Nervous System Regulation

Why Can't I Relax After a Shift?

You clocked out an hour ago. Your body didn't.

By Carrie Davidson, BSPH, BSN, RN · Registered nurse & certified trauma recovery coach
Published · 5 min read

This article is trauma recovery education, not therapy, diagnosis, or medical treatment. It isn't a substitute for care from a licensed mental-health or medical professional. If you're working with a therapist or physician, let this walk beside that care. It doesn't replace it.

There's a version of you that sits in the driveway after a shift with the engine off, not going inside. The house is right there. The people you love are behind that door, and you want to be with them, and you stay in the car anyway, because the car is the only room where nobody needs anything from you. If you've done this, and then felt guilty about doing it, this essay is for you.

You probably already tried the usual explanations. You're just tired. You're an introvert. You need better work-life balance, whatever that is on a unit that's been short-staffed since before you got there. And none of those explanations quite fits, because the tiredness doesn't act like ordinary tiredness. You're exhausted and wired at the same time. You scroll for two hours and call it relaxing, and it may be the same scan, just pointed at something that can't hurt you. You hear a phone buzz and your stomach drops before your thoughts have said a word. Rest is available and your body declines it.

Let me be precise, because I'm a nurse and I will not hand you a feeling and call it science. For twelve hours, your nervous system did exactly what the job required. It tracked monitors, med times, a colleague's tone, a patient's color, a family member's rising voice, the door, always the door. That level of sustained attention isn't a personality trait. It's a physiological state, sympathetic activation held for hours at a time, and your body doesn't have a switch on the wall by the time clock. Nobody taught the vigilance how to stand down, because standing down was never part of the training. The scan that kept your patients safe simply keeps running, on your family, on your inbox, on the quiet, and quiet reads as suspicious, because on the unit, quiet usually meant you'd missed something.

The vigilance doesn't clock out. It was never taught how.

So the driveway makes sense. The car is a decompression chamber. Your body is trying to come down from a state it held all day, and it's doing it the only way it knows, alone, in a sealed room, with the engine ticking. That isn't weakness and it isn't avoidance. It's a nervous system improvising a landing without a runway.

I know this from both sides. I spent years on the nurse's side of the bed, absorbing other people's worst days as a condition of employment and calling the vigilance professionalism. Then I became the patient, and from the other side of the same bed I finally saw the thing clearly: the alertness that made me exceptional at work and the trauma I was carrying underneath it weren't two different problems. They were one nervous system doing the only thing it knew how to do. The body that guards the bed and the body that lies in it run on the same physiology, and that physiology can learn.

Here's something you can try on the next drive home, and it costs you nothing. At the red lights, let your exhale get longer than your inhale. That's the whole practice. In through the nose, out slow through the mouth, the out-breath lasting a few counts longer than the in-breath, three or four times per light. A longer exhale leans on the parasympathetic side of the system, the side that ends the scan, and doing it at red lights ties the landing to something the drive already contains. You don't need a mat, or privacy, or thirty quiet minutes, because a shift never once gave you thirty quiet minutes, and any practice that assumes you have them was not written for you. And if breathwork isn't a safe place for your body to start, skip it and simply name five things out the windshield that aren't going anywhere. The naming does quieter work than it looks like.

The vigilance itself is not the enemy. It's a skill, and an expensive one, and the goal was never to get rid of it. The goal is a nervous system with range, one that can guard the bed at 3pm and actually sit on the couch at 9, one that can tell the difference between a monitor and a dishwasher. That range isn't rebuilt in a weekend, and it isn't rebuilt by deciding to relax harder. It's rebuilt in small, repeated, two-minute moments where the body gets new evidence that the shift is over.

I wrote a book for exactly this. Both Sides of the Bed is a somatic workbook for nurses and healthcare workers, eleven chapters organized around the shift, before it, during it, after it, and the drive home, with practices that take under two minutes and work in scrubs. It exists because you deserve tools that fit inside the life you actually have. And whether or not a book is your next step, the driveway version of you deserves this much said plainly: you are not broken for needing the car. You are patterned, by good training and hard years, and patterns can change.

Turn the engine off. Take the longer exhale, or name your five things, or just sit. Go inside when you're ready, and not one minute before.

Carrie Davidson, registered nurse and trauma recovery coach

Carrie Davidson, BSPH, BSN, RN

Registered nurse and certified trauma recovery coach; the nurse who became her own patient. She writes about the overlap of complex trauma and addiction: the same wound, telling itself in two different languages. Author of the memoir Addicted to Trauma.

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