Showing posts with label autonomic nervous system. Show all posts
Showing posts with label autonomic nervous system. Show all posts

Saturday, July 12, 2025

A Prideful Perspective on Growing Up Queer By Payam Ghassemlou MFT, Ph.D., SEP

 



Taking pride in our journeys of growing up and discovering our queer essence involves honoring the full diversity of our community. As a member of the LGBTQIA+ family, I cherish this diversity and hold space for those who may not claim the word queer as their own. As a cisgender gay man, I have spent more than three decades gathering the stories of other cisgender gay and queer men—stories woven with sorrow, defiance, tenderness, and fierce love. Through them, I’ve learned that we are a people of resilience, fearless hearts, and boundless compassion. It’s from this well of shared experience that I write. And still, no matter how you name your beautiful essence, may these words remind you to honor the quiet, unyielding courage it took to carry your spirit through the fires of becoming.

In previous articles, I’ve written in depth about the trauma of growing up in a homophobic and transphobic world—a world that often failed to honor our true essence—and the profound impact that has on our lives. By reflecting on the overwhelming experience of identity formation for LGBTQ+ youth who lacked support and faced mistreatment, I invited readers with similar histories to meet their own suffering with greater empathy. One path toward healing from trauma begins by cultivating compassion for the pain we’ve endured.

In this article, I invite readers to reflect not only on the courage it took to survive the challenges of growing up queer but also on the resources that helped them navigate those experiences. One meaningful way to engage with the experience of growing up in a homophobic and transphobic world is by identifying the tools, relationships, and inner strengths that carried us through. This strengths-based approach can help reduce the risk of re-traumatization when dealing with past trauma experiences.

One goal of processing difficult past experiences—often held in the body, including within the autonomic nervous system—is to gently release their hold on us. As we begin the work of letting go of embodied trauma, it's essential to stay grounded in the safety of the present moment. One way to do this is by welcoming the positive emotions that arise from acknowledging our journey toward self-acceptance and equality. By dropping into bodily sensations associated with such acknowledgement, we can create a more compassionate and gentler path toward healing. This isn’t to minimize the reality of today’s anti-LGBTQ+ climate—there is still much work to be done. But recognizing how far we've come and celebrating our progress can be both empowering and a source of hope as we continue on our personal healing journey and strive for greater justice and equality.

Not everyone who grew up queer 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.

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 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.

One gentle way to access trauma stored in the queer body is by cultivating a sense of safety. This can begin by identifying what was—and still is—supportive in relation to being queer. By recalling and tuning into the felt sense of moments when we experienced safety growing up, we can approach trauma with more care and compassion. For example, when I hear stories from gay or queer young people who have endured hateful acts, I often ask: What helped them cope with such overwhelming stress? How did they make it through? Who showed them kindness during that time? Naming what helped them survive not only honors their resilience but also supports the process of gently shifting out of a stuck threat response.

Queer people who grow up in challenging circumstances—especially experiences of homophobia or transphobia—require a safe therapeutic space. In that space, individuals can honor the deep courage it took to survive and begin to see themselves as the heroes of their own stories. Taking this a step further, we might become curious: How does the person’s body respond to being validated as the hero of their own story? What sensations arise as they recall the people, places, or moments that supported them during their upbringing? Do they feel warmth or openness in their chest? Do their shoulders feel lighter? Has their breathing shifted? Is there any change in their vision?

In a safe therapeutic setting, the person recovering from trauma can begin to gently orient to the safety of the present moment as they process and integrate early life experiences. Given my extensive training in the Somatic Experiencing approach to trauma healing, I have learned one way to do this is by pausing and noticing the environment through the senses. This simple act of orienting involves exploring your surroundings—letting your eyes move naturally, turning your head gently, and allowing your gaze to rest on an object for a few moments. When you're ready, you can continue scanning the environment in this mindful way. It can also be helpful to notice what feels pleasant in your surroundings and stay with that experience for as long as it feels supportive. For example, you might see a beautiful tree outside your window. If it feels pleasant, let yourself really notice it and track any corresponding sensations of ease or comfort in your body. Through this practice, the person on a healing journey may begin to cultivate a deeper sense of inner safety, grounding their reflections in the present as they explore and make meaning of the past.

