How Trauma Affects Your Body & Your Relationships: When the Alarm Won’t Switch Off
- Sarah Cosway
- May 19
- 8 min read
Have you noticed something strange happening in your body lately?
Perhaps a racing heart when your partner seems distant.
Or feeling completely numb or frozen mid-argument.
A sudden wave of anxiety that seems to come from nowhere.
Or perhaps a tension that never quite goes away, even when everything
in your life looks fine from the outside.
If any of this sounds familiar, you are not alone, and you most definitely
are not going crazy!
In my practice, I meet many people for whom these physical sensations
can feel like a bolt out of the blue. Confusing, frightening, and hard to
explain.
Some have been coping for years, perhaps without even recognising
that their past experiences were traumatic at all. And then suddenly, the
body starts speaking...loudly.
Why Do I Suddenly Feel Anxious Even Though I Know I am Safe?
I’ve noticed that this is commonly one of the first questions my clients
ask, especially if the difficult experiences feel buried, or long ago. The
answer lies in understanding how our nervous system works.
Human beings have walked this earth for millennia.
And here is the key: our biology evolves extraordinarily slowly compared
to how fast the modern world changes. Even within your own lifetime,
the world probably looks almost unrecognisably different to how it did
when you were a child.
And yet, underneath it all, your body is working in much the same way
as it did for your Stone Age ancestors.
Those early humans lived in a physically very dangerous world. They
were living moment-to-moment, hand-to-mouth. Their survival
depended on a finely tuned alarm system, that we commonly now call
the fight or flight response. This built-in self-preservation system was
exquisitely designed for survival in that brutal environment.
It kept people alive.
The problem is, that same ancient system lives inside all of us today,
and it cannot always tell the difference between a genuine physical
threat and a painful memory, a raised voice, or a partner who has gone
quiet.
Why Trauma Programmes Your Nervous System to Stay on High
Alert
For people who have been through difficult or traumatic experiences,
this alarm system can become conditioned to stay constantly alert.
Back in those dangerous times, for our ancestors, being on high alert
made complete sense. The realities of their world demanded it for day
to day survival. But their threats, in reality, were mostly physical in some
way, so their bodies had an opportunity to process some of that
“survival energy” through the action of responding to the threat.
Running. Fighting. Escaping.
Today, many of the things our nervous system perceives as threatening
are not physical dangers....not in the same way as back then.
They are more likely a tone of voice. A look. A silence. A memory.
But, the threat part of our brain doesn’t know that. All it senses is that
there is some kind of danger, so it fires up our bodies in exactly the
same way...and there is often nowhere for all that energy to go.
This is not a sign that something is broken in you. It is your nervous
system doing exactly what it was designed to do, based on what it has
learned from your experiences.
It is trying to protect you, to look after you.
What Does a Trauma Response Feel Like in the Body?
The physical symptoms of a trauma response vary from person to
person, we are all individuals after all, but some of the most common
include:
Fight or flight symptoms: Heart racing, chest tightening, shallow
breathing, feeling hot, restless or agitated. An urge to lash out or
escape.
Freeze or flop symptoms: Feeling suddenly numb, shut down or
disconnected. Going blank mid-conversation. Feeling like you have
left your own body. Unable to speak or think clearly.
You might recognise the phrase "fight or flight", but the full picture is
actually fight, flight, freeze or flop.
Think of a rabbit caught in headlights, completely still. That freeze
response has just as much evolutionary purpose as running away. In
moments of extreme threat, shutting down can be protective – if you are
a prey animal, like a rabbit, then freezing may mean the predator can’t
work out where you are.
But as is very clear in the roadkill we see today, what was once a very
helpful response, in the modern day and age, has become very
unhelpful!
The threat has changed.
So if you find yourself emotionally disconnecting during arguments, or
shutting down when someone raises their voice, this is not weakness.
It is not "being difficult"...its your body’s threat system doing what it has
been programmed to do through the survival of every single generation
of your ancestors.
And nowhere do these responses tend to show up more powerfully than
in our closest relationships.
Why Trauma Triggers Show Up So Strongly in Relationships
For many people, these responses show up most intensely in close
relationships; with partners, family members, the people they love most.
This makes sense.
Intimacy requires vulnerability, and vulnerability can feel dangerous to a
nervous system that has learned to stay guarded.
Feeling suddenly anxious around your partner for no obvious
reason.
Becoming highly reactive to small things.
Shutting down completely during conflict.
Feeling on edge when they are away.
These experiences can be deeply confusing, especially when you know,
logically, that you are safe.
It feels like there is a disconnect between the rational and emotional
parts of your mind.
The hypervigilant brain does not always respond to logic. It responds to
what it has learned from the past.
