You may have read about, or heard people mention the fight or flight response, or even recall moments in your life when you experienced such reactions. The fight or flight response can be explained as an evolutionary mechanism designed to help us survive threatening situations. Think of an animal living in the wild and hearing a sound which may very well be a predator. The fight/flight system allows animals to immediately respond to the threat, their bodies releasing hormones, accelerating their heart rate and mobilising the body to survive threat or attack. Obviously, as human beings, we’re unlikely to encounter a sabre tooth tiger in our daily lives. However, we face different kinds of threats such as deadlines, full inboxes, work targets, road traffic and non-stop demands on our time and attention. Prolonged stress as well as unresolved trauma or abuse, can result in a person operating and living in survival mode.

So, how can you tell you’re in survival mode?  If you notice you’ve been experiencing the below symptoms for some time, it may be a sign you’re in survival mode:

  • Feeling constantly stressed
  • Poor eating habits
  • Issues sleeping
  • Difficulty making decisions
  • Poor short-term memory
  • Mood swings
  • Lack of motivation
  • Feeling numb or detached
  • Difficulty relaxing or switching off
  • Frequent feelings of anxiety – upset stomach, palpitations, shallow breathing or difficulty breathing

Survival mode is a prolonged stress response which results in your nervous system becoming dysregulated. Our nervous system is made up of 2 branches, the sympathetic nervous system (SNS) and the parasympathetic nervous system (PSNS). The sympathetic nervous system springs into action when there’s a sign of threat, mobilising the body for fight or flight. Here you’ll see pupils dilate, your heartbeat accelerating and blood pressure increasing. The parasympathetic nervous system, on the other hand, helps us to reach a more relaxed state, managing our organs and bodies to allow us to feel calm and safe. 

Prolonged stress can cause one or both of these systems to over-function, meaning that survival mode can manifest differently for different people. Someone who’s frequently on edge, anxious and hypervigilant may have a dominant sympathetic nervous system. On the other hand, someone who’s often detached, feeling low, lacking in energy and drive, may have an overactive parasympathetic nervous system. i.e. prolonged stress or trauma may have caused them to shut down for self-protection or survival. Traumatic events, such as an assault or an accident, may trigger someone to enter survival mode. People with PTSD (post-traumatic stress disorder) have a dysregulated sympathetic nervous system, for instance, leaving them constantly reacting to external or internal stimuli such as a loud noise, particular feeling, etc with a fight or flight reaction.  Survival mode may also be triggered by extended periods of stress, such as overworking without engaging in self-care or enduring an unhealthy or abusive relationship for an extended period. 

If you resonated with the above and are now concerned you may be living in survival mode, it’s important to know that there is light at the end of the tunnel and something you can do to thrive rather than just survive. Here is some guidance on what you can do if you’re stuck in survival mode:

  1. Face reality – You don’t need to keep putting on a brave face or denying that you’re struggling. Instead, it’s time to accept that you’re not thriving or living the healthiest, most satisfying life you could live.
  2. Identify triggers or sources of stress. For instance, are you working too many hours?; does reading the news cause anxiety?; Are you spending too much time on devices? Once you identify triggers, you can start trying to reduce them.
  3. Practice self-compassion – Think about how you’d treat or speak to someone you care about and do the same for yourself. Be kind, loving and understanding towards yourself.
  4. Figure out whether you’re stuck in sympathetic nervous system activation or parasympathetic nervous system activation, or both. If it’s the former, you’ll need to practice calming techniques, such as deep breathing, meditation, soothing self-talk, etc. If you tend to be detached, low, lacking motivation, or desensitised, indicating that your parasympathetic nervous system is overactive, it would be useful to do activities involving the body and movement, deep breathing techniques, mindfulness, physical touch (e.g. hugs, massage) and guided meditation.
  5. Create structure and routine so as to reduce chaos and help you feel more organised and in control of your day.
  6. Practice self-care – This doesn’t mean rewarding hard work with a monthly spa day but ensuring you get enough sleep, giving yourself breaks, doing things you enjoy, creating boundaries and eating a balanced, healthy diet. 
  7. Reach out to someone you trust – Feeling supported and connected to people around you can go a long way towards helping you manage difficult emotions.
  8. Seek professional help – If you’ve experienced trauma or you’ve been dealing with chronic stress for some time, speaking to a professional is essential to process and heal from whatever you’ve experienced, as well as helping you manage stress and learn new coping skills.

It’s important to note that, if you are feeling stuck in survival mode, chances are you’ve been in this state for some time. Therefore, the process of becoming unstuck is unlikely to be a quick one, so please be patient with yourself and do reach out for professional help if symptoms are severe or if you’d simply like some guidance and support.

Danjela Falzon - Malta therapy clinic

About Danjela Falzon

Danjela has been practising as a Psychotherapist since 2011, having read for a BSc in Psychology at Birkbeck, University of London, followed by a Masters in Gestalt Psychotherapy at GPTIM. She works therapeutically with individuals, adopting an approach which is warm and empathic, yet direct and challenging when necessary. She also works with groups, teaching mindfulness and providing support and guidance to reduce stress and anxiety.

TherapyPacks Terms and Conditions

1. TherapyPacks come in bundles of 5 or 10 sessions. Prices of bundles:

  • 5 sessions – €270 – must be utilised within 3 months from date of purchase
  • 10 sessions – €520 – must be utilised within 6 months from date of purchase

2. Bundles are not transferable. This means they cannot be used by, or gifted to, anyone else but the person whose name is listed as the TherapyPacks bundle holder.

3. Bundles which are purchased for Couples Therapy and Family Therapy can only be used by members of the couple or family with one therapist. If members of a couple or family decide to take up individual therapy with another therapist, the bundle will only apply to sessions with the therapist originally referred and cannot be also used for the individual sessions with another therapist. Exceptions will be made if the original therapist is unable to see the client or family and the couple or family are referred to another therapist. After referral, the same conditions will apply.

4. Bundles are valid for a limited time period, as listed above. This means that the bundles will expire once the respective time period has elapsed. Any sessions not utilised within this period will be lost. This means that a refund will not be given for unused sessions. Start date commences on date of purchase of bundles.

5. Bundles are only valid for full price sessions (charged at €60) and not for sessions with trainee psychotherapists, reports or assessments.

6. Full payment needs to be made on purchase, via bank transfer, cash or credit card.

7. Management reserves the right to terminate or suspend the use of the bundles. Reasons for such are at the discretion of the clinic.

8. Refunds or extensions of time period within which bundles may be used is at the discretion of management and will only be granted in exceptional circumstances.

9. Management reserves the right to modify or replace the terms and conditions. In such circumstances, clients will be given adequate notice and time to adhere to such.

10. The clinic’s cancellation policy is applicable also to bundles. Late cancellations or no shows will result in the forfeit of a session within the bundle allocation.

11. Responsibility for ensuring timely use of session bundles remains that of the TherapyPacks bundle holder or, in the case of a minor, their carer/legal guardian.