Any tips for coping with ptsd flashbacks?

The flashbacks are worst at night, not visual but auditory. I never hear my abusers voice only mine but the words are the abusers. Words like "bitch", "c**t", stupid" are just some of what is said. I'm not really sleeping, only around four hours. Often it's broken as well, though if I'm dreaming I don't recall. Sometimes during the day I'm having the same too. If I try to push the thoughts away it gets so I feel like rats are scratching at my mind until I allow the thought to happen, both in daytime and nightime.
Asked by Mudblood
Answered
11/29/2021

The key to the healing for this client is trauma treatment. EMDR would be a very effective intervention and could diminish or eradicate the flashbacks in a brief period of time. In person therapy would be preferred as we are not on a platform yet that can use EMDR. Flashbacks are symptoms of post traumatic stress disorder and the unprocessed emotions of the trauma. EMDR helps with the completion of processing the emotion connected to the trauma and lessens the intensity of the flashback and can sometimes give the patient more control over the situation. Journaling is also a helpful tool for flashbacks, documenting as many details as possible to be followed up with a therapy session. Trauma treatment needs to be done by someone who specializes in this type of intervention and a therapist who is also able to manage dissociation and abreactions to a situation. It can be detrimental and cause more damage if the therapist is not well trained to manage the potential fall out from the interventions that can be quite common. I generally recommend that a client view videos of patients in an EMDR session to demystify the process and also give them the basic theory behind why EMDR works. Like anything else the therapist and the client need to have a trusting relationship as EMDR involves the client being able to follow direction without question or discussion during the process. I have seen EMDR work amazingly well for many different types of clients both children and adults and in most cases immediate relief can be experienced. Again a lot has to do with the skill of the therapist. In addition to EMDR, Trauma ART Therapy is also a helpful intervention again processing the situations through pictures and words, the therapist must alleviate any concerns that the client has related to being some type of an artist so to not impinge the flow of thought. Stick figures and shapes are fine what is more important are the words that the client can put to the illustrations. Again this is a process and should only be used by a therapist trained in the intervention.

(LCSW)