Trauma - Talkspace https://www.talkspace.com/blog/category/trauma/ Therapy For How We Live Today Tue, 03 Jun 2025 16:54:13 +0000 en-US hourly 1 https://www.talkspace.com/blog/wp-content/uploads/2021/10/favicon.png Trauma - Talkspace https://www.talkspace.com/blog/category/trauma/ 32 32 The Long-Term Effects of Sexual Assault https://www.talkspace.com/blog/effects-of-sexual-assault/ Tue, 03 Jun 2025 16:54:12 +0000 https://www.talkspace.com/blog/?p=36052 Any form of assault can cause deep, lasting scars, but the consequences of sexual assault can be particularly…

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Any form of assault can cause deep, lasting scars, but the consequences of sexual assault can be particularly devastating. Survivors often must deal with challenges that negatively impact their mental, emotional, and physical well-being, and the effects can last for years (if not a lifetime) if they’re not dealt with. Not to mention, healing from the emotional scars isn’t always an easy process.

Each survivor’s journey is different, shaped by things like the support they receive, their environment, and their mental resilience. There’s no “right way” to move forward, and it’s normal if healing doesn’t follow a linear journey.

This guide is here to offer clarity, compassion, and support. Keep reading to better understand the long-term effects of sexual assault—and to explore accessible resources that can help you or someone you care about start to heal from sexual violence.

Psychological and Emotional Effects

The psychological toll of sexual assault can be incredibly heavy. Many survivors find themselves dealing with anxiety, depression, flashbacks, or feelings of guilt and shame. These reactions are valid, and they’re more common than you might think.

For some, the effects of sexual assault show up right away. For others, it might take weeks, months, or even years to fully surface. 

Post-traumatic stress disorder (PTSD) and flashbacks

Sexual assault can leave behind more than physical wounds—it can also lead to post-traumatic stress disorder (PTSD), a condition that affects many survivors in the months or years following the trauma. In fact, research indicates that survivors of rape have a significantly increased risk of developing PTSD after their attack compared to survivors of other types of trauma.

PTSD can look different for everyone, but some common symptoms of PTSD include:

  • Intrusive thoughts
  • Nightmares
  • Heightened anxiety 
  • Avoidance
  • Re-experiencing symptoms
  • Flashbacks 
  • Hyperarousal symptoms, like being in a constant state of alert

Avoidance is a natural response, as it’s a way the brain tries to protect itself. However, this defense mechanism can do more damage than good. Over time, avoiding certain people, places, or situations that remind you of your trauma can start to shrink your world and make healing even harder. If you’re dealing with these symptoms, know that you’re not alone and that support is available. PTSD is treatable, and you deserve relief.

Depression and suicidal thoughts

Feeling depressed is a common consequence of sexual assault. If symptoms of depression last for several weeks or longer, or they begin to impact the ability to function daily, it might be due to a condition known as major depressive disorder (MDD). Studies show that survivors of sexual assault have a higher risk of experiencing a major depressive episode and are more likely to have suicidal ideation or attempts.  

Survivors of sexual assault who are experiencing depression may face:

  • Feelings of hopelessness
  • A sense of worthlessness
  • An inability to enjoy life
  • A loss of interest in things once enjoyed
  • Feelings of guilt
  • Changes in sleeping and eating habits
  • Suicidal thoughts and behaviors

Anxiety and hypervigilance

After experiencing sexual assault, it’s common to feel a lingering sense of fear or unease, sometimes long after the event itself. Many survivors develop chronic anxiety or become hyper-aware of their surroundings, constantly scanning for threats, even in situations that once felt safe.

You might notice yourself feeling constantly on edge, tense in your body, or unable to relax in public spaces—or even at home. This heightened state of alertness, known as hypervigilance, is the brain’s way of trying to protect you from danger. However, over time, it can severely impact your daily life and relationships.

You might start avoiding certain places or people, or find yourself withdrawing more than you used to. This is understandable and normal, but they can also make healing harder. 

Self-blame and guilt

One of the most painful ways sexual assault affects people is self-blame. People often blame themselves because the world around them pushes that narrative. Sometimes it’s subtle with a joke, question, or headline. Other times, it’s not subtle at all.

You start wondering: Was it what I wore? Should I have said something? Why did I trust them? The questions spiral, even when deep down you know none of it was your fault. Still, that voice sticks. After a while, it gets harder to tell what’s real and what’s just shame talking.

Here’s what is real: the blame isn’t yours. It never was. That should always lie with the person who committed the assault.

That kind of sexual shame, though—it can sink into everything like how you feel in your body, how close you let people get, and even what you think you deserve. If you’re feeling weighed down, talking to someone—anyone you trust—can help. That might be a counselor, friend, or support group. You don’t have to do it all at once. You just have to start somewhere.

The Impact on Relationships and Intimacy

Being sexually assaulted can influence the ability to develop and maintain healthy, positive, rewarding relationships. It can also damage your sense of safety in intimate settings. If you’re recovering from sexual violence, you might have difficulty trusting others or being in vulnerable situations. Intimacy and physical touch can be alarming or awkward. The result can be emotional detachment from others or isolation from the outside world. 

Trust and vulnerability become harder

Many survivors of sexual violence struggle with trust. It’s likely that you develop an intense fear of being hurt again, making it challenging to form and nurture close relationships. It can also be difficult to open up on an emotional level, even when you’re with people you love.

“Therapy can be a vital tool for survivors of sexual assault in rebuilding trust and reclaiming control over their lives. Through a safe, supportive environment, survivors can process trauma, identify patterns of fear or avoidance, and gradually learn to trust others again at their own pace. Therapists can also help individuals set and maintain healthy boundaries. This healing process helps survivors reconnect with themselves and others in meaningful ways.”

Talkspace therapist Bisma Anwar, LPC, LMHC

Intimacy and touch can be triggering

Sexual trauma can make physical affection and sexual interactions uncomfortable. It can trigger extreme distress during intimate moments, which is why a lot of survivors avoid intimacy altogether.

Sometimes, detachment becomes the norm

When everything feels too much, pulling away can feel like the only option. Emotional distance, isolating yourself, and turning inward are all ways people try to stay safe. However, over time, they can make you feel even more alone, and the loneliness can be just as painful as the trauma itself.

Physical and Neurological Long-Term Effects

Unfortunately, the long-term effects of sexual assault can extend far beyond mental health. In some people, physical symptoms and neurological changes start to occur. In fact, trauma has been linked to physical conditions like inflammation, metabolic disease, and immune dysfunction.

Chronic pain and tension-related disorders

The impact of a trauma like sexual assault can have a physical effect on people. Studies suggest trauma can result in chronic pain conditions, like migraine or headaches, sleep disorders, muscle tension, or even gastrointestinal issues. Many symptoms can be linked to the body’s prolonged stress response after surviving an assault.

Sleep disturbances and fatigue

Disrupted sleep is not unusual among survivors — there’s an increased risk of insomnia, nightmares, and chronic exhaustion. Research shows that poor sleep is common after an assault, with many survivors experiencing extreme fatigue even years later.

Impact on brain function and memory

We know that trauma can actually alter brain chemistry. Studies have found it can impact basic cognitive abilities, including episodic memory and executive functioning skills like focusing, planning, problem-solving, and multitasking.  

Coping Mechanisms and Behavioral Responses

After experiencing sexual assault, the way you cope might look different from what you expected. With support and guidance, many coping skills can be effective. However, there are just as many unhealthy responses to trauma that must be addressed before a full recovery can ever be possible. 

Sometimes, we pick up habits that feel like survival tools, but they’re really ways of pushing down the pain. That might be avoiding certain people or places, numbing the emotional pain with substances, or pretending it didn’t happen altogether. These are all understandable responses, but they can also keep you stuck.

Substance use and addiction

Some survivors of trauma turn to alcohol or drugs to try and numb the emotional pain or escape intrusive memories. The chance of this occurring is even more likely when there’s a family history of addiction, and using substances to self-medicate increases the risk of future addiction.

Self-harm and disordered eating

Other unhealthy coping mechanisms might include an attempt to regain control over the body. Rooted in feelings of powerlessness after being assaulted, some survivors engage in behaviors like self-harm or disordered eating.  

Hyper-independence or avoidance

Sexual assault can cause overcompensation. Survivors might become hyper-independent or go to great lengths so they don’t have to rely on others. They also might make efforts to avoid reminders of the trauma. Strategies like these can sometimes offer you temporary relief, but they almost always hinder long-term recovery.

The Path to Healing and Recovery

Despite everything, healing from sexual assault is possible — and it’s critical for survivors of sexual violence to know that they’re not broken. It’s also helpful to remember that recovery looks different for everyone. It takes dedication, time, patience, and plenty of positive support. 

Your path to healing and recovery can be improved with the following healthy techniques for coping with sexual assault:

  • Professional support: Trauma-informed therapists know how to help survivors process their experiences in a safe environment.
  • Support groups: Joining a support group for survivors of sexual assault provides a sense of community, making it easier to share experiences without fearing judgment.
  • Self-compassion: It takes time to process and heal from sexual trauma. Being realistic and compassionate is essential.
  • Engage in activities that promote well-being: Exercise, mindfulness practices, and creative outlets can help recovery.
  • Crisis intervention: Using crisis intervention services ensures that professional, experienced, and trained experts can offer guidance and support.

Finding Support and Resources

If you or someone you care about is trying to navigate the consequences of sexual assault, it’s important to remember that survivors are not alone. There are resources out there — including online chat features, hotlines, education materials, and advocacy services — available for those seeking help:

  • The National Sexual Assault Hotline: Visit the website or call 800-656-HOPE for confidential 24/7 support.
  • Local crisis centers: Find immediate local assistance tailored to individual communities.
  • Online therapy: Platforms like Talkspace connect survivors with trained, licensed therapists specializing in trauma recovery.

You can also connect with trusted friends, family, or an online community to find validation, support, and encouragement as you heal.

Sexual assault can leave deep scars, impacting mental health, relationships, physical well-being, and overall quality of life. With professional support, self-compassion, and access to resources, you can recover. 

All survivors of assault deserve understanding, safety, validation, and a path toward healing, whether it be healing from childhood sexual abuse or coping with an experience from adulthood. Reach out today to take a powerful and courageous step towards healing.

Sources: 

  1. VA.gov | Veterans Affairs. https://www.ptsd.va.gov/professional/treat/type/sexual_assault_adult.asp. Accessed April 5, 2025.
  2. Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: A review and meta-analysis. Clinical Psychology Review. 2017;56:65-81. doi:10.1016/j.cpr.2017.06.002. https://pmc.ncbi.nlm.nih.gov/articles/PMC5576571/. Accessed April 5, 2025.
  3. Trauma linked to cognitive decline in adults | BrandeisNOW. BrandeisNOW. https://www.brandeis.edu/now/2020/august/trauma-cognition-lachman.html. Accessed April 5, 2025.
  4. Sexual Assault Has Lasting Effects on Teenagers’ Mental Health and Education.; 2022. doi:10.3310/nihrevidence_53533. https://evidence.nihr.ac.uk/alert/sexual-assault-lasting-effects-teenagers-mental-health-education/. Accessed April 5, 2025.
  5. Clarke V, Goddard A, Wellings K, et al. Medium-term health and social outcomes in adolescents following sexual assault: a prospective mixed-methods cohort study. Social Psychiatry and Psychiatric Epidemiology. 2021;58(12):1777-1793. doi:10.1007/s00127-021-02127-4. https://link.springer.com/article/10.1007/s00127-021-02127-4. Accessed April 5, 2025.
  6. RAINN | The nation’s largest anti-sexual violence organization. https://rainn.org/. Accessed April 5, 2025.

