Trauma

What are the stories that have significantly shaped your life? When we think about our lives and how we’ve gotten to where we are today, I am willing to bet that, upon reflection, you would share stories of important or momentous events to explain how you’ve gotten to where you are. Narrative Therapy This is the essence of the therapeutic approach called Narrative Therapy. The important, tragic, significant, and painful events in our lives are not isolated. Rather, they are connected, intertwined, and most importantly, they form the story that is your life. Do you believe that you have a story to tell? In every story, there are characters, side characters, and a plotline. Each character plays a role in the story. Each character has a specific purpose, and each leaves an impact, whether implicitly or explicitly. In the plotline of each story, it is often the implicit impact that does the most damage due to the initial invisibility of its mark. The invisibility of the marks themselves is commonly the thing we are left trying to make sense of in the aftermath of an event in our lives. How we interpret the events in the story itself is equally a product of the stories that shape us. In essence, we are not formed in isolation. How we think, how we act, and how we interpret certain feelings or things that happen to us are all informed by the stories we have. The purpose of Narrative Therapy is to help a person take in the full scope of their life. It is designed as a non-pathologizing approach that helps individuals separate themselves from the problems they face, to reframe how they think about his or her life to develop new perspectives. This therapeutic process understands a person’s life as [...]

In recent years, society and culture in the US have changed to the point that talking about mental health is seen as acceptable and important rather than taboo or embarrassing. For many, however, there remains some confusion surrounding trauma and how it affects people. The best way to avoid becoming dismissive or confused about trauma is to learn about it. The goal is to be sensitive and informed when we encounter trauma, either in ourselves, in professional spaces, or in intimate connections with friends and loved ones. Trauma Facts Trauma doesn’t affect everyone in the same way Two people can go through the same event and come away with completely different experiences. For example, a divorce might affect one child deeply while their sibling takes it in their stride and adapts to the change with relative ease. We tend to compare our experiences with others, especially those closest to us, so that we can frame or understand our perception of what happened. When it feels like we are the only ones to have experienced trauma from a certain event, we might feel confused. Sometimes we trivialize or dismiss our own experience. This is often how people become dismissive of trauma in general; they misunderstand their response to something that deeply affects them. It can take time for us to realize an event has caused trauma We sometimes come out on the other end of a struggle and continue with our lives only to find that months, years, and sometimes decades later, we can’t stop thinking about what happened. Even in sleep, we find ourselves reliving past events. PTSD and CPTSD happen after an event and affect us until we begin addressing it. Just because something didn’t directly impact us when it happened does not mean it wasn’t traumatic. Trauma [...]

A person who experiences trauma has a hard time getting the help needed due to the alteration of their ability to recover from the event. Trauma is not the same for all people, so there is no one way to approach the healing process. Receiving safe healthcare for trauma starts with the ability of the caregiver to understand that trauma can impact a person’s ability to engage in treatment. This is the basis of trauma-informed care. What is trauma-informed care? Trauma-informed care is the practice of universal precautions for trauma. Just like the universal precautions for pathogens, trauma-informed care is a way to implement policies that will prevent the possibility of re-traumatization for some individuals. This type of care will promote an awareness of having a safe environment for those who struggle with trauma-induced health issues. Trauma-informed care focuses on reducing further harm and opens the door to healing. A trauma-informed approach adopts the thought process of having a complete picture of the person’s life to provide comprehensive and effective treatment. This practice will lead to an improvement in individual engagement. When the individual engages in treatment there is a higher likelihood of a positive outcome. This can also help reduce the cost of gaining effective health care. He will cover you with His feathers, and under His wing you will find refuge; His faithfulness will be your shield and rampart. You will not fear the terror of night, nor the arrow that flies by day, nor the pestilence that stalks in the darkness, nor the plague that destroys at midday. – Psalm 91:4-6, NIV Why is trauma-informed care important? When it comes to understanding the effect of trauma, many people cannot fathom why some individuals have reacted in specific ways to a traumatic event. The common thought is [...]

Trauma is an emotional wound caused by a major, unexpected event that threatens a person’s life or well-being. When our body feels threatened, it will automatically produce cortisol and adrenaline, hormones that aid a person in facing the threat in front of them. The body’s response can be any of the following in the face of danger and threat. Flight – This response usually occurs when a person feels that the only way to protect themselves is to run. This can mean physically running from the threat itself or stepping away from a deeply upsetting and hurtful conversation. It is physically removing oneself from danger and looking for a safer place, either to hide or regroup. Fight – Fighting means a person protects themselves by fighting their way out of danger. This can mean they will struggle, confront, protest, or physically fight whatever danger they are facing. Flop – This is when a person sees compliance as their only form of protection. They will do whatever they are asked to do, in the hope that they will be spared from danger. They will not struggle or protest, they will present themselves as non-threatening to make it through a dangerous ordeal. Fawn – Fawn is a little different from flop. This is when someone goes out of their way to please the person who is hurting them to be in their good graces. This can happen in domestic violence situations where the partner in danger will pacify the abusive partner by doing those things they know will please him or her. Children also do this with abusive parents. They will try to “be good” so they are not hurt by them. Freeze – This is when a situation is so severe that the person will literally freeze and be rendered almost [...]

Traumatic events are unpredictable and devastating. They can happen any time and anywhere, leaving the people who experience them with significant struggles as they try to process and recover from the memories of the event. Some people are gradually able to come to terms with what happened, but others are not. People whose symptoms do not go away may be suffering from Post-Traumatic Stress Disorder (PTSD). Their symptoms may become so pervasive that they interfere with their ability to function in their day-to-day life. Trauma creates change you don’t choose. Healing is about creating change you do choose. – Michelle Rosenthal If you have been diagnosed with Post-Traumatic Stress Disorder, the good news is that it can be treated successfully. There are several effective forms of therapy that can help you regain control of your life and get it back on track. Evidence-based Post-Traumatic Stress Disorder treatment interventions. Evidence-based trauma-focused psychotherapies are considered to be the most effective PTSD treatment, and the first-line choice for people suffering from PTSD. Although they may use different techniques or a combination of them to help you process your memories of the trauma, the common goal is to diminish your anxiety, reduce avoidant behavior, and equip you with effective coping skills to manage your symptoms, handle stressful situations, and deal with any triggers that arise. Cognitive Behavioral Therapy (CBT). Cognitive behavioral therapy is a type of talk therapy that focuses on the relationship between thoughts and behaviors. Its premise is that identifying and correcting the distorted thoughts that are at the root of your symptoms can lead to healthier ways of acting and an improved ability to control your emotions. Most PTSD treatment interventions are a form of cognitive behavioral therapy and fall under its umbrella. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Trauma-focused cognitive [...]