Showing posts with label #Gay. Show all posts
Showing posts with label #Gay. Show all posts

Sunday, April 19, 2026

Joyfully Queer: Tending to Your Vibrational Field with Intention By Payam Ghassemlou Ph.D., MFT, SEP

 




At our core, we are made of energy. In fact, everything in the universe can be understood as energy in motion. Science shows us that all matter is composed of tiny atoms that are constantly moving and vibrating, forming patterns of energy. The speed of these vibrations—often described as frequency—relates to energy levels: faster movement corresponds to higher energy, while slower movement corresponds to lower energy.

As a metaphor, we can connect these ideas to our emotional lives. Higher “vibrational frequencies” can represent feelings like joy, love, and gratitude, while lower ones may reflect fear, anxiety, anger, or fatigue. While this isn’t a literal scientific mapping, it can be a useful way to think about how our internal states shape our experiences.

So, what does this have to do with being gay? Human beings are deeply responsive to one another. The way we feel about ourselves often influences how we show up in the world. As a queer person—however you define your beautiful identity—your sense of self can be shaped by how fully you embrace and celebrate who you are. In my work supporting queer wellbeing, I’ve seen that when people cultivate self-acceptance and pride, they tend to experience more positive interactions and opportunities.

One practical explanation is behavioral: when you feel good about yourself, you’re more likely to act with openness, confidence, and authenticity. That, in turn, invites more supportive and affirming responses from others, reinforcing a positive cycle.

Because of this, it’s important to address the impact of homophobia and transphobia—especially when those messages become internalized. Many queer people have had to navigate difficult paths to self-acceptance. That journey deserves recognition. Take a moment to reflect on the courage it took to claim your true identity. In a world that can be unwelcoming or even hostile, choosing to live authentically is an act of strength.

When harmful beliefs about yourself go unchallenged, they can evolve into shame-based thinking. Shame can shape how you see yourself and how you relate to others. It can quietly influence your thoughts, your behavior, and your sense of worth. In the language of “vibration,” shame can be understood as something that clouds your energetic field—pulling you toward self-doubt, withdrawal, or disconnection.

This is why it’s important to “clean up” your vibrational field from internalized homophobia or transphobia. Cleaning up your field doesn’t mean forcing yourself to feel positive all the time. It means becoming aware of the shame you carry, questioning where it came from, and gradually releasing it. This can involve practicing self-compassion, challenging negative beliefs, connecting with affirming community, and seeking support when needed. As those layers of shame begin to lift, your internal state can shift in a meaningful way—you may feel more open, grounded, and aligned with your authentic self.

At its core, being gay is about the freedom to love. Coming out is often an act of choosing love over fear. You can nurture this sense of love intentionally. For example, take time each day to focus on something or someone you care about—a partner, a friend, or even a beloved pet. Recall a moment of connection and notice how it feels in your body. Allow that sense of warmth or ease to expand. Practices like this can help anchor you in emotional states that support your wellbeing and sense of connection.

Your internal state is also influenced by your body, particularly your nervous system. Pay attention to signs of tension or stress, and find ways to release them—through movement, rest, breathwork, or other supportive practices. Sometimes tension reflects daily stress; other times it may be connected to deeper, unresolved experiences. In those cases, working with a therapist—especially one trained in somatic approaches—can be especially helpful in learning how to regulate your nervous system.

Your thoughts, emotions, mindset, and relationships all shape your experience of life. Notice your thought patterns. Be aware of your feelings. Reflect on your perspective and the quality of your interactions with others. As a queer person, cultivating joy can be a powerful and meaningful part of your life’s purpose.

Life offers opportunities to grow, to connect, and to contribute. There is value in seeking meaning and living with intention. You have a right to feel good, and if negative thinking patterns or unresolved past experiences get in the way, you also have a right to heal.

