Understanding Trauma in Adults: Symptoms, Therapy, and Hope

Trauma is a word we often hear but may not fully understand. It's a topic that can be uncomfortable to discuss, yet it's crucial to shed light on it. 


This blog defines trauma and explores how it affects adults who have experienced it and why it's important to seek help to treat trauma. Whether you've personally been through a traumatic experience or are looking to support someone who has, this information can make a significant difference in understanding and treating trauma.


Healing from trauma can be a difficult journey, but you don't need to face it alone. Weston Family Psychology offers evidence-based therapy to assist you in overcoming the impact of trauma and regaining control of your life. To learn more about our trauma therapy services, please call us at (954) 866-3766 or email intake-coordinator@westonfamilypsychology.com.


The Prevalence of Trauma in Adults


Trauma is a more common experience than most realize. Based on a study, 70% of U.S. adults have experienced at least one traumatic event in their lives, affecting 223.4 million people. Trauma doesn't discriminate based on age, gender, or background. It can affect anyone, and the first step is recognizing its presence.


What is Trauma?


The American Psychological Association defines trauma as “an emotional response to a terrible event like an accident, rape, or natural disaster.” After the incident, individuals may experience shock and denial. They may also have unpredictable emotions, flashbacks, strained relationships, and physical symptoms like headaches or nausea in the long term. 


Although these reactions are normal, some people may have difficulty moving on. Psychologists can help by showing how to deal with emotions in healthy ways.


Causes and Types of Trauma


Trauma can stem from various experiences. We should recognize, however, that what might be traumatic for one person may not have the same impact on another. Understanding the wide range of traumatic experiences helps us empathize with survivors and validate their feelings.


Some common causes of trauma include:


  • Accidents: Whether it's a severe car crash or a workplace incident, accidents can result in both physical and psychological trauma.

  • Natural Disasters: Surviving catastrophic events like earthquakes, hurricanes, or floods can leave individuals deeply traumatized. Beyond natural disasters, trauma can result from other disasters, including industrial accidents or environmental crises.

  • Violence: Experiencing or witnessing violence, such as physical assault or domestic abuse, can have profound and long-lasting effects on mental well-being.

  • Terrorism and Violence: Acts of terrorism and widespread violence can leave communities and individuals grappling with trauma on a large scale.

  • Refugee Trauma: The experience of fleeing one's homeland due to war, persecution, or violence can lead to refugee trauma, encompassing a range of emotional and psychological challenges.

  • Childhood Neglect: Trauma isn't always tied to a single, dramatic event. Growing up in an environment where one's basic emotional or physical needs are not met can lead to enduring emotional scars.

  • Family Trauma: Dysfunctional family dynamics, including divorce, parental substance abuse, or constant conflict, can cause trauma that affects individuals well into adulthood.

  • Traumatic Grief: Losing a loved one under traumatic circumstances, such as a sudden accident or violent incident, can lead to traumatic grief, which differs from typical mourning.

  • Sexual Trauma: Sexual assault or abuse can result in severe psychological trauma, often requiring specialized therapy and support.

  • Intimate Partner Violence: Suffering abuse or violence within an intimate relationship can result in complex trauma, affecting emotional and physical well-being.


‘Big T’ and ‘little t’ Trauma


Some mental health professionals distinguish between "big T" and "little t" traumas. "Big T" traumas, such as sexual assault and combat, are often linked with PTSD. Meanwhile, "little t" traumas may include emotional abuse, bullying, or significant life changes.


However, labeling traumatic experiences this way is a contentious issue. Repeated exposure to "little t" traumas over time can have the same emotional impact as "big T" traumas, particularly when experienced during childhood or in complex trauma cases.


Regardless of the type of trauma, all emotional injuries warrant empathy and support, and any harmful event necessitates validation and assistance.


Common Misconceptions About Trauma


Several misconceptions about trauma can hinder both recognition and healing. Some of these myths include:


  • Trauma only affects combat veterans: While combat-related trauma is a significant issue, trauma can result from various experiences, including accidents, abuse, and loss.

  • Trauma is a sign of weakness: Trauma survivors often struggle with feelings of shame or weakness. However, experiencing trauma is not a sign of personal inadequacy — it's a natural reaction to distressing events.

  • Time heals all wounds: Another misconception is the idea that trauma will naturally dissipate with time. While time can be a factor in healing, professional intervention is often necessary to address the lasting impact of trauma.

  • All childhoods are traumatic: This belief often leads people to mistake ordinary hardships for genuine trauma. This view can cause individuals to question their own experiences and the adequacy of their caretakers.

