Understanding What is Trauma Signs and Symptoms?

People often wonder What is Trauma? It is when someone has an emotional response to an event such as an accident, losing a loved one, experiencing physical or sexual abuse, having a serious injury or illness, having witnessed a violent act or war, and/or facing a natural disaster. It may take some time for the brain to process the traumatic event, this can cause feelings of denial and/or shock right after the event has occurred.

Later on, unforeseen emotions may include; flashbacks and/or nightmares, avoiding social situations, relationships may seem more strained, and physical symptoms may appear, headaches or nausea.

If you have faced a traumatic event, it may be difficult to move forward with your life. Trauma can cause behavioral and emotional health concerns; Reactive Attachment Disorder (RAD), Post -Traumatic Stress Disorder (PTSD), Oppositional Defiant Disorder (ODD), Borderline Personality Disorder (BPD), Major Depression, and Pervasive Developmental Disorder.

Symptoms of Trauma

Each person experiences trauma differently. Some develop most symptoms of trauma, while other individuals experience very few. The following list of symptoms should not be used to make a diagnosis because other criteria must be taken into consideration before the proper diagnosis can be made.

  • Avoidance of trauma reminders, including memories.
  • Heightened startle response
  • Irritability, anger and other negative symptoms
  • Flashbacks to the traumatic event
  • Distressing dreams and other sleep problems
  • Awareness of surroundings can decrease
  • Dissociation
  • May not be able to remember important details
  • Numb of feelings of detachment

Physical and emotional symptoms may even emerge days, weeks, or months after experiencing the event, some of the symptoms of trauma include:

  • Agitation
  • Sleep disruption
  • Rapid heartbeat
  • Restlessness
  • Fatigue
  • Anxiety
  • Decreased level of concentration
  • Feelings of guilt, shame or self blame
  • Hypervigilance

Treating Trauma

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a common and well supported

Treatment for trauma disorders. CBT works by identifying and challenging unhealthy thinking patterns that contribute to the symptoms of trauma. The

benefits of CBT can be long-lasting.

Cognitive Restructuring

This type of CBT focuses on clients that suffer from negative and maladaptive thinking which  has had an impact on their memories and feelings that are connected to the traumatic events they experienced. This is a main part of CBT that helps people to change, and restructure their negative thoughts and distorted ways of thinking by replacing them with more positive and healthy thought processes.

Using CBT to Treat PTSD

Therapists use different strategies to help clients in decreasing symptoms and improving their way of life and daily routines. Therapists that utilize CBT work on assisting the client with recognition of negative thoughts and unhealthy thought patterns, which can also be referred to as “thought distortions” the therapist will assist the client on decreasing their catastrophic thoughts, excessive worry patterns, negative thought processes while introducing different coping tools leading to positive thinking. These are also intended in helping the client conceptualize their interpretation of their traumatic occurrences, as well as their understanding of themselves and their coping ability.

 

Exposing the client to the traumatic event and asking them to apply a narrative, as well as reminders of the event or communicate emotions affiliated with the trauma, are used to assist the client in reducing their avoidance and maladaptive associations with the traumatic experience. Note: this is done in a controlled way and planned by the client and therapist so the client is making their own choice on what they do. The goal is to get back a sense of control, to decrease avoidance behaviors, to build self confidence and predictability. Psycho education is given about how trauma impacts the client and how to facilitate relaxation methods to reduce symptoms. Assisting the client to manage their stress and how to plan for a potential crisis are also essential components of CBT treatment. The therapist and the client have some latitude in choosing the components of CBT that will be more effective.

Exposure Therapy

This type of therapy is considered to be a behavioral treatment for PTSD. This is because exposure therapy targets learned behaviors that people engage in,  as a way to  respond to situations or thoughts and memories that are viewed as scarey or anxiety-provoking.

It is important to realize that this learned avoidance serves a purpose. When an individual experiences an event that is traumatic, they may start to behave in ways in order to avoid threatening situations; this is a way they believe will prevent that difficult experience from happening again.

During exposure therapy, the client is exposed to reminders of their trauma in a gradual and safe way. It allows the client to go at their own pace, with enough exposure, the trauma begins to lose its emotional grip, and the symptoms fall off. Exposure therapies are evidence based, which are supported by research.

Avoidance can cause PTSD symptoms to last much longer or even make them more severe. The person may avoid situations, emotions and thoughts,because the individual does not realize that the situation may not be as threatening as they believe it to be. The focus of this therapy is to help decrease anxiety and fear, the goal is to eliminate the avoidance behavior, which will in time, increase their quality of life.

Eye Movement Desensitization Reprocessing (EMDR)

EMDR therapy is an eight-phase treatment. Eye movements are used during one part of the session. After the therapist has determined which memory to target first, the client is asked to hold in mind the different aspects of that thought or experience and to use their eyes to track the therapist’s hand as it moves back and forth across the individual’s field of sight. As this happens, for reasons believed by a Harvard researcher to be connected with the biological mechanisms involved in Rapid Eye Movement (REM) sleep, internal associations arise and the clients begin to process the memory and disturbing emotions. If EMDR is successful, the meaning of painful traumatic experiences is transformed on an emotional level. Unlike talk therapy, the insights clients gather during EMDR therapy come from the client’s own speedy intellectual and emotional processes. The emotional wounds of clients have not only been closed but transformed. An outcome of the EMDR therapeutic process is that the persons’ thoughts, behavior, and emotions are all major indicators of resolution and emotional health-the clients do not need to speak about their trauma in great detail or do homework activities that are primarily used in other therapeutic processes when involved in EMDR therapy.

Healing from Trauma with EMDR

Eye movement Desensitization and Reprocessing (EMDR) is a psychotherapy that helps people to move forward from the emotional distress and symptoms that have resulted from horrific life experiences. Research studies indicate that by using EMDR therapy clients can experience the benefits of psychotherapy that once took many years to make a positive difference. It is believed that extreme emotional pain needs time to heal. EMDR therapy shows that the brain can heal from cognitive trauma just as the body heals from physiological trauma. EMDR therapy indicates that a similar succession of events occurs with mental processes. The brain’s information processing system moves towards mental health.If the brain is blocked or off balance by the shock of a difficult event, the emotional wound can cause severe suffering. Once the block is removed, healing can happen. Using the detailed protocols and procedures learned in EMDR therapy training, therapists can assist clients in activating their natural healing processes in the brain.

At Inspirational Therapy, the goal is to help as many clients learn how to cope and heal from their traumatic experiences. It is a primary focus to return the individuals that suffer from trauma and other mental illnesses to a productive quality of life. It is extremely difficult for people to try and deal with PTSD daily; it causes many to constantly relive a horrific event that happened in their life over and over again. It is time to be hopeful of the therapeutic treatments that are available to help to relieve thousands of this miserable condition. So, please do not ever lose hope because it is time to begin again.

Medication

Medication may be used to manage the symptoms of trauma, such as anxiety, depression and insomnia. Medication can be especially valuable when an individual’s symptoms are so severe that they are unable to participate in psychotherapy.

Medication Used to Treat PTSD

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) are types of antidepressant medication. Medications have 2 names: a brand name (for example, Zoloft) and a generic name (for example, sertraline). There are 4 SSRIs/SNRIs that are recommended for PTSD:

  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Fluoxetine (Prozac)
  • Venlafaxine (Effexor)

There are other types of antidepressant medications, but these four medications listed above are the ones that are most effective for PTSD.