Expressive Trauma Integration - Dr. Odelya Gertel Kraybill
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4407 Willard Ave, Chevy Chase
06/09/2026
Fight. Flight. Freeze.
Most clinicians know these three.
But there is a fourth response that is equally important and almost always overlooked: Withdrawal.
Withdrawal is a secondary defense mechanism that emerges after fight/flight/freeze. It causes survivors to cycle through shock, fear, anger, denial, and rumination and later, the more complex emotions: shame ("something is wrong with me") and guilt ("I did something wrong").
For those who experienced severe stress or trauma at a young age, Withdrawal becomes so embedded it feels like a given reality, not a response.
Understanding Withdrawal is foundational in trauma therapy and is foundational in the ETI Trauma Integration Roadmap
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06/01/2026
Earn 21 NBCC-Approved CE Hours While Advancing Your Trauma Expertise
Complete your continuing education requirements while gaining practical, evidence-informed skills for working with trauma, attachment disruptions, dysregulation, and complex clinical presentations.
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