  • Trauma will destroy your life forever: Some people assume the identity of a victim and create a culture of victimhood. Letting go of the victim label can enable people to see themselves as survivors and grow.

  • Talking about negative emotions and experiences can lead to healing: It is commonly believed that discussing negative emotions and experiences can aid in the healing process. However, evidence shows that revisiting traumatic events, particularly those affecting a large number of individuals, such as natural disasters or wars, can be harmful. As a result, treatments should be utilized with caution and tailored to each individual case.


Trauma Symptoms


Experiencing trauma can be an incredibly challenging and distressing experience. It can have lasting effects on a person, leading to emotional, physical, and behavioral symptoms that make it difficult to lead a normal life.


Emotional Symptoms


  • Anxiety: Anxiety is a common emotional symptom of trauma. Trauma survivors may experience excessive worry, restlessness, and a sense of impending danger or doom. These feelings can be intense and interfere with daily life.

  • Depression: Trauma often leads to feelings of sadness, hopelessness, and a loss of interest in activities that were once enjoyable. Depression can be pervasive and may contribute to a sense of isolation and despair.

  • Flashbacks: Trauma survivors may have intrusive memories of the traumatic event, known as flashbacks. These flashbacks can be so vivid that they feel as if the trauma is happening again, leading to intense fear and emotional distress.


Physical Symptoms


  • Sleep Disturbances: Trauma can disrupt sleep patterns, leading to difficulties falling asleep, staying asleep, or experiencing restorative sleep. Nightmares related to the traumatic event are common and can further exacerbate sleep disturbances.

  • Fatigue: The emotional toll of trauma often results in extreme fatigue and low energy levels. Trauma survivors may struggle to find the energy to carry out daily tasks.

  • Nervousness: Trauma can make individuals hyper-vigilant and excessively nervous. They may constantly scan their surroundings for potential threats and exhibit an exaggerated startle response, making it challenging to relax or feel safe.


Behavioral Symptoms


  • Avoidance: Trauma survivors may go to great lengths to avoid reminders of the traumatic event, including avoiding places, people, or activities associated with the trauma. While it may be a temporary relief, it often limits their ability to engage fully in life.

  • Irritability: Trauma can make individuals irritable and quick to anger. They may struggle to regulate emotions, leading to outbursts and strained relationships.

  • Substance Abuse: Coping with trauma can be overwhelming, so some individuals turn to substances like drugs or alcohol as a way to self-medicate and numb the emotional pain. Unfortunately, this can result in a cycle of addiction and further complicate recovery.


What Does Being “Traumatized” Mean?


Being "traumatized" is a complex and deeply personal experience. It's not about being weak or unable to cope with life's challenges. Instead, it signifies that an individual has encountered something extraordinarily distressing or overwhelming.


The Impact on Daily Life


The impact of trauma on daily life is profound and far-reaching. It can affect various aspects of a person's existence, creating significant challenges in various areas of life.


  • Relationships: Trauma can strain relationships as individuals may become withdrawn, irritable, or emotionally distant. The trauma survivor's struggle to trust and connect with others can also hinder their ability to form and maintain healthy relationships.

  • Work and Productivity: Trauma can impair one's ability to concentrate, leading to decreased work performance and job-related difficulties. Fatigue, emotional distress, and frequent absences may also be common.

  • Physical Health: Trauma can contribute to physical health issues due to the constant stress on the body. Sleep disturbances, somatic symptoms, and compromised immune function are among the physical repercussions of trauma.

  • Self-Identity: Trauma can shatter an individual's sense of self. Survivors may grapple with feelings of guilt, self-blame, and a diminished sense of self-worth. Rediscovering a positive self-identity is often a critical aspect of healing.


Why Traumatic Experiences Impact Some People More Than Others


Traumatic experiences can have a different impact on individuals, with some displaying remarkable resilience while others struggle to cope.


Resilience Factors


Resilience refers to an individual's ability to bounce back from adversity and maintain mental and emotional well-being despite facing challenging circumstances. Several key resilience factors can mitigate the impact of trauma:


  • Social Support: Having a strong support system, including friends and family, can significantly enhance resilience. Social support provides emotional validation, a sense of belonging, and practical assistance when needed. It can buffer the negative effects of trauma by reducing feelings of isolation.

  • Coping Strategies: Effective coping strategies play a critical role in resilience. Individuals with a repertoire of healthy coping mechanisms, such as problem-solving skills, emotional regulation techniques, and mindfulness practices, are better equipped to manage trauma-related stress.

  • Pre-Existing Mental Health: Individuals with strong mental health resilience, including factors like high self-esteem, good self-awareness, and positive coping patterns, may have a more robust foundation to withstand the impact of trauma.


