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  What other types of post-trauma struggles are there?

Related Post-Trauma Struggles

  • Guilty feelings like survivor guilt
  • Suicidal/homicidal thoughts or behaviors
  • Sense of disillusionment with others and authority
  • Sadness or depressed mood
  • Feeling overwhelmed
  • Assumptive losses (i.e., after being injured in on a vacation “I will never be able to enjoy myself away from home again – the world is not safe")
  • Re-enacting the trauma experience
  • Self-destructive or self-injurious behavior
  • Body sensations like headaches or stomaches when feeling emotionally upset
  • Relationships difficulties
  • Poor memory, concentration or forgetfulness
  • Feeling hopeless or helpless

In addition, there are two types of trauma that the traumatologist would benefit from differentiating at the beginning stage of treatment to assist in treatment planning.

  • Type I Trauma: An unexpected and discreet experi­ence that overwhelms the individual's ability to cope with the stress, fear, threat and/or horror of this event leading to PTSD (i.e., motor vehicle accident, natural disaster). It is possible that the trauma might be in the form of witnessing of an event (second­ary traumatic stress). Treatment outcome tends to be achieved more rapidly than in Type II trauma if ser­vices are offered within a reasonable time (months rather than years) after onset of post-trauma symp­toms.
  • Type II Trauma: Expected, but unavoidable, ongoing experience(s) that overwhelm the individual's ability to metabolize the event (i.e., childhood sexual abuse, combat trauma). This type of trauma is the origin of DESNOS (Disorders of Extreme Stress Not Other­wise Specified) and Dissociative Disorders.