In my work with queer people, I have learned that for some, there were no helpful resources available to cope adequately with the pain and suffering caused by homophobic and transphobic bullying. They cannot recall anyone who offered support or anything that lessened the humiliation they felt for being different. In such cases, the person can be invited to imagine the missing resources and notice what happens internally when they picture having those resources during that time. For example, Lee, a 25-year-old queer nonbinary person, grew up in a small religious community in the Midwest, without the privilege of a queer-friendly environment like Greenwich Village in New York or open-minded parents. They experienced homophobic mistreatment at home and bullying at school. When invited to recall any resources or situations that helped ease their suffering, they could not remember any. Processing their trauma while staying within the trauma vortex—where overwhelming emotions, memories, and sensations make it difficult to function—could have led to re-traumatization. Instead, Lee benefited from imagining the missing resources being available during their childhood. Through their imagination, they pictured RuPaul and an army of drag queens coming to their rescue, freeing them from bullying and humiliation. The bodily sensations that arose from this imaginal experience activated their ventral vagal pathway, creating a state of safety and relaxation. The experience felt profoundly real in their body. For the first time, they experienced the freedom to use imagination as a doorway to transform what they could not change as a child. They were not denying the overwhelming feelings they had growing up, but for the first time, began to experience pleasant sensations that contrasted with the trauma-related feelings. Repeatedly moving between the distress of their past and the safety created through imagination helped regulate their autonomic nervous system, preventing it from becoming stuck in hyperarousal (overwhelm and agitation). This process strengthened their emotional resilience and allowed them to integrate past experiences without re-traumatization.

Unlike Lee, many queer people found helpful resources while growing up, and they needed therapeutic support to tap into the healing power of recalling and embodying those resources. Even Lee needed help to discover how they managed to get through their painful experiences and still be here to talk about them. Later in their therapy, Lee discovered that rocking their body from side to side was a somatic resource that helped them self-soothe and manage anxiety during their childhood. This discovery happened during a session when they were unaware they were rocking as they reflected on their past. By being invited to pause and notice what their body was doing, Lee recognized that this movement had helped them through difficult moments. They took pride in the wisdom of their body for offering a resource when none was available from the outside.

Finally, we live in a world where most of us grew up surrounded by heterosexual indoctrination. For those of us with a queer soul, this often meant having to protect ourselves from its pervasive influence. We sought refuge in the resources available to us and can take pride in the survival skills we developed and the support systems we leaned on to get through. It’s important to recognize the bodily sensations connected to these resources, allowing them to serve as a foundation for whatever may emerge as we continue our healing journeys. Regardless of what caused our trauma, we all have a right to heal. Life is meant to be an opportunity to grow, to love, to experience joy—not a constant reliving of unhealed pain. That’s why somatic-focused trauma therapy is so necessary—not only for LGBTQ+ people, but for anyone living with trauma. It offers a path forward, a way to reconnect with ourselves, and a chance to fully thrive.

 

© 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 & Florida

 

 

Wednesday, December 9, 2020

A Somatic Perspective on the Trauma of Growing up Gay by Payam Ghassemlou MFT, Ph.D.







For almost three decades, I have immersed myself in the life stories of many people of the LGBTQ community who had painful homophobic and transphobic upbringings. Many of the gay men’s personal narratives that I have heard are not very different from my own. Regardless of national origin, we are part of a tribe with similar stories of growing up in a homophobic and heterosexist world where our gayness was repeatedly assaulted. We are everywhere, and unfortunately so is homophobia.

Many gay men have shared with me that as long they could recall they always felt different. They were unable to articulate why they felt that way, and, at the same time, they did not feel safe to talk about it. Some knew this feeling of being different was related to something forbidden. “It felt like keeping an ugly secret that I could not even understand,” described one person. Other gay men have disclosed to me that this feeling revealed itself in the form of gender nonconformity, which could not be kept secret. Therefore, it made them more vulnerable to homophobic mistreatment at school and often at home. Gay men of color reported even worse experiences due to the additional stress of racism and racial bullying.

Many school-age children organize their school experiences around the notion of not coming across as different, in particular, queer. Any school-age child’s worst nightmare is being labeled faggot, which was commonly experienced by many gay individuals who did not flow with the mainstream. Educational institutions felt like a scary place for many of them who were scapegoated as queer growing up. Therefore, they had to cope with a daily assault of shame and humiliation without any support. This is a form of child abuse on a collective level, and it needs to stop.

So much has been written about the devastating impact of homophobia on gay people’s psychological functioning but not enough on the biological impact of it. It is important to understand how repeated hateful acts toward gay youngsters can impact the way their bodies and minds function, including the functioning of their nervous system. Unfortunately, this also applies to any child who is a target of hate and abuse. As Peter Levine, the founder of Somatic Experiencing, 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 autonomic nervous system (“ANS”). Much of the healing from this trauma needs to happen through the body. In particular, the nervous system needs to be regulated.

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 an important role of supplying information from our organs to our brain. The ANS can become dysregulated due to the thwarted responses of fight, flight, or freeze in the aftermath of trauma.

The ANS is central to our experience of safety, connection with others, and our ability to bounce back from life’s overwhelming experiences. This ability to recover defines resilience and requires the help of our ANS to keep us in our “window of tolerance”, which has been defined in the book Nurturing Resilience by trauma specialists Kathy Kain and Stephen Terrell “as the zone where we effectively process environmental signals without becoming too reactive or too withdrawn, given the circumstances.” The window of tolerance as a frame work is very helpful to understand where we feel safe, unsafe, and how to expand our optimal arousal zone.