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10 Grounding Techniques to Interrupt Dissociation https://www.talkspace.com/blog/grounding-techniques-for-dissociation/ Mon, 05 May 2025 16:38:03 +0000 https://www.talkspace.com/blog/?p=35849 Dissociation feels like an out-of-body experience — a response often triggered by stress, trauma, or anxiety. During these…

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Dissociation feels like an out-of-body experience — a response often triggered by stress, trauma, or anxiety. During these episodes, you may feel disconnected from your surroundings or reality, making it hard to stay present. Grounding techniques offer a lifeline, helping you anchor yourself in the here and now so you can regain control and feel more stable.

The goal of grounding is not to immediately stop the emotions tied to dissociation, but rather to help you reconnect your body and mind in the moment. These techniques act as the first step in managing your symptoms, allowing you to build awareness and focus. By practicing grounding regularly, you’ll strengthen your ability to navigate stressful moments and improve your emotional resilience in the long run.

Here are 10 effective grounding techniques to interrupt dissociation. Each offers a practical way to regain your focus and calm when you’re feeling overwhelmed. With regular practice, you’ll feel more prepared to handle episodes of dissociation and reclaim your sense of stability.

1. Use the 5-4-3-2-1 Sensory Technique

The 5-4-3-2-1 sensory technique focuses on redirecting your attention to the present moment — an excellent method for grounding using physical sensations when dissociating. You’ll do so by connecting your immediate surroundings with your senses. Mental health experts from the University of Rochester recommend starting this technique by focusing on your breathing. Take slow, deep breaths until you find a rhythm that works for you. Then begin practicing the five steps:

  • 5: Look around and take note of 5 things you see around you, like trees, buildings, or a pencil on your desk.
  • 4: Look for four things you can touch, like nearby objects or even something you’re wearing.
  • 3: Listen for three things you hear, like a car passing by or someone having a conversation.
  • 2: Take note of two things you smell, such as a candle, soap in the bathroom, or a flower outside.
  • 1: Focus on one thing you can taste, like the cup of coffee you had this morning or a piece of gum you’re chewing on. 

“While the 5-4-3-2-1 sensory technique is very useful, like any strategy, it is important to make it useful for each individual or a specific setting. For example, if you are somewhere and you don’t have something to taste, leave that out, or if sounds for you are overwhelming and too stimulating, leave that out. Strategies need to work and be specific for each person, not be rigid. The goal is to increase being present and slow yourself down, not worrying about doing it exactly “right.”

Talkspace therapist Jill Daino, LCSW-R, BC-TMH

2. Hold an Ice Cube or Splash Cold Water on Your Face

Did you know that cold sensations can help regulate your nervous system and prevent dissociation? When you’re stressed, your sympathetic nervous system kicks in, triggering the “fight or flight” response, which can lead to dissociative feelings.

By holding something cold—like an ice cube—or splashing cold water on your face, you activate your vagus nerve. Cold exposure techniques help calm the sympathetic nervous system and stimulate the parasympathetic system, which is responsible for relaxation and recovery. The sharp contrast in temperature provides a sensory shock, bringing you back to the present moment and interrupting dissociative episodes or flashbacks, giving you an immediate grounding effect.

3. Engage in Physical Movement

Physical movement is an easy yet effective grounding technique for escaping a dissociative state. Even small movements — like wiggling your toes — can signal to your brain that your body is in the present moment. This breaks the thought cycle of dissociation and helps you become aware of your body position and sensations. Other techniques include wiggling your fingers, squeezing your hands, or even walking around the room or outside.

4. Name and Describe Objects Around You

Another grounding technique for dissociation is to name and describe several objects around you. This approach helps ground you in reality and reconnects your mind to your immediate environment, alleviating symptoms of dissociation by grounding you in the physical world. Pick three to five objects around you and list their name, color, texture, and function. Repeat the exercise as needed until you feel you’re grounded enough. 

5. Focus on Controlled Breathing

Deep breathing techniques and intentional breathing also regulate your nervous system to create a sense of calm. Your body knows it’s safe to relax when you take the time to focus on breathing in and out. 

Here are some breathing exercises you can try when grounding for dissociation:

  • 4-7-8 breathing: Inhale through your nose for four seconds, hold for seven, then exhale for eight through your mouth
  • Box breathing: Inhale through your nose for four seconds, hold for four, then exhale for four through your mouth 
  • Stomach breathing: Place your hands on your stomach and focus on how your hands move as your belly rises and falls with each breath.
  • Alternate nostril breathing: Breathe in through your left nostril, close it, and then breathe out through the right. Reverse the process to breathe in through the right nostril and out through the left.

6. Use a Grounding Object

Grounding objects take your focus away from dissociation and place it on a physical item. These objects are usually small and have distinct textures — like a smooth rock, soft fabric, or stress ball — to hold in your hand. Be sure to pay attention to the sensations you feel while holding the grounding object. This is a commonly used grounding technique for PTSD, as it does a great job of keeping you present in the moment. 

You can also name and describe the object in your mind to combine two of the best grounding techniques for dissociation. Keep your grounding object nearby at all times. This will help you interrupt dissociations quickly in stressful situations. 

7. Repeat a Soothing Phrase or Affirmation

Repeating phrases and anxiety affirmations help counteract distressing thoughts and reinforce your sense of security. Choose a comforting phrase of self-affirmation that reflects your current situation, such as “I am safe in this moment” or “This feeling will pass.” Repeat the phrase silently or aloud until you feel fully grounded in the moment. 

8. Eat or Drink Something Mindfully

Dissociating often feels like an “out-of-body” experience. Eating or drinking something mindfully and engaging in the moment pulls you back into your body and redirects your focus to sensations you can note. Try slowly chewing minty gum, eating a crunchy snack, or sipping a warm cup of tea or coffee. While doing so, pay close attention to the flavors and textures you notice. These grounding exercises for dissociation bring your attention back to your body and what you directly sense. 

9. Engage in Mental Exercises

A popular grounding technique for dissociation is to focus your energy on mental exercises. Mental health experts recommend counting backward from 100 or reciting the alphabet backward. These simple tasks require enough mental energy and cognitive focus to bring your mind back into the present. 

Other ideas may include:

  • Naming cities that start with each letter of the alphabet 
  • Pick a “category” of items, like football teams, and make a mental list 
  • Recite your favorite song or poem from memory 
  • Doing mental math or counting in number patterns

“Mental exercises, like those mentioned above, are helpful as they provide an opportunity for the brain to begin to slow down and shift focus to the present moment. It is important to keep it simple enough to avoid frustration, yet at the same time, something your brain needs to focus on so that you have a chance to get grounded in the present moment. Choosing something that makes sense to you, that you can grab onto readily, perhaps practicing when things are calm so it is easier to access when you need it, helps build the muscle of using this strategy.”

Talkspace therapist Jill Daino, LCSW-R, BC-TMH

10. Listen to Music or a Podcast

Familiar music and engaging podcasts can help anchor your thoughts and create a calming environment. Play it over noise-canceling headphones or in a quiet space to better ground yourself and stay in the moment. Upbeat or rhythmic music can also increase alertness and bring you back to reality. Try tapping your foot to the beat of the music or tapping gently on your body to physically ground yourself for dissociation.

Moving Forward: Using Grounding to Regain Stability

There isn’t one grounding exercise that fits all situations when handling dissociation. Try any of these techniques or others you find to see what works best for you. It may take a few tries to find the approach that helps you the most. Fortunately, dissociation is a manageable experience with the right tools. Practicing your preferred grounding techniques in your everyday life can better prepare you to self-regulate in stressful situations.

Dissociation from anxiety and trauma can feel like a heavy burden to handle on your own. Talkspace offers professional mental health support for those handling stressful situations associated with dissociation. Our providers offer personalized online therapy to those ready to learn and practice grounding techniques for dissociation. Stay grounded in your mind and body with the help of Talkspace. Get started today.

Sources:

  1. Grounding technique to help control anxiety. Johns Hopkins University of Medicine. Accessed March 7, 2025. https://hr.jhu.edu/wp-content/uploads/JHEAP-Grounding-Techniques-to-Help-Control-Anxietypdf.pdf
  2. 5-4-3-2-1 coping technique for anxiety. University of Rochester Medical Center. Published April 10, 2018. Accessed March 7, 2025. https://www.urmc.rochester.edu/behavioral-health-partners/bhp-blog/april-2018/5-4-3-2-1-coping-technique-for-anxiety
  3. Ice baths, Wim Hof and PTSD. PTSD UK. Accessed March 7, 2025. https://www.ptsduk.org/ice-baths-wim-hof-and-ptsd/
  4. Just breathe: using breathwork for wellbeing. Published April 4, 2024. Accessed March 7, 2025. https://awcim.arizona.edu/health_hub/awcimagazine/just_breathe_using_breathwork_for_wellbeing.html

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Childhood Trauma in Adults: Signs & How to Deal with It https://www.talkspace.com/blog/childhood-trauma-in-adults/ Tue, 18 Jun 2024 16:32:20 +0000 https://www.talkspace.com/blog/?p=33397 Research done by the Centers for Disease Control (CDC) found that at least 1 out of every 7…

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Research done by the Centers for Disease Control (CDC) found that at least 1 out of every 7 children experienced neglect or abuse in the last year (although this number is believed to be much higher since so many cases of childhood abuse go unreported). It’s estimated that more than two-thirds of children go through one or more traumatic events by age 16. Trauma in childhood can stem from various adverse experiences such as abuse, violence, neglect, loss, or exploitation. These intense events can lead to significant psychological and emotional responses, impacting a child’s development and well-being.

Childhood trauma doesn’t go away just because you grow up. There can be a long-term impact on mental health, relationships, and sense of self-worth. Fortunately, knowing the symptoms of childhood trauma in adults, the effect it can have, and how to treat it can help you heal from a painful past. Keep reading to learn more about childhood trauma in adults.

Understanding Childhood Trauma

The term childhood trauma refers to disturbing and distressing occurrences of physical, sexual, or emotional abuse, neglect, and household dysfunction experienced during the formative years. 

Childhood trauma can, and often does, have a profound impact on healthy emotional development and overall well-being. It’s linked to long-term consequences and increases the risk of poor mental health and substance abuse. Some research suggests that children who experience trauma are twice as likely to develop a mental health condition in the future. Childhood trauma survivors also have a higher likelihood of struggling to form and maintain healthy relationships as adults.

Signs of Childhood Trauma in Adults

Symptoms of childhood trauma in adults can manifest in many ways. They can widely vary from person to person and are often influenced by factors like the severity and duration of the traumatic experience. The type of trauma can also play a huge role in the symptoms an adult experiences later in life.

The availability of support systems — either in childhood or in adulthood — and the use of coping mechanisms can also impact how trauma shows up later in life.

Signs of childhood trauma in adults can include:

  • Emotional dysregulation
  • Relationship difficulties
  • Self-destructive behaviors
  • Chronic health issues
  • Hypervigilance

Emotional and psychological signs

Emotional and psychological signs of repressed childhood trauma in adults can include persistent or uncontrollable feelings of fear, anxiety, and depression. Regulating emotions or establishing healthy attachments to others can also be challenging.

