What is trauma?

Trauma is a word we often hear, but do we truly comprehend its implications?  At its core, trauma is more than just a distressing event; it’s an experience that leaves a lasting imprint on the mind and body.  Specifically defined as an “emotional response to a deeply distressing or disturbing event or experience”, trauma can manifest in various forms and intensities. (NCPS)

It’s essential to recognise that trauma is subjective, as what may be traumatic for one person might not be for another.  Whether it’s a sudden accident, the loss of a loved one, or prolonged exposure to distressing circumstances, trauma disrupts our sense of safety and security, leaving us grappling with a complex array of emotions.  It is important to understand that not everyone who suffers a traumatic event will experience Post Traumatic Stress Disorder (PTSD) but this does not negate a traumatic experience; there is no such thing as big or little trauma.

Understanding trauma involves acknowledging its multifaceted nature.  It not only affects our mental health but also has physical effects.  The brain’s response to trauma can alter neural pathways, impacting memory, emotional regulation, and our capacity for trust.  Furthermore, trauma can infiltrate our daily lives, influencing relationships, decision-making, and overall quality of life.

A trauma event, because it is nothing like everyday experiences does not have a ready-made file in long-term memory.  As such, the brain holds it as recent or current which is why some relive and continue to experience the trauma long after the actual experience; trauma memories are not integrated, they are ever present.  (Van der Kolk, 2014)

The role of a therapist is to support the individual to validate and normalise the trauma, to know that something is not wrong with the person, something has happened to the person.  In other words to understand that the trauma response is an adaptive response and reaction to the experience.  Many different techniques exist to support trauma, all of which are relevant depending on the individuals symptomology.

All approaches seek to support positive psychological change with increased feelings of emotional strength.  It is vital that the right support is accessed and that the therapist has adequate training and experience in the field of trauma therapy.

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