Vulnerability Factors


Vulnerability factors increase an individual's susceptibility to the negative effects of trauma. These factors can amplify the impact of traumatic experiences.


  • Childhood Experiences: Early life experiences, particularly adverse ones such as abuse, neglect, or dysfunctional family environments, can increase vulnerability to trauma later in life. Childhood trauma can shape one's ability to cope with stress and adversity.

  • Genetics: Genetics can also contribute to vulnerability. Some individuals may inherit genetic predispositions that affect their stress response or likelihood of developing certain mental health conditions, making them more vulnerable to trauma's effects.

  • Severity of Trauma: The intensity and duration of the traumatic experience play a significant role. Severe trauma, such as torture or combat exposure, can overwhelm an individual's coping resources, making it more challenging to recover.


Types of Trauma Therapy


There is no one-size-fits-all approach to treating trauma. The choice of trauma therapy approach should be tailored to an individual's unique needs and preferences, and some may benefit from a combination of these approaches.


Psychotherapy


Psychotherapy, also known as talk therapy, is a common and effective approach to trauma treatment. It involves engaging in conversations with a trained therapist to explore and process traumatic experiences.


Here are three well-established psychotherapy techniques used in trauma therapy:


1. Cognitive Behavioral Therapy (CBT)


  • Overview: CBT is a structured and evidence-based therapy that helps individuals identify and challenge negative thought patterns and behaviors related to their trauma.

  • How It Works: CBT encourages individuals to recognize and reframe irrational beliefs and thought distortions associated with trauma. It also helps them develop healthier coping strategies and problem-solving skills.

  • Effectiveness: CBT has been widely studied and proven effective in treating trauma-related conditions such as post-traumatic stress disorder (PTSD), anxiety, and depression.


2. Eye Movement Desensitization and Reprocessing (EMDR)


  • Overview: EMDR is a specialized therapy designed to help individuals process traumatic memories and reduce their emotional impact.

  • How It Works: EMDR incorporates guided eye movements, tapping, or auditory cues while the individual recalls traumatic memories. This process helps rewire the way the brain processes these memories, reducing their emotional charge.

  • Effectiveness: EMDR is found to be highly effective in treating trauma-related conditions and is particularly useful for those who find it difficult to talk about their traumatic experiences.


3. Dialectical Behavior Therapy (DBT)


  • Overview: DBT focuses on improving emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness.

  • How It Works: DBT combines individual therapy sessions with group skills training. It teaches individuals to manage intense emotions and develop healthy interpersonal relationships.

  • Effectiveness: DBT can be beneficial for trauma survivors who struggle with emotional dysregulation and self-destructive behaviors often associated with trauma.


Dispelling Stigma Around Trauma


Stigma surrounding trauma is a pervasive barrier that can hinder individuals from seeking help and support; dispelling this stigma is crucial for creating a more compassionate and understanding society.


  • Strength in Seeking Help: Recognizing and addressing trauma is a sign of courage and strength, not weakness. Survivors should be encouraged to seek professional help and support without fear of judgment.

  • Education and Awareness: Promoting education and awareness about trauma can help reduce stigma. When society at large understands the profound impact of trauma, it becomes easier to provide empathy and support.

  • Safe Spaces: Creating safe and non-judgmental spaces for trauma survivors to share their experiences allows them to express their feelings, seek validation, and find solace in knowing they are not alone.

  • Compassion and Empathy: Encouraging compassion and empathy toward trauma survivors fosters a more supportive environment. Being a good listener and offering empathy can go a long way in helping survivors heal.


Wondering if You Have Trauma?


If you or someone you know is struggling with trauma, seeking professional help is important. A qualified therapist can assess your situation and guide you toward appropriate treatment. Early intervention is key to treating trauma and increases the chances of healing.


At Weston Family Psychology, we are committed to helping trauma survivors overcome their experiences in a supportive environment where they can feel heard and empowered. Our trauma treatment utilizes evidence-based techniques, and we work collaboratively with you to determine the most effective approach for your individual experiences and requirements.


Seek Help, Treat Trauma, and Find Hope


Trauma is a complex and deeply personal experience that can affect anyone. Understanding its impact and seeking help are essential steps toward healing and recovery. Trauma therapy offers hope and a path to reclaiming your life. Remember, you are not alone, and there is help available. Let's break the stigma surrounding trauma and work together to create a brighter future for survivors.


If you or someone you know needs to be treated for trauma, you can reach out to our intake coordinator at (954) 906-6572 or intake-coordinator@westonfamilypsychology.com. Taking the first step towards healing is as simple as making that call or email.