What Should I Do After I’ve Been Traumatized?

Trauma

Experiencing trauma can leave you feeling lost, overwhelmed, and uncertain about how to move forward. Whether your trauma was a single incident or prolonged exposure to harmful experiences, the aftermath can feel chaotic and confusing. Understanding what to expect and having a roadmap for recovery can provide hope and direction during one of life’s most challenging experiences.

Recovery from trauma is possible, but it’s a process that takes time, patience, and often professional support. This guide will help you understand immediate steps you can take and long-term strategies for healing.

Immediate Safety and Stabilization

Ensure Your Physical Safety: The first priority after trauma is ensuring you’re in a safe environment where further harm cannot occur.

Immediate Actions: If you’re still in danger, contact emergency services (911), go to a safe location, or reach out to trusted friends or family who can help you get to safety. If the trauma involved domestic violence, contact the National Domestic Violence Hotline at 1-800-799-7233 for safety planning assistance.

Why This Matters: Healing cannot begin until you’re physically safe. Your nervous system needs to know that the immediate threat has passed before it can begin to calm down and start the recovery process.

Address Immediate Medical Needs: Trauma can have immediate physical effects that need medical attention.

Medical Care: Seek medical evaluation if you have physical injuries, haven’t slept in days, aren’t eating, or are experiencing severe physical symptoms. Even if trauma was primarily emotional, it can have significant physical effects on your body.

Documentation: If your trauma involved a crime or might lead to legal proceedings, medical documentation can be important. However, don’t let concerns about legal issues prevent you from getting needed medical care.

Create Basic Stability: In the immediate aftermath, focus on meeting your basic needs rather than trying to process or understand what happened.

Basic Needs: Ensure you have a safe place to sleep, food to eat, and people who can support you. Don’t worry about “getting over it” or understanding your emotions right now—focus on basic survival and comfort.

Example: After escaping an abusive relationship, your priority should be securing housing, ensuring your physical safety, and meeting basic needs like food and medical care, not immediately trying to process the emotional impact of the abuse.

Managing Immediate Emotional Reactions

Understand That Your Reactions Are Normal: Trauma creates intense emotional and physical reactions that can feel frightening but are normal responses to abnormal experiences.

Common Reactions: You might experience shock, disbelief, confusion, fear, anger, numbness, or feeling like you’re “going crazy.” Physical symptoms like shaking, nausea, difficulty sleeping, or feeling disconnected from your body are also normal.

Validation: These reactions don’t mean you’re weak or broken—they mean your mind and body are responding normally to overwhelming experiences. Your reactions make sense given what you’ve been through.

Practice Grounding Techniques: When you feel overwhelmed or disconnected, grounding techniques can help you feel more present and stable.

5-4-3-2-1 Technique: Name 5 things you can see, 4 things you can touch, 3 things you can hear, 2 things you can smell, and 1 thing you can taste. This helps anchor you in the present moment.

Physical Grounding: Feel your feet on the floor, hold something with texture like a soft blanket or rough stone, or splash cold water on your face. Physical sensations can help you feel more connected to your body and the present moment.

Allow Yourself to Feel Without Judgment: Don’t try to force yourself to feel better or judge your emotional reactions as right or wrong.

Emotional Permission: Give yourself permission to feel whatever you’re feeling without trying to change it immediately. Emotions are information about your experience, not things that need to be fixed right away.

Example: If you feel angry at people who are trying to help, that’s normal. If you feel numb when you think you should be crying, that’s also normal. There’s no “right” way to react to trauma.

Reaching Out for Support

Contact Trusted People: Trauma can make you want to isolate, but connection with safe people is crucial for healing.

Safe People: Reach out to friends, family members, or other people who you trust to be supportive and non-judgmental. You don’t have to explain everything that happened—you can simply say you’re going through a difficult time and need support.

What to Ask For: Be specific about what you need—someone to sit with you, help with practical tasks, or just listen without giving advice. Many people want to help but don’t know how.

