Emotional and Psychological Trauma
Symptoms, Treatment, and Recovery
If you’ve experienced trauma, you may be struggling with upsetting emotions, frightening memories, or a sense of constant danger. Or you may feel numb, disconnected, and unable to trust other people. When bad things happen, it can take a while to get over the pain and feel safe again. But with the right self-help strategies and support, you can speed your recovery. Whether the trauma happened years ago or yesterday, you can heal and move on.
What is emotional and psychological trauma?
Emotional and psychological trauma is the result of extraordinarily stressful events that shatter your sense of security, making you feel helpless in a dangerous world.
- Traumatic experiences often involve a threat to life but any situation that leaves you feeling overwhelmed can be traumatic, even if it doesn’t involve physical harm.
- It’s not the objective facts that determine whether an event is traumatic, but your subjective emotional experience.
- The more frightened and helpless you feel, the more likely you are to be traumatized.
Causes of emotional or psychological trauma
Emotional and psychological trauma can be caused by:
- One-time events, such as an accident, injury, natural disaster, or violent attack
- Ongoing, relentless stress, such as living in a crime-ridden neighborhood or battling a life-threatening illness
- Commonly overlooked causes, such as surgery (especially in the first 3 years of life), the sudden death of someone close, the breakup of a significant relationship, or a humiliating or deeply disappointing experience
An event will most likely lead to emotional or psychological trauma if:
Risk factors that increase your vulnerability to trauma
A number of risk factors make people more susceptible to emotional and psychological trauma. You’re more likely to be traumatized by a stressful experience if:
- You’re already under a heavy stress load or have recently suffered a series of losses
- You’ve been traumatized before—especially if the earlier trauma occurred in childhood
Childhood trauma increases the risk of future trauma
Experiencing trauma in childhood can have a severe and long-lasting effect. When childhood trauma is not resolved, a sense of fear and helplessness carries over into adulthood, setting the stage for further trauma.
Childhood trauma results from anything that disrupts a child’s sense of safety, including:
Symptoms of emotional and psychological trauma
People react in different ways to trauma, experiencing a wide range of physical and emotional reactions. There is no “right” or “wrong” way to think, feel, or respond, so don’t judge your own reactions or those of other people. Your responses are NORMAL reactions to ABNORMAL events.
Emotional and psychological symptoms of trauma:
Physical symptoms of trauma:
Symptoms typically last from a few days to a few months, gradually fading as you process the trauma. But even when you’re feeling better, you may be troubled from time to time by painful memories or emotions—especially in response to triggers such as an anniversary of the event or something that reminds you of the trauma.
Grieving is normal following trauma
Whether or not a traumatic event involves death, survivors must cope with the loss, at least temporarily, of their sense of safety. The natural reaction to this loss is grief. Like people who have lost a loved one, trauma survivors go through a grieving process, which is easier if you turn to others for support and take care of yourself.
Trauma recovery tip 1: Get moving
Trauma disrupts the body’s natural equilibrium, freezing you in a state of hyperarousal and fear. In essence, your nervous system gets “stuck.” As well as burning off adrenaline and releasing endorphins, exercise and movement can actually help your nervous system become unstuck.
- Instead of focusing on your thoughts or distracting yourself while you exercise, really focus on your body and how it feels as you move.
- Exercise that is rhythmic and engages both your arms and legs—such as walking, running, swimming, basketball, or even dancing—works best.
- Notice the sensation of your feet hitting the ground, for example, or the rhythm of your breathing, or the feeling of wind on your skin.
- Rock climbing, boxing, weight training, or martial arts can make it easier to focus on your body movements—after all, if you don’t, you could get hurt.
- Try to exercise for 30 minutes or more—or if it’s easier, three 10-minute spurts of exercise per day are just as good. Move as often as you can throughout the day.
Trauma recovery tip 2: Don't isolate
Following a trauma, you may want to withdraw from others, but isolation makes things worse. Connecting to others face to face will help you heal, so make an effort to maintain your relationships and avoid spending too much time alone.
- You don’t have to talk about the trauma. Connecting with others doesn’t have to mean talking about the trauma. In fact, for some people, that can just make things worse. Comfort comes from feeling engaged and accepted by others.
- Ask for support. While you don’t have to talk about the trauma itself, it is important you have someone to share your feelings with face to face, someone who will listen attentively without judging you. Turn to a trusted family member, friend, counselor, or clergyman.
- Participate in social activities, even if you don’t feel like it. Do “normal” things with other people, things that have nothing to do with the traumatic experience.
- Reconnect with old friends. If you’ve retreated from relationships that were once important to you, make the effort to reconnect.
- Join a support group for trauma survivors. Being with others who are facing the same problems can help reduce your sense of isolation and hearing how others cope can help inspire you.
- Volunteer. As well as helping others, volunteering can be a great way to challenge the sense of helplessness that often accompanies trauma. Remind yourself of your strengths and reclaim your sense of power by comforting or helping others.
