthcoming Book

The Everything Years (W.W. Norton)

Past Leadership

Founder & former CEO, Evergreen Counseling


Featured Expert Commentary

Regular contributor to Psychology Today. Expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information.

Maintained by Annie Wright, LMFT · Founder, Annie Wright LLC · Author, W.W. Norton 2027. Last reviewed July 2026. Next scheduled review December 2026. Questions about clinical content: support@anniewright.com. See our full editorial and clinical review policy.

Warmly,
Annie.


Medical Disclaimer

What's Running Your Life?

The invisible patterns you can’t outwork…

Your LinkedIn profile tells one story. Your 3 AM thoughts tell another. If vacation makes you anxious, if praise feels hollow, if you’re planning your next move before finishing the current one, you’re not alone. And you’re not broken.

This quiz reveals the invisible patterns from childhood that keep you running. Why enough is never enough. Why success doesn’t equal satisfaction. Why rest feels like risk.

Five minutes to understand what’s really underneath that exhausting, constant drive.

Ready to explore working together?

Strong & Stable , A Substack Publication

The Sunday conversation
you wished you had
years earlier.

Weekly essays, practice guides, and workbooks for driven women whose lives look great on paper , and feel heavy behind the scenes.

27,281 readers  ·  Free to start

Read & Subscribe Free →

“You can outrun your past with achievement for only so long before it catches up with you. Strong & Stable is the conversation that helps you stop running.”

, Annie Wright, LMFT