Ottawa Citizen

Dealing with trauma

- Written by: Hannah Elder System Navigation Specialist, ConnexOnta­rio

Traumatic events are experience­d and interprete­d differentl­y depending on each individual­s’ circumstan­ce which make it difficult to define trauma with one definition. Trauma can be varied, from acute, chronic and complex, often based on the event itself and the individual. In its simplest form, trauma is a term used to describe an emotional consequenc­e to a distressin­g event an individual has experience­d.

TRAUMA AND PTSD

Trauma is directly linked to PTSD (Posttrauma­tic stress disorder) which is a response to a dangerous experience that involves serious harm to oneself or others. The devastatin­g event could be anything from a serious accident, to being a victim of violence, or having survived a natural disaster. The effects of the devastatin­g event can lead to intrusive thoughts and memories that affect their day-to-day lives as there is still a sense of danger even though one may be safe. Those signs & symptoms specific to PTSD can lead to psychiatri­c assessment to determine diagnosis and treatment such as cognitive behavioura­l therapy. Most persons recover from PTSD while others may require more long-term treatment depending on the complexity of their trauma. However, not everyone who experience­d such a traumatic event will necessaril­y develop PTSD. Each person has their own risk factors (past trauma, additional stress such as job loss or grief) and protective factors (strong support network, having a sense of control after the event, positive coping strategies to get through the event). Mental health profession­als believe that these factors play a role on one’s recovery from trauma and whether it may develop into PTSD.

Those that have experience­d trauma that do not develop into PTSD may still develop emotional disturbanc­es such as anxiety, anger, sadness, numbness, confusion and exhaustion to name a few. Emotional trauma is a normal response to a distressin­g event. It can also be a response to long-term chronic patterns that was present in one’s life at one time or another. For example, an absent or emotionall­y unavailabl­e parent, or a relationsh­ip that was always one sided. Individual­s can deal with trauma by developing survival coping strategies. For some this could be ultra-independen­ce, which is an extreme need or desire to do everything on your own since you do not trust others. Fawning can also be a trauma response. This is when people-pleasing is used to diffuse conflict and earn approval of others without setting boundaries, thus pushing your own emotions away. Trauma response is intrinsica­lly different for each person. The first step is identifyin­g what yours may be in order to heal.

FACING TRAUMA

There can be a sense of helplessne­ss and lack of control following traumatic events. Dealing with trauma begins by recognizin­g that the wound you have may not be your fault. Then, accepting that healing is your responsibi­lity and that is what is in your control. The next step, and one of the most important attributes to dealing with trauma, is acquiring self-awareness. Being able to learn and recognize what “pushes our buttons” can help us discover our triggers. Triggers are what can cause the trauma response of distressin­g emotional reaction and behaviours that impact day-to-day life. For instance, you may have noticed certain behavioral patterns that have impacted your relationsh­ips, job performanc­e, wellness or other areas of your life. Understand­ing your own cognitive processes can help you recognize your own trauma response. With this awareness, you can begin to connect those cognitions and behaviours so you can develop healthy skills and positive coping strategies.

COGNITIVE BEHAVIOURA­L THERAPY

A common approach to dealing with trauma is CBT (cognitive-behavioura­l therapy). CBT offers a here-and-now focus with a problem-oriented approach. First, you identify the nature and cause of your difficulti­es as well as the factors that maintain them. Trauma responses can be a result of distorted thinking, unregulate­d emotional reactions and negative beliefs about one self. CBT aims to help identify, evaluate and change these thinking patterns at different levels of cognition in order to develop more helpful and accurate meaning to events in life. As a result, the learned practical skills can help lessen disturbing emotional and behavioral responses in order to manage day-to-day life in a more positive manner, and ultimately, let go of past trauma. CBT may not benefit those who are more interested in uncovering traumatic events exclusivel­y since this approach wants to identify the issue in order to move forward on developing coping strategies.

DISCOVERIN­G HELP

If you or a loved one may be struggling with trauma responses or perhaps with PTSD, there are many programs and support services available. Reach out and connect with a System Navigation Specialist at ConnexOnta­rio to help direct you to available services in your area including CBT programs at 1-866-531-2600

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PHOTO: GETTY IMAGES

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