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When Trauma Does Not End: From Alarm Into Exhaustion

Trauma · Prolonged Stress · Ghazal Sheikhtaheri, Registered Psychotherapist (Qualifying) ·

When trauma is ongoing, many people do not simply move from distress to healing in a straight line. They may move from alarm into exhaustion. From fear into fog. From hope into a painful kind of emotional fading.

There is something deeply disorienting about living far from your homeland while the people you love remain there, under threat, under strikes, under fear. Life continues around you. You wake up, answer messages, go to work, try to stay present, try to keep functioning. On the outside, things may appear normal. But inside, something has shifted.

From Sharp Pain to Silent Exhaustion

In the beginning, the pain may feel sharp and unmistakable. You cry. You panic. You feel angry, agitated, and restless. You check the news constantly. You brace yourself for the next update, the next message, the next wave of bad news. Your body stays alert, as though it cannot afford to soften. Your mind keeps searching for relief, hoping that tomorrow will bring a different outcome.

But when the threat continues day after day, week after week, the nervous system cannot remain in a constant state of alarm forever.

At some point, many people begin to notice a different kind of suffering.

Not because they care less.

Not because the situation has improved.

But because the mind and body, after carrying too much for too long, begin to respond in another way.

What often follows is numbness. Brain fog. Mental fatigue. Emotional flatness. Slowness. Disconnection. You are still worried, still affected, still carrying fear in the background, but your system no longer expresses it in the same way. A small task takes more energy than before. Concentration becomes harder. You may zone out while someone is talking. You may feel physically heavy, emotionally absent, or strangely detached even in the middle of a normal day. At times, you may feel okay for a moment and then suddenly drop into sadness again, without warning.

This is one of the painful realities of prolonged trauma: eventually, people are no longer only carrying fear. They are carrying the exhaustion of fear. They are carrying the fatigue of hoping, the heaviness of waiting, and the invisible strain of trying to remain functional while part of them is still psychologically elsewhere — with loved ones, with memories, with dread, with uncertainty.

When Hope Begins to Fade

Hope plays a complicated role in all of this.

When human beings go through prolonged pain, hope can become a lifeline. It helps us endure what might otherwise feel unbearable. It allows us to believe that relief is still possible, that something may change, that tomorrow may bring softness after so much fear. But when suffering stretches on and on, even hope can begin to lose its color. And that may be one of the cruelest parts of ongoing trauma — not only the pain itself, but the slow fading of the very thing that once helped us survive it.

This can leave a person feeling emotionally worn down, mentally slower, and physically exhausted. It can create a sense of living in two realities at once: outwardly continuing with life, inwardly carrying an ongoing state of alarm, grief, helplessness, and fatigue.

You Are Not Alone

Maybe you have felt this too.

Maybe you are still showing up, but much more slowly than before.

Maybe simple chores feel heavier than they should.

Maybe your body feels tired in a way rest does not fully fix.

Maybe your attention drifts when someone is speaking.

Maybe being around people feels strangely empty.

Maybe you are functioning, but not with ease.

Maybe you are surviving, but it no longer feels like living in the same way.

If this is where you are, you are not alone.

Many people living through war directly, and many more living far away while their loved ones remain in danger, are carrying this invisible burden together. These responses are not signs of weakness or failure. They are deeply human responses to prolonged fear, helplessness, and uncertainty.

Finding an Anchor

Sometimes survival does not look like strength.

Sometimes it looks like slowness.

Sometimes it looks like fatigue.

Sometimes it looks like numbness.

So in times like these, it may be important to soften your expectations of yourself. Your mind and body were not designed to carry chronic fear and still perform as if everything is normal. You may need more rest, more space, more gentleness, and more compassion than usual. You may need to let yourself move slowly without turning that slowness into self-criticism.

And perhaps most importantly, you may need an anchor.

An anchor can be a person, a prayer, a daily routine, a walk, music, therapy, writing, community, faith, or one small ritual that reminds you that you are still here. An anchor does not erase the pain. But it can help you stay connected to something steady while so much feels unstable.

These are not ordinary days, and many of us are having very human responses to an unbearable level of stress.

Until safer days come, be gentle with the part of you that is tired.

It is not failing.

It is trying to carry too much for too long.

References

Miller GE, Chen E, Zhou ES. If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychol Bull. 2007 Jan;133(1):25-45. doi: 10.1037/0033-2909.133.1.25. PMID: 17201569.

Center for Substance Abuse Treatment (US). Trauma-Informed Care in Behavioral Health Services. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2014. (Treatment Improvement Protocol (TIP) Series, No. 57.) Chapter 3, Understanding the Impact of Trauma.

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