How to Stop Frightening Experiences From Driving Anxiety and Phobia – New Research May Have Found a Simple Way

How to Stop Frightening Experiences From Driving Anxiety and Phobia - New Research May Have Found a Simple Way

Traumatic events, such as car accidents, can leave a lasting scar. These experiences can create persuasive, powerful memories that can drive lasting fear and avoidance of similar situations. Now, researchers have found a surprising, and surprisingly simple, way to stop a frightening experience from becoming a more enduring, more troublesome force.

New research, published in the journal Molecular Psychiatry, found that playing the popular computer games Tetris, or Candy Crush, after a traumatic experience can interrupt the formation of recurrent, intrusive memories.

Memories of traumatic events are powerful. Rather than being the raw data of an event, they can hold the intense emotion, and the frightening sights and sounds of the original experience. Recalling the memory can feel more like a ‘reliving’, than a remembering. Understandably, replaying any type of frightening event in this way can significantly interfere with day to day life. Eventually, it can lead to phobias, acute stress, post-traumatic stress disorder, depression, anxiety and prolonged grief.

Let’s talk about the research.

Based on insights from neuroscience and their findings from previous research, the researchers wanted to explore whether a simple activity could prevent memories of a traumatic experience from causing ongoing distress. 

The study involved 71 participants who had each been involved in a traumatic road accident, and were waiting in the emergency department at a hospital. Participants were divided into a ‘gaming group’, who were given the computer game intervention, and a control group who weren’t. Within six hours of the accident, participants in the gaming group were asked to remember the road accident and play Tetris for about 20 minutes.

In the week following their road accident, the people in the gaming group experienced 62% less intrusive memories, compared to the control group. They also reported less distress.

‘A brief psychological intervention including Tetris offers a cognitive ‘therapeutic vaccine’ that could be administered soon after a traumatic event to prevent the recurrence of intrusive memories of trauma in the subsequent week’. – Lalitha Iyadurai, University of Oxford.

The researchers suggest that drawing, or other video games that combine visual and spatial tasks, such as Candy Crush, could also have similar benefits. They also propose that these activities may be more beneficial than activities that focus predominantly on verbal tasks, such as reading or crosswords.

Traumatic memories without the trauma. How does that work?

Previous research published in the Journal of Neuroscience has found that the enduring fear that comes from a frightening incident is consolidated in memory at two critical periods. The first is at the time of the trauma, and the second is three to six hours later. Over this time, a series of chemical and electrical processes in the brain work on transferring short-term memories into long-term ones. If something happens to interrupt this process, the memory will be more fragile, and the fear attached to that memory will be less.

What this means is that between the point of trauma, and up to six hours later, there is an opportunity to stop a fearful event becoming fully consolidated in memory with the emotions, sights and sounds of the original trauma. This doesn’t mean people will lose the memory of the incident. What it means is that if the process of memory formation is interrupted at this critical period, the memory will be there, but the emotion connected to the initial event won’t be as intrusive. This makes it less likely that the memory will become a traumatic ‘reliving’ of the event every time it is recalled.

So practically speaking, what does it mean?

The best part of these interventions is that there are no side-effects. Although more research is needed to determine their effectiveness on a broader scale, there is no harm in using them following any frightening incident to try to lessen the longer-term impact of the trauma.

Long-term fears and phobias often have their roots in a single incident that generalises to similar experiences. Examples include a scary encounter with a dog that generalises to a fear of all dogs, a fright from a popping balloon that transfers to a fear of balloons, choking on food that transfers to a fear of swallowing, being skittled by a wave that transfers to a fear of the ocean – and so many more. Fears and phobias tend to drive avoidance and can assume much more control of day to day life than they deserve. Steering behaviour to avoid any chance of another traumatic experience might seem sensible, but it can also steal a lot of life. Avoidance can have a lengthy reach, affecting not only the person with the fear, but also the people who are close to them who miss out on their presence, or who have to also rearrange plans to accommodate the fear.

It’s a fact of being human that occasionally, things might happen that make us feel powerless, helpless and frightened. If this happens to you, or someone close to you, playing a visual-spatial game for 20 minutes such as Tetris or Candy Crush, within the first six hours of the incident could potentially stop the incident becoming more intrusive and traumatic than it deserves.  

And finally …

We humans are driven by emotion, and when that emotion is a traumatic one, the memory of it can be enduring and intense, and it can drive behaviour for the long term. When the brain stores traumatic memories, the emotions attached to the initial experience can be stored in such a way that they are accessed every time the memory is recalled. Rather than being a memory, it is experienced as a ‘reliving’. This gives life to the initial event, creating recurring trauma, fear and pain with every recall. Eventually, it can lead to anxiety, depression, or an intense and prolonged emotional response.

