Hypervigilance is one of the most common — and most exhausting — responses to trauma. If you have been in a car accident, you may notice yourself constantly scanning for danger, startling at sounds, tensing up in traffic, or struggling to relax even in situations that are objectively safe.

What Hypervigilance Looks Like After an Accident

Why It Happens

After a traumatic event, your amygdala — the brain's alarm system — recalibrates its threat threshold. It treated the accident as a near-death experience, and now it is set to catch danger earlier and react faster. The problem is that this recalibration does not automatically reset when the danger is gone.

How Counselling Helps

Effective treatment for hypervigilance works at the level of the nervous system. Trauma-informed counselling — particularly EMI therapy — helps the brain process the stored threat of the accident, allowing the alarm system to gradually recalibrate. If your accident happened in BC, ICBC may cover this treatment at no cost.

Is hypervigilance the same as PTSD?
Hypervigilance is a core symptom of PTSD, but it can occur without a full PTSD diagnosis. Both are treatable.
Will hypervigilance go away on its own?
It can reduce over time, but without treatment it often persists as avoidance reinforces the nervous system's threat assessment.
Can ICBC cover treatment for hypervigilance?
Yes — as a registered ICBC provider I can direct bill for trauma and hypervigilance treatment after an MVA.

Your Nervous System Can Learn to Settle

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