For many people, trauma is understood as a single event. When we experience a single event trauma, such as sexual assault, this is by itself considered acute trauma. Meaning, this is a very specific experience that will likely be a therapeutic focus. I work with this type of trauma, however, the majority of my focus is on what is called chronic or complex trauma.

(1) repetitive, prolonged, or cumulative (2 ) most often interpersonal, involving direct harm, exploitation, and maltreatment including neglect/abandonment/antipathy by primary caregivers or other ostensibly responsible adults, and (3) often occur at developmentally vulnerable times in the victim's life, especially in early childhood or adolescence, but can also occur later in life and in conditions of vulnerability associated with disability/ disempowerment/dependency/age /infirmity, and so on. (shared from article)

When we are exposed to stressful environments, we tend to develop unique patterns of behavior. For some, this may result in difficulty slowing down. For others, lethargy and a lack of motivation may be your stress response (maybe even a mix of both). Feeling safe and relaxed with others may feel difficult and become a barrier to developing stable and satisfying relationships. My approach >>

examples of chronic trauma

  • not having basic survival needs met (food, housing, etc.)

  • witnessing ongoing violence in your home, community

  • ongoing physical or emotional abuse/neglect

  • growing up with a caregiver(s) who struggled with addiction and/or mental illness.

  • inconsistent, unpredictable caregiver(s)

  • medical injury, illness

    *complex trauma is an accumulation of different types of traumatic events over time.

 

symptoms of chronic trauma

  • struggle with attachment to others and anxiety surrounding relationships.

  • impulse control, anger, aggression, emotional outbursts

  • difficulty with attention, cognitive processing, feelings of overwhelm.

  • low self-esteem, shame, struggles surrounding worthiness

  • heightened anxiety, feeling “on-guard” or threatened when it’s not appropriate.

  • difficulty identifying or expressing emotional states.

  • emotional rigidity