More research is needed to test the long-term benefits of playing video games or drawing as part of protecting a person from intrusive memories after a traumatic event. In the meantime, if there is any potential at all for such a simple, safe and available way to limit further trauma, there would seem no reason not to have it as part of a response to any frightening experience.

[irp posts=”2077″ name=”Phobias and Fears in Children – Powerful Strategies To Try”]

 

7 Comments

Ck

Interesting article, just now reflecting on this whole concept, disrupting emotional memory something to think long and hard about

Reply
The Episode Team

I’ve been traumatized but mentally and emotionally… and it hurts me every time I think of it and it numbs me every time someone triggers it, It is anxiety but I’m afraid its going t over power me

Reply
Karen - Hey Sigmund

If your symptoms are getting in the way like this, I would really encourage you to get some outside support from a professional who is used to dealing with this. There are very effective ways to manage anxiety, and there are people who can help with this. If you can, talk to a doctor, psychologist or counsellor so they can help you to strengthen against your symptoms and stop you from feeling so overwhelmed by them.

Reply
Gail

I have an opinion based on practice that spacial excercises do help as therapy to relieve the mind of difficult and traumatic memories . It is also helpful in regaining a regulated emotional balance in the case of a weak mind such as occurs in severely disabled combined with autism . My concern is that the dependence on electronics is going to cause other weaknesses over the long term , I would like to suggest that cooking , drawing , clay structure ,knitting and colouring are healthier forms of spacial brain stimulants.

Reply
Karen - Hey Sigmund

Thank you for sharing your experience of this. The researchers suggest that drawing may have similar results, and it’s very possible that the other suggestions you have made might do the same. This is only initial research, and more is needed. The positive in using a computer game is that it tends to be something very accessible in the sixh-hour window following a frightening experience. It’s fascinating research and I hope the researchers extend their word to explore the effects of other activities, such as the ones you have mentioned.

Reply
Jean

What a useful piece of research! Thanks for publishing! It should be sent to all hospital ERs?

Reply
Karen - Hey Sigmund

Thanks Jean. I agree – it’s a wonderfully practical study. I hope it is read widely by practitioners, and I hope the researchers extend their important work.

Reply

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We don’t need to protect kids from the discomfort of anxiety.

We’ll want to, but as long as they’re safe (including in their bodies with sensory and physiological needs met), we don’t need to - any more than we need to protect them from the discomfort of seatbelts, bike helmets, boundaries, brushing their teeth.

Courage isn’t an absence of anxiety. It’s the anxiety that makes something brave. Courage is about handling the discomfort of anxiety.

When we hold them back from anxiety, we hold them back - from growth, from discovery, and from building their bravery muscles.

The distress and discomfort that come with anxiety won’t hurt them. What hurts them is the same thing that hurts all of us - feeling alone in distress. So this is what we will protect them from - not the anxiety, but feeling alone in it.

To do this, speak to the anxiety AND the courage. 

This will also help them feel safer with their anxiety. It puts a story of brave to it rather than a story of deficiency (‘I feel like this because there’s something wrong with me,’) or a story of disaster (‘I feel like this because something bad is about to happen.’).

Normalise, see them, and let them feel you with them. This might sound something like:

‘This feels big doesn’t it. Of course you feel anxious. You’re doing something big/ brave/ important, and that’s how brave feels. It feels scary, stressful, big. It feels like anxiety. It feels like you feel right now. I know you can handle this. We’ll handle it together.’

It doesn’t matter how well they handle it and it doesn’t matter how big the brave thing is. The edges are where the edges are, and anxiety means they are expanding those edges.

We don’t get strong by lifting toothpicks. We get strong by lifting as much as we can, and then a little bit more for a little bit longer. And we do this again and again, until that feels okay. Then we go a little bit further. Brave builds the same way - one brave step after another.

It doesn’t matter how long it takes and it doesn’t matter how big the steps are. If they’ve handled the discomfort of anxiety for a teeny while today, then they’ve been brave today. And tomorrow we’ll go again again.♥️
Feeling seen, safe, and cared for is a biological need. It’s not a choice and it’s not pandering. It’s a biological need.

Children - all of us - will prioritise relational safety over everything. 

When children feel seen, safe, and a sense of belonging they will spend less resources in fight, flight, or withdrawal, and will be free to divert those resources into learning, making thoughtful choices, engaging in ways that can grow them.

They will also be more likely to spend resources seeking out those people (their trusted adults at school) or places (school) that make them feel good about themselves, rather than avoiding the people of spaces that make them feel rubbish or inadequate.