Choosing joy as a queer person can be a powerful form of resistance. In the face of forces that attempt to diminish LGBTQ+ lives, living openly and joyfully brings something vital into the world. Your sense of pride, connection, and happiness doesn’t just affect you—it ripples outward, contributing to a more compassionate and vibrant shared experience.

© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Licensed Marriage and Family Therapist

 

 

 

 

Sunday, January 25, 2026

Barriers to Pleasure: A Queer Somatic Exploration of Trauma and Resilience



Barriers to Pleasure: A Queer Somatic Exploration of Trauma and Resilience

By Payam Ghassemlou MFT, SEP, Ph.D.

Click the image below to read the full article:


https://medium.com/@drpayam/barriers-to-pleasure-a-queer-somatic-exploration-of-trauma-and-resilience-efa8d4732fec


© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), wrier ,and artist (https://SomaticAlivenessArt.etsy.com)

Licensed Marriage and Family Therapist online anywhere in CA & Florida


Friday, January 9, 2026

When Love Melts the Icy Closet in Heated Rivalry

 

When Love Melts the Icy Closet in Heated Rivalry

By Payam Ghassemlou MFT, SEP, Ph.D.




Love-infused pleasure does not come easily to everyone, especially for queer bodies. For many LGBTQ+ individuals, the capacity to feel love is shaped—and often constrained—by life in a heteronormative, unwelcoming world, one that quietly erodes the sense of safety the nervous system craves. When threat lingers, the body leans toward protection—fight, flight, or freeze—leaving pleasure intertwined with love only at the edges: fragile, deferred, and patient. It is not absent, but held at a distance, waiting for moments of safety, recognition, and ease. Queer pleasure often emerges in stolen fragments, in sideways time, in spaces where desire need not explain or justify itself. The queer hockey romance series Heated Rivalry captures this reality both on the ice and beyond, reflecting the lives of countless queer athletes and queer people everywhere. This popular Canadian series on Crave/HBO Max tells the story of two-star hockey players, Shane Hollander and Ilya Rozanov, whose fierce rivalry on the ice conceals a secret, passionate love that burns for years. In the shadow of competition and public expectation, they navigate a delicate dance of desire, identity, and self-discovery. Based on Rachel Reid’s books, the series traces their journey from a stolen, hidden fling to a bond that runs deep, tender, and unyielding, as they confront their careers, their reputations, and their own hearts. With a second season on the horizon, their story continues to unfold, a testament to love that refuses to be silenced, on the ice and beyond.

The characters, Shane and Ilya, learn about themselves and each other through physical intimacy, making their bodies the primary site of emotional discovery. The series uses physical sensation, movement, and the body to communicate its narrative. Somatic disconnect appears in early sex scenes—a "brutal quality" where Shane's discovery of his sexuality contrasts with Ilya's more perfunctory, physical needs. This physical tension serves as a somatic shorthand for their lack of emotional alignment at the start of their relationship.

Pleasure infused with love thrives when it is nurtured by safety, intimacy, and the heart, rather than weighed down by homophobia. The story of queer men in Heated Rivalry offers hope to those struggling to free themselves from the burdens of homophobia, including the internalized shame of desiring homoerotic connection. The brave men, who are pressured by the dark forces of homophobia to deny their fundamental need for pleasure, love, and meaningful connection, find the courage to break through icy barriers.

Having popular TV series with positive queer representation does not mean that queerphobia or transphobia has disappeared. Queer people still face immense challenges, especially in the wake of rising authoritarianism in many countries, which seek to assault queer love. As a resilient community, we continue to embrace love, pleasure, and connection—not merely to resist homophobia, but to create space for love itself. When love is allowed to flourish in the safety of self-acceptance, the icy grip of prejudice begins to melt.

 

© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist (https://SomaticAlivenessArt.etsy.com)

Licensed Marriage and Family Therapist online anywhere in CA, OR & FL.


