Stimming is usually associated with neurodivergence, however However, people with complex PTSD (C-PTSD) may also engage in stimming behaviours as part of their journey to regulate emotions and cope with trauma.
Stimming as a Self-Soothing Mechanism
C-PTSD often involves a dysregulated nervous system.
Survivors may swing between hyperarousal (feeling overly anxious or agitated) and hypoarousal (feeling numb or dissociated). According to Porges’ Polyvagal Theory (Porges, 2011), these swings are linked to how the nervous system responds to perceived threats.
Stimming provides consistent sensory input that can help bring the nervous system back into balance, offering a sense of calm and predictability.
Grounding During Dissociation
Dissociation is a common experience for trauma survivors, especially during moments of high stress.
Stimming behaviour like tapping fingers or squeezing a stress ball can act as grounding tools. They help folks reconnect to the present moment, counteracting the detached, "floaty" sensation of dissociation (van der Kolk, 2014).
Releasing Pent-Up Energy
Trauma survivors often carry a significant amount of nervous energy, a remnant of being stuck in a fight-or-flight state. Stimming offers an outlet to release that energy in a controlled, repetitive way, which can prevent escalation into panic attacks or other distressing symptoms.
Meeting Sensory Needs
Trauma can heighten sensitivity to sensory input (like noise or touch) or lead to sensory under-responsiveness.
Stimming helps regulate this imbalance. For example, repetitive movements can create a sense of order amid
sensory chaos, providing comfort and stability.
Habitual Coping From Childhood
Many folks with C-PTSD experienced trauma in childhood, when they lacked the resources or tools to process their emotions. Stimming might have developed as a natural way to cope, becoming a familiar habit that persists into adulthood.
Emotional Regulation
C-PTSD often makes it difficult to manage intense emotions like anger, sadness, or fear. Stimming behaviours can act as an emotional release or distraction, helping to regain a sense of control.
The Science of Stimming and Trauma
Research underscores the importance of stimming as a regulatory tool.
For instance, van der Kolk (2014) emphasizes the role of body-based coping mechanisms in trauma recovery. Trauma "lives" in the body, and physical actions like stimming can help survivors process and manage their emotional and sensory experiences.
Porges’ Polyvagal Theory (2011) also highlights how consistent, rhythmic behaviours can calm the nervous system by activating the parasympathetic response—our body’s "rest and digest" mode.
A single reason can’t explain this, but experts believe it’s likely linked to how the ADHD brain works. Stimming is a response to challenges that people with ADHD have in situations that require sitting still, paying attention, or managing emotions
Research suggests that the imbalance of a chemical messenger in the brain called dopamine can affect how folks with ADHD perceive reward and satisfaction.[1]
Due to this, ADHD can make it much harder to pay attention to activities that don’t interest you. You might stim to combat boredom in a dull environment, or help focus when completing uninteresting tasks.
Sometimes, stimming might result from:
In such situations, this behaviour could be a way to self-soothe and avoid becoming overwhelmed.
Because of how the ADHD brain is wired, individuals may be hypersensitive to the sensory information they receive, causing them to experience sounds and sensations more intensely or for longer.[3]
As a result, an ADHDer may be quickly overwhelmed and overstimulated by surrounding stimuli, such as:
Stimming may be one way to cope with ADHD sensory overload, as it can help reduce the anxiety and pressure linked to this phenomenon.
Many people exhibit self-stimulating behaviours, such as biting their nails, shaking their legs, or playing with their hair. These behaviours may overlap with ADHD stimming in some ways.
That said, ADHD stimming is typically more severe than fidgeting in “neurotypical” people. It also occurs more often and may even interfere with some ADHDers’ daily activities
The following are some examples of what ADHD stimming may look like.
It can sometimes be difficult for people to notice that they stim because it may be done subconsciously. If you aren’t sure, you can ask a friend or family member whether they’ve noticed you demonstrating these behaviours.
Almost everyone engages in some form of self-stimulating behavior. You might bite your nails or twirl your hair around your fingers when you’re bored, nervous, or need to relieve tension.
Stimming can become such a habit that you’re not even aware you’re doing it. For most people, it’s a harmless behavior. You recognize when and where it’s inappropriate.
For example, if you’ve been drumming your fingers on your desk for 20 minutes, you take social cues that you’re irritating others and choose to stop.
In autistic people, stimming might be more obvious. For example, it may present as full-body rocking back and forth, twirling, or flapping the hands. It can also go on for long periods. Often, the individual has less social awareness that the behavior might be disruptive to others.
Stimming associated with autism isn’t always cause for concern.
It only becomes an issue if it interferes with learning, results in social exclusion, or is destructive. In some rare cases, it can be dangerous.
Stimming refers to the natural behavior of self-stimulation. It may include nail biting, drumming your fingers on a surface, or full body movements like rocking or swaying.
It’s not always easy to determine the reason for stimming. It’s a coping mechanism that can serve a variety of purposes.
For example, an autistic person may be trying to:
If previous episodes of stimming resulted in wanted attention, stimming may become a way to continue getting attention.
A behavior specialist or therapist with autism experience can help you understand the reasons for stimming behavior.
In some cases, stimming is an attempt to ease pain or other physical discomfort. It’s also important to determine if what appears to be stimming is actually involuntary due to a medical condition, such as seizures.
Stimming doesn’t necessarily need to be controlled unless it’s causing a problem.
Management may be needed if you answer “yes” to any of these questions:
If you or your child is in danger of self-harm, contact your doctor right away. A physical examination and evaluation may reveal existing injuries.
Otherwise, it may be better to manage stimming rather than attempt to completely control it. When working with children, the goal should be to encourage self-control. It shouldn’t be to control them.
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Common stimming behaviours include:
An autistic child may spend hours on end arranging toys instead of playing with them. Repetitive behavior may also involve obsessions or preoccupations with certain objects or the reciting of intricate details of a particular subject matter.
Other repetitive behaviors can cause physical harm. These behaviors include:
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