Common emotional and psychological signs of childhood trauma include:

  • Flashbacks or intrusive memories: Many adults experience vivid flashbacks of the traumatic events they once experienced. These can be triggered by very specific cues or reminders of their past.
  • Low self-esteem or self-blame: Adults who harbor feelings of worthlessness, shame, or self-blame due to trauma often develop a negative self-image.
  • Dissociation: Some adults try to disconnect from their feelings or thoughts as a way to deal with overwhelming emotions about their abuse.
  • Difficulty with trust: Adults who went through trauma in their youth might struggle with trust, fear, betrayal, or abandonment trauma, which can impair the ability to form and maintain close and meaningful relationships.
  • Mood swings: Mood swings can be prevalent for adult survivors of trauma. Fluctuations in mood can range from anger to sadness to irritability to despair, often with no warning.
  • Sleep disturbances: Re-experiencing traumatic memories during sleep is not uncommon. It can cause insomnia, nightmares, or other sleep disturbances.
  • Hypervigilance and startle response: People who survive abuse often have a heightened sensitivity to threats, whether they’re perceived or real. This can lead to an exaggerated startle response or needing to remain in a constant state of alertness.

Behavioral signs

Behavioral signs of repressed childhood trauma in adults can include:

  • Avoidance behavior: Adults with repressed memories might withdraw to avoid situations, people, or places that remind them of their trauma.
  • Self-destructive behaviors: It’s common for adult survivors to engage in risky or harmful behavior — like substance abuse or self-harm — in an attempt to numb their emotional pain.
  • Compulsive behaviors: Compulsive behaviors — like excessive hand washing or counting rituals — might be ways some people try to cope.
  • Isolating from others: Survivors of abuse might avoid social interactions with others out of fear of harm or rejection.
  • Impulsive behavior: Some adults are impulsive or engage in risky behaviors — like unsafe sexual practices.
  • Disordered eating: Using food to try and cope with past trauma and regain a sense of control isn’t uncommon.

The Impact of Childhood Trauma on Adults

Childhood trauma can have profound and lasting effects on an individual’s life, shaping their adult experiences in multiple areas, especially in personal relationships and overall well-being. Understanding these impacts can help in recognizing the signs and seeking appropriate interventions.

“Our past has a great impact on how we view and interact with the world around us. We aren’t always aware of it because we are busy living our life. However, the relationships we form, how we interact with others, and how we react to situations are some ways our past experiences dictate how we deal with situations in the present.”

Talkspace therapist Minkyung Chung, MS, LMHC 

Personal relationships

Adults who experienced trauma during their childhood often face significant challenges in their personal relationships. These difficulties manifest in various forms:

  • Intimacy issues: Struggling to create or maintain close and secure bonds.
  • Difficulty developing and maintaining meaningful relationships: Often stemming from trust issues or a distorted perception of social cues.
  • Challenges expressing emotions: Individuals may feel blocked or uncomfortable sharing their feelings.
  • Interpersonal conflict: Increased likelihood of misunderstandings and conflicts in relationships.
  • Anger, impulsivity, and emotional dysregulation: Unresolved trauma can lead to difficulties in managing emotions, which impacts interactions with others.
  • Unhealthy attachment patterns — avoidance or clinginess: These patterns can lead to unstable relationships.
  • Repeating the cycle: Without intervention, there is a risk of perpetuating the same harmful patterns learned in childhood.

These challenges significantly affect how individuals form and maintain relationships, often necessitating professional help to break the cycle and foster healthier interpersonal dynamics.

“Someone who came from an absent or neglectful family may end up seeking acceptance and belonging with others in a way that can be harmful to them. It’s not uncommon for individuals with childhood trauma to struggle with some level of mental health instability. It’s important to work through these trauma to find the right overall balance.”

Talkspace therapist Minkyung Chung, MS, LMHC

Well-being

The repercussions of childhood trauma extend beyond interpersonal relationships, affecting the overall well-being of the individual. The psychological and physical health challenges associated with an adverse childhood experience include:

  • Mental health conditions: Adults with a history of childhood trauma are more susceptible to various mental health disorders, including adult depression, anxiety, post-traumatic stress disorder (PTSD), and borderline personality disorder (BPD), with childhood abuse or trauma being a recognized risk factor.
  • Physical health conditions: The ongoing stress from unresolved trauma can manifest as several physical health issues like cardiovascular disease, autoimmune disorders, chronic pain, or substance abuse.
  • Self-care and grooming: Childhood trauma can leave adults lacking basic self-care skills and struggling with personal hygiene, dental care, and household management. Neglect during childhood can result in difficulties with these essential tasks, impacting their overall quality of life.

Additional struggles such as low self-esteem and difficulty functioning due to hypervigilance, dissociation, or intrusive memories further complicate the individual’s ability to lead a fulfilling life.

Addressing these issues often requires a comprehensive approach involving mental health professionals, supportive relationships, and sometimes medical intervention to manage the physical ailments linked to chronic stress.

How to Treat Childhood Trauma in Adults

Treating childhood trauma in adults is most effective when a combined approach is used. Therapy, medication, and coping techniques can all be hugely beneficial in the healing process.

Therapy

Trauma therapy can be tailored to individual needs based on the severity and duration of the traumatic experience. Some types of therapy will be more effective than others, but like any trauma treatment approach, there’s no “one” or “right” way to deal with trauma

Commonly used forms of therapy include:

  • Trauma-focused cognitive behavioral therapy (TF-CBT): Evidence-based, structured therapy that addresses the psychological impacts of repressed trauma. It helps people understand and process their experiences and teaches them to challenge associated negative beliefs.
  • Eye movement desensitization and reprocessing (EMDR): A highly specialized approach to therapy that helps people process traumatic memories through bilateral stimulation like rapid eye movement, tapping, and auditory tones.
  • Dialectical behavioral therapy (DBT): A comprehensive form of therapy initially developed to treat borderline personality disorder. It’s since been adapted to treat trauma using a variety of approaches.

“Treatment for childhood trauma, or trauma in general, has come a long way. It started with CBT but has evolved to other trauma-focused therapies. It is important to learn about each one and to ascertain which one might be the right fit for you. For instance, if choosing trauma-focused CBT, one would concentrate on changing negative thought patterns to positive thought and behavior patterns with an emphasis on the trauma. It is important to explore the different types of trauma therapy by talking to a therapist. They will be able to help discern the right treatment method, even if it isn’t with them.”

Talkspace therapist Minkyung Chung, MS, LMHC

Medication

For some people, medication might be a valuable part of a trauma therapy treatment plan. Medication can help manage symptoms of childhood trauma in adults, especially when dealing with comorbid (occurring at the same time) depression, anxiety, or post-traumatic stress disorder. 

Types of PTSD medication that may help survivors of trauma:

  • Antidepressants
  • Anti-anxiety medication
  • Antipsychotics
  • Mood stabilizers

Note: Medication should only be used under the advice of a qualified healthcare professional who’s assessed symptoms, medical history, and treatment goals.

Somatic therapies

Somatic therapy is an alternative approach to psychotherapy. It focuses on connecting the mind and body and recognizes that emotional experiences are stored in the body. Somatic techniques like mindfulness, deep breathing, and movement can address childhood trauma symptoms in some adults.

Types of somatic therapies to treat childhood trauma in adults include:

Coping strategies

Coping techniques are designed to help adults deal with childhood trauma. A combination of emotional regulation techniques, self-care practices, and therapy usually gets the best results.

Effective coping strategies for childhood trauma may include:

  • Mindfulness
  • Grounding techniques
  • Intentional journaling 
  • Physical activity
  • A solid support network
  • Professional help
  • Self-care
  • Self-compassion and forgiveness

Heal from Trauma with Talkspace

If you want to get therapy from someone who understands how to treat childhood trauma in adults, Talkspace is an online platform that makes getting help convenient and affordable. Even if you’re considering medication, Talkspace offers diagnosis and medication management from qualified psychiatrists who are trained to deal with complex trauma recovery.

Connect with an online therapist at Talkspace today to start your journey and heal from your childhood trauma.

Sources:

  1. Fast facts: Preventing child abuse & neglect |violence prevention|injury Center|CDC. Centers for Disease Control and Prevention. April 6, 2022. Accessed April 21, 2024. https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
  2. Understanding child trauma. SAMHSA. Accessed April 21, 2024. https://www.samhsa.gov/child-trauma/understanding-child-trauma.  
  3. Torjesen I. Childhood trauma doubles risk of mental health conditions. The BMJ. February 22, 2019. Accessed April 21, 2024. https://doi.org/10.1136/bmj.l854. https://www.bmj.com/content/364/bmj.l854. Accessed April 21, 2024. 
  4. Mainali P, Rai T, Rutkofsky IH. From child abuse to developing borderline personality disorder into adulthood: Exploring the neuromorphological and epigenetic pathway. Cureus. Published online July 30, 2020. doi:10.7759/cureus.9474. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7455386/. Accessed April 21, 2024.

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How to Heal from Sexual Trauma https://www.talkspace.com/blog/sexual-trauma/ Thu, 28 Sep 2023 16:24:38 +0000 https://www.talkspace.com/blog/?p=31213 Trigger warning: This article discusses sexual trauma, which may be disturbing or distressing to some people.  The World…

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Trigger warning: This article discusses sexual trauma, which may be disturbing or distressing to some people. 

The World Health Organization (WHO) estimates that 1 in 3 women have experienced physical or sexual violence in their life. Sexual trauma can be devastating for your psychological well-being and leave negative lasting effects. It can destroy your faith in others and make trust excruciatingly difficult. Healing from the trauma of sexual violence is a profoundly personal experience. Recovery takes time, patience, and access to the right resources — it’s an emotionally taxing journey.

Sexual trauma refers to any unwanted sexual activity or behavior. It can result from rape, molestation, sexual harassment, or assault. How this type of trauma affects us can differ from person to person and depends on factors like:

  • Personal perception
  • Severity of the event(s)
  • Support systems
  • Previous trauma
  • Access to professional support

It’s common for someone who’s experienced a sex-related trauma to have extreme feelings of fear, shame, guilt, anger, and sadness. It’s even common to feel numb. Sexual assault survivors  have symptoms similar to post-traumatic stress disorder (PTSD) and can have nightmares, flashbacks, and crippling anxiety or depression as a result of their experience. 

Though it can be difficult, it is possible to heal sexual trauma. Learn what you need to know about this challenging journey here.

Steps for Healing from Sexual Trauma

Understanding how to deal with being raped, sexually harassed, and any other sexual trauma is essential to be able to move forward. There are steps you can take to navigate the process of healing sexual trauma. The following are essential for you to consider if you need help learning how to get over sexual trauma.

Step 1: Seek professional help

Working with a professional who has experience in trauma-related therapy can be an incredibly beneficial part of your healing process. They can offer you the guidance and support you need and provide proven evidence-based treatments that are tailored to your experience and needs. 

“Because of the trauma experienced during sexual violence and the aftermath there are several types of therapy that can be done but the process is lengthy, types of therapy are but not limited to: cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), art therapy, sex therapy, trauma processing, substance use counseling (if necessary), and animal assisted therapy.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Some effective forms of therapy follow.

Cognitive behavioral therapy (CBT)

CBT is a type of talk therapy that helps you identify and change negative, unhelpful, and unhealthy thought and behavior patterns as you’re healing from sexual trauma.

Eye-movement desensitization and reprocessing (EMDR)

Research has found that EMDR therapy can be an extremely effective therapeutic modality for survivors of sexual assault who are experiencing major depressive disorder (MDD) or having suicidal ideation as a result of their trauma.

Cognitive processing therapy (CPT)

Cognitive processing therapy (CPT) was developed to treat people with post-traumatic stress disorder. In some research, it has been shown effective in helping sexual trauma survivors improve. CPT helps you understand and change beliefs you have that are related to your trauma.

Somatic therapy

Somatic therapy focuses on the mind-body connection. It can help you release tension and let go of the trauma that’s been stored in your body. In studies, somatic therapy offered significant improvement in women recovering from childhood sexual abuse. 

