Because the rage associated with the termination of immobility is both intense and potentially violent, frequently traumatized people inadvertently turn this rage against themselves in the form of depression, self-hatred and self-harm. The inability to exit from the immobility response generates unbearable frustration, shame and corrosive self-hatred. The therapist must approach this Gordian knot carefully and untangle it through deliberate and careful titration, along with reliance on the experience of pendulation and a resolve to befriend intense aggressive sensations.

