Making It Through a Trauma Anniversary

What is a Trauma Anniversary?

Certain times of the year bring old memories and associations to mind. The holiday season may find you thinking more about family or personal ties, whereas the summer might get you focused on planning your next getaway. Much of the time, these associations are pleasant. Sometimes, however, the memories aren’t so enjoyable, especially when they’re connected to trauma (see: “Am I Living with PTSD?”).

Many trauma survivors experience challenging “anniversary reactions,”  which are defined as “unique set[s] of unsettling feelings, thoughts or memories that occur on the anniversary of a significant experience.” When a survivor finds themselves in the midst of a trauma anniversary, they often are forced to re-live feelings from the traumatic event, causing symptoms like increased anxiety, depression, trouble sleeping, loss of appetite, nightmares, and irritable outbursts.

Understandably, trauma anniversaries can be upsetting. In addition to being emotionally challenging, they may also make us feel frustrated. It may feel like we’re “reverting” to symptoms we thought we’d overcome. Further, bursts of unexpected anger or worry may threaten to damage our relationships, careers, and wellbeing.

It’s important to know that if you experience an anniversary reaction, you are not losing all of the healing progress you have made. Ups and downs are a completely normal part of the process, and it’s extremely common for things to be difficult during anniversaries.

There might be a good reason for this—some clinicians believe that trauma anniversaries are actually a way of our minds trying to help us by preparing us to protect ourselves from similar harm. Yet despite our mind’s good intentions, it’s not helpful for us to live our lives in a constant state of fear.

How to Get Through a Trauma Anniversary

Chances are, you’re looking for ways to gain a little more control over your experience during these anniversaries. Doing so is absolutely possible, and we recommend the following tips.

1. Identify Your Timeline

Before you do anything else, you’ll want to identify when your trauma anniversaries occur and how they affect you. It’s surprisingly easy to go through life experiencing anniversary reactions without even realizing what they are.

Do you always feel depressed during a certain holiday? Do your breakups all tend to happen at a certain time of year? Create a timeline of your difficult periods and see if there’s a pattern. In some cases, it may be indicative of seasonal affective disorder, but it may also be due to a trauma anniversary.

Once you’ve identified the patterns, look at how your anniversary reactions affect you. Some people become incredibly fatigued at a certain time of year, needing more time off of work and struggling to accomplish basic chores. Others withdraw from social contact, or conversely, become hyper-engaged in their social lives. Every person’s reaction looks different. When you identify yours, you can take more effective steps towards treating it.

2. Practice self-compassion

This is already a challenging time for you, so the last thing you need is more negativity. Once you’ve accepted that this is going to be a difficult time, find ways to increase your self-care.

For example, you may anticipate needing more support. Knowing this, you might schedule a lot of time with your loved ones, or even make a pact with a friend to check-in via phone call.

You may decide this won’t be an ideal time to take on any big tasks. Beforehand, you can work to finish tasks in advance or ask for support from your peers. If you’re asking for help in the workplace, you don’t need to disclose the reason. We all go through periods when we need some assistance.

Even everyday tasks like cleaning and cooking can be challenging during these anniversaries. Are there things, like freezing meals in advance, that you can do to prepare? Maybe you can set aside a little money to have someone help you with cleaning, gardening, or other tasks. All the while, remember that you’re not lazy for needing some extra support. You wouldn’t blame your friends with physiological illnesses, like diabetes or fibromyalgia, for getting outside aid. You have the right to get support too!

3. Honor your experience

It may sound counterintuitive, but both the APA and the US Department of Veterans’ Affairs tout the benefits of “commemorating” trauma anniversaries. The idea is not to celebrate the date but rather to find a healthy way to honor your experience..

Here are a few ways to commemorate your anniversary:

• Donate time or money to charity, especially if that charity aims to prevent or to help others who’ve experienced trauma
• Organize a dinner with loved ones. You may choose to make this a reflective occasion or a loving, joyful one. Do what best fits your needs;
• Visit a meaningful spot, like a place that you associate with happiness or healing;
• Plant a tree and bring new life into the world;
• Express your feelings through art, writing, dancing, or another activity where you can release your thoughts;
• Make yourself laugh by seeing a funny movie or hanging out with your most hilarious friends.

Speaking of spending time with friends…

4. Utilize your support system

Social support is a strong protective factor when it comes to both mental and physical health. In addition to providing us with an outlet, friends, partners, and family can provide much-needed support during low periods and encouragement when we engage in healthy behaviors.

It can be understandably difficult to open up, even to our closest loved ones, about experiences of trauma. If you don’t feel comfortable doing so, that’s perfectly okay. Just spending time with loved ones can have therapeutic benefits.

That being said, you won’t want to deal with your traumatic memories and symptoms alone, which is where a trauma-informed therapist can provide invaluable support.

Working with a therapist with extensive training and experience working with trauma is among the most highly recommended treatments for trauma symptoms. There are a variety of therapeutic modalities that you can choose on, based on your unique needs and preferences—talk therapies like cognitive-behavioral and mindfulness approaches are very popular, and here at Viva we greatly appreciate the efficiency and cutting-edge nature of brain-based therapies like Eye Movement Desensitization and Reprocessing (EMDR) and Neurofeedback. No matter which modality you go with, we always recommend asking your clinician about their experience in trauma-informed care. Any good clinician will be happy to answer that question.

Trauma anniversaries are challenging, but you can get through them—and we’re here to support you however we can. We hope the tips above work for you, and also recommend the trauma resource page at the Resilient Brain Project, which features apps, blogs, podcasts, research, and more tools to help you learn more about and cope with trauma and/or PTSD.

What has helped you get through a trauma anniversary? We’d love to hear from you.

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