 

Monday, October 27, 2025

A Gay Somatic Therapist’s Take on Netflix’s Boots

 



Coming to terms with one’s gay identity has never been easy. For many of us—whether we served in the Marine Corps or performed on a chorus line—the process demanded our energy and courage, especially in the years before the “Don’t Ask, Don’t Tell” (DADT) policy, when being openly LGBTQ+ came with even greater risks.

Netflix’s original series Boots attempts to portray the challenges faced by many gay service members before the implementation of the DADT policy. Unfortunately, many of these struggles still persist for LGBTQ+ individuals serving in the military today. In fact, we are living through a regressive period in which hard-won rights are once again being questioned and challenged.

Homophobia is a major reason why coming out can be particularly difficult for gay members of the military. It can prevent queer individuals from living authentic lives and, when internalized, can foster a deep sense of inferiority. To cope with or compensate for these feelings, many victims of homophobia push themselves toward external accomplishments and strive for exceptional success. For example, Sgt. Sullivan, portrayed by Max Parker in Boots, exemplifies such a high achiever. His drive to attain the pinnacle of “manhood” by becoming an elite Recon Marine was an attempt to silence his inner shame about being homosexual. Adopting toxic masculinity as a survival strategy was only one layer of his tragic life, which ultimately could not shield him from the consequences of institutionalized homophobia.

Based on my training and research in somatic psychotherapy and the functioning of the autonomic nervous system (ANS), I have come to understand that no amount of external achievement can erase deeply rooted feelings of inferiority—especially when experiences of shame have left lasting imprints on a person’s physiology. Chronic stress, such as that caused by homophobia, can repeatedly activate a person’s stress response. When this activation is unresolved, it can become “bound” in the body as trapped energy, manifesting as trauma symptoms. In the case of Sgt. Sullivan, the fear of being discovered for his sexual relationship with Major Wilkinson, played by Sachin Bhatt, took a significant toll on both his mind and body. The ongoing stress of living in a hostile, homophobic environment, coupled with his internal struggle around his sexual identity, kept his nervous system in a state of dysregulation and hyperarousal. His habitual rage in response to triggering situations exemplifies a nervous system stuck on “high.”

Homophobia set the stage for Sgt. Sullivan to live a tormented life, denying him the opportunity to fully engage in a loving relationship with Major Wilkinson. His need for self-protection outweighed his ability to allow himself to be loved. The safety he deserved—to embrace love with another man—was systematically denied, and that is a tragedy. For someone like Sgt. Sullivan, self-love is profoundly difficult when he cannot allow himself to receive love from another. The famous quote by RuPaul, “If you can’t love yourself, how in the hell are you gonna love somebody else?” can be particularly challenging to apply in his case. For Sgt. Sullivan, being loved by Major Wilkinson could have provided the very foundation he needed to begin loving himself. For many in the LGBTQ+ community, allowing ourselves to be deeply loved by another person can be even more challenging than learning to love ourselves. Many of us have been rejected by those who were supposed to love and protect us. We may have mastered the practice of self-care through routines ranging from daily pilates to weekly Infrared saunas, yet when it comes to letting love in, we often keep our walls firmly up.

Another heart-wrenching story in Boots is that of Cameron Cope, a bullied gay teen played by Miles Heizer. Growing up in a world that did not honor his queer essence, Cameron endured years of abuse without adequate protection. The absence of support was made painfully clear when his narcissistic mother, Barbara, played by Vera Farmiga, admitted to her friend June, played by Joy Osmanski, that she had neglected her son when he needed protection from bullies. Each time Cameron was violently attacked at school, he felt powerless and internalized the belief that he was weak. Cameron was not weak; he was simply outnumbered. His nervous system was responding as it was designed to: when faced with a threat, it evaluates the best course of action for survival, choosing among fight, flight, freeze, or fawn responses. In Cameron’s case, his body determined that freezing or shutting down was the safest option. To label himself as weak does not accurately reflect his experience; it was instead a humiliating and deeply unjust interpretation of his body’s survival response.