It is worth clarifying that not everyone who recognises themselves in this
will have experienced a clear or identifiable trauma. Sometimes these
patterns develop from more subtle experiences, for example feeling
emotionally unsupported as a child, growing up in an unpredictable
environment, or repeatedly having your feelings dismissed.
And sometimes, what looks like a trauma response might have a
different root altogether. This is exactly why working with a therapist can
be so valuable, not to put a label on your experience, but to help you
understand what is actually going on for you, in your own unique
situation.
Can CBT Really Help With Physical Trauma Symptoms?
This is a question that lots of people ask, because many assume that
CBT is simply about changing negative thoughts, and if their experience
is very physical, then it makes sense to question how working on our
thinking can really help. But CBT is much more than that.
It is an exploration of the connections between your thoughts, your
emotions, your actions and your physical sensations. All four are deeply
linked.
It is important to understand that your mind is created by your brain, and
your brain is an organ, a part of your body, just like your heart or your
liver.
This means there is a profound mind-body connection. And working with
a CBT therapist can mean learning tools and skills to calm the nervous
system...to kind of hack your own biology in conjunction with your
psychology.
CBT helps with the disconnect that we can feel between rational “head”
and feeling “heart”.
Tools such as breathwork, grounding techniques and working with the
thought-emotion-sensation cycle are examples of the kinds of strategies
that can be helpful.
It’s not about erasing from your mind what happened, but about helping
your system feel safe enough to be able process it.
You Don't Have to Feel This Way Forever
If you have been reading this and recognising yourself in what I am
describing (the confusion, the physical sensations, the wondering why
your body is behaving this way) please hear this:
What you are experiencing makes complete sense given what you have been through.
These feelings, however intense and frightening they may be, are not a
life sentence.
With the support of a compassionate and understanding therapist, it
really is possible to heal.
To help your nervous system learn that the past is in the past.
To feel safer in your relationships, in your body, and in your life.
You do not have to keep trying to make sense of this alone.
If you would like to explore how CBT could help you, why not reach out
for an informal chat?
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For some people, trauma symptoms can feel completely overwhelming
and may be significantly impacting their day to day life. If this resonates
with you, please know that you do not have to wait until things feel
manageable to reach out for support; in fact, the harder things feel, the
more important it is to talk to someone.
If you are in crisis or feel you need urgent support, please contact your
GP or call the Samaritans on 116 123, who are available 24 hours a
day.
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Frequently Asked Questions:
What does a trauma response feel like in the body?
Trauma responses can feel different from person to person, as we’re all
individuals. Some people experience classic fight or flight symptoms
(racing heart, tight chest, shallow breathing, or urge to escape). Others
experience freeze or flop responses (feeling numb, shut down,
disconnected, or unable to think/speak clearly). Both are normal, and
both are your nervous system trying to protect you.
Is shutting down during an argument a trauma response?
Yes, it can be. Shutting down, going blank, or emotionally disconnecting
during conflict can sometimes be your freeze or flop response kicking in
(your nervous system's way of protecting you from a perceived threat).
It’s not weakness, and it is not "being difficult"; it is an ancient survival
mechanism doing its job.
Why do I suddenly feel anxious around my partner for no reason?
For some people, if their nervous system has been shaped by past
difficult experiences, it can become hypervigilant. It might start picking
up on cues like a tone of voice, a look, or a silence, and interpreting
them as dangerous, even when your rational brain tells you that you are
safe. This is why anxiety in close relationships can feel so confusing
and hard to explain.
Why am I so reactive to my partner?
High reactivity in relationships can sometimes be a sign of a nervous
system that has learned to stay on alert. Seemingly small things (a
certain tone, a withdrawal, a perceived criticism) can trigger a
disproportionate response because they echo something your brain has
learned to associate with threat or danger in the past.
What is hypervigilance?
Hypervigilance is a state of being constantly on alert for potential
threats. It is common in people who have experienced trauma, and can
show up as difficulty relaxing, being easily startled, scanning your
environment (or your partner's moods) for signs of danger, or feeling like
you can never quite switch off.
Can CBT help with physical symptoms of trauma?
Yes. CBT is not just about changing thoughts, it explores the
connections between your thoughts, emotions, actions and physical
sensations. Working with a CBT therapist can help you understand why
your body is responding the way it is, and learn practical tools and skills
to calm your nervous system and feel safer in your body and your
relationships.
What are the signs that someone is living with chronic stress or trauma?
Common signs include persistent tension or muscle tightness, sleep
disturbance, feeling constantly on edge or easily startled, emotional
numbness or disconnection, difficulty concentrating, and strong physical
or emotional reactions that feel out of proportion to the situation.
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Bio: Sarah Cosway is a BABCP-accredited Cognitive Behavioural
Psychotherapist with over a decade of experience working in mental
health, both within the NHS and in private practice. She offers tailored
CBT in a compassionate, collaborative environment, empowering clients
to build resilience and manage their mental well-being with confidence.



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