Stephen Porges’, Bessel van der Kolk’s, and Peter Levine’s research and writings have significantly reworked my understanding of how the nervous system responds to threat and trauma. Drawing from their work and my decades of experience, it is my understanding the ongoing stress from homophobia can activate a youngster’s nervous system and “unresolved activation will be stored in the body as bound energy and manifest as trauma symptoms.” In other words, under a daily homophobic assault, a child’s sympathetic system (“stress response” or “fight or flight” response) gets overly activated. Often during such stressful situations, neither fighting nor fleeing can resolve the overwhelming situation, and the thwarted or incomplete fight and flight responses can become “trapped” within the body and dysregulate the nervous system. Such a dysregulated nervous system is more likely to get stuck on “high” or hyper-arousal. Anxiety, panic attacks, rage, hyperactivity, mania, hypervigilance, sleeplessness, exaggerated startle response, digestive problems, and many other symptoms are the result of a dysregulated nervous system that is stuck on “high” or hyper-arousal.

According to many studies, gay individuals who experienced homophobic related stress showed increased production of the stress hormone cortisol compared to peers in safer environments.  This experience of being stuck on “high” continuously activates a person’s stress response system, which leads to the release of stress hormones. Research in this area has shown overexposure to cortisol and other stress hormones leads to numerous health problem including headaches, oversensitivity to touch or sound, weight gain, heart disease, concentration impairment, and sleep disturbance.

On the other hand, there are gay men whose nervous systems are stuck on “low” or hypo-arousal, which can result from being terrorized growing up with no hope of protection. Faced with isolation, confusion, physical violence, not being valued, and carrying a secret that the youngster connects with something terrible and unthinkable is too stressful for any child to endure, especially when there is no empathic other to help him sort it out. Such experience is often beyond the youngster’s “window of tolerance.”  This is when the dorsal vagus can shut down the entire system, and the mistreated youngster can go into freeze. In other words, the youngster suffers in silence with numbness or dissociation as his only available survival mechanism.

Stephen Porges, the founder of Polyvagal Theory, has expanded our view of the vagus nerve, one of the largest nerves in the body and a major part of the Parasympathetic system. The word “vagus” means wandering in Latin. The dorsal vagus is a branch of the vagus nerve which is a much older part of the nervous system. Dorsal vagus regulates organs below the diaphragm. Dorsal vagus is instrumental in activating the “shutdown” of the body as discussed in cases of overwhelming fear which can result from homophobic mistreatment. This automatic survival mechanism can become a long-standing pattern of how individuals might cope with fear and stress in life. For example, people whose nervous system is stuck on “low” or hypo-arousal when faced with life stresses can default to shutting down, disassociation, chronic isolation, detachment, numbness, and suicidal thoughts.

In my counseling work, I have noticed when the nervous system gets stuck on freeze, when numbness and detachment become a gay man’s dominant state, he is more likely to engage in risky behaviors as a temporary relief from inner deadness. Thrill seeking behaviors such as sexual acting out, excessive gambling, and crystal meth (crystal methamphetamine) use are ways some gay men escape the emotional flatness that results from experiencing the hypo-arousal state. The same behaviors can also be used to cope with ongoing activation of the fight or flight response. One person might turn to substance abuse to escape his inner deadness and another person might use it to dampen his anxiety that often results from being stuck in a state of hyper-arousal.

As Peter Levine stated, “Trauma is a fact of life. It does not, however, have to be a life sentence.”  For those of us who have had painful struggles with homophobia, life after the closet needs to include dealing with memories of homophobic mistreatment that can lie dormant in our body. Recovery from it needs to start with resourcing and then progressing to completing the thwarted responses of fight, flight, or freeze. Such healing can reset the nervous system and restore inner balance. In Body Keeps the Score, Dr. Bessel van der Kolk writes about a body-centered approach to healing which allows “the body to have experiences that deeply and viscerally contradict the helplessness, rage, or collapse that result from trauma.”

How far the LGBTQ community has come in our struggle for equal rights reflects how brave we are as a community. Our bravery can continue by facing traumas we experienced growing up in oppressive environments that did not nurture our true essence. Not every LGBTQ person felt traumatized growing up, but those who did can benefit from the vitality and the sense of liberation that comes with incorporating somatic work as part of the healing process.

The Somatic Experiencing Trauma Institute offers trainings and seminars on the biology of traumatic stress reactions including tools on how to bring the body-mind-spirit back into balance. Participating in their trainings has enhanced my ability to help others who are interested to tap into the wisdom of their bodies for healing and growth.  There are many other institutes that offer body-centered approaches toward healing which reflect the increased popularity of such work.
 

© 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.


For more articles by Dr. Payam, please click on the following link:  https://drpayam.com/articles_and_book