Hypervigilance
A state of heightened alertness and sensitivity to potential threats, which while protective in genuinely dangerous situations, becomes maladaptive when persistent in safe environments. Associated with trauma, PTSD, and chronic anxiety.
Quick answer
Hypervigilance (ICD-10: F43.1; ICD-11: 6B40) is a core PTSD feature driven by chronic threat-state activation of the nervous system. EMDR and trauma-focused CBT have strongest evidence. Somatic approaches address autonomic dysregulation. Professional trauma support is essential.
Recognition
Do any of these feel familiar?
Constant monitoring of the environment for danger signals
Exaggerated startle response to unexpected noises or movements
Difficulty relaxing or trusting that the environment is safe
Persistent bodily tension and readiness for threat response
Sleep difficulty due to an inability to fully disengage
What is Hypervigilance?
A state of heightened alertness and sensitivity to potential threats, which while protective in genuinely dangerous situations, becomes maladaptive when persistent in safe environments. Associated with trauma, PTSD, and chronic anxiety.
Approaches Commonly Explored
Commonly explored for conditions related to Hypervigilance, grouped by mechanism — select your subtype above to highlight the most relevant path.
How to use these approaches
Most people begin with Stabilise approaches, then progress toward Resolve and Sustain.
Nervous system regulation, brain function, and neural pathways.
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