Group therapy

Alongside individual therapy, group therapy for survivors of sexual assault can offer additional support when learning how to heal from sexual trauma. While this can be an effective therapy and form of treatment for some people though, more research is needed to fully understand its efficacy.

Step 2: Build a support system

Healing sexual trauma requires a strong support system. While the trauma may leave you feeling like you can’t trust anyone or want to be alone, support is going to be crucial as you navigate the healing process. Surround yourself with people who understand what you went through and can offer you compassionate, reassuring support. 

You might reach out to friends, family members, or support groups that are designated for survivors of sex-related trauma. 

Within your support system, it’s important for you to be able to:

  • Talk openly about your experience
  • Create and trust a safe space
  • Become an advocate for others if you feel strong enough

Step 3: Foster self care

Prioritizing self care is always an important goal, but it becomes even more critical when healing from trauma like this. Take time for yourself, do activities you enjoy, and maintain a healthy lifestyle. 

Self care practices can include:

“Self care can be divided into two categories: physical and emotional under the physical category activities of daily living are very important eating, sleeping, exercising or getting some sort of physical activity, And avoiding becoming overwhelmed by setting a routine. in the emotional category things like having fun, creating leisurely activities, journaling, listening to music, coloring or developing a hobby, socializing.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Step 4: Set boundaries

As a sexual trauma survivor, it’s also important to set and enforce boundaries during this time. You should learn how to set boundaries in relationships, for when and how you communicate with others, and for your personal space. Setting boundaries will help you feel in control and safe so you can slowly begin to trust your surroundings again. 

You can create boundaries by:

  • Making time for you to have personal space
  • Asking people to call or text you before they come over
  • Being willing to tell someone you’re not up for talking
  • Expressing the importance of confidence when you open up to others
  • Having the courage to request assistance when tasks prove challenging, rather than persisting in struggle alone.

Coping Strategies for Sexual Trauma

Part of learning how to get over sexual trauma means finding coping strategies. Coping tools can be incredibly powerful as you regain control over your emotions and thoughts. They can help you navigate your days and your relationships. 

It’s normal to be triggered or have flashbacks to your trauma — the following coping skills and techniques might be helpful. 

Talk to someone you trust

Find your “person” — that someone you can share your innermost feelings and be vulnerable with. This can be a family member, a peer, another trauma survivor, or even a therapist. Having someone you trust, and being able to open up to them, will be an emotional relief and outlet during the especially difficult times you might face in the coming days, weeks, and months.

Reconnect with your body through meditation, dance, or yoga

Mindfulness practices like meditation and yoga can help you reconnect with your body. These are effective tools that promote relaxation. When you engage in these activities, you learn to focus on the present, which can reduce the stress and anxiety levels associated with your trauma.

Process your feelings of shame and guilt

It’s expected that you’ll have feelings of shame and guilt, even though what you went through is in no way your fault. You are not to blame for what happened to you. 

Part of processing your feelings is recognizing when you’re experiencing unhelpful emotions like shame or guilt. While these types of feelings are normal, you must learn to process them so you can let go and heal. Learn more about guilt vs. shame and how to deal with these feelings. 

Seek counseling

Getting professional mental health care can be instrumental in your journey toward healing. A therapist can offer guidance and support while helping you learn coping strategies for your needs.

“Turn off the news or social media, have a safety plan, lean on your social supports, be patient and graceful with yourself, use grounding techniques, practice mindfulness, meditation and yoga, and avoid drugs and alcohol because they only numb the pain but do not help to heal.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Moving Forward

To move forward, first and foremost, be kind to yourself. Work toward building resilience so you can make progress and minimize the lasting effects of sexual assault. You can move forward by:

  • Embracing self-compassion: Treat yourself with kindness and understanding. Be empathetic when you’re struggling. Acknowledge your pain without judgment, and remember you are not to blame.
  • Establishing a support network: Surround yourself with people who love and care about you. You’ll likely need to rely on them for emotional support.
  • Cultivating positive emotions: Do things that bring you a sense and feeling of joy and happiness. Spend time with loved ones or start (or pick back up) hobbies that fulfill you.
  • Keeping a healthy perspective: Remember that healing is not linear. You’re going to have ups and downs along the way. Be patient and keep perspective so you can recognize progress, but understand this will take time.
  • Set realistic goals: You won’t go from experiencing trauma to being fully healed overnight. Set small, attainable goals along the way. For example, a goal might be sleeping through the night, eating 3 healthy meals one day, or sitting alone in a public place. Small steps will add up to significant growth.

Embark on a Path to Healing with Talkspace

Talkspace is an online therapy platform that offers professional support and resources for survivors of sexual trauma and their loved ones. You can connect with an experienced and qualified therapist who specializes in healing sexual trauma so you can start on your path toward healing. 

Learn more about how you can get one-on-one sessions with a licensed Talkspace therapist. Your road to recovery will be long and likely filled with some challenges, but having the proper support and professional guidance can make all the difference.

Sources:

  1. Violence against women. World Health Organization. https://www.who.int/en/news-room/fact-sheets/detail/violence-against-women. Published March 9, 2021. Accessed April 21, 2023. 
  2. Rostaminejad A, Alishapour M, Jahanfar A, Fereidouni Z, Behnammoghadam M. Eye movement desensitization and reprocessing as a therapy for rape victims: A case series. Clinical Case Reports. 2022;10(3). doi:10.1002/ccr3.5620. https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.5620. Accessed April 21, 2023.
  3. Price C. BODY-ORIENTED THERAPY IN RECOVERY FROM CHILD SEXUAL ABUSE: AN EFFICACY STUDY. Altern Ther Health Med. 2007;11(5):46-57. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1933482/. Accessed April 21, 2023. 
  4. Heard E, Walsh D. Group therapy for survivors of adult sexual assault: A scoping review. Trauma, Violence, & Abuse. 2021;24(2):886-898. doi:10.1177/15248380211043828. https://journals.sagepub.com/doi/10.1177/15248380211043828. April 21, 2023.

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The Different Types of Trauma Explained https://www.talkspace.com/blog/types-of-trauma/ Thu, 02 Feb 2023 19:35:19 +0000 https://www.talkspace.com/blog/?p=29495 Trauma is a psychological response to an event or series of events that cause physical, emotional, and/or mental…

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Trauma is a psychological response to an event or series of events that cause physical, emotional, and/or mental harm. The effects of trauma can be short- or long-term, and severity can vary depending on the individual. Research shows us that trauma can affect everyone differently. There are several trauma types to know about. Read on to learn about each of them.

What Are the Different Types of Trauma?

When we think of psychological trauma, we often think of a single event that causes great harm or pain. However, different types of traumas can occur throughout our lives. Trauma isn’t limited to physical events; it can also be emotional or psychological in nature. Some common trauma symptoms can include:

  • Flashbacks or intrusive memories of the traumatic event
  • Nightmares about the event
  • Avoidance of people, places, things, or situations that remind you of the event
  • Feeling numb or disconnected from others
  • Difficulty concentrating
  • Irritability
  • Hypervigilance
  • Confusion
  • Exhaustion
  • Agitation
  • Sadness
  • Anxiety
  • Dissociation
  • Chronic pain
  • Difficulty sleeping
  • Angry outbursts
  • Depression
  • Substance abuse
  • Self-harming behaviors
  • Suicidal thoughts or attempts
  • Believing the world is a dangerous place and that you can’t trust anyone
  • Feeling unable to experience pleasure

“Trauma can be caused by various situations ranging from natural disasters to abuse, vehicle accidents, and more.”

Talkspace therapist Ashley Ertel, LCSW, BCD, C-DBT

While most people are familiar with the concept of trauma, many are unaware of the different types of trauma that exist. Trauma can be classified as acute, chronic, or complex.

1. Acute trauma

Acute trauma is a psychological trauma that occurs in response to a single, highly stressful event. For example, it can come after experiencing a natural disaster, seeing a bad car accident, or witnessing violence. Acute trauma can lead to long-term mental health problems if not appropriately addressed.  

Examples of acute trauma

Acute trauma can come from a single event threatening your life or safety. It can also result from an act of violence against you or after witnessing a traumatic event happening to someone else. 

This type of trauma can lead to acute stress disorder (ASD), which is a mental health condition typically appearing within 3 days of a traumatizing event and lasting up to 1 month.

2. Chronic trauma

Chronic trauma is a response to ongoing or repeated traumatic experiences. It differs from acute trauma in this sense, as acute trauma occurs after just one traumatic experience or event. 

Examples of chronic trauma

Chronic trauma can result from any of the following:

  • Physical abuse: Physical abusers often use force to control their victims. They may hit, kick, choke, or throw things at them — the list goes on. It’s common for physical abusers to threaten their victims and use fear and intimidation to control them.
  • Sexual abuse: Sexual abusers often take advantage of people who are weaker than they are. They may be in a position of power over their victim, making it easier for them to coerce or force them into sexual acts. Victims of sexual abuse often suffer from flashbacks, nightmares, anxiety disorders, depression, and post-traumatic stress disorder (PTSD), sometimes even long after the initial event occurred.
  • Emotional abuse: Emotional abusers try to chip away at self-esteem by putting their victims down constantly or making them feel bad about themselves.
  • Domestic violence: Domestic violence can cause chronic trauma. It’s not always physical abuse either — mental and emotional torture can be just as debilitating. Domestic violence targets every aspect of a person’s life to control them. It leaves long-term scars that can be difficult to deal with for years after the abuse has stopped.
  • Poverty: Growing up in poverty can result in chronic trauma. Children who grow up below the poverty line are more likely to see violence, witness drug use, and not have enough food or adequate shelter. This can lead to lasting effects such as anxiety, depression, PTSD, and more.

3. Complex trauma

Complex trauma is a type of stress similar to generational trauma that can occur when someone experiences multiple, chronic, or prolonged exposure to traumatizing events. It can happen to both children and adults. However, complex traumas like abandonment trauma, for example, are more common among those who experienced abuse or neglect during childhood.

Complex trauma can cause long-term problems with physical and mental health. Forming and maintaining healthy relationships can also be very isolating and challenging.

Examples of complex trauma

Complex trauma can harm mental and physical health due to repeated, continued traumatization. It can be the result of things like: 

  • Childhood abuse or neglect
  • Domestic violence
  • Sexual assault
  • War-related experiences

Common Causes of Trauma

Trauma can come from many places or experiences. It can happen to anyone at any time and has lasting effects. Some sources of trauma might include the following: 

Witnessing or experiencing violence

Witnessing or being directly involved in a violent act can be traumatizing. It might include seeing or experiencing domestic abuse, sexual assault, child abuse, war combat, or anything else that’s graphic and violent. 

Being involved in or witnessing a serious accident

A shocking accident can be jarring and cause trauma, whether you’re directly involved or just a witness to it. 

Abuse 

Physical, sexual, or emotional abuse can all be factors that lead to a traumatic response. 

Assault 

Rape or a violent assault can be the source of a traumatic reaction, whether you’re the one who experienced the attack or someone close to you did. 

Natural disasters

Earthquakes, floods, hurricanes, wildfires, or any other natural disaster can be more than just frightening. They can be traumatic, especially if they cause death, displacement, or food or housing insecurity. 

Death

Death — especially if it’s sudden or unexpected — of a loved one can be traumatic for anyone to cope with.

If you or someone you love has experienced any of the types of traumas we’ve discussed here, seeking professional help can be instrumental in learning to cope with the aftermath and healing. Trauma isn’t something you have to go through alone, and certain coping mechanisms like trauma dumping can do more harm than good.

