Health

Aly Raisman was filmed learning how to use an ice cube to shock the body out of crisis mode in her new documentary about surviving sexual assault

Aly Raisman holds an ice cube in Darkness to Light
Aly Raisman holds an ice cube, which can help survivors feel more in control in moments of perceived crisis. Lifetime/A&E
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In her new Lifetime documentary "Darkness to Light," retired gymnast Aly Raisman often describes how surviving trauma takes a physical toll. The two-time Olympian was abused by former USA gymnastics team doctor Larry Nassar, and has been a sexual assault awareness advocate since opening up about it in 2017. 

In the special, Raisman said she often feels like she's going to throw up after media interviews about sexual assault. "It literally feels like I just finished a training session," the former USA Gymnastics team captain said. 

Even when there's not an obvious trigger, Raisman said she can experience physical symptoms of trauma. "I'd be at a dinner and I felt like my throat was closing up," she said in the show. 

But during a meeting with another sexual assault survivor and advocate, Ericka Dixon, Raisman learned a trick for regaining control when the body misperceives threat: put an ice cube in your hand. 

"If you're really activated or in crisis, it shocks your body," Dixon, also a disabilities advocate, said. "The goal is really to return to your body, to calm down enough so that then you can be in a better head space to figure out what to do next." 

Ericka Dixon puts an ice cube on the back of her neck.
Ericka Dixon says some people like to put the ice cube on the back of their necks.  Lifetime/A&E

Dixon said some people put the ice cube on the back of their neck, their wrists, or even put their whole face in a bowl of ice. Raisman tried holding one cube in her hand. "It actually feels better than I thought it would," she said. 

The ice trick is one of several distress tolerance strategies in dialectical behavior therapy

Dixon said she learned the technique in dialectical behavior therapy, a type of cognitive behavior therapy that aims to help people stay in the moment, develop healthy coping mechanisms, regulate emotions, and improve relationships, according to Verywell Mind

It was developed in the 1980s for patients for whom CBT fell short, and focuses on self-acceptance and positive change. In addition to holding an ice cube, other "distress tolerance" exercises include running up and down stairs or moving from indoors to outdoors in order to distract yourself and let your body, not mind, lead in moments of perceived crisis. 

"We are finding more therapeutic approaches, we're understanding more and more how trauma is affecting the mind and body, and how we can teach our patients how to take control over these symptoms," neuroscientist Dr. Diana Martinez said in the special. 

If you are a survivor of sexual assault, you can call the National Sexual Assault Hotline (1-800-656-4673) or visit its website to receive confidential support.

If you are a survivor of sexual assault, you can call the National Sexual Assault Hotline (1-800-656-4673) or visit its website to receive confidential support.

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Anna Medaris is a health correspondent at Insider with more than a dozen years of experience covering women's health, fitness and nutrition, sex and relationships, medical conditions, and psychology.  At Insider, she mostly focuses on reproductive health, mental health, and medical misdiagnoses. She also writes wide-ranging features, narratives, and analyses on sensitive topics including addiction, maternal suicide, and accidental deaths. Anna loves dissecting quirky, cultural trends too, like cold-water swimming, White Claw, and water-cooler chatter.  Prior to joining Insider in 2019, Anna was a senior health editor at U.S. News & World Report and, before that, an associate editor at APA's Monitor on Psychology magazine. She has also written for the Washington Post, the Washington Post Magazine, Women's Health, and Cosmopolitan. She regularly appears as a health expert on TV, including on the Today Show and Good Morning America. Anna serves as a writing coach for the New York Writing Room and is on the board of the Deadline Club, the New York chapter of the Society of Professional Journalists.  Anna studied psychology and gender and health at the University of Michigan, where she graduated with high honors in 2009. She earned her master's in interactive journalism from American University in 2014. She's completed two marathons, four Olympic-distance triathlons, and one half-Ironman triathlon.    Follow her on Twitter, Facebook, LinkedIn, and Instagram. Email her at amiller@jkmperu.com.