Professional Support: Professional help can be invaluable for processing trauma and developing coping strategies.

Types of Professionals: Trauma therapists, counselors, psychologists, and psychiatrists all have different specialties. Start with whatever feels most accessible—your primary care doctor can make referrals, or you can search for trauma specialists in your area.

Crisis Resources: If you’re having thoughts of self-harm, call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. Many areas also have crisis counseling services available 24/7.

Join Support Groups: Connecting with others who have similar experiences can provide understanding and reduce isolation.

Types of Groups: Look for trauma support groups, groups specific to your type of trauma (domestic violence, assault, accidents), or general mental health support groups. Many are available both in-person and online.

Benefits: Support groups can help you feel less alone, provide practical coping strategies, and show you that recovery is possible by connecting you with people further along in their healing journey.

Understanding the Recovery Process

Recovery Is Not Linear: Healing from trauma happens in waves, with good days and bad days, progress and setbacks.

Expect Ups and Downs: You might feel better for a while, then have a difficult day or week. This doesn’t mean you’re not healing—it means you’re human. Recovery involves gradually increasing your capacity to handle difficult emotions and memories.

Example: Three months after trauma, you might have a week where you feel strong and hopeful, followed by a few days where you feel overwhelmed and scared again. Both experiences are part of the recovery process.

Trauma Affects Multiple Areas: Trauma impacts your emotions, thoughts, body, relationships, and sense of safety in the world.

Holistic Healing: Recovery involves addressing all these areas, not just your emotions. You might need to work on sleep, nutrition, physical symptoms, relationship skills, and your sense of meaning and purpose.

Integration Process: Healing involves integrating the traumatic experience into your life story in a way that doesn’t dominate your entire sense of self. The goal isn’t to forget what happened but to reduce its power over your daily life.

Time and Patience Are Required: There’s no standard timeline for trauma recovery, and rushing the process can actually slow healing.

Individual Timeline: Your recovery timeline depends on many factors including the type of trauma, your support system, previous experiences, and available resources. Don’t compare your healing to others or pressure yourself to “get over it” quickly.

Self-Compassion: Treat yourself with the same kindness you would show a good friend going through a difficult time. Recovery requires enormous courage and strength.

Developing Coping Strategies

Learn About Trauma Responses: Understanding how trauma affects your mind and body can help you respond to symptoms more effectively.

Educational Resources: Read about trauma responses, attend educational workshops, or ask your therapist to explain what’s happening in your brain and body. Knowledge can reduce fear and increase your sense of control.

Common Responses: Learn about fight, flight, freeze, and fawn responses, hypervigilance, emotional numbing, intrusive thoughts, and other common trauma reactions so you can recognize them in yourself.

Develop a Safety Plan: Create strategies for managing overwhelming emotions and situations that might trigger trauma responses.

Coping Toolkit: Develop a list of activities that help you feel calmer and more grounded—breathing exercises, physical movement, creative activities, music, or spending time in nature.

Support Contacts: Keep a list of people you can call when you’re struggling, including friends, family, therapists, and crisis hotlines. Having these readily available makes it easier to reach out when you need help.

Establishing Routines and Structure: Trauma can make everything feel chaotic and unpredictable, so creating structure can provide stability.

Daily Routines: Establish regular sleep, meal, and activity schedules. Having predictable routines can help your nervous system feel safer and more regulated.

Example: Even simple routines like making your bed each morning, eating meals at regular times, or taking a walk each evening can provide stability and a sense of normalcy.

Addressing Specific Trauma Symptoms

Sleep Difficulties: Trauma commonly disrupts sleep through nightmares, hypervigilance, or anxiety.

Sleep Hygiene: Create a calming bedtime routine, avoid screens before bed, keep your bedroom cool and dark, and consider relaxation techniques like progressive muscle relaxation or guided imagery.

Professional Help: If sleep problems persist, consider talking to a doctor about temporary sleep aids or working with a therapist on trauma-specific sleep interventions.

