Billi Silverstein
Psychotherapy

Hypervigilance is often misunderstood. It is not a universal consequence of trauma, nor is it simply anxiety or over-cautiousness. Rather, it is a finely tuned, embodied response that can develop when a child grows up in an environment where safety was unpredictable. From a psychotherapeutic perspective, hypervigilance reflects the nervous system’s remarkable adaptability. It learns to scan for danger in order to protect the self, even when the threat is no longer present.