Cameron joined the Marines to free himself from self-loathing and escape his unfulfilling home, defined by his mother. In one scene in Boots, Cameron’s mother tries to pressure him to leave the Marines, telling him, "This is not who you are," to which Cameron responds, "It is now." At first, viewers might interpret this as a moment of individuation, a step toward becoming his own man. However, he is merely exchanging one form of oppression for another. Joining a homophobic institution that trains him to “kill, kill, kill” will not heal the trauma he experienced growing up queer in a world that denied him the fundamental right to be treated with dignity and respect.

One way Cameron’s history of being bullied affected his nervous system is evident in a scene involving a combat exercise with his new friend Jones, played by Jack Cameron Kay. Watching Boots, we learn that as a bullied child, Cameron was often unable to fight back. As a result, a great deal of survival energy that was never expressed remained trapped in his body. For many abused queer youths who had to shut down or dissociate to cope with homophobic mistreatment, there is often a “volcano” of rage waiting to erupt. In Cameron’s case, that rage surfaces when Jones betrays him during a combat exercise by calling him the f-word. The violent scene illustrates how the sudden release of thwarted or incomplete fight-or-flight responses can result in uncontrolled displays of rage.

When it comes to healing from trauma, it's important to recognize that trauma is both a biological and physiological response to overwhelming events—not just a psychological one. As Dr. Bessel van der Kolk explains in The Body Keeps the Score, “Trauma lives in the body’s memory, not in the moment that caused it.” Similarly, Peter Levine notes, “Trauma is not what happens to us, but what we hold inside in the absence of an empathetic witness.” In my training on the impact of trauma on the nervous system, I learned that many queer individuals with a history of trauma often experience a persistent sense of threat, even in the absence of actual danger. This ongoing state of a perceived threat is a key component of anxiety. They may become stuck in a chronic fear response, which can manifest as a prolonged state of fight, flight, or freeze. Supporting the nervous system in completing the responses it couldn’t at the time of the trauma can help deactivate this stuck fear response and promote healing.

Perhaps if Cameron had access to somatic healing therapies, these dormant, incomplete responses to years of homophobic mistreatment could have been released in a gentler, titrated way. Using titration methods, he could process his trauma narrative without having to relive every detail and risk re-traumatization. By addressing small portions of his painful memories and gently revisiting bodily sensations while staying grounded in the present moment, Cameron could avoid becoming overwhelmed. By creating a safe space and using titration, he could allow his body to release stored trauma energy—through crying, shaking, trembling, or other natural responses—allowing him to renegotiate and integrate past traumatic experiences.

In addition to discharging stored trauma energy from his system, Cameron’s healing journey can involve identifying resources that helped him to get through many difficult years of dealing with a narcissistic mother and homophobic mistreatment at school. It is important to help a trauma survivor like Cameron to feel safe. I would ask Cameron questions that could guide him toward cultivating a sense of safety. I would begin by helping him identify what was—and still is—supportive in relation to being queer. By recalling and tuning into the felt sense of moments when he experienced safety growing up, he can approach trauma with more care and compassion. I would inquire from Cameron: What helped him cope with such overwhelming stress of dealing with bullies? How did he make it through? Who showed him kindness during that time? Naming what helped Cameron survive not only honors his resilience but also supports the process of gently shifting out of a stuck threat response.

A major resource in Cameron’s life was his “only friend” Ray, played by Liam Oh. Another valuable resource that helped him get through many challenging moments was his own resilience. In a somatic therapy session with Cameron, it is important to identify resources and let him track the pleasant sensations he might notice in his body as he taps into such resources. Embodying such resources and tracking the accompanying pleasant sensations is a contradiction to the experience of his traumatic upbringings.

