NICABM InfoG Window of Tolerance

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How Trauma Can Affect Your Window of Tolerance

Hyperarousal
This is when you feel extremely anxious, angry, or even
out of control. Unfamiliar or threatening feelings can
overwhelm you, and you might want to fight or run away.

dysregulation
This is when you begin to feel agitated. You may feel
anxious, revved up, or angry. You don’t feel out of
control, but you also don’t feel comfortable.

Stress and Trauma Your Work with


Can Shrink Your
Window of Tolerance.
window of tolerance Your Practitioner Can
Help to Enlarge Your
This is where things feel just right, where you Window of Tolerance.
are best able to cope with the punches life
This means that it throws at you. You're calm but not tired. You're
may be harder to stay They can help you
alert but not anxious. stay calm, focused,
calm and focused.
When you’re outside and alert even when
your window of something happens
tolerance, you may that would usually
be more easily throw you off
thrown off balance. balance.

dysregulation
This is when you begin to feel like you’re shutting down.
You may feel a little spacy, lose track of time, or start to
feel sluggish. You don’t feel out of control, but you also
don’t feel comfortable.

Hypoarousal
This is when you feel extremely zoned out and numb,
both emotionally and physically. Time can go missing.
It might feel like you’re completely frozen. It’s not
something you choose – your body takes over.

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© 2017 The National Institute for the Clinical Application of Behavioral Medicine

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