27/08/2025
When an individual is exposed to a traumatic and overwhelming event — whether by being given specific traumatic information, witnessing it, or directly experiencing it — they may subsequently endure anxiety, fear, distress, or even relive the traumatic event for months, and sometimes even years afterward. Often, these experiences have been life-threatening or physically harmful.
Understanding the Impact of Trauma
Following a traumatic experience, a person might initially develop acute stress. If this acute stress is addressed and treated promptly, it can sometimes prevent the onset of the more enduring and challenging condition known as Post-Traumatic Stress Disorder (PTSD). Interestingly, some individuals may not exhibit an immediate severe stress reaction. Instead, later, the trauma can be triggered by a seemingly unrelated event or a significant level of emotional distress, leading to a delayed onset of post-traumatic stress. This highlights how deeply trauma can embed itself within our systems.
Who is Most At Risk?
While trauma can affect anyone, certain experiences put individuals at a higher risk for developing post-traumatic stress:
● Victims of Assault: This includes sexual assault, child sexual abuse, child neglect, emotional abuse, physical abuse, and spousal abuse.
● Victims of Random Acts of Violence: Being subjected to unexpected and unprovoked aggression.
● Survivors or Witnesses of Major Incidents: Such as car accidents, fires, or natural disasters.
● Victims of War: Individuals who have experienced the profound traumas of conflict.
● Bereavement in Sudden Loss: Family or friends of someone who has died suddenly or tragically.
● Life-Changing Medical Conditions: Individuals who experience severe illness or medical events that drastically alter their lives.
Recognising the Symptoms
Post-traumatic stress can manifest in various challenging ways:
● Intrusive Symptoms: This includes unwelcome memories, distressing bad dreams, sudden intrusive thoughts, images, and vivid flashbacks of the event. These mental intrusions can trigger physical reactions such as feelings of panic, shortness of breath, sweating, tightness in the chest, or heart palpitations.
● Avoidance: After a traumatic experience, individuals often develop a strong tendency to avoid anything that could trigger thoughts or memories of the trauma. As a result, some may withdraw from their normal participation in life and no longer find joy in previously cherished activities.
● Hyperarousal: Trauma can create a persistent feeling of being "on edge." Victims are often easily startled and remain in a constant state of high alert. These symptoms can lead to significant difficulties with sleep, impaired concentration, increased irritability, heightened emotional reactivity, or outbursts of anger.
Pathways to Healing and Recovery
The good news is that healing from post-traumatic stress is possible. Treatment typically includes counselling and psychotherapy, and in some cases, may also require short-term medication prescribed by a doctor.
Counselling and psychotherapy are highly effective in helping individuals process and work through traumatic experiences. Approaches like Cognitive Behavioural Therapy (CBT) have proven particularly beneficial in the treatment of post-traumatic stress. Additionally, psychoeducation — understanding what is happening to you and why — is incredibly helpful in supporting recovery.
If you are experiencing symptoms of post-traumatic stress, professional help is highly recommended. You do not have to carry the burden of trauma alone. There is support available to help you navigate these intense feelings and reclaim your life. I have many years of experience working in this area. Let me help and support you in a safe, non judgemental, confidential environment.