Trauma

Trauma describes the invisible scars many of us live with. Pain from past events can overwhelm your current and future life. This guide will help to outline ways to recover and heal from them.
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What is it?

Trauma is a reaction your brain and body can have to a stressful or tragic event. What triggers a traumatic response can vary a lot for each person, which is one of the things that can make it hard to know if you’re experiencing the effects of trauma. It’s typically associated with physical or sexual assault, violence, or accidents, but can also involve repeated events, like neglect.

Experiencing a stressful event doesn’t always result in trauma. And, experiencing trauma does not always lead to long-lasting effects. Only about 20% of people will develop Posttraumatic Stress Disorder (PTSD), which is a mental health disorder that includes symptoms like avoidance and changes in arousal lasting a month or more. 

It can be tough to recognize and discuss a wound that can’t be seen. You might experience strong emotions unexpectedly, trouble sleeping, or physical sensations like a fast heartbeat, seemingly without warning. But, like any other wound, it needs attention to heal. 

It can be hard to identify the source of your trauma or how it affects you, but trying to understand it is an important step. You may not feel like talking about it right away, and that’s OK.There are other ways to move forward that are right for you.

What’s causing it?

There are many possible causes of trauma as well as ways to categorize them. Here’s a breakdown of the main types:

  • Acute Trauma: This refers to trauma in reaction to a one-time, one-off event—for example: experiencing assault or abuse, getting in a car crash, or unexpectedly losing someone you love.
  • Chronic Trauma: This is trauma that develops in response to a dangerous situation that repeats over a longer period of time. This includes things like constant bullying, neglect from a partner or people in your family, or any kind of ongoing abuse.
  • Secondary Trauma: This is a reaction to repeatedly witnessing other people’s hardships. It’s a kind of trauma that’s common for first responders, such as firefighters, EMTs, and social workers. 
  • Adverse Childhood Experiences (ACE): This refers to traumatic childhood events that continue to affect you later in life. Experiences like the loss of a parent, parental neglect, abuse or family conflict are the most common causes of ACE.

Sometimes we protect ourselves from the feelings associated with trauma by dissociation, feeling detached from reality, or intellectualization, focusing on facts over feelings. Both can often help us in the moment, but in the long run can prevent us from truly coping.

It’s important to notice how trauma is affecting your mind and body, and recognize it has no timeline. You may have feelings long after the event has taken place. Here are some feelings and scenarios that may be related.

Many people’s trauma leads to certain mental health struggles. Learn more about these specific mental health conditions to see if there’s anything to consider for yourself.

How should I deal with it?

Recognizing the effects of past trauma and exploring ways to work on it is one of the greatest and bravest forms of self-love. It can be challenging to find the time and energy to prioritize mental health, but the rewards for doing so are countless. 

Things to try

In general, focusing on activities that improve your mood and sense of self are great, healthy ways to respond to trauma.


Video Play Watch
Try the 5-4-3-2-1 relaxation and grounding technique
For:
Anger ,
Guilt ,
Worry ,
Non-substance addiction ,
Substance use ,
Trauma
Relaxing can help counter a fight-or-flight stress response. The 5-4-3-2-1 technique is one approach you can try. To do this, pause for a moment to take notice of your surroundings, Ask yourself a series of questions, counting down from 5: 5) What are 5 things you can see? 4) What are 4 things you can feel? 3) What are 3 things you can hear? 2) What are 2 things you can smell? 1) What is 1 thing you can taste? This method helps you focus on your body, and grounds you in the moment.
5-4-3-2-1 Coping Technique for Anxiety

Lightbulb Activity
Try journaling
For:
Relationship issues & breakups ,
Non-substance addiction ,
Substance use ,
Trauma ,
Worry ,
Grief & loss
Write about how you’re feeling—not only what makes you happy, but also what triggers stress or pain. Experiencing a range of emotions helps regulate stress response, which can mean a healthier immune system. Journaling can also help you take action—you can identify things you want to do more or less of, identify situations you want to change or get help with, and figure out ways to deal with stress in the moment if you know what situations to look out for. While it is tempting to just use your computer, it can be more beneficial to go back to the old pen and paper. The good news is, you only need to journal a few times a week, for 10-20 minutes to get benefit.