“Determining who will develop a trauma-related disorder is incredibly difficult, as every person will respond to traumatic incidents in their own unique ways. It’s important to note that some people may experience an event as highly traumatic, while others may not experience the same event as traumatic. If you’re dealing with the effects of trauma, finding a trauma-informed therapist is an excellent option.”

Talkspace therapist Ashley Ertel, LCSW, BCD, C-DBT

Learn How to Cope with Trauma with Talkspace

It’s important to be aware of the different trauma types so you can understand how they might impact your mental and physical health. If you’re struggling with the aftermath of trauma, please know that you’re not alone. Many people have been through similar experiences and understand what you’re going through, and therapy can help you heal.

When it comes to how to deal with trauma, online trauma therapy with Talkspace can make the process of getting help simple. In just a few clicks, you’ll be connected with a therapist who understands what you’re going through. Talkspace therapists are experienced in trauma therapy and can help you work through your feelings and recover from traumatic experiences you’ve endured. 

Sources:

  1. Understanding the impact of trauma. Center for Substance Abuse Treatment. Trauma-Informed Care in Behavioral Health Services. https://www.ncbi.nlm.nih.gov/books/NBK207191/. Published 2014. Accessed November 23, 2022. 

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Trauma Dumping: The Signs & Effects of Oversharing Trauma https://www.talkspace.com/blog/trauma-dumping/ Thu, 02 Feb 2023 17:33:15 +0000 https://www.talkspace.com/blog/?p=29537 Updated 05/10/2024 Trauma dumping is defined as unloading traumatic experiences on others without warning or invitation. It’s often…

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Updated 05/10/2024

Trauma dumping is defined as unloading traumatic experiences on others without warning or invitation. It’s often done to seek validation, attention, or sympathy.

While some initial relief may come from dumping your trauma onto someone else, the habit actually does more harm than good. It can damage relationships and lead to anxiety, depression, and other mental health conditions. Being aware of the effects of trauma dumping is important, whether you’re guilty of the trauma dump, or think you might be getting dumped on.

Keep reading to understand the trauma dumping meaning and to learn some trauma dumping examples. If someone you care about trauma dumps, you’ll learn how to help them. 

What Is Trauma Dumping?

Trauma dumping occurs when an individual shares their traumatic experiences without the recipient’s consent, often at inappropriate times or places. This act can place undue emotional pressure on someone who may not be prepared or able to process such intense information. Typically, trauma dumping does not involve a mutual exchange or support but rather an overwhelming one-sided outpouring of personal distress.

It can be done by constantly talking about a traumatic experience or by deliberately reliving it through reenactment. Trauma dumping can have negative consequences for the individual doing the dumping and for anyone on the receiving end. 

“Trauma dumping is the unfiltered sharing of strong emotions or upsetting experiences without permission from the listener.”

Talkspace therapist Dr. Olga Molina, D.S.W., LCSW 

When someone experiences any of the many types of trauma, they often feel overwhelmed and seek relief by sharing their story. Unfortunately, this can backfire. The listener may feel burdened by having to hear about the trauma, and they may even start to avoid the person continually bringing up traumatic events.

It’s important to remember that everyone deals with trauma differently. There’s no right or wrong way to process trauma.

Trauma Dumping vs. Venting

When discussing traumatic experiences, we need to understand the difference between dumping and venting. Both involve sharing difficult experiences with others, but they serve different purposes.

Dumping is when we unload personal trauma onto someone else without regard for their emotional state or well-being. We might do this because we’re overwhelmed by our experience and need relief, or we may think the other person can fix us.

Venting, on the other hand, is a way of releasing some of the pent-up emotions associated with trauma in a safe and controlled manner. When we vent to another person, we’re mindful of their emotional boundaries and only share as much as they can handle hearing. This allows us to process our difficult emotions in a healthy way while still maintaining control.

How to Know If You’re Trauma Dumping

Trauma dumping can be incredibly overwhelming and an emotionally draining experience — both for the person doing the trauma unloading and for the person receiving it. 

How do you know if you’re trauma dumping? Here are some trauma dumping examples to look out for:

You feel like you need to get everything off your chest immediately

Holding in negative feelings about a traumatic event can be extremely difficult. When this happens, you might feel desperate to unload all your emotions onto someone else as soon as possible.

This can lead to impulsively seeking out anyone who’ll listen, regardless of whether or not they’re equipped to deal with your emotional outpouring.

You start talking without taking a breath

Once you finally start talking about what happened, it can be hard to stop. The words may feel like they’re tumbling out as though there’s no tomorrow. This nonstop stream-of-consciousness style of communication can leave both parties feeling exhausted. It can be particularly taxing for the person on the receiving end who didn’t have the opportunity to mentally or emotionally prepare for what they were about to hear.

You become extremely attached to one person

In many cases, a trauma dumper will fixate on one person they view as their “savior.” They’ll cling desperately to this person and pour their heart out at every opportunity, even if it’s been made clear that this level of intimacy is unacceptable. This developed codependency could be due to abandonment trauma experienced at a young age.

Your behavior starts impacting others negatively

Though traumatic events can negatively impact life, make sure your reactions don’t unintentionally hurt those around you. Unfortunately, this isn’t always easy — particularly when you’re already struggling with intense emotions related to your trauma.

You’re not actually getting any relief from trauma dumping

If you’ve been trauma dumping for a while, and it doesn’t seem to provide the release you need, it could be a sign you should seek professional help. Dumping your emotions onto someone else though, — even if they’re sympathetic and willing to listen — isn’t always an adequate substitute for professional counseling or therapy.  

Effects of Trauma Dumping & Oversharing

Trauma dumping can lead to feeling re-traumatized or further traumatized. There are a few reasons why people might engage in trauma dumping. 

For some, it might be a way of seeking validation or attention. Others may feel that they need to unload the burden of their traumatic experience onto someone else. Still, others may not know how else to cope with their negative feelings surrounding the event.

Social media and trauma dumping

If you’re using social media to share your experiences with the world to gain validation or sympathy, you might be trauma dumping. We often think of social media as a way to stay connected with friends and family — but for some people, it can be anything but positive. 

“Trauma dumping is often seen in social media and can be a form of manipulating friends. Trauma dumping can also happen in person, via text message, or through phone calls.”

Talkspace therapist Dr. Olga Molina, D.S.W., LCSW 

Research shows a link between social media and mental health conditions — especially if you’re prone to “trauma dumping.” Remember that there’s nothing wrong with seeking emotional support from others after experiencing something traumatizing. However, it can do more harm than good if you’re constantly reliving the details of your trauma on social media.

How to Deal with Trauma Dumping

How you deal with trauma dumping will depend on if you’re doing the trauma retelling or you’re the one listening to the trauma. 

On the receiving end 

It can be difficult enough to manage your own mental health, but what about when you’re on the receiving end of someone else’s trauma? 

Here are some tips on how to best help a loved one during this challenging time:

  • Be there: This may seem obvious, but sometimes, just being present and available can make a difference. Tell them you’re there for them and that they can come to you with anything they need.
  • Listen without judgment: It’s important that your loved one feels safe enough to open up fully without worrying they’ll be judged or misunderstood. Take the time to listen and try not to offer any quick solutions or advice unless you’re asked for it directly. Focus on validation by summarizing what was said so they know you’re hearing them.
  • Set healthy boundaries: That being said, it’s important you look out for yourself and set healthy boundaries. If a certain topic is triggering for you, validate your loved one’s feelings, but let them know that you do not feel comfortable discussing further with them. Follow up by letting them know you would be happy to help connect them with a mental health professional who can help in a much greater capacity.
  • Offer practical help: If your loved one is struggling with everyday tasks like cooking or cleaning, see if there’s anything you can do to help. You might offer to pick up around the house or take care of the shopping so they can focus emotionally on taking care of themself.
  • Encourage self-care: Helping a traumatized loved one practice healthy coping mechanisms such as exercise, relaxation techniques, journaling for mental health, or talk therapy can be a crucial component in their recovery journey. It is equally as important you care for yourself, as well. You cannot fully help someone else if you, yourself, are in need of help, too.
  • Seek professional help together: Talking things through with a trained therapist can provide invaluable insight and guidance that would otherwise be unavailable.

Being on the receiving end of someone else’s personal trauma can be difficult, but there are ways you can support your loved one. Being present and actively listening, without judgment, can make a huge difference.

As the trauma dumper

When it comes to trauma dumping, we generally think more about the person on the receiving end — but what about the person doing the dumping?

If you find yourself in a relationship where you trauma dump on others (or you feel tempted to do so), make an effort to stop, for your sake and theirs.

  • Take some time for self-reflection
  • Try identifying why you’re turning to this type of behavior to cope 
  • Consider trauma therapy so you can make the necessary changes to prevent the pattern from continuing 

Learn How to Effectively Deal with Trauma with Talkspace

If you’re struggling with trauma, seeking help from a mental health professional is essential, especially if you’re dumping your trauma onto others. Trauma dumping can damage existing relationships and make it difficult to form new, healthy ones.

When not dealt with, trauma can lead to anxiety, depression, and other physical and mental health conditions. If you need someone to talk to, consider finding a therapist online or in-person who can help you deal with your trauma more positively and effectively.

If you’re looking for help, consider seeking out online therapy. Talkspace is an online therapy platform that’s a great option if you don’t have the time or ability to see a therapist in person. Online therapy can provide the guidance you need to work through your trauma in a safe and confidential setting from the comfort of your home. 

Reach out to Talkspace today to learn more about how to deal with trauma

Sources:

  1. Social Media and Mental Health. HelpGuide.org. https://www.helpguide.org/articles/mental-health/social-media-and-mental-health.htm. Accessed November 23, 2022. 
  2. Trauma and violence. SAMHSA. https://www.samhsa.gov/trauma-violence. Accessed November 23, 2022. 

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Understanding Abandonment Trauma https://www.talkspace.com/blog/abandonment-trauma/ Thu, 15 Sep 2022 16:15:52 +0000 https://www.talkspace.com/blog/?p=27364 Stable, nurturing relationships are essential to healthy development and can provide us with a sense of security. When…

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Stable, nurturing relationships are essential to healthy development and can provide us with a sense of security. When someone feels like they’ve been abandoned, it can leave them with lasting trauma. 

Abandonment trauma can interfere with emotional development and make it difficult to form stable relationships. Understanding as much as possible about abandonment trauma symptoms and how they impact your life can make healing easier. Keep reading to learn more. 

What is Abandonment Trauma?

Abandonment trauma can be defined as the behavior and emotional response that someone has as a result of experiencing severe neglect or harm in the form of abandonment. It can happen at any time in life and feeling physically or emotionally neglected can be deeply painful. While trauma may occur after one specific instance of physical or emotional abandonment, it can also result from both perceived and unintentional abandonment. 

“Abandonment trauma can, of course, vary from person to person, but it may include emotional and psychological pain associated with memories of being left behind, emotionally neglected, hurt, or abandoned. It can also bring about intensely distressing and emotional pain somatically. If you have experienced trauma, you can work with a therapist to support you in processing your experience. There are many caring mental health professionals who want to help you.”

Talkspace therapist Elizabeth Keohan, LCSW-C

Not everyone reacts to abandonment similarly, and being abandoned won’t always result in traumatic stress. That said, it’s important to recognize the damaging effects of abandonment and the lasting distress it can cause.

Its Impact on Mental Well-Being

Abandonment trauma can significantly impact your mental well-being, and the time period it occurs in your life can be a determining factor in how it affects you later. 

Childhood abandonment trauma 

The bonds we form with caregivers during childhood greatly influence how we connect with others as adults. When a child experiences abandonment trauma, they may learn to believe that they can’t rely on others to meet their needs. These experiences can leave children with a strong fear of abandonment or abandonment anxiety that interferes with their ability to form healthy relationships with others. They may develop attachment issues after a traumatic event which prevents them from forming healthy adult relationships when they grow up.

