Marriage and Family Therapist in Long Beach, California

Category: Trauma

How a History of Trauma Impacts Intimate Relationships

Guest Post by Steven Kilmann, LMFT, MD

When someone begins the journey of healing, it’s often because past pain has started to echo into their present—especially in their closest relationships.

I know this firsthand.

After surviving childhood abuse, I struggled for years to feel truly safe with anyone.

Even when I found someone kind and patient, I couldn’t let my guard down.

Everything felt like a potential threat—an argument, a misunderstood text, even a surprise hug.

Trauma has a way of making your nervous system feel like it’s constantly on red alert, even when there’s no real danger anymore.

That’s the hard truth: trauma changes how we connect with others.

It interrupts our ability to trust, to be vulnerable, and to feel secure in love.

And these effects don’t go away just because we’ve found the “right” person.

If this sounds familiar, working with the right therapist – a therapist trained and experienced in the ways trauma impacts relationships – can make a world of difference.

They help untangle the past from the present, so love doesn’t always feel like a battlefield.

Trauma and the Body: Why Safety Comes First

Before we even think about love, the body wants to feel safe.

But trauma—especially developmental trauma—rewires our brain and nervous system.

It’s like driving a car with the brakes stuck on.

You want to move forward, but something’s always holding you back.

This internal braking system shows up in relationships as shutdowns, dissociation, and withdrawal.

Or, on the flip side, it can look like panic, rage, and hypervigilance.

These reactions aren’t choices—they’re survival strategies.

If you’ve ever found yourself saying, “I don’t know why I reacted like that”, you’re not alone.

The truth is, your body probably responded before your brain even had time to catch up.

That’s why somatic approaches in therapy are often crucial.

A good trauma-informed therapist will focus on restoring regulation—helping the body relearn what calm and connection feel like.

Because love can’t thrive where safety is missing.

The Invisible Impact on Communication

One of the most subtle ways trauma affects relationships is in how we speak and listen.

I used to assume people were mad at me even when they weren’t.

A neutral tone of voice? I’d hear judgment.

A pause in conversation? I’d assume rejection.

Trauma primes us to expect harm, even when there’s none.

This makes honest communication incredibly difficult.

We either silence ourselves to avoid conflict, or we speak from a place of defense.

That’s why so many trauma survivors feel misunderstood or isolated—even in long-term relationships.

Therapists trained in trauma recovery often use attachment-based methods to repair this.

They assist clients in identifying triggers and provide tools to respond rather than react.

Over time, that rewiring builds emotional resilience—and relationships that can weather conflict instead of collapsing under it.

Intimacy Triggers: When Touch Isn’t Comforting

For many trauma survivors, physical touch—something that should be soothing—can become complicated.

This is especially true if the trauma involved the body or boundaries being violated.

Even something as simple as cuddling can feel threatening.

I once dated someone who couldn’t understand why I froze every time he touched my back unexpectedly.

It wasn’t about him—it was about memories my body hadn’t let go of.

This is where trauma-informed couples therapy can help both partners.

It creates a language around triggers, so there’s less shame and confusion.

You learn to ask for what you need, whether it’s slower pacing, more verbal reassurance, or clear physical boundaries.

And in doing that, you reclaim agency over your own body.

You redefine what safety feels like—on your terms.

Why Relationships Often Feel “Too Much” or “Not Enough”

One common pattern I’ve seen—and lived—is the cycle of pushing people away just when they get close.

You crave intimacy but panic when it shows up.

Or you feel nothing when someone finally gives you the love you wanted.

This push-pull dynamic is often rooted in attachment wounds.

If your early relationships taught you that love equals danger, then closeness becomes confusing.

Healing this isn’t about just “thinking positively.”

It takes repeated, safe relational experiences—often beginning in the therapy room.

A skilled trauma recovery specialist will model the kind of consistent, nonjudgmental presence that helps reset your attachment system.

From there, you learn how to tolerate closeness without feeling overwhelmed.

And slowly, connection starts to feel possible again.

Real-Life Healing Is Messy—But Worth It

I won’t sugarcoat it.

Healing from trauma is uncomfortable, especially when it touches your romantic life.

It brings up grief for the versions of love you didn’t get.

It forces you to confront old beliefs like “I’m too much” or “I’m unlovable.”

But it also opens the door to new possibilities.

I’ve seen people go from being emotionally shut down to laughing freely with a partner.

I’ve watched someone who thought they could “never trust again” walk down the aisle.

That kind of growth doesn’t happen overnight.

But with the right guidance, it’s absolutely possible.

The Role of a Therapist in Relationship Healing

A trauma recovery therapist does more than just talk through your past.

They guide you in real-time through the relational patterns that are playing out today.

They notice when you shut down, help you unpack why, and offer new ways of relating that feel safer.

They don’t just analyze—they attune.

They provide a reparative relationship that lays the foundation for healthier ones outside the therapy room.