Not everyone who grew up queer or joined the military experienced trauma or mistreatment, and it's important to recognize that. However, for those LGBTQ+ individuals with more positive upbringings, it’s worth exploring how witnessing the mistreatment of other queer youth—whether directly or indirectly, through media, community, or shared stories—might have affected them. Additionally, being raised by loving, supportive parents who assumed their child was straight can create a subtle but meaningful disconnect. Even in caring households, that underlying assumption may feel at odds with a person’s authentic sense of self. Many LGBTQ+ individuals have found it helpful to process these experiences with a trained professional—especially one who is also a member of the community and has done their own personal work around similar dynamics.

As queer people, many of us grew up surrounded by heterosexual indoctrination. Regardless of what caused our trauma, we have the right to heal. Life is meant to be an opportunity to grow, to love, and to experience joy—not a constant reliving of unhealed pain. My hope is that in the next season, Boots will also portray the struggles of LGBTQ+ people of color who joined the Marines and faced even greater challenges—not only because of homophobia and transphobia, but also due to racial trauma. My hope is that we continue honoring the stories of LGBTQ+ members of the military and their sacrifices to serve this country by ensuring their voices are heard, their contributions remembered, and their service met with the dignity, equality, and respect they have always deserved.

© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), and artist (https://SomaticAlivenessArt.etsy.com)

Licensed Marriage and Family Therapist

Sunday, January 21, 2024

Somatic Focused Trauma Therapy: You Have a Right to Heal by Payam Ghassemlou MFT, SEP, Ph.D.








For anyone who might be new to the body-inclusive psychotherapy method, below you will find a summary of a case that shows the effectiveness of this approach. This case also reveals how, as a licensed Marriage and Family therapist, my psychotherapy practice is inspired by my training in Somatic Experiencing® (SE), which was founded by Peter A. Levine, Ph.D. His curiosity about animals in the wild getting exposed to life-threating situations without getting PTSD while humans frequently succumb to this disorder was the start of SE’s development. SE is a body first approach that helps people discover where they are stuck in the fight, flight, or freeze responses, and how they can “resolve these fixated physiological states.”

SE is a powerful trauma healing medium that includes working with sensations, movements, postures, and gestures as a way of deepening resilience and to reset the nervous system. According to Dr. Levine, the autonomic nervous system (ANS) can become dysregulated due to “the thwarted responses of fight, flight, or freeze” in the aftermath of trauma. A body-oriented approach like SE can help stop trauma become “a life sentence” through “gently releasing thwarted survival energy bound in the body.” To do this, Dr. Levine developed SIBAM as a method to accurately track a client’s inner experiences. In his writings, he described SIBAM as an acronym for “Sensation (Internal-Interoceptive), Image, Behavior (both voluntary and involuntary), Affect (feelings and emotions) and Meaning (including old/traumatic beliefs and new perceptions). These five elements are the channels of experience that occur during a session.”

As you read this case, please note identifying information has been changed to protect confidentiality*. Xavier (pseudonym) is a 35-year-old cis gay man, and a person of color who started to see me to deal with anxiety and work-related stress. He has a history of trauma due to homophobic mistreatment, racial injustice, growing up poor in an impoverished neighborhood, and dealing with alcoholic parents.

After obtaining Xavier’s consent to offer body-inclusive psychotherapy and establishing therapeutic alliance, I started to educate him about the working of the nervous system, and the benefits of a bottom-up approach in therapy. Educating clients about a bottom-up approach, and the basic working of the nervous system can help enhance and clarify the somatic focused therapy process. Clients can benefit from knowing that relying on the thinking brain (a top-down process) as the only path to deal with the root cause of trauma symptoms is not enough to resolve trauma related symptoms. The parts of the brain that are responsible for reflexes, memories, and automatic survival responses are in its deeper regions, and trauma informed therapy needs to involve focusing on those areas.

I also encouraged Xavier to read Waking the Tiger by Dr. Levine, which was a helpful adjunct to his therapy process. It gave him a better understanding of the SE informed therapy process. In general, inviting clients to read books and articles on somatic focused therapy process can demystify the process and help with establishing trust.