Effects on development and emotions

Studies have shown that traumatic experiences surrounding abandonment in childhood can interfere with brain development, increasing the risk of developing mental health conditions later in life. 

Research has also determined that children with an insecure attachment style, which can form as the result of childhood abandonment trauma, are more likely to be diagnosed with multiple mental health conditions, including, among other things: 

It’s also associated with increased rates of depression and antisocial behavior. 

“Symptoms of abandonment trauma can include extreme insecurity or anxiety within a relationship, obsessive or intrusive thoughts of being abandoned, and also debilitating self-esteem or self regard.”

Talkspace therapist Elizabeth Keohan, LCSW-C

When children feel abandoned, it can leave them feeling frightened and unsafe. They may worry that their basic needs won’t be met or feel the abandonment is their fault. Ultimately, it can damage their sense of self-worth, causing problems throughout adolescence and well into adulthood if not addressed. 

Adult abandonment trauma 

Although it may seem that abandonment trauma is more likely to occur during childhood, adults can also go through traumatic experiences caused by abandonment. Abusive relationships, divorce, or the death of a partner can all be triggers for abandonment trauma in adulthood.

Effects on development and emotions

Traumatic experiences related to abandonment in adulthood can have an adverse effect on adult relationships. Adults who fear abandonment are more likely to self-sabotage and may struggle to trust others.  

“Children and adults, of course, may manifest similar emotions and concerns with regard to abandonment trauma, but because of different phases of development, they may contrast with behaviors. Common themes for both can include mistrust of others and feeling inadequate or ashamed within relationships.”

Talkspace therapist Elizabeth Keohan, LCSW-C

Causes of Abandonment Trauma 

Abandonment trauma can occur after any distressing experience that causes someone to feel neglected, isolated, or unsafe. This trauma may be the reaction to a single event, or it can result from an ongoing pattern of behavior. Common causes of abandonment trauma include:

Emotionally unavailable parent/partner

When a parent or partner consistently fails to respond to emotional needs, it can make someone feel their feelings don’t matter. Experiencing emotional unavailability can make it difficult to regulate emotions and cause people to become emotionally distant or very clingy and needy.

Childhood neglect 

Neglect is sadly a common type of childhood abuse and is frequently a source of abandonment trauma. When caregivers fail to meet a child’s basic needs, it can interfere with healthy development, leading to lifelong consequences. Childhood neglect can occur for many reasons, including poor parenting skills and substance abuse.

Family instability 

Family instability can disrupt a child’s development and interfere with their sense of security. This could include divorce, financial issues, housing, or food insecurity. When children don’t have a stable living environment, it can make them feel like they could be abandoned at any time. 

Death/serious illness in parent/guardian 

Losing a parent or guardian during childhood can create a lasting fear of abandonment. Research shows that abandonment trauma can occur after the death of a caregiver.

Similarly, when a parent has a serious illness, it can lead to these fears as well, even if they ultimately survive. Death and illness are always distressing, but these experiences can be especially difficult for children to cope with. 

Signs of Abandonment Trauma

Abandonment trauma can affect everyone differently, but some specific behaviors can be strong indicators it’s what you may be dealing with. Common abandonment trauma symptoms include:

Fear of being left alone

It’s normal for young children to experience separation anxiety. However, when someone has abandonment trauma, that fear of being separated from loved ones can become debilitating, continuing throughout childhood and persisting into adulthood. Spending time alone might cause significant distress, and the fear of being left behind can become a source of extreme anxiety.

Inability to form healthy relationships 

When a child is abandoned or neglected by caregivers, they may form an insecure attachment style that makes it difficult to form healthy relationships with others, even in adulthood. People with abandonment issues and attachment issues often either push others away or engage in smothering behaviors alienating those closest to them.

Anxiety and depression

Traumatic stress (which can result from abandonment issues) is associated with higher rates of anxiety and depression. For many people with abandonment trauma, the fear of abandonment can be overwhelming. Anxiety can sometimes become so severe that it causes insomnia or nightmares. The anxiety and depression linked to previous abandonment can be overwhelming, interfering in several aspects of life. 

Performance difficulty 

Often people with abandonment trauma struggle to manage their emotions or healthily relate to others. These symptoms can interfere with school or work performance.  

How to Cope With Abandonment Trauma

Abandonment trauma symptoms can worsen without treatment. Thankfully, there are many ways to treat and manage abandonment trauma. Coping mechanisms can help reduce the day-to-day impact this has on your life.

Self care

People struggling with abandonment trauma often have low self-esteem and may feel their needs don’t matter. Self-care can improve your overall physical and mental health and enhance your sense of self. 

For example, daily affirmations, mindfulness meditation, and positive self-talk can all help you see yourself and your worth in a more positive light. When you know that you deserve better, you can begin to release some of the abandonment fear you have about being neglected. 

Lifestyle changes

Simple, positive lifestyle changes can boost your mental health and give you the strength you need to heal from abandonment trauma. 

A healthy diet, exercise, and a consistent sleep schedule can improve your mood and your body’s ability to respond to stress related to abandonment trauma symptoms. You may also want to consider ending or changing unhealthy relationships in your life.

Therapy 

Abandonment trauma can leave you with lasting scars. If trying to cope feels impossible or just too daunting, a mental health professional can provide you with guidance and support. 

An online therapist can help work with you to treat the symptoms that interfere with your daily life. We’ll help you with coping strategies so you can learn how to heal abandonment issues. If you experience abandonment issues or are dating someone with abandonment issues, seek help through online therapy. You can heal, and you deserve support along the way to build lasting, healthy, committed relationships without the fear of being abandoned again. 

Get connected with a therapist at Talkspace today.

Sources:

1. De Bellis M, Zisk A. The Biological Effects of Childhood Trauma. Child Adolesc Psychiatr Clin N Am. 2014;23(2):185-222. doi:10.1016/j.chc.2014.01.002. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968319/. Accessed August 16, 2022.

2. Kerns K, Brumariu L. Is Insecure Parent-Child Attachment a Risk Factor for the Development of Anxiety in Childhood or Adolescence?. Child Dev Perspect. 2013;8(1):12-17. doi:10.1111/cdep.12054. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3960076/. Accessed August 16, 2022.

3. Wylock J, Borghini A, Slama H, Delvenne V. Child attachment and ADHD: a systematic review. European Child & Adolescent Psychiatry. 2021. doi:10.1007/s00787-021-01773-y. https://pubmed.ncbi.nlm.nih.gov/33844103/. Accessed August 16, 2022.

4. Lee A, Hankin B. Insecure Attachment, Dysfunctional Attitudes, and Low Self-Esteem Predicting Prospective Symptoms of Depression and Anxiety During Adolescence. Journal of Clinical Child & Adolescent Psychology. 2009;38(2):219-231. doi:10.1080/15374410802698396. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2741157/. Accessed August 16, 2022.

5. Peel R, Caltabiano N. The relationship sabotage scale: an evaluation of factor analyses and constructive validity. BMC Psychol. 2021;9(1). doi:10.1186/s40359-021-00644-0. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449894/. Accessed August 16, 2022.

6. Wolchik S, Tein J, Sandler I, Ayers T. Stressors, Quality of the Child–Caregiver Relationship, and Children’s Mental Health Problems After Parental Death: The Mediating Role of Self-System Beliefs. J Abnorm Child Psychol. 2006;34(2):212-229. doi:10.1007/s10802-005-9016-5. https://pubmed.ncbi.nlm.nih.gov/16502140/. Accessed August 16, 2022.

7. Bremner J. Traumatic stress: effects on the brain. Dialogues Clin Neurosci. 2006;8(4):445-461. doi:10.31887/dcns.2006.8.4/jbremner. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181836/. Accessed August 16, 2022.

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How to Cope with Trauma https://www.talkspace.com/blog/how-to-deal-with-trauma/ Wed, 14 Sep 2022 18:57:20 +0000 https://www.talkspace.com/blog/?p=27356 Not only does trauma have many different causes, but people can respond to it in several different ways.…

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Not only does trauma have many different causes, but people can respond to it in several different ways. Ultimately, this means there’s no one or right way to navigate dealing with trauma. It’s possible to experience traumatic stress after a tragic event or time period, or you may struggle with trauma symptoms triggered by painful childhood experiences.

No matter what the source of your traumatic stress is, it’s important to learn how to deal with trauma healthily so you can heal and move forward in life. Keep reading to learn more about coping with trauma.

“Dealing with trauma can challenge your ability to deal with your body and mind’s emotional and psychological response to a highly distressing life event, memory or circumstance; it requires your maximum ability to cope under extreme duress. Healing from trauma is certainly possible with the support of a therapist, who can help identify what might be causing challenges and also help you foster your resilience.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

What Is Traumatic Stress?

Exposure to painful, disturbing, or upsetting events can leave lasting wounds, and in some cases, the stress of the event may be overwhelming. Traumatic stress can occur after a terrible experience, directly witnessing a disturbing event, or after repeated and detailed exposure to painful occurrences. For example, a first responder might be traumatized after viewing the aftermath of horrifying accidents. 

Reactions to traumatic stress can vary based on a number of factors, including the type and severity of the trauma, the age at which the person experienced it, and additional risk factors. 

For example, people with cognitive vulnerabilities — such as someone with past head trauma or low IQ — are at increased risk for severe trauma symptoms related to post-traumatic stress disorder (PTSD). While not all physical or psychological trauma will result in PTSD, untreated traumatic stress can take a significant toll on your emotional and physical well-being.

Emotional and physical symptoms of traumatic stress

People may experience a range of emotional and physical symptoms after going through a traumatic incident. 

Common reactions to traumatic stress include:

  • Mood swings
  • Irritability
  • Increased anxiety
  • Panic attacks
  • Rapid breathing
  • Shaking or trembling
  • Difficulty concentrating
  • Loss of appetite 
  • Sadness
  • Sleep issues
  • Aches and pains
  • Feelings of hopelessness

These physical and emotional trauma symptoms can be deeply distressing and potentially interfere with your day-to-day life. It’s important to find healthy coping skills to reduce trauma’s impact on your life.

Traumatic stress vs PTSD

Traumatic stress and post-traumatic stress disorder (PTSD) share many symptoms and are both responses to trauma. However, even though these conditions have similarities, people with traumatic stress typically see their symptoms improve as time progresses. In contrast, PTSD can put a person in a state of shock, and PTSD symptoms may become more severe over time. Again, it’s important to note that not everyone who goes through a traumatic event will develop PTSD, but it’s definitely something to be aware of. 

How to Deal with Trauma: 5 Ways

No matter what types of symptoms you’re experiencing, you should make sure you’re constructively dealing with trauma. Nothing can erase your experiences, but taking the right steps can help you manage your symptoms and rebuild your life. 

“Coping with trauma, once learned and manageable, allows you to better identify triggers, defenses, and what may be disrupting your ability to live day to day, with less dysregulation and intensity while allowing you to live more fully in the present, rather than in the past, which could be holding you back.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

1. Acknowledge your feelings

An important part of dealing with unresolved trauma is simply learning to accept the emotions that you’re struggling with — yes, this is probably easier said than done. The reality is if you try to bottle up or ignore your feelings, it could leave you feeling more stressed in the long run. Whether you’re feeling angry, guilty, or shocked about what you’ve experienced, you should allow yourself to feel these things without judgment. 

Healing from trauma takes time, and you won’t be able to recover overnight. It’s okay if you’re dealing with intense or volatile emotions. Don’t pressure yourself to go back to normal. Instead, be patient and give yourself plenty of time to heal. Listen to the signs you need a mental health day to yourself.