And if you’re partnered, they can help your loved one understand what trauma does to the brain, body, and heart.

That kind of education builds empathy—and empathy builds intimacy.

Healing Isn’t Linear, But It’s Possible

You might still have days where love feels unsafe.

Where trust feels fragile and your instincts tell you to retreat.

That’s normal.

Healing isn’t about becoming someone who’s “never triggered.”

It’s about learning how to stay present when you are.

It’s about knowing that you’re more than your trauma—and that your relationships can reflect that too.

If you have trauma in your history, know that your past is very likely impacting your present, and not in a good way. Working with a therapist that understands the impact of trauma on relationships has helped countless people move from survival mode into connection.

And you deserve that kind of love—safe, honest, and rooted in your healing.

Steven Kilmann, LMFT, MD, began his career in medicine after studying psySteven Kilmann, LMFT, MDchology at the University of Michigan and earning his medical degree from USC, ultimately serving over a decade as a physician at Cedars-Sinai. After facing burnout and addiction during a creative pivot, his journey through recovery led him to his true purpose—supporting others as a licensed therapist with a Master’s in Psychology from Antioch University.

 

DEEP BREATHING: Theory and Practice

Deep breathing is proven to help people feel better and live better. Even so, many people find that it doesn’t work for them. If you’ve tried deep breathing but can’t make it work, this article is for you. It’s broken into two parts – the theory of it, which explains how it works, and the practice of it, which explains how to do it. I’m including how it works – the ways it changes your body’s response to “triggers” – because understanding the mechanics of deep breathing may help you get better results from the how to do it section which follows.

DEEP BREATHING

The Theory (AKA How It Works)

Stress, anger, worry, grief – these emotions trigger our nervous systems and leave us feeling distressed. Done properly, deep breathing takes advantage of the way our nervous systems work to return us to calm.

Way back when, animals that could fight better, run faster, or stay hidden longer survived longer than those that lost the fight, couldn’t run fast enough, or were found. Animals that survived and were able to reproduce, reproduced; animals that did not, did not, generation after generation. Fast forward approximately 200,000 years, and “survival of the fittest” has evolved into what is often called the “fight or flight” response. In other words, when our bodies sense a threat, our brains send signals to our nervous systems, which in turn activate our bodies to survive the (real or imagined) threat.

This response comes in handy in the case of real danger because we experience a host of physical responses that prepare us to meet the threat. Our hearts beat faster, we breathe more shallowly, and our focus shifts from internal (like reading a book) to external (like looking over our shoulders for a threat). Our focus on what is external is why it is so hard to concentrate when we are nervous – our attention and energy are diverted towards the (external) threat.

The problem is that our bodies can deliver a massive dose of those same responses when we only need a little boost for top performance: when we’re getting ready to make a presentation at work or school, when we have an argument, or when we have to take a driving test. Too massive a dose can lead to panic attacks, but even everyday stress can lead to problems concentrating, high blood pressure, Irritable Bowel Syndrome, and chronic pain. These instinctive responses — that helped us survive as a species — aren’t always helpful in our modern-day world.

The Nervous System

These responses are controlled by our nervous system. People who study the nervous system named its different parts. For the purpose of relaxation, we need to know about the parasympathetic nervous system and the sympathetic nervous system.

Our sympathetic nerves are the ones which prepare your body for “fight or flight”: they dilate our pupils, increase our heartbeats, and make it so our stomachs slow down the processing of food. Our parasympathetic nerves do the opposite: they prepare our bodies for “rest and digest.” Our pupils constrict, our stomachs and salivary glands go back to work, our heartbeats slow, and our breathing returns to normal.

The sympathetic/parasympathetic responses are automatic; most of us can leave it to our bodies to figure out how much “fight or flight” we need, and when we need it. Some of us, though, find that our bodies are stuck on stressed (or anxious or angry or…). Our sympathetic nervous systems keep getting us ready to respond to a nonexistent threat, leaving our nerves raw and on edge.

Deep Breathing and the Nervous System

Here is where “deep breathing” comes in: we have learned that we can use breathing to return control to our parasympathetic nervous system’s responses. When we take slow and deep breaths, pulling air all the way down into our cores, we are signaling to our sympathetic system that there is no threat, that it is OK to return to “rest and digest” mode. It only works, however, if we engage in truly deep and slow breathing.

This is where we struggle with deep breathing: we would not be trying to use deep breathing if our bodies were not already stressed. Because we are stressed, it feels more natural to do the opposite of deep breathing. Shallow and short breaths feel right; using deep and long breaths feels like we’re going against our own bodies and instincts.

It feels that way because we are: we are overriding our instinctive responses and activating our parasympathetic systems. We are using deep breathing to tell our bodies that it’s time to calm down, get centered, and start paying attention. Our bodies are thinking something else entirely! So: know that we are overriding our instinctive responses… and know that everything will be OK.  

