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Shutdowns, Flares, and Crashes: Understanding and Supporting ALPIMS Collapses

In ALPIMS-affected bodies, the line between “just tired” and total shutdown can be razor thin. What looks like laziness, withdrawal, or resistance is often the nervous system going into energy conservation, pain protection, or sensory escape mode.

🧭 A crash is not failure. It’s a signal that your buffer was breached.


🔄 What Is a Shutdown, Flare, or Crash?

TypeWhat It Feels LikeWhat’s Happening Internally
ShutdownNumbness, silence, inability to speak/actParasympathetic freeze, overwhelm, collapse
FlareIntensified pain, sensory spikes, mood swingsInflammatory surge, immune + nervous reactivity
CrashFull-body fatigue, PEM, can’t move/functionMitochondrial depletion, red zone overload

These states are not intentional. They’re protective overrides when your body says: “Too much.”


📉 Warning Signs by ALPIMS Domain

DomainEarly Warning SignsCollapse Signs
AnxietyRestlessness, rumination, dreadPanic, dissociation, intrusive thoughts
LaxityJoint aches, clumsinessFalls, injuries, total fatigue
PainPressure sensitivity, heat/cold intoleranceBurning, spreading, unrelenting pain
ImmuneSniffles, gut upset, flushingMCAS flares, infection reactivation
MoodIrritability, withdrawalCollapse into numbness or shutdown
SensoryIrritation at sound/light, clothing issuesFull overload, meltdown, speech loss

🧩 What Triggers Collapses?

  • Overload: too much input, activity, effort, or emotion
  • Mismatch: pushing through Yellow/Red zone as if you’re in Green
  • Ambush: unpredictable change, social stress, inflammation spike
  • Suppression: ignoring signals of stress until the body forces a stop

These collapses often reflect multi-domain stress. For example:

  • A crash after a busy day may combine painimmune, and sensory strain.
  • A shutdown might be rooted in anxietymood, and sensory overload.

🛠️ Recovery Strategies by Type

🔥 Flares (e.g., pain, histamine, sensory)

  • Cool down: ice packs, low light, antihistamine supports
  • Soothing inputs: music, scent-free spaces, gentle pressure
  • Avoid stacking: reduce demands across other domains

🛏️ Crashes (e.g., post-exertional, fatigue collapse)

  • Full-body rest: zero-stimulus zone if possible
  • Slow pacing back: 10–20% activity rule during recovery
  • Focus on basics: hydration, sleep quality, quiet routines

🧊 Shutdowns (e.g., freeze, emotional numbing)

  • Safety first: no demands, no fixing, just presence
  • Soothing anchors: weighted blanket, familiar music, dim light
  • Later: expressive writing, safe connection, co-regulation

🧭 Use Zones to Navigate Recovery

  • Red Zone: Prioritize reductioncontainment, and comfort.
  • Black Zone: Do nothing but safety. Be with yourself gently.
  • Yellow Zone: Start gentle re-entry—tracking, hydration, sunlight, sensory calming
  • Green Zone: Reflect and learn. What pushed the system? What helped it recover?

🔄 Preventing Re-Collapse

Recovery takes energy. Protect your healing by:

  • Using a re-entry plan before resuming full activity
  • Tracking early warning signs (e.g., sensory overload, irritability, jaw clenching)
  • Respecting micro-zones: you might be Green physically but Red emotionally

🔗 Tools for Support

🔗 [Download: Full Crash Recovery Pack]
🔗 [Explore: Pacing Plans, Symptom Preload Charts, and Energy Buffer Worksheets]


🌿 You don’t need to push through. You need to be pulled into safety.

Recovery is not linear—but every time you respond with care, your system learns it’s safe to come back.

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