2. Make self-care a priority

When you’re coping with trauma, it’s easy to neglect your basic needs. A poor diet or lack of sleep could make traumatic stress symptoms more severe. If you take better care of yourself, you’ll have the strength you need to recover. Self-care is essential to maintaining a centered, healthy mind-body life.  

For example, many people struggle with insomnia after a traumatic experience, but good sleep hygiene can make it easier for you to get the rest you need. That’s because there’s a strong correlation between sleep and mental health. Exercise can improve your mood and help you rest after a long day. The bottom line is if you’re trying to figure out how to cope with trauma, make sure you don’t overlook your own health. 

3. Connect with family and friends

While it’s common to withdraw after a traumatic experience, your relationships with others can be a source of strength. Some studies even show that social support can reduce the amount of cortisol the body produces when you’re feeling anxious or overwhelmed. 

While you shouldn’t hesitate to open up to your loved ones about traumatic stress if you feel comfortable doing so, any type of social interaction can be beneficial if you don’t discuss your trauma. In fact, spending time with people you care about might help you begin to feel more like yourself again. 

4. Work to reduce the stress in your life

While stress is a part of everyone’s life, it can be difficult to deal with, especially while you’re trying to recover from something traumatic. Try to limit the amount of stress in your life as you go through the healing process. Make sure you’re managing the stress you experience in a healthy way.

The following relaxation techniques can help you calm down when you’re feeling overwhelmed:

Set aside time for activities you love as a way to unwind at the end of the day.

5. Professional treatment options for traumatic stress

If you don’t know how to deal with trauma on your own, or if your symptoms don’t seem to be improving with time, you may want to consider seeing a professional. There are several evidence-based treatments that can help you cope with trauma.

Cognitive behavioral therapy (CBT), a type of therapy that’s designed to help people recognize and change unhealthy thought patterns, is an extremely effective treatment for traumatic stress. Because of this, CBT for PTSD is a very common treatment. Studies even show that CBT might reduce the risk of developing PTSD. 

Other treatments and forms of trauma therapy, such as eye movement desensitization and reprocessing (EMDR) and stress inoculation training (SIT) can also be very beneficial. 

“Connecting with a professional can be key to increasing your daily functioning. A trauma specialist can be helpful, but may not be critical. Feeling supported, by a caring professional, can be as important as feeling validated, understood, and available for relief and healing.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW

Get Professional Help with Talkspace

If the symptoms of traumatic stress are getting in the way of your day-to-day life, don’t hesitate to reach out for help. Talkspace is an online therapy platform where you can connect with licensed therapist who can teach you how to deal with trauma in an effective, productive, and healthy manner. With the guidance and support of a mental health professional, you’ll be able to address your feelings, manage your symptoms, and move on from the trauma that you’ve experienced. 

There is life after trauma, and Talkspace can help you find your way through the pain and back to a healthy, peaceful existence. 

Sources:

1. Sareen J. Posttraumatic Stress Disorder in Adults: Impact, Comorbidity, Risk Factors, and Treatment. The Canadian Journal of Psychiatry. 2014;59(9):460-467. doi:10.1177/070674371405900902. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168808/. Accessed August 23, 2022. 

2. Medic G, Wille M, Hemels M. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017;Volume 9:151-161. doi:10.2147/nss.s134864. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449130/. Accessed August 23, 2022.

3. Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35-40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921311/. Accessed August 23, 2022.

4. Kliem S, Kröger C. Prevention of chronic PTSD with early cognitive behavioral therapy. A meta-analysis using mixed-effects modeling. Behav Res Ther. 2013;51(11):753-761. doi:10.1016/j.brat.2013.08.005. https://www.sciencedirect.com/science/article/abs/pii/S0005796713001538. Accessed August 23, 2022.

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Mass Shootings: The Impact on Mental Health https://www.talkspace.com/blog/mass-shooting-mental-health-impact/ Mon, 06 Jun 2022 20:10:01 +0000 https://www.talkspace.com/blog/?p=26351 Trigger Warning: Below we discuss some difficult and disturbing topics that can be triggering for some people. If…

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Trigger Warning: Below we discuss some difficult and disturbing topics that can be triggering for some people. If you’re struggling, know that help is available. Don’t wait to reach out if you or someone you love is in a crisis and needs immediate support.

The reality of mass shootings is impacting mental health in ways we’ve not seen before in the United States. It’s possible that life has never been more stressful for children, school employees, and families across the nation. The mass shooting in Uvalde at the end of May 2022 took 21 lives, 19 of them young children, and 16 more were seriously injured. 

Unfortunately — and tragically — Uvalde was hardly an isolated incident. According to Education Week’s school shooting tracker (Yes. We have a tracker), there have been 27 school shootings in the first 5 months of 2022 alone in the United States. Furthermore, gun violence is happening in BIPOC communities and other everyday places.

The psychological effects of mass shootings are weighing on us all. When it comes to mental health, mass shootings take a toll, and not just on those directly involved. What effects are these tragedies of mass violence having on us? Turns out, ones that are pretty significant and have led to a big mental health problem.  

Societal Effects of Mass Shootings

To fully comprehend how mass shootings affect society, it’s important to look at the psychological impacts we’re seeing, both on victims, as well as on those of us who are continually inundated with the news of and exposure to every shooting that happens. 

It’s important we point out, it’s not just the people directly impacted by these shootings who are suffering. The reality for each of us — from the survivor to the horrified witness watching coverage from the safety of their own home — is daunting, overwhelming, and heartbreaking. 

As we all learn to navigate it each time, the near-constant reporting of every shooting, and the next, and the next, and…it feels unending, like we can’t even get through just one day without hearing of another mass shooting. In short, it’s exhausting.

“Every time a mass shooting hits a community, the general public becomes more terrified. Anytime fear drives a community, people tend to react with retraction, regression, and isolation which are all the things that spike mental illness.”

Talkspace therapist Meaghan Rice, PsyD, LPC

Children, parents, teachers, and people from every corner of the country understandably feel anxious about the possibility of the next time being their school, their community, their friends, and loved ones.  

The Parental Fear & Anxiety of Sending Kids to School

In many ways, being a parent has always been terrifying — and that’s without the fear of gun violence that’s become more commonplace than ever before. 

“With fear driving the majority of how our communities feel, parents are beginning to question whether the pros (socialization, routine, and structure) outweigh the cons (risk of trauma and death). When such extreme cons are put on the table, parents look for other options, which can be less than ideal and not in the best interest of the student.”

Talkspace therapist Meaghan Rice, PsyD, LPC

Parents have felt anxious about sending their kids off to school forever. It’s an age-old emotion, as we grapple with cutting those apron strings just a little bit more each year. However, with school shootings continuing to happen, parents are more on edge than ever.

Our anxiety has been wildly amplified now, though, with fear of the unthinkable potentially breaching the steps at our child’s school. With every new devastating story, every new pang of shock and tragedy, every time we have to think and process…again?!, it gets more and more difficult to comprehend the world we’re living in. If you struggle with this fear and feel you need to prepare your children, learn how to talk to your child about mass shootings.

The Impact on Students

The psychological effects of mass shootings on students can largely depend on the reactions of parents and other adults around them. 

We talk a lot about limiting social media and news of terrible tragedies, and this is true, especially in the case of school shootings. The 24-7 news cycle can be damaging to children’s psyches and should be monitored. Unfortunately, we can’t shelter them from all of it. Most kids have heard about gun violence from a friend, in class, or through an article on the Internet. 

There are several common, normal, and even somewhat healthy, reactions children might have as they try to process the traumatic events of mass violence. According to Dr. Ajit Jetmalani, a child psychiatrist at Oregon Health & Science University, children commonly respond to news of a school shooting with:

  • Fear
  • Anxiety
  • Confusion 
  • Depression
  • Regression

“When basic needs are unmet (feelings of safety), there is very little learning that can take place. Instead of using valuable brain space for learning, ruminating, extreme feelings of anxiety, and depression creep in instead, which can be challenging to navigate independently.” 

Talkspace therapist Meaghan Rice, PsyD, LPC

The Impact on BIPOC Communities

It’s clear that this new normal is devastating at all levels, but it’s becoming increasingly important that we look more in-depth at how mass shootings affect society, particularly in Black, Indigenous, and people of color (BIPOC) communities. 

Recent shootings — at a Buffalo NY market and in Southern California’s Geneva Presbyterian Church — were both racially motivated. The targeted racial violence left a combined 11 people dead and 8 more injured. 

The ripple effect of hate crimes like these is crippling BIPOC communities, as fear for their safety seeps into even the mundane aspects of life. Simple things, like shopping for food and attending a place of worship, can induce anxiety as they have to face the possibility of what if

The fear of a violent crime in everyday places can be paralyzing. 

Survivor Trauma

Experiencing a mass shooting can have life-long, devastating repercussions on survivors. It’s an extreme form of trauma, one that can result in decades of mental health implications

Survivors of trauma from a violent crime can end up with immediate reactions, such as:

  • Confusion
  • Exhaustion
  • Anxiety
  • Sadness
  • Guilt 
  • Shame
  • Feeling agitated
  • Dissociation
  • Feeling numb or detached

“Guilt and shame can often be a part of survivor trauma. Not only do they have their own fear that something might be reoccurring, but they also ask themselves why they lived when other people gave their lives. This line of questioning due to survivor’s guilt can be all-consuming and take them away from other important categories of their lives.”

Talkspace therapist Meaghan Rice, PsyD, LPC

Although other responses can develop later, as the aftermath of their experience sinks in and begins to weigh on them. In terms of mental health, mass shootings can result in survivors experiencing conditions like:

  • Post-traumatic stress disorder (PTSD): Shootings can trigger post-traumatic stress disorder (PTSD), anxiety, and other mood disorders. 
  • Reactivation of PTSD: Further research shows the potential for retraumatization is extremely high in populations that witness very traumatic experiences. 
  • Acute stress disorder: Similar to PTSD, acute stress disorder happens after experiencing or witnessing a traumatic event. Typically, symptoms occur within 4 weeks of the trauma and can last anywhere from a few days to around 1 month. It’s best to keep an eye out for the signs of acute stress disorder in the people in your life.
  • Self-esteem issues: Some research suggests a link between how severe PTSD is and how low self-esteem may become.  
  • Emotion regulation difficulty: Psychological trauma can trigger emotional dysregulation that causes a lasting inability to control emotional responses. It’s important to note that emotional dysregulation is also associated with anxiety and depression.
  • Interpersonal relationship struggles: Severe trauma can lead to an inability to establish and maintain healthy relationships in the future.  
  • Depression: Trauma has long been linked to depression, and newer research further implicates the risk of depression, especially among adolescents, who experience intense interpersonal trauma. 

How We Can Collectively Protect Our Mental Health

While individually we don’t have much power over the impact on mental health mass shootings have, collectively, we have the ability to protect ourselves and others. First, we can talk to each other. Being open and honest about the importance of nurturing our mental health is step one. 

The sooner we can destigmatize the concept of being mentally healthy, the more we can do to ensure everyone has appropriate access to mental healthcare. 

As a society, we take physical health seriously. We take our children to the doctor for regular checkups. We go to annual appointments as adults. We have screenings at certain ages to catch serious diseases early. We eat well and get exercise. Yet when it comes to our mental health, we often aren’t as diligent. Simply put, we need to put more emphasis on the importance of mental health care. 

Being more open about our own mental health is just part of it. We desperately need to cultivate a society that understands and values the mental health of others. While the link between mental health and mass shootings remains a hot-button debate topic, one thing is clear: we just don’t do enough to make mental health services a priority in this country. 

