People may respond to traumatic experiences in a variety of ways. The following categories outline some common trauma-related reactions.
Re-experiencing the Trauma
Trauma survivors may re-experience their trauma through thoughts, feelings, memories, and other means. Re-experiencing a trauma can be very distressing, and may trigger uncomfortable emotions such as fear, anger, or sadness.
• Nightmares
• Flashbacks (uncontrollable vivid images and memories of the trauma)
• Distressing thoughts and feelings about the trauma
• Emotional distress or physical responses after experiencing a trauma reminder
Avoidance of Trauma Reminders
Because reminders of a trauma can be so distressing, it is common for trauma survivors to use
avoidance to control these reactions.
• Using drugs or alcohol to suppress uncomfortable thoughts and emotions
• Avoidance of activities related to the trauma
• Avoidance of people, places, or things related to the trauma
• Suppressing thoughts related to the trauma
• Avoidance of conversations about the trauma
Negative Thoughts or Feelings
Negative thoughts or feelings may begin or worsen after experiencing a trauma. Some of these
thoughts and feelings might not seem to relate directly to the trauma.
• Excessive blame toward oneself or others related to the trauma
• Loss of interest in activities
• Feelings of isolation or disconnection from surroundings
• Difficulty experiencing positive feelings
• Loss of memory related to the trauma
• Excessive negative thoughts about oneself or the world
Hyperarousal
Reactivity, or a feeling of being “on edge”, may begin or worsen after experiencing a trauma. This category includes a broad range of physical and psychological symptoms.
• Becoming irritable, quick to anger, or aggressive
• Heightened startle reaction
• Difficulty concentrating
• Frequently scanning the environment or watching for trauma reminders
• Difficulty sleeping
• Feelings of anxiety, and related symptoms such as a racing heart, upset stomach or headaches
• Risky or impulsive behaviors
This information reflects current trauma-informed guidance from the Ontario child advocacy centres, the Canadian Centre for Child Protection, BOOST Child & Youth Advocacy Centre, the National Child Traumatic Stress Network, the Ontario Association of Children's Aid Societies, the Canadian Paediatric Society, and peer-reviewed research on child development and recovery following childhood sexual abuse.
For a complete list of sources, websites, organizations and publications referenced in The Resource Project, please go to our section on References.
