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Trauma: How to handle flashbacks between therapy sessions
handle flashbacks between therapy sessions

For those who have experienced trauma, healing is not always a linear path. It can be unpredictable, confusing, and emotionally intense. One of the most difficult symptoms to deal with during this process are flashbacks—episodes in which the mind and body relive a traumatic event as if it were happening in the present. These episodes can be frightening and destabilizing, especially between therapy sessions, when a person is without direct support from their therapist.

As a psychologist specialized in trauma and various therapeutic approaches, and a member of the team at Sol Counseling, I want to help you understand why flashbacks happen, how to manage them between sessions, and why EMDR therapy can be a transformative tool in trauma treatment.

What Is a Flashback and Why Does It Happen?

A flashback isn’t just a memory—it’s a vivid, sensory, and emotional experience that transports the person back to the traumatic moment. During a flashback, the person may relive images, sounds, smells, emotions, or physical sensations associated with the trauma, often with a distorted perception of time and space.

Common flashback triggers:

  • Sensory cues (a song, a smell, a phrase)
  • Emotional or physical stress
  • Vivid dreams or nightmares
  • People or places reminiscent of the trauma
  • Hormonal or nervous system shifts
  • Therapy work that activates buried memories

The traumatized brain often can’t distinguish between past and present. The amygdala, which processes fear, reacts as though the danger is happening now. That’s why the body responds with symptoms like rapid heartbeat, sweating, tension, dissociation, or panic.

How to Manage a Flashback Between Therapy Sessions

While flashbacks can feel overwhelming, there are specific strategies you can use to regain control in the moment. Below are evidence-based tools from modern psychotherapy that can help you self-regulate during a flashback.

1. Name What’s Happening
Start by telling yourself:

“This is a flashback. I am safe. My body and mind are remembering the past, but it’s not happening now.”

Labeling the experience helps reduce its intensity. Don’t try to fight the flashback—observe it with gentle awareness. Recognition is the first step toward regulation.

2. Ground Yourself in the Present
Use grounding techniques to reconnect with the here and now:

  • 5-4-3-2-1 Technique:
    • 5 things you can see
    • 4 things you can touch
    • 3 things you can hear
    • 2 things you can smell
    • 1 thing you can taste

Carry grounding objects: A smooth stone, a textured bracelet, a calming scent.

Count backwards from 100 in 7s. This activates your rational brain and reduces emotional overwhelm.

3. Practice Conscious Breathing

The autonomic nervous system responds well to controlled breathing. Try the 4-7-8 technique:

  • Inhale through your nose for 4 counts
  • Hold your breath for 7 counts
  • Exhale through your mouth for 8 counts
  • Repeat several times

This slows your heart rate and sends signals of safety to your brain.

4. Use Safety Affirmations
Words can be healing when aligned with your physical state. Try repeating:

  • “I am safe right now.”
  • “I can tolerate this moment. I am not alone.”
  • “This feeling will pass.”
  • “My body is remembering, but I am more than this memory.”

5. Reach Out to Someone You Trust
You don’t have to go through this alone. If possible, call a person who understands your healing process or can offer nonjudgmental support. Sometimes, a warm voice is enough to interrupt the fear cycle.

6. Create a Supportive Physical Space
Flashbacks can worsen in overwhelming environments—loud noises, bright lights, clutter, or unsafe settings. Prepare a quiet space with soft lighting, comforting blankets, relaxing music, or soothing scents.

7. Don’t Judge Yourself
Having a flashback does not mean you’re failing or regressing in therapy. On the contrary, it may be a sign that you’re processing trauma. Remember, healing includes moments of vulnerability.

Why Do Flashbacks Increase During Therapy?

It’s common for flashbacks to intensify during the early stages of therapy. This isn’t necessarily a bad thing. Therapy opens up emotional and cognitive pathways that were previously blocked or suppressed. The key difference is that now you have resources, guidance, and a safe container for the healing process.

The Power of  EMDR in Treating Flashbacks

EMDR therapy (Eye Movement Desensitization and Reprocessing) is one of the most effective treatments for trauma and flashbacks. Unlike talk therapy alone, EMDR engages the brain’s natural healing processes using bilateral stimulation.

In a session, the therapist guides the client to revisit a traumatic memory in a controlled way, while applying bilateral input (like eye movements, alternating sounds, or light tapping). This helps the nervous system process the memory adaptively, reducing emotional reactivity.

Benefits of EMDR for Flashbacks:
  • Reduces the emotional charge of traumatic memories
  • Helps reframe and make sense of past events
  • Decreases physical symptoms (pain, insomnia, hypervigilance)
  • Strengthens internal sense of safety and control
  • Leads to lasting, sustainable relief

Many clients report that, after a few EMDR sessions, their flashbacks occur less frequently and with less intensity.

A Real (Adapted) Testimony

“I used to have flashbacks nearly every day. It felt like I was stuck in a loop of the past. EMDR helped me revisit those memories in a safe way. Little by little, they stopped controlling me. Today, I remember, but I’m no longer trapped. I feel free again.”

What to Do After a Flashback

After a flashback episode, consider:

  • Resting: Allow your nervous system to reset
  • Hydrating: Help your body return to balance
  • Journaling: Track patterns and emotional responses
  • Discussing it with your therapist: Bring it up in your next session for integration

Therapeutic Support Between Sessions

At Sol Counseling, we understand that trauma healing happens between sessions, too. That’s why we offer tools such as grounding exercises, guided audio, journaling prompts, and personalized follow-ups depending on your needs.

When to Seek Urgent Help

If your flashbacks are frequent, lead to self-harm, suicidal thoughts, or extreme dissociation, don’t face it alone. Seek immediate professional help. Many countries have 24/7 crisis lines and emergency support services.

Final Reflection

Healing from trauma is not about forgetting—it’s about remembering without pain, without being overtaken by fear. You don’t have to do this alone. There are tools, therapists, and paths available. EMDR therapy can be a key part of that journey—from surviving to living fully.

Ready to Begin Your Healing Journey?

At Sol Counseling, we have trauma-informed professionals trained in EMDR therapy. We invite you to:

Your story doesn’t end with trauma. You can write a new chapter—and we’re here to help you do it.

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