Bringing about calm and relaxation in ourselves is an intentional process, described in the next part of this blog: DEEP BREATHING: The Practice.

DEEP BREATHING

The Practice (AKA How To Do It)

We’re angry, sad, or anxious. We want to return to a calm state. Breathe, we’re told. But how? There are many, many how-to articles, blogs, and videos on deep breathing. The process I’m describing here is much as I describe it to my clients in practice, and is the product of years of testing, researching, and adjusting. It is a combination of biomechanics, meditation, and mindfulness.

In practice, I always include a discussion of the “why,” even though most clients are more interested in the “how.” The reason is that understanding the “why” makes the instructions in the “how” more meaningful and easier to apply.

As with any relaxation technique, results vary from person to person. Find the method that works best for you. If this article helps you: wonderful. If not, Googling “deep breathing” generated around 202,000,000 results for me. With luck, you’ll find something you can use in there somewhere.

Breathing, done properly, is a way for us to return to a calm state, but I have found it does not work unless we create the correct conditions in our bodies. Remember, we’re not just trying for deep breaths: we’re trying to get control of our sympathetic nervous system. This means that deep breathing is more than taking big inhales and slow exhales. It means committing to this process with the intent and expectation of calming ourselves. Half-hearted attempts will yield half-hearted results.

Anytime, Anywhere

Some good news: we can do deep breathing anytime, anywhere we need it. We can do deep breathing sitting in a chair, laying down, or standing. No matter where we are or what we are doing, the first step is to ground ourselves.

If we’re standing, we spread our feet shoulder width apart, and feel our weight supported entirely, safely, and securely. We acknowledge that we aren’t going anywhere in this moment, and that we are safe to take this time to breathe. If we’re sitting, we feel our hips, thighs, and butts supporting us. If we are laying down, our weight is supported by our backs and shoulders.

No matter which position we are in, before we start, we take a moment to experience our connection to the ground, to the earth, or to whatever is solid and permanent in your universe. Our brains must know that we are safe and secure if we are to convince our emotional systems that we are safe and secure.

Now, we attend to our postures. We straighten our spines, bring our shoulders back, and lift our chins. This increases the capacity in our lungs, which is important because we cannot breathe deeply if our lungs are deflated and collapsed due to poor posture.

When we are ready, we start paying attention to our breathing. We don’t try to change it at first: we just notice it.  Is it slow, or fast? Deep, or shallow?  We must make ourselves aware of our breathing if we are to change it in a way that brings us to calm.

Next, we notice our environment. What are we touching, what are we seeing, what are we smelling? We are going to close our eyes soon: will we be completely safe? We will not get our parasympathetic nerves to join with us unless our brains are sure it is safe.

When our brains are convinced that we are safe, it is time for us to close our eyes and take our first long, slow, deep breath. When we’re ready, we let the breath out slowly, and then return to breathing normally.

Now, I’m changing the voice of this article. Instead of talking about us, I’m talking to you (it will make the steps easier to follow).

Visualization

Visualize, in your mind’s eye, a mountain. The mountain is made of granite, and has been there for millions of years, and will remain just as it is, for millions of years. In front of the mountain is a lake, so smooth its surface reflects the mountain perfectly, as well as the fresh fields of wildflowers surrounding it.

Feel how your body, through your feet, hips, or shoulders connects to that mountain and take another deep, slow, breath as you picture the beautiful reflecting lake. Maintain your slow and steady breathing, in and out.

You probably are having thoughts – distractions – coming into your mind. We’ll come back to them shortly. For now, just let them be and keep your attention on the mountain, the lake, and the fields of wildflowers.

It’s time to transition your focus to your breathing. Take a deep, slow breath and exhale slowly. Feel the connection between yourself and the mountain. Accept your connection with it and feel its million years of placid stability and permanence. Keep breathing deep, slow breaths, inhaling slowly and exhaling even more slowly. As you do, notice the fresh air, and the scent of the wildflowers.

Managing Stray Thoughts

Your thoughts, I am sure, are still coming in. Greet them as they arrive; acknowledge them, and then visualize them reflecting off the lake and disappearing in the distance. Yes, some thoughts return. Greet them again, for they are old friends. But, let them know that you will tend to them later, and send them to reflect off the lake and drift off into the distance.

Keep breathing, sensing the serenity, the permanence of the mountain. Keep breathing, slowly, deeply, so that you can appreciate the air, and the scents of the wildflowers.

Now that you are safe, connected with your mountain, and breathing fresh air, notice and welcome any thoughts that continue to come. Greet them as if they are friends, because they have been with you for many visits. You know you can let them be without your attention while you take this break. If some thoughts continue to insist on your attention, know that they bring nothing urgent to you; nothing that needs your attention right now. Promise to get back to them later as you visualize them reflecting off the lake and drifting off into the distance.

Take your time enjoying your break in the fresh mountain air. When you are ready, open your eyes and return. Peace to you.

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