Behaviour support and learning support is about felt safety support first. 

The schools and educators who know this and practice it are making a profound difference, not just for young people but for all of us. They are actively engaging in crime prevention, mental illness prevention, and nurturing strong, beautiful little people into strong, beautiful big ones.♥️
Emotion is e-motion. Energy in motion.

When emotions happen, we have two options: express or depress. That’s it. They’re the options.

When your young person (or you) is being swamped by big feelings, let the feelings come.

Hold the boundary around behaviour - keep them physically safe and let them feel their relationship with you is safe, but you don’t need to fix their feelings.

They aren’t a sign of breakage. They’re a sign your child is catalysing the energy. Our job over the next many years is to help them do this respectfully.

When emotional energy is shut down, it doesn’t disappear. It gets held in the body and will come out sideways in response to seemingly benign things, or it will drive distraction behaviours (such as addiction, numbness).

Sometimes there’ll be a need for them to control that energy so they can do what they need to do - go to school, take the sports field, do the exam - but the more we can make way for expression either in the moment or later, the safer and softer they’ll feel in their minds and bodies.

Expression is the most important part of moving through any feeling. This might look like talking, moving, crying, writing, yelling.

This is why you might see big feelings after school. It’s often a sign that they’ve been controlling themselves all day - through the feelings that come with learning new things, being quiet and still, trying to get along with everyone, not having the power and influence they need (that we all need). When they get into the car at pickup, finally those feelings they’ve been holding on to have a safe place to show up and move through them and out of them.

It can be so messy! It takes time to learn how to lasso feelings and words into something unmessy.

In the meantime, our job is to hold a tender, strong, safe place for that emotional energy to move out of them.

Hold the boundary around behaviour where you can, add warmth where you can, and when they are calm talk about what happened and how they might do things differently next time. And be patient. Just because someone tells us how to swing a racket, doesn’t mean we’ll win Wimbledon tomorrow. Good things take time, and loads of practice.♥️
Thank you Adelaide! Thank you for your stories, your warmth, for laughing with me, spaghetti bodying with me (when you know, you know), for letting me scribble on your books, and most of all, for letting me be a part of your world today.

So proud to share the stage with Steve Biddulph, @matt.runnalls ,
@michellemitchell.author, and @nathandubsywant. To @sharonwittauthor - thank you for creating this beautiful, brave space for families to come together and grow stronger.

And to the parents, carers, grandparents - you are extraordinary and it’s a privilege to share the space with you. 

Parenting is big work. Tender, gritty, beautiful, hard. It asks everything of us - our strength, our softness, our growth. We’re raising beautiful little people into beautiful big people, and at the same time, we’re growing ourselves. 

Sometimes that growth feels impatient and demanding - like we’re being wrenched forward before we’re ready, before our feet have found the ground. 

But that’s the nature of growth isn’t it. It rarely waits for permission. It asks only that we keep moving.

And that’s okay. 

There’s no rush. You have time. We have time.

In the meantime they will keep growing us, these little humans of ours. Quietly, daily, deeply. They will grow us in the most profound ways if we let them. And we must let them - for their sake, for our own, and for the ancestral threads that tie us to the generations that came before us, and those that will come because of us. We will grow for them and because of them.♥️
Their words might be messy, angry, sad. They might sound bigger than the issue, or as though they aren’t about the issue at all. 

The words are the warning lights on the dashboard. They’re the signal that something is wrong, but they won’t always tell us exactly what that ‘something’ is. Responding only to the words is like noticing the light without noticing the problem.

Our job isn’t to respond to their words, but to respond to the feelings and the need behind the words.

First though, we need to understand what the words are signalling. This won’t always be obvious and it certainly won’t always be easy. 

At first the signal might be blurry, or too bright, or too loud, or not obvious.

Unless we really understand the problem behind signal - the why behind words - we might inadvertently respond to what we think the problem is, not what the problem actually is. 

Words can be hard and messy, and when they are fuelled by big feelings that can jet from us with full force. It is this way for all of us. 

Talking helps catalyse the emotion, and (eventually) bring the problem into a clearer view.

But someone needs to listen to the talking. You won’t always be able to do this - you’re human too - but when you can, it will be one of the most powerful ways to love them through their storms.

If the words are disrespectful, try:

‘I want to hear you but I love you too much to let you think it’s okay to speak like that. Do you want to try it a different way?’ 

Expectations, with support. Leadership, with warmth. Then, let them talk.

Our job isn’t to fix them - they aren’t broken. Our job is to understand them so we can help them feel seen, safe, and supported through the big of it all. When we do this, we give them what they need to find their way through.♥️

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