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The SelfWork Podcast

483 SelfWork: Flashbacks and Nightmares: Healing Fear and Finding Peace

The SelfWork Podcast

Margaret Robinson Rutherford PhD

Education, Health & Fitness, Mental Health, Self-improvement

4.81.3K Ratings

🗓️ 30 January 2026

⏱️ 24 minutes

🧾️ Download transcript

Summary

Flashbacks and nightmares are primary symptoms of PTSD (Post Traumatic Stress Disorder) as well as CPTSD (Complex Post Traumatic Stress Disorder) – and they’re extremely frightening to have. Nightmares and flashbacks occur in different states of consciousness. Flashbacks happen when you’re awake and conscious; nightmares happen during sleep. Nightmares can involve a range of distressing themes, from feelings of helplessness to fears of abandonment. You don’t have to have experienced trauma to have a nightmare, whereas flashbacks are reliving the trauma itself. We'll talk about the treatments available for both today on SelfWork! Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com Advertising Inquiries: https://redcircle.com/brands

Transcript

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0:00.0

This is self-work, and I'm Dr. Margaret Rutherford.

0:10.3

At self-work, we discuss psychological and emotional issues and what you can do about them,

0:15.6

whether that's learning self-acceptance, taking action, or seeking therapy or treatment.

0:22.9

Eight years ago, I extended the walls of my practice to reach those of you who might already be knowledgeable about middle

0:27.1

health treatment, but also to those of you who might say, you'd never darken the door of a therapist.

0:33.0

And yet, you are here. I'll answer your questions while I invite you to take a few minutes for your

0:39.1

own self-work. So since you're going back to your trauma, maybe you blamed yourself for it,

0:48.3

and that very blame is keeping you stuck in the trauma. Your therapist will help you take into

0:53.6

account all the things that were beyond your control.

0:56.6

So hopefully you can move forward, knowing deep down it wasn't your fault,

1:01.2

despite things you did or didn't do.

1:04.0

Welcome to this week's edition of Self-Work.

1:08.8

Flashbacks are a primary symptom of post-traumatic stress disorder or PTSD, as well as C-PTSD,

1:15.8

which is more complex post-traumatic stress disorder.

1:18.7

And they're extremely frightening to have.

1:21.3

What are they?

1:22.3

When you're having a flashback, you're experiencing the frightening event or trauma all over

1:27.1

again. Some are all of your senses are telling you it's happening now. This is called sensory immersion. You might see, hear, smell, or feel the trauma as if it's happening now. You can have an intense, dramatic emotional response of fear, panic, dread, or feeling numb. Your heart can

1:46.5

race. You can sweat or tremble. This part may feel like a panic attack. And you can feel very

1:51.6

disoriented, like you're frozen or somehow detached or separate from yourself. A listener wrote in

1:58.1

and told me she was having frequent flashbacks, but also asked me not to read

2:03.0

her email on air. So, of course, I'm respecting that. But she was asking me to talk more specifically

...

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