My training in SE helped me notice Xavier’s nervous system is stuck on “low,” or hypo-arousal, and when faced with stress, he defaults to shutting down. For example, since he has been promoted to the lead designer at his industrial design job, he often feels overwhelmed dealing with “difficult” colleagues. SE stabilizing techniques have helped Xavier avoid staying stuck in a shutting down mode. One time during the practice of orienting to the environment, he noticed his dog sleeping in the corner of his home office. His dog is a helpful resource and brings him joy. I invited Xavier to track pleasant sensations in relation to noticing his beloved dog. He reported sensing openness in his chest, relaxation in his jaw, and clearer vision. This practice of orienting to the environment by pausing and noticing his surroundings through one or more senses became part of his somatic tool kit. This practice is one of the stabilizing techniques that I often use to support my clients’ nervous system regulation.

To explain it in more detail, orienting to the environment includes the exploratory act of pausing and gently taking in what’s around you. You can let your eyes go wherever they want to go while moving your head gently. You can let your eyes rest on an object for a few seconds, and, when you feel ready, continue with the exploratory practice until you are ready to stop. I often found it helpful to invite clients to notice what they sense as pleasant in their environments and stay with that experience as long as it feels right for them. Xavier, and many other queer trauma survivors, can benefit from introducing their nervous system to uplifting experiences which is contradictory to the experience of the trauma they had to endure. This can help stop letting one’s trauma become a life sentence.

Regarding his work stress, in particular the responsibility of being the lead designer, Xavier has found the concept of under-coupling very useful. By learning about coupling dynamics, in particular under-coupling, Xavier noticed he often underestimates the sense of accomplishment and pride that goes with his advancement of becoming the lead designer. The promotion increased his income, helped him learn more design skills, and freed him from doing many “boring” work related tasks. Up to this point, he did not make a positive association with it. He mainly focused on the burden of having to oversee more employees. When I invite him to identify what feels good about his promotion, he often reports feeling more relaxed and happier after describing it.

As I stated earlier, Xavier has a history of trauma. To avoid the risk of re-traumatizing Xavier by encouraging him to share in detail about his past traumatic events, I used the titration method. Titration is done very gradually to ensure that the trauma narrative does not retraumatize a client. Processing small bits of his painful story at the time and gently revisiting remembered sensations in his body helped Xavier avoid getting overwhelmed or re-traumatized. By holding a safe space and using the titration method, he has been able to uncover bodily sensations associated with his past traumatic experiences. By letting the sensations move through his body, he has been able to release stored trauma energy through crying, shakes, and trembling. This particular release of tension, stress, and trauma can happen during somatic focused therapy. Such an experience helped Xavier have a deeper awareness of his body-mind connection and improved his ability to release and regulate his emotions. Since our work together, he feels less bothered by his past negative circumstances.

Attending some of Dr. Levine’s seminars in Los Angeles, and online, I have learned, “Trauma originates in the nervous system, not the event.” For many queer trauma survivors like Xavier whose thinking brain gets hijacked by trauma memories and their bodies default to a freeze response, a body-centered approach or bottom-up processing is necessary to work with their arousal systems. Previous homophobic mistreatment can cause many queer people like Xavier to feel unsafe even where there is no real threat. What many trauma survivors hold inside in the aftermath of trauma can cause them to overreact in a safe environment or not react correctly in a dangerous situation. A body inclusive therapy can help heal such neuroceptive (a term coined by Dr. Stephen Porges) conditioning and support the ANS to move out of a dysregulated state into a biological state of safety and connection.

After Xavier accomplished his counseling goals, he stopped feeling anxious, his relationship to his job improved, and he was able to meet less frequently for therapy. He has benefited from occasional booster sessions to receive additional support to resolve his life and work-related challenges.

No matter what situation caused one’s trauma, everyone, including Xavier, has a right to heal from it. Life is meant to be an opportunity to grow, prosper, and experience love and joy. Not a constant re-living of one’s unhealed traumas. That is why somatic focused trauma therapy is so necessary to help not only LGBTQ+ people like Xavier but also anyone who is suffering from trauma to reach their full potential.

