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DocSnipes
DocSnipes·March 6, 2020

Understanding Trauma and Physical Symptoms After Betrayal or Infidelity in a Relationship

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Summary

This podcast episode, hosted by Dr. Dawn-Elise Snipes, delves into the profound impact of betrayal, characterizing it as an emotional assault that shatters trust, alters one's perception of a relationship, and forces a reevaluation of personal safety and worldview. The core argument is that betrayal triggers a primal threat response, activating the HPA axis and flooding the body with stress hormones like cortisol, norepinephrine, and glutamate, leading to a cascade of physical and psychological symptoms. This physiological reaction is described as feeling like a "punch in the gut," highlighting the deep mind-body connection in trauma.

The episode meticulously details the various physical manifestations of this activated threat response. These include significant appetite changes (ranging from loss of appetite to cravings for high-fat, high-sugar comfort foods), gastrointestinal disturbances like cramping and diarrhea, and severe sleep disruptions due to the body's inability to enter restorative sleep. Furthermore, prolonged stress from betrayal can lead to alterations in thyroid and sex hormones (estrogen, testosterone), impacting energy levels, libido, mood, and pain tolerance. The discussion emphasizes that these are not merely emotional reactions but tangible physiological shifts.

Dr. Snipes offers practical, actionable advice to help individuals mitigate these physical symptoms and regain a sense of control. Key recommendations include prioritizing proper nutrition, even if appetite is low, by working with healthcare providers or self-monitoring. Maintaining a consistent sleep schedule and minimizing stimulants, especially caffeine, are crucial for improving sleep quality. Staying adequately hydrated is also highlighted as essential to combat fatigue and improve concentration, thereby preventing the exacerbation of feelings of depression and overwhelm. These strategies aim to help the body downregulate the HPA axis and exit the chronic fight-or-flight state.

Ultimately, the episode frames the body's reaction to betrayal as a normal, albeit distressing, response to an assault. It underscores the importance of acknowledging this reality and then consciously taking steps to support physical and mental well-being. The broader implication is that while the pain of betrayal is inevitable, individuals can actively work towards regaining health, happiness, and a rich, meaningful life by understanding and addressing the physiological underpinnings of their trauma. The process involves not only managing physical symptoms but also grieving the multifaceted losses associated with betrayal.

Key Quotes

"betrayal is an emotional assault that causes the loss of trust the loss of the relationship you thought you had and a need to reconsider your assumptions about your emotional and physical safety people and the world"
"a lot of people who have experienced betrayal will describe it as feeling like they got punched in the gut for a second it feels like a physical assault"
"it is a occurrence that activates our threat response system"
"The losses people experience as a result of betrayal need to be grieved"
"when we experience betrayal it cuts to our very core as humans we are social creatures"
"your body has dumped a ton of cortisol it's dumped norepinephrine and glutamate which are fight or flee neuro chemicals"
"when our threat response system is activated our body is saying it is not safe to go into that deep restorative sleep"
"stimulants especially caffeine can stay in your system for up to 12 hours"
"those alterations and thyroid and sex hormones can happen as a result of extended stress"
"estrogen and testosterone are not just sex hormones they're involved in our mood in our energy levels in our sleep and our general feelings of well-being"
"your reaction is to that assault your reaction is a very normal reaction"
"what is the next best thing I can do to have for me what is important to me in my life to have a rich and meaningful and happy life"

Concepts

Themes

  • The physiological impact of psychological trauma
  • The mind-body connection in stress response
  • Coping mechanisms for acute emotional distress
  • The importance of self-care during crisis
  • Betrayal as a fundamental human experience
  • Rebuilding trust and a sense of safety
  • The grieving process in non-death losses

Related to:

Psychology Insights

Clinical Recommendations

  • Work with healthcare provider for nutrition
  • Maintain consistent sleep schedule
  • Minimize stimulants (especially caffeine)
  • Stay adequately hydrated

Therapeutic Techniques

  • Engage in the grieving process (denial, anger, bargaining, depression, acceptance)

Paradoxical Mechanisms

  • Body preparing for fight/flight leads to fatigue/exhaustion due to glucose burn and poor sleep quality

Physiological Responses To Betrayal

  • HPA axis activation
  • Cortisol, norepinephrine, glutamate dump
  • Altered sex and thyroid hormones
  • Appetite changes
  • Sleep disturbances
  • GI issues
  • Migraines
  • Reduced libido
  • Fatigue and exhaustion

Key Neurotransmitters Hormones

  • Cortisol
  • Norepinephrine
  • Glutamate
  • Oxytocin
  • Estrogen
  • Testosterone
  • Serotonin
  • Dopamine

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