- Make new friends. If you live alone or far from family and friends, it’s important to reach out and make new friends. Take a class or join a club to meet people with similar interests, connect to an alumni association, or reach out to neighbors or work colleagues.
If connecting to others is difficult
Many people who have experienced trauma feel disconnected, withdrawn and find it difficult to connect with other people. If that describes you, there are some things you can do before you next sit down with a friend:
- Exercise or move. Jump up and down, swing your arms and legs, or just flail around. Your head will feel clearer and you’ll find it easier to connect.
- Vocal toning. As strange as it sounds, vocal toning is a great way to open up to social engagement. Sit straight and simply make “mmmm” sounds. Change the pitch and volume until you experience a pleasant vibration in your face.
Trauma recovery tip 3: Self-regulate your nervous system
No matter how agitated, anxious, or out of control you feel, it’s important to know that you can change your arousal system and calm yourself.
- Mindful breathing. If you are feeling disoriented, confused, or upset, a quick way to calm yourself is through mindful breathing. Simply take 60 breaths, focusing your attention on each out breath.
- Sensory input. Does a specific sight, smell or taste quickly make you feel calm? Or maybe petting an animal or listening to music works to quickly soothe you? Everyone responds to sensory input a little differently, so experiment to find what works best for you. See Stress Relief in the Moment.
- Staying grounded. To feel in the present and more grounded sit on a chair, feel your feet on the ground and your back against the chair. Look around you and pick six objects that have red or blue in them. Notice how your breathing gets deeper and calmer.
- Allow yourself to feel what you feel when you feel it. Acknowledge your feelings about the trauma as they arise and accept them. Our emotional intelligence toolkit can help.
Trauma recovery tip 4: Take care of your health
A healthy body increases your ability to cope with stress from a trauma.
- Get plenty of sleep. After a traumatic experience, worry or fear may disturb your sleep patterns. A lack of sleep can make your trauma symptoms worse and make it harder to maintain your emotional balance. Go to sleep and get up at the same time each day and aim for 7 to 9 hours of sleep each night.
- Avoid alcohol and drugs as their use can worsen your trauma symptoms and exacerbate feelings of depression, anxiety, and isolation.
- Eat a well-balanced diet. Eating small, well-balanced meals throughout the day will help you keep your energy up and minimize mood swings. Avoid sugary and fried and eat plenty of omega-3 fats—such as salmon, walnuts, soybeans, and flaxseeds—to give your mood a boost.
- Reduce stress. Try relaxation techniques such as meditation, yoga, or deep breathing exercises. Schedule time for activities that bring you joy such as favorite hobbies.
When to seek professional help for emotional or psychological trauma
Recovering from a traumatic event takes time, and everyone heals at his or her own pace. But if months have passed and your symptoms aren’t letting up, you may need professional help from a trauma expert.
Seek help for emotional or psychological trauma if you're:
- Having trouble functioning at home or work
- Suffering from severe fear, anxiety, or depression
- Unable to form close, satisfying relationships
- Experiencing terrifying memories, nightmares, or flashbacks
- Avoiding more and more things that remind you of the trauma
- Emotionally numb and disconnected from others
- Using alcohol or drugs to feel better
Finding a trauma specialist
Working through trauma can be scary, painful, and potentially retraumatizing. Therefore, this healing work is best done with the help of an experienced trauma specialist.
- Finding the right therapist may take some time. It’s very important that the therapist you choose has experience treating trauma.
- Choose a trauma specialist you feel comfortable with. If you don’t feel safe, respected, or understood, find another therapist. There should be a sense of trust and warmth between you.
After meeting a potential trauma therapist, ask yourself these questions:
- Did you feel comfortable discussing your problems with the therapist?
- Did you feel like the therapist understood what you were talking about?
- Were your concerns taken seriously or were they minimized or dismissed?
- Were you treated with compassion and respect?
- Do you believe that you could grow to trust the therapist?
Treatment for psychological and emotional trauma
In order to heal from psychological and emotional trauma, you must face and resolve the unbearable feelings and memories you’ve long avoided. Trauma treatment and healing involves:
- Processing trauma-related memories and feelings
- Discharging pent-up “fight-or-flight” energy
- Learning how to regulate strong emotions
- Building or rebuilding the ability to trust other people
Trauma therapy treatment approaches
The following therapies are commonly used in the treatment of emotional and psychological trauma:
- Somatic experiencing focuses on bodily sensations, rather than thoughts and memories about the traumatic event. By concentrating on what’s happening in your body, you can release pent-up trauma-related energy through shaking, crying, and other forms of physical release.
- EMDR (Eye Movement Desensitization and Reprocessing) incorporates elements of cognitive-behavioral therapy with eye movements or other forms of rhythmic, left-right stimulation that can “unfreeze” traumatic memories.
- Cognitive-behavioral therapy helps you process and evaluate your thoughts and feelings about a trauma.
Helping a loved one deal with emotional and psychological trauma
It can be difficult to know how to help a loved one who’s suffered trauma, but your support can be a crucial factor in their recovery.