Lightbulb Activity
Invest in a weighted blanket
For:
Grief & loss ,
Guilt ,
Loneliness ,
Sadness ,
Worry ,
Relationship issues & breakups ,
Trauma
TLDR: Weighted blankets work. Weighted vests even work for our animal friends! And there are even weighted stuffed animals.The science is simple: It's like being tucked in – safe and secure – or like a big hug from someone you love. The weight in a weighted blanket is proven to help settle nerves and improve sleep, which in turn has all sorts of benefits for your health.

Lightbulb Activity
Spend some time with a pet
For:
Grief & loss ,
Loneliness ,
Sadness ,
Worry ,
Chronic health issues & disabilities ,
Relationship issues & breakups
Pets can provide comfort, companionship, and more often than not, a laugh, when you need it most. Science also backs up the benefits of having a pet on your mental health. Spend some time playing with your pet and enjoying each other company. If you don’t have a pet but love animals, consider volunteering at a shelter or visiting a neighbor or a friend with a pet.

Lightbulb Activity
Ask for specific help
For:
Grief & loss ,
Guilt ,
Loneliness ,
Sadness ,
Chronic health issues & disabilities ,
Family conflict ,
Money issues
Though making a specific ask when you're going through difficult times might feel strange, well-intentioned friends who say “Let me know if I can do anything” will be glad to have a clear idea of how to be helpful. If you aren’t sure where to start, consider: Practical support: errands, cooking, babysitting, etc.; Social/well-being activities: taking a walk, going to coffee or lunch, etc.; Emotional support: spending time together—to talk, or just spend time together.

What can I do now?

If you believe you’ve experienced or are experiencing trauma, you’ve already taken an important first step by finding this page. There are many resources available for people dealing with trauma from all causes and at all stages—whether you’ve just realized it’s what you’re going through, or whether you’ve been dealing and trying to address it for a while. 

  • Online interactive tool(s)
    Roadmap to Trauma & PTSD | The Mental Health Coalition
    This Roadmap provides an understanding of what trauma and PTSD are, their potential impact, how to cope, and where to find credible resources to further your healing journey.
    Anger, Family conflict, Grief & loss, Guilt, Trauma, For first responders, For health care professionals, For survivors of natural or human-caused disasters, For survivors of trauma, assault or violence, For folks with disabilities, For veterans, Post-Traumatic Stress Disorder (PTSD)
  • Online interactive tool(s)
    Where to get help | Mental Health America
    Mental Health America offers a "Where to Get Help" interactive tool to recommend locating mental health support resources based on your needs.
    Trauma, Therapy
  • Online directory
    FindTreatment.gov
    A confidential and anonymous resource for persons seeking treatment for mental and substance use disorders in the United States and its territories.
    Trauma, Non-substance addiction, Therapy, Addiction, Schizophrenia, Psychosis, Eating disorders, Postpartum Depression, Bipolar Disorder, Post-Traumatic Stress Disorder (PTSD), Attention Hyperactivity Deficit Disorder (ADHD), Anxiety, Depression, Suicide, Substance Use Disorder (SUD), Alcohol Use Disorder (AUD), Obsessive-compulsive disorder (OCD), Borderline Personality Disorder (BPD)
  • Helpline | Text line
    Disaster Distress Helpline (DDH)
    The Disaster Distress Helpline (DDH) is the first national hotline dedicated to providing year-round disaster crisis counseling. This toll-free, multilingual, crisis support service is available 24/7 to all residents in the U.S. and its territories who are experiencing emotional distress related to natural or human-caused disasters. DDH callers can connect with counselors in over 100 languages via 3rd-party interpretation services.
    Anger, Grief & loss, Trauma, Text line, Hotline, For survivors of trauma, assault or violence, Crisis support, Post-Traumatic Stress Disorder (PTSD), Anxiety, Depression, For survivors of natural or human-caused disasters