*Names and other details have been changed in respect for privacy and confidentiality.


© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist

 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.

Saturday, June 25, 2022

A Queer Perspective on Somatically Befriending Vulnerability




Since being vulnerable does not always come easily to many of us, it is important to have empathy for anyone who struggles with it. The internet is flooded with writings and talks on encouraging people to show vulnerability. Having trouble expressing it often gets associated with a lack of authenticity. Such judgmental interpretations can frequently trigger shame in people who don’t feel safe enough to be vulnerable due to certain socio-demographic factors. There is a misconception that expressing vulnerability is a matter of courage or just making a mental decision. By helping others reclaim it, I have realized the issue has little to do with bravery or honesty. It has more to do with the state of one’s nervous system. By having a somatic perspective on understanding vulnerability, we can open a new path toward befriending it.

There are many different paths toward befriending vulnerability which includes using the body to build a greater capacity to embrace it. Our response to many emotional experiences can be felt in our bodies. For example, Lucas, a 30-year-old cis gender gay man, disclosed having difficulty asking guys on dates. Doing so makes him feel very vulnerable. Among other bodily reactions, he reported tightness in his chest along with uncomfortable restricted breathing when faced with uncertainty to his invitation. Lucas has a history of growing up with the stress of homophobic mistreatment. He often felt unsafe at school due to the devastating experience of being bullied or called derogatory names. Fight or flight was not an option when he was feeling helpless and hopeless dealing with his traumatic school environment. Instead, his body resorted to numbing and shutting down. This response became his default whenever faced with overwhelming situations like entering a vulnerable state. Lucas’ reactions to becoming vulnerable had nothing to do with a choice or a lack of courage. It had more to do with his body’s threat alarm being frequently on.

In general, LGBTQ children are often at risk for being bullied, and they need protection. Lucas and many other queer youngsters growing up place their trust in individuals and institutions who were supposed to protect them from harm. Failure to receive such a protection at a critical developmental phase became a source of hurt and betrayal. The trauma of growing up gay in a world that did not embrace LGBTQ identity with kindness and acceptance led Lucas and many others to associate vulnerability with fear and betrayal. Given his traumatic history, Lucas needed help learning how to feel safe in his body when becoming vulnerable. Regulation of his psychophysiological arousal in response to vulnerability has been an important healing task for Lucas, especially when it came to making connections with other single gay men.

Taking a somatic approach toward working with vulnerability involves understanding the role of the autonomic nervous system (“ANS”). The ANS is the part of the nervous system that governs the fight, flight, or freeze instinct and is responsible for the unconscious bodily functions like breathing, digesting food, and regulating the heart rate. It also plays a vital role of supplying information from our organs to our brain. This system works automatically (autonomously), without a person’s conscious effort. The ANS is central to our experience of safety, connection with others, and our ability to bounce back from life’s overwhelming experiences. Relying on neuroception, a term coined by Dr. Stephen Porges, our ANS can differentiate between safety, danger, and a life threat. Neuroception, as Deb Dana (author of The Polyvagal Theory in Therapy) explains, is automatic, and it does not go through the thinking part of our brain. Everything from sound to smell to temperature in our environment, people’s tone of voice, and eye contact can influence our neuroception. It is like “internal surveillance” that looks for cues of safety and danger inside the body, in one’s environment, and in relationship with people. It helps us take immediate action in the face of danger or threat. The goal of neuroception is to keep us safe and alive. Based on my training in Somatic Experiencing®, Touch Skills Training for Trauma Therapists, Polyvagal Theory, and other body inclusive approaches, I have learned the autonomic nervous system is a relational system that has been shaped by experience. We now know previous negative life experiences and traumas can significantly affect how our neuroception accurately assesses safety, danger, or a life threat. This can explain why many people including Lucas with history of being judged, humiliated, and violated often avoid entering a vulnerable state. Their faulty neuroception causes them to feel unsafe in the absence of real danger.