If we learn nothing else from recent, horrifying events of mass gun violence, let us learn that help is available and that we should encourage each other to ask for it. Acknowledging you need help is a sign of strength, not something to be ashamed of. If you find yourself struggling with your mental health after an event of mass violence, consider reaching out to a licensed mental health professional either in-person or through online therapy.

Sources:

1. School Shootings This Year: How Many and Where. Education Week. https://www.edweek.org/leadership/school-shootings-this-year-how-many-and-where/2022/01. Published 2022. Accessed June 2, 2022.

2. Terry L. Mass shootings elsewhere can cause anxiety, regression in children in Oregon. Herald and News. https://www.heraldandnews.com/klamath/mass-shootings-elsewhere-can-cause-anxiety-regression-in-children-in-oregon/article_88b3ea43-b597-5cab-9f26-dc6d4fac3c87.html. Published 2022. Accessed June 2, 2022.

3. Hajela D, Morrison A, Farrington B. Buffalo shooting latest example of targeted racial violence. AP NEWS. https://apnews.com/article/buffalo-shooting-targeted-racial-violence-ad45b4c56e74a4ec606c0a7e44694a19. Published 2022. Accessed June 2, 2022.

4. Taxin A, Bharath D. Authorities say hate against Taiwanese people led to California church attack. PBS NewsHour. https://www.pbs.org/newshour/amp/nation/authorities-say-hate-against-taiwanese-people-led-to-california-church-attack. Published 2022. Accessed June 2, 2022.

5. Understanding the Impact of Trauma. Center for Substance Abuse Treatment. 2022;57.https://www.ncbi.nlm.nih.gov/books/NBK207191/. Accessed June 2, 2022.

6. Fagan C. Another School Shooting: How Parents Can Help Kids Cope. Psycom.net – Mental Health Treatment Resource Since 1996. https://www.psycom.net/trauma/school-shooting-survivor-trauma. Published 2022. Accessed June 2, 2022.

7. Schock K, Böttche M, Rosner R, Wenk-Ansohn M, Knaevelsrud C. Impact of new traumatic or stressful life events on pre-existing PTSD in traumatized refugees: results of a longitudinal study. Eur J Psychotraumatol. 2016;7(1):32106. doi:10.3402/ejpt.v7.32106. https://www.tandfonline.com/doi/full/10.3402/ejpt.v7.32106. Accessed June 2, 2022.

8. Omasu F, Hotta Y, Watanabe M, Yoshioka T. The Relationship between Post-Traumatic Stress Disorder and Self-Esteem along with the Importance of Support for Children. Open J Prev Med. 2018;8:95-101. https://www.scirp.org/Journal/PaperInformation.aspx?PaperID=83584. Accessed June 2, 2022.

9. Huh H, Kim S, Yu J, Chae J. Childhood trauma and adult interpersonal relationship problems in patients with depression and anxiety disorders. Ann Gen Psychiatry. 2014;13(1). doi:10.1186/s12991-014-0026-y. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4304140/. Accessed June 2, 2022.

10. Chen R, Peng K, Liu J et al. Interpersonal Trauma and Risk of Depression Among Adolescents: The Mediating and Moderating Effect of Interpersonal Relationship and Physical Exercise. Front Psychiatry. 2020;11. doi:10.3389/fpsyt.2020.00194. https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00194/full. Accessed June 2, 2022.

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Cognitive Behavioral Therapy for PTSD Treatment https://www.talkspace.com/blog/cbt-for-ptsd/ Wed, 22 Sep 2021 18:20:15 +0000 https://www.talkspace.com/blog/?p=22194 Cognitive behavioral therapy (CBT) is a popular form of psychotherapy that starts with a basic premise: if we…

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Cognitive behavioral therapy (CBT) is a popular form of psychotherapy that starts with a basic premise: if we can change how we think, we can change our behavior patterns. 

CBT has proven to be an effective treatment for a number of mental health conditions, and it’s thought to be one of the most effective options for treating post-traumatic stress disorder (PTSD). Considering the fact that almost 9 million adults in America have PTSD, it’s critical to look at effective treatment options like cognitive behavioral therapy to see how they can help. CBT for PTSD encourages those struggling to adopt skills that help treat, and in some cases even eliminate, PTSD symptoms.

Does Cognitive Behavioral Therapy Help With PTSD?

There are several CBT techniques that are effective in treating individuals with chronic PTSD. CBT for PTSD can make it possible for a person to benefit from:

  • Association shifts: The memories of traumatic events can be triggered by any number of situations, including news headlines, conversations, and physical locations. CBT helps people change how they process these associations so they can protect their core emotions.
  • Improved social cognition: CBT challenges an individual’s own harmful beliefs. For instance, if someone thinks their trauma occurred because they somehow deserved it, a therapist can use cognitive behavior therapy to help them work through those thoughts so they can better understand the reality of what happened to them.
  • Education: Educating someone about common PTSD reactions helps them to begin to learn how to manage stressful situations and work on having a plan of action for any known triggers.

Many of our belief patterns are based on shortcuts that help us make sense of our world. When someone feels like they need to find a reason for their trauma, doing it alone (without the guidance of a therapist) can result in solutions that aren’t always helpful in terms of mental health. Cognitive therapy for PTSD makes it possible to accurately view trauma in the context of the bigger picture.

“Trauma can change how we view ourselves, other people, and the world. CBT techniques can support clients in developing a realistic and beneficial perspective.

Talkspace therapist Liz Kelly, LICSW

Core Components of CBT

While there are a number of CBT techniques widely used, there are two core components of CBT for PTSD that are known for their efficacy in reducing PTSD symptoms. In general, all subsequent techniques will fall into one of these two overarching categories. 

Cognitive restructuring

Cognitive restructuring is a technique that helps someone make sense of a traumatic experience or memory. It’s normal (and actually very common) to recall a trauma slightly to significantly different than how it actually happened. For example, some people will remember a traumatic experience in a disjointed way. Or they may completely block out certain parts of what happened to them. They also may have feelings of shame or a sense of guilt associated with their trauma, despite it not being their fault.  

Exposure therapy

Exposure therapy is an intervention geared towards helping people face and then conquer their fears. It works by reliving a traumatic memory in a safe space. This type of therapy often uses writing, mental imagery, or even visits back to places where a traumatic event occurred. It can also include discussions and visits with actual people who were involved as well.

CBT incorporates a number of specific beliefs that work together, including:

  • Psychological disorders are based on faulty thought patterns, which can then lead to faulty behavior patterns.
  • If a person can learn how to recognize these thought patterns, they can reevaluate whether there’s any truth to them.
  • Once someone gains a better grasp of their own thoughts, they can begin to understand their own behavior and the behaviors of others.
  • Specific problem-solving skills can be taught and implemented for better coping both in times of crises, as well as in everyday situations.
  • A person can grow in confidence if they confront their worst fears and work towards conquering them.

Types of CBT Techniques for PTSD

CBT for PTSD is typically approached with one or more of the following types of CBT:

  • Cognitive Processing Therapy (CPT): CPT asks individuals to confront both a traumatic event, as well as the effects they feel as a result of it. This can be effective for those who feel stuck in one way of thinking, and thus are unable to recover from their chronic PTSD. CPT is a trauma focused therapy that helps break these patterns and helps people to move on.
  • Prolonged Exposure Therapy (PE): PE relies more on behavioral therapy techniques to help people approach  specific memories, situations, and emotions that bring out the worst of their symptom severity. Exposure can be done through imagination, virtual reality, or real-life scenarios.
  • Stress Inoculation Training (SIT): Stress inoculation training focuses on teaching those with PTSD specific coping skills. Some of these skills can include breathing techniques, muscle relaxation, and cognitive restructuring. This can help someone react differently to scenarios that increased their stress and anxiety at one time due to their PTSD.

“Trauma symptoms can often be physical as well as mental and emotional.  CBT for PTSD incorporates education, coping strategies, as well as challenging and reframing unhelpful thoughts and beliefs.”

Talkspace therapist Liz Kelly, LICSW

CBT for PTSD: Different strategies for different people

CBT is not just one strategy or treatment plan. Therapists must work with individual clients to develop a system that works for effective treatment. The goal of cognitive-behavioral therapy for PTSD is for the treatment to be a collaboration between therapist and client. In general, prolonged exposure therapy has been found to be incredibly successful when dealing with post-traumatic stress. Because of that, prolonged exposure therapy is often used in a number of situations when it comes to trauma treatment with positive results.

Regardless of the tactics used though, CBT for PTSD is not always done solely in-session. Those who are suffering from trauma may be asked to do homework as a part of their recovery, too. Reinforcing and strengthening skills between each session can help speed up the therapy process and result in a more effective treatment plan.

Getting Help for PTSD

No matter what the trauma was, or how significant symptom severity is, it’s important that to understand there is help available for those recovering from PTSD. CBT and PTSD go hand-in-hand with one another because ultimately it’s often thoughts and fears resulting from a traumatic experience that lead to the worst symptoms.

By adjusting those thoughts on an incremental basis, many people find they can leave a large portion of a traumatic event in the past without ignoring its significance. Cognitive therapy for PTSD doesn’t seek to discount your lived experiences. Nor does it attempt to minimize the impact or severity of what’s happened to you. Recognizing your experience is an essential part of your healing, so it’s worth noting this aspect upfront. This way you can set healthy expectations about what your therapy will entail.  

At its core, cognitive behavioral therapy was founded on the basis of respect for an individual’s feelings. It centers around meeting you where you are mentally. By challenging negative thoughts (for example, the fact that bad things happen to bad people) and offering exposure to situations that were once believed impossible to handle, people with PTSD can start to see their lives from a very different perspective.

Is CBT the right PTSD treatment for you? 

There are several treatment options for those looking for help with their PTSD. For example, one such technique, eye-movement desensitization and reprocessing (EMDR therapy), is considered an effective form of treatment.

Other options include problem-solving therapy, supportive psychotherapy, psychodynamic therapy, and present-centered therapy, to name just a few. When looking at all of the therapies out there, CBT for PTSD seems to be associated with better remission rates in comparison overall.

If you have PTSD and are looking for help, traditional therapy settings, where you meet with a therapist face to face is one option. But there are other opportunities for you to seek treatment, too. Online CBT sessions with a trusted, licensed Talkspace therapist can be a first step toward improving your life and reducing your PTSD symptoms.

Cited Sources:

  1. Cognitive Behavioral Therapy (CBT) for Treatment of PTSD. https://www.apa.org. https://www.apa.org/ptsd-guideline/treatments/cognitive-behavioral-therapy. Published 2017. Accessed August 18, 2021.
  2. PTSD Facts & Treatment | Anxiety and Depression Association of America, ADAA. Adaa.org. https://adaa.org/understanding-anxiety/posttraumatic-stress-disorder-ptsd/treatment-facts. Published 2021. Accessed August 20, 2021.
  3. CBT for PTSD: Basics and Rationale – Psychotherapy Academy. Psychotherapy Academy. https://psychotherapyacademy.org/pe-trauma-training-ptsd/cbt-for-ptsd-basics-and-rationale/. Published 2020. Accessed August 19, 2021.
  4. What is Cognitive Behavioral Therapy?. https://www.apa.org. https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral. Published 2017. Accessed August 20, 2021.
  5. Ioannis Syros. Cognitive behavioral therapy for the treatment of PTSD. https://doi.org/10.1080/20008198.2017.1351219 Published 2017. Accessed August 20, 2021.
  6. Posttraumatic Stress Disorder | NAMI: National Alliance on Mental Illness. Nami.org. https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Posttraumatic-Stress-Disorder. Published 2017. Accessed August 18, 2021.

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