The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel A. van der Kolk
My rating: 5 of 5 stars
I bought this book after reading Lost Connections. I discussed Lost Connections with my therapist and he recommended this book to me. I have to say this book is emotionally difficult to read. The author does everything he can to make the book easy to consume. I think just about anyone would be able to read this book, but there are some difficult medical terms and you need to remember some acronyms, but beyond that, it’s fairly easy.
This book focuses more exclusively on trauma and recovering from trauma, while Lost Connections is about depression. So if you’ve read that book, then think of this as a book on the trauma section in that book.
If you’ve experienced trauma in your life this book will likely cause you to feel anxiety as you read it. However, I think it’s more important for you to read this book than anyone else, because it provides you with tools to discuss with a therapist. I would suggest pairing this book with some meditation and to read it over the span of several weeks rather than sitting down and plowing through the book. I also suggest that you plan some time after you read to decompress and think about what’s happened. Meditation will certainly help with that.
On to the book itself. It provides a great history of psychology and psychiatry from the start (with fewer details) and in great detail from the late ’70’s to 2014 (when the book was published). The author goes into great detail about the history of PTSD for soldiers and how he was able to successfully apply the same treatments that were effective (or more effective) with soldiers to children that have had traumatic experiences.
He goes into great detail explaining that the body is essentially trapped in the moment that the traumatic event happens. That people who are having flashbacks or are triggered are physiologically going back to the moment of the event. This means their brains are literally shut down in some ways. That their heart rate, blood pressure, and adrenaline are all acting as if they are currently in the traumatic experience. The brain that shuts down always includes the part that is capable of telling the difference between past and present. This is a key part of treating PTSD, you need to get the person grounded back in reality for them to process the trauma at all.
In terms of Triggers and micro-triggers, he doesn’t directly deal with them in a way that would support a conversation with a tumblr that is aggressively anti-triggering. However, he does talk about how to deal with being triggered. First, if events do trigger something, you need to get treatment for it. You need to find someone that you can trust. Then together you can come up with a treatment plan.
Many of those techniques do not include medicine. They include meditation, Yoga (in many cases it works best if you do therapeutic Yoga – since some positions in Yoga can trigger people that have been raped), a therapy that uses rapid eye movement while talking about the event in a safe environment, and many others. The author went from being a strong advocate of better living through chemistry, but has moved into spaces that help people manage it.
The reason the book is called The Body Keeps the Score, is that you need to heal the body and mind to heal the person. It requires a holistic approach.