Bessel Kolk – The Body Keeps The Score: Part 2 – Chapter 4

Discover how trauma hijacks your brain, triggering fight or flight. Learn how neuroscience reveals paths to healing, control, and real resilience.

Running for Your Life: The Anatomy of Survival

Prior to the advent of brain, there was no color and no sound in the universe, nor was there any flavor or aroma and probably little sense and no feeling or emotion. Before brains the universe was also free of pain and anxiety.

-Roger Sperry

The Primal Past

Before brains existed, the universe was a bland void of no pain or anxiety. Imagine a world without flavor, emotion, or that gut-punch of terror we know all too well today. Hard to fathom, right? Yet, thanks to our brain’s evolution, we now have an intricate system that screams “F**K THIS!” at the slightest hint of danger.

When Survival Becomes an Art Form

On September 11, 2001, five-year-old Noam Saul saw an airplane slam into the World Trade Center right from his classroom window. He and his teacher dashed for safety, joining thousands who fled the chaos. Later, Noam drew a picture featuring a plane crash and a bizarre black circle, his ingenious idea of a “trampoline” to cushion future falls from terror. This wasn’t just child’s play; it was a raw, creative bid to transform horror into hope. In contrast, many traumatized souls remain stuck, clinging to a frozen past. They’re so damn haunted by memory that every new moment feels contaminated.

Five-year-old Noam’s drawing made after he witnessed the World Trade Center attack on 9/11

Organized to Survive

When your brain’s alarm system blares, it doesn’t wait for you to say, “Oh, sh*t!” It kicks into high gear. Deep in your reptilian brain, preprogrammed escape plans fire off like cheap fireworks. You don’t get a fancy memo from your body telling you to run, hide, or fight; your nerves and chemicals do that automatically. If you manage to flee, your system eventually cools down, letting you get back to normal. But if you’re trapped? Your body stays locked in survival mode, which can wreck your entire system. That’s why trauma survivors often battle chronic conditions and feel perpetually on edge.

AP PHOTO/PAUL HAWTHORNE

The Brain From Bottom to Top

Let’s break down this badass machine we call the brain. At the base lies the reptilian brain, responsible for all the basic sh*t: breathing, eating, sleeping, and even, yes, pooping. Right above it sits the limbic system, our emotional command center that kicks into overdrive when danger lurks. And then, crowning it all, is the neocortex, the seat of reason and creativity. While the neocortex helps us plan and reflect, it often gets pushed aside when our survival instincts scream louder. In those high-stress moments, you’re not analyzing the threat, you’re just reacting.

The Triune (Three-part) Brain.
Trauma affects the entire human organism: body, mind, and brain.

Identifying Danger: The Cook and the Smoke Detector

Sensory information from all around; sights, sounds, and smells funnels into the thalamus. Think of it as the brain’s cook, mixing these inputs into a coherent, if not always delicious, stew of experience. The thalamus then sends this sensory soup down two paths. The fast “low road” sends it straight to the amygdala, the brain’s very own smoke detector, which slams the panic button. Meanwhile, a slower “high road” carries details up to the frontal lobes, where you can finally say, “Wait, is this really a threat or just the smell of burnt toast?” When the amygdala goes haywire, it can trigger an all-out stress response that leaves you either racing for cover or frozen in fear.

The emotional brain has first dibs on interpreting incoming information.

Controlling the Stress Response: The Watchtower

Imagine your frontal lobes as a high-tech watchtower overseeing your emotional chaos. They help you assess the situation, telling you whether that whiff of smoke is actually a fire or just your burnt dinner. When functioning well, this system tempers your primal reactions, letting you regain control. But in PTSD, the balance between the amygdala and the frontal lobes goes disastrously off-key. Your body remains locked in fight-or-flight mode, even when you’re safe, leaving you constantly wired like an overcaffeinated mess.

Top down or bottom up. Structures in the emotional brain decide what we perceive as dangerous or safe.

The Rider and the Horse

Emotions and reason do not always play nice together. Picture it as a rider struggling to tame an unruly horse. When everything runs smoothly, you’re cruising through life with grace. But when your emotional brain, the wild horse goes off the rails, your rational mind barely manages to hold on. In those moments, you’re not in control; you’re being dragged along by raw, visceral reactions that leave you speechless and often regretful. Understanding this tug-of-war is crucial for healing trauma and reclaiming the reins of your life.

Mirroring and the Balance of Experience

Finally, our neuroimaging studies reveal that trauma reprograms your brain, shifting the balance between rational thought and raw emotion. The left brain, usually your voice of reason, often goes silent during flashbacks. Meanwhile, the right brain, which processes feelings and images, roars to life like a busted amplifier. This imbalance traps you in a loop of overwhelming emotions that prevent you from living in the present. The key to recovery lies in reestablishing that delicate balance, helping your brain integrate past pain with present reality.

Imaging a flashback with fMRI. Notice how much more activity appears on the right side than on the left.

In summary, trauma hijacks your brain, rewiring your survival circuits and often leaving you stuck in a relentless loop of fear and flashbacks. Neuroimaging exposes these harsh truths, revealing how the brain’s ancient parts, like the amygdala and limbic system, dominate when danger strikes. But there’s a silver lining, understanding these processes opens new avenues for treatment. Through targeted therapies and sometimes a bit of modern pharmacology, we can help restore balance. It’s about reclaiming control, so you no longer feel like you’re stuck in an endless rerun of your worst moments.

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Bessel Kolk – The Body Keeps The Score: Part 1 – Chapter 3

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Bessel Kolk – The Body Keeps The Score: Part 2 – Chapter 5

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