Since “how we move through the world is guided by our ANS,” it is important to examine how growing up in a homophobic and transphobic environment negatively affected the working of the ANS. In my counseling work with gay, lesbian, bisexual, queer identified, and transgender people who have experienced homophobic or transphobic mistreatment, I have noticed their nervous systems are often shaped toward self-protection versus making connections. Repeated past humiliation and rejection by others have made it difficult for many of them to be open and willing to love and be loved. Given the important role that ANS can play in people’s ability to embrace vulnerable situations and form relationships, it is important to learn how to regulate it. When working in a regulated way, the ANS does not enact the response to the present moment situation based on one’s past conditioning.

Autonomic regulation has less to do with talking about our past trauma events and more to do with shifting our autonomic state that can be stuck on FFF (fight/flight/freeze) toward safety and relaxation. When Lucas was invited to share about his history, it was done for the purpose of having greater empathy for his suffering and learning how fear became associated with vulnerability. Lucas’ personal stories with homophobic mistreatment was handled with care and in a titrated manner to avoid re-traumatization. In general, encouraging people to get into their trauma stories all at once can become overwhelming for them because the nervous system cannot tell the difference between the original event and the telling of the event. Healing does not always need to involve re-telling the story. As Peter Levine, the founder of Somatic Experiencing International, stated, “Trauma is not in the event, but in the nervous system.” Based on my personal and clinical work, I also concur that trauma becomes embodied during a person's life and can affect the working of the ANS. Much of the healing from this trauma needs to happen through the body. In particular, the nervous system needs to be regulated.

The work of Stephen Porges’ Polyvagal Theory has brough to light the role of the vagus nerve in how we experience safety and connection. The vagus nerve which is divided into two pathways, the dorsal vagus and the ventral vagus, is the main component of the parasympathetic nervous system. The ventral vagal of parasympathetic system plays a crucial role in our experience of safety in our bodies. Activation of the ventral vagal force in the ANS includes but not limited to awareness and tracking of pleasant bodily sensations. For example, when I invited Lucas to notice his body being supported by the couch, he commented, “I can sense my body feels relaxed and comfortable.” By bringing awareness to comfortable sensations in his body, he began to breathe deeper and noticed a sense of expansion in his chest area along with his shoulders becoming more relaxed. For Lucas, tracking bodily sensations that were comfortable invited the flow of the ventral vagal of safety and connection.

Another useful somatic intervention involved identifying and embodying helpful resources that contributed to his healing journey. For example, attending LGBTQ Pride events and volunteering at the Los Angeles LGBT+ Community Center felt empowering for Lucas. By tracking his pleasant bodily sensations as he was sharing about these helpful resources, he was creating a physiological event in his body which contributed to regulating his nervous system. As the therapy session progressed, he found it easier to imagine and plan on asking a guy he met at his gym on a date without experiencing tension in his body. Repeated awareness of pleasant sensations in his body increased his ability to distinguish sensations of distress versus sensations of well-being. The more he focused on what felt good on the inside the more his autonomic dysregulation settled, and his window of tolerance expanded.

What makes each one of us feel vulnerable is unique and personal. What feels vulnerable to Lucas can feel quite different to another. Regardless of what activates it, the admission ticket to a more meaningful life for Lucas involved embracing vulnerability. It was important for him to liberate vulnerability from years of cumulative stress of dealing with homophobic bullying, and other fearful situations that he had to endure. By welcoming vulnerability and learning how to work with its transformative power, he was able to enrich his life. A “body-inclusive” therapeutic approach offered Lucas tools and practices to lower his activation and regulate his nervous system in response to his life stresses.



Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), somatic experiencing practitioner (www.SomaticAliveness.com), and artist (https://somaticalivenessart.etsy.com).
 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.

*Names and other details have been changed for privacy and confidentiality.