- Be patient and understanding. Healing from trauma takes time. Be patient with the pace of recovery and remember that everyone’s response to trauma is different. Don’t judge your loved one’s reaction against your own response or anyone else’s.
- Offer practical support to help your loved one get back into a normal routine. That may mean help with collecting groceries or housework, for example, or simply being available to talk or listen.
- Don’t pressure your loved one into talking but be available if they want to talk. Some trauma survivors find it difficult to talk about what happened. Don’t force your loved one to open up but let them know you are there to listen if they want to talk, or available to just hang out if they don’t.
- Help your loved one to socialize and relax. Encourage them to participate in physical exercise, seek out friends, and pursue hobbies and other activities that bring them pleasure. Take a fitness class together or set a regular lunch date with friends.
- Don’t take the trauma symptoms personally. Your loved one may become angry, irritable, withdrawn, or emotionally distant. Remember that this is a result of the trauma and may not have anything to do with you or your relationship.
Helping a child recover from trauma
It’s important to communicate openly with children following trauma. Let them know that it’s normal to feel scared or upset. Your children may also look to you for cues on how they should respond to trauma so let them see you dealing with symptoms in a positive way.
How children react to emotional and psychological trauma
Some common reactions to trauma and ways to help your child deal with them:
- Regression. Many children need to return to an earlier stage when they felt safer. Younger children may wet the bed or want a bottle; older children may fear being alone. It's important to be understanding, patient and comforting if your child responds this way.
- Thinking the event is their fault. Children younger than 8 tend to think that if something goes wrong, it must be their fault. Be sure your child understands that he or she did not cause the event.
- Sleep disorders. Some children have difficulty falling to sleep; others wake frequently or have troubling dreams. Give your child a stuffed animal, soft blanket, or flashlight to take to bed. Try spending extra time together in the evening, doing quiet activities or reading. Be patient. It may take a while before your child can sleep through the night again.
- Feeling helpless. Being active in a campaign to prevent an event from happening again, writing thank you letters to people who have helped, and caring for others can bring a sense of hope and control to everyone in the family.
Source: Sidran Institute
If you want to learn skills for connecting to others in ways that reduce stress and anxiety, read FEELING LOVED.
More help for emotional and psychological trauma
- PTSD in Military Veterans: Symptoms, Treatment, and Self-Help: Helping Yourself on the Road to Recovery for Post-Traumatic Stress Disorder
- How to Help Someone with PTSD: Helping a Loved One, Friend, or Family Member with Post-Traumatic Stress Disorder
- PTSD: Symptoms, Self-Help, and Treatment: How to Overcome PTSD and Move On with Your Life
Resources and references
General information about emotional and psychological trauma
Common Reactions After Trauma – Guide to the common symptoms, effects, and problems that can result from emotional or psychological trauma. (National Center for PTSD)
What is Psychological Trauma? – In-depth introduction to emotional or psychological trauma, including the causes, symptoms, treatments, and effects. (Sidran Institute)
Trauma treatment and therapy
How to Choose a Therapist for Post-Traumatic Stress and Dissociative Conditions – Advice on how to choose a trauma therapist. (Sidran Institute)
A Brief Description of EMDR Therapy – Covers the eight phases of EMDR therapy involved in the treatment of trauma. (EMDR Network)
Trauma recovery and self-help
Recovering from Trauma – Article on the necessity of processing emotional trauma in treatment if we are to recover and heal. (Psychology Today)
Dealing With the Effects of Trauma: A Self-Help Guide (PDF) – Guide to the healing journey, including coping strategies, where to find help for emotional trauma, and how to support recovery. (SAMHSA’s National Mental Health Information Center)
Trauma in children and adolescents
Helping a Child Manage Fears – Article on helping a child cope with traumatic events. Includes tips for helping your child and a list of common childhood reactions to trauma. (Sidran Institute)
Understanding Child Traumatic Stress – Learn how emotional or psychological trauma in children differs from trauma in adult. Includes causes, symptoms, and recovery factors. (The National Child Traumatic Stress Network)
Delving deeper into psychological and emotional trauma
Trauma, Attachment, and Stress Disorders: Rethinking and Reworking Developmental Issues – Explains the brain-based view of emotional trauma and how it affects child development. (Trauma Resources)
What other readers are saying
“I suffered abuse in my life during childhood and have just begun to face the fear and anxiety through therapy. Reading the article made me feel okay about the feelings I was having, and whenever I get really anxious I can come to this site and know that what I'm experiencing is completely normal. Where I live, mental health is not really an acknowledged thing and I did not even know about seeking help until I went to college in a large city. This resource is invaluable.” ~ New York
“I was recently in a car accident and . . . there has been an obvious deterioration in my behavioral and emotional functioning. I could not understand why the feelings weren't going away, or why I seemed to be getting worse, not better. A couple of friends suggested I was traumatized, which I initially pooh-poohed, but then I started to really consider it and finally decided to research trauma. Your article spoke to me, and clarified a great deal. I am particularly grateful for the suggestions about how to self-help and what to expect going forward.” ~ Canada