Couples Therapy | Vector S Psychology

What is considered “trauma”?

Very frightening or distressing events may result in psychological harm. This harm is called trauma, and can affect a person’s ability to cope or function normally. Trauma is an emotional response to a terrible event like an accident, rape, or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships, and even physical symptoms like headaches or nausea.

Everyone's reaction to potentially traumatic experiences is different. Most people recover well with the help of family and friends and do not experience long-term problems.

Some people experience problems directly after the traumatic event or much later.

Potentially traumatic events are powerful and upsetting incidents that intrude into daily life. They are usually experiences which are life threatening or pose a significant threat to a person’s physical or psychological wellbeing.

Situations and events that can lead to psychological trauma include:

acts of violence such as an armed robbery, war, or terrorism
natural disasters such as bushfires, earthquakes, or floods
interpersonal trauma such as rape, domestic violence, or child abuse
traumatic loss of a loved one, including the suicide of a family member or friend
experience of a life-threatening illness or injury
involvement in a serious motor vehicle or workplace accident
finding out that a close family member or close friend was involved in a traumatic event

An event may have little impact on one person but cause severe distress in another. Other stressful situations which appear less severe may still trigger traumatic reactions in some people. It is important to focus on how a person experiences an event and the impact it has on them.

Many people have strong emotional or physical reactions following experience of a traumatic event. For most, these reactions subside over a few days or weeks.

For others, the symptoms may last longer and be more severe. This may be due to several factors such as the nature of the traumatic event, the level of available support, previous and current life stress, personality, and coping resources.

Symptoms

Symptoms of trauma can be described as physical, cognitive (thinking), behavioural (things we do) and emotional (how we feel).

Physical symptoms can include excessive alertness (always on the look-out for signs of danger), being easily startled, fatigue/exhaustion, disturbed sleep and general aches and pains.
Cognitive (thinking) symptoms can include intrusive thoughts and memories of the event, visual images of the event, nightmares, poor concentration and memory, disorientation and confusion.
Behavioural symptoms can include avoidance of places or activities that are reminders of the event, social withdrawal and isolation and loss of interest in normal activities.
Emotional symptoms can include fear, numbness and detachment, depression, guilt, anger and irritability, anxiety and panic.

As long as they are not too severe or don't last for too long, the symptoms described above are normal reactions to trauma. Although these symptoms can be distressing, they will settle quickly in most people. They are part of the natural healing process of adjusting to a very powerful event, making some sense out of what happened, and putting it into perspective.

With understanding and support from family, friends, and colleagues the stress symptoms usually resolve more rapidly. A minority of people will develop more serious conditions such as depression, posttraumatic stress disorder, anxiety disorders, or alcohol and drug problems.

PTSD

Posttraumatic stress disorder (PTSD) is a disorder that may occur in people who have experienced or witnessed a traumatic event, series of events or set of circumstances. An individual may experience this as emotionally or physically harmful or life-threatening and may affect mental, physical, social, and/or spiritual well-being. People with PTSD have intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. They may relive the event through flashbacks or nightmares; they may feel sadness, fear or anger; and they may feel detached or estranged from other people. People with PTSD may avoid situations or people that remind them of the traumatic event, and they may have strong negative reactions to something as ordinary as a loud noise or an accidental touch.

Coping with Trauma

There are a number of ways you can help look after yourself after a traumatic event or situation:

Emotional coping:

Recognise that you have been through a distressing experience and give yourself permission to be impacted by it, without judging yourself for feeling upset.
Remind yourself that you are having a normal reaction to an abnormal situation.
Avoid using alcohol or other drugs to cope with your experiences.
Share your experiences with trusted others when opportunities arise. This may feel uncomfortable at times but talking to people you feel safe with rather than bottling up your feelings can be helpful.
Avoid making any major decisions or life changes.

Social support:

Let your friends and family know your needs. Help them to help you by letting them know when you are tired, need time out, or need a chance to talk or just be with someone.
If the traumatic event has impacted the community (e.g. natural disaster), find ways to connect to and support the wider community to create positive healing experiences for yourself and those around you.
Find others who have been through similar experiences, such as through a local support group.
Seek out professional support if needed, including from a psychologist.

Re-establishing safety:

Try to maintain a normal routine. Keep busy and structure your day. Remember that regular exercise is important but do allow yourself time to rest if you are tired.
Maintain a regular sleep schedule and be mindful of avoiding caffeine or alcohol, especially later in the day.
Keep regular meals and maintain a healthy and balanced diet where possible.
Make time to practise relaxation. Use a formal technique such as progressive muscle relaxation, or just make time to absorb yourself in a relaxing activity such as gardening, cooking, art making, or listening to music. This will help your body and mind to re-establish a sense of safety.
Use grounding techniques such as guided breathing exercises, or the five-senses grounding technique (name five things you can see, four things you can hear, three things you can touch, two things you can smell, and one thing you can taste).

Treatment

Most people who experience a traumatic event will not require treatment. For others, treatment from a mental health professional will be required to help them process the experience safely.

Seek psychological assistance if the symptoms of the trauma are too distressing, or if they are impairing everyday activities such as work, study, family, and relationships.

Signs that psychological treatment may be helpful include:

being unable to handle the intense feelings or physical sensations
feeling numb and empty
experiencing strong distressing emotions that persist
being physically tense, agitated, or feeling on edge
disturbed sleep or nightmares
lacking support from someone with whom you can share your emotions
having relationship problems with friends, family, and colleagues
increasing your use of alcohol or drugs.

Treatments include trauma-focused psychological interventions

such as cognitive behavioural therapy (CBT), exposure therapy, and eye movement desensitisation and reprocessing (EMDR). These focus on education, stress management techniques, and helping the person to confront feared situations and distressing memories.