Intrusive Thoughts and Memories: Unwanted thoughts, images, or memories about the trauma are common and distressing.

Grounding Techniques: When intrusive memories occur, use grounding techniques to return to the present moment. Remind yourself that you’re safe now and the memory is from the past.

Professional Treatment: Therapies like EMDR (Eye Movement Desensitization and Reprocessing) and trauma-focused CBT are specifically designed to help process traumatic memories and reduce their emotional impact.

Hypervigilance and Anxiety: Feeling constantly on alert or anxious about potential threats is a common trauma response.

Relaxation Skills: Learn breathing exercises, progressive muscle relaxation, meditation, or other anxiety management techniques. Regular practice of these skills can help calm your nervous system.

Environmental Modifications: Make changes to your environment that help you feel safer—sitting with your back to a wall in restaurants, checking locks multiple times, or avoiding certain locations until you feel stronger.

Emotional Numbing: Some people experience emotional numbness or disconnection as a protective response to trauma.

Gentle Engagement: Gradually reconnect with emotions through gentle activities like journaling, art, music, or spending time in nature. Don’t force emotions, but create opportunities for them to emerge safely.

Professional Support: Therapy can help you safely reconnect with your emotions at a pace that feels manageable and doesn’t overwhelm your coping capacity.

Rebuilding Your Life

Reconnecting with Your Body Trauma often creates disconnection from physical sensations and body awareness:

Body Awareness: Practice gentle yoga, mindful walking, dancing, or other activities that help you reconnect with your body in positive ways. Start slowly and respect your limits.

Physical Care: Take care of your body through nutrition, exercise, medical care, and activities that feel nurturing. Your body has been through a lot and deserves gentle care.

Rediscover Your Identity: Trauma can shake your sense of who you are and what matters to you.

Value Exploration: Reflect on what’s important to you, what brings you joy, and what gives your life meaning. These may have changed after trauma, and that’s okay.

Small Steps: Engage in activities that feel meaningful or enjoyable, even if they’re different from what you used to enjoy. Allow yourself to discover new aspects of your identity.

Rebuild Relationships: Trauma can affect your ability to trust and connect with others.

Gradual Reconnection: Start with small, low-risk social interactions and gradually build up to deeper connections as you feel ready.

Communication Skills: Learn to communicate your needs, set boundaries, and ask for support. These skills can help you build healthier relationships going forward.

Find Meaning and Purpose: Many trauma survivors find that developing a sense of meaning or purpose helps in their recovery.

Helping Others: Some people find meaning in helping other trauma survivors, though this should only be done after you’ve achieved some stability in your own recovery.

Creative Expression: Art, writing, music, or other creative activities can help process emotions and create something beautiful from difficult experiences.

Advocacy or Activism: Some survivors find purpose in working to prevent others from experiencing similar trauma or advocating for better resources and support.

Long-term Recovery Considerations

Ongoing Therapy: Many trauma survivors benefit from ongoing therapeutic support, even after initial crisis symptoms have stabilized.

Types of Therapy: Different therapeutic approaches work better for different people and types of trauma. You might try trauma-focused CBT, EMDR, somatic therapies, or other specialized approaches.

Therapeutic Relationship: Finding a therapist you trust and feel comfortable with is crucial. Don’t hesitate to try different therapists until you find a good fit.

Medication Considerations: Some trauma survivors find medication helpful for managing symptoms like depression, anxiety, or sleep problems.

Professional Consultation: Talk to a psychiatrist or your primary care doctor about whether medication might be helpful for your specific symptoms. Medication can be a valuable tool alongside therapy.

Personal Choice: Medication is a personal choice, and what works for one person may not work for another. Don’t feel pressured to take or avoid medication—make the decision that feels right for you.

Building Resilience: Recovery involves not just healing from trauma but building resilience for future challenges.

Coping Skills: Develop a comprehensive toolkit of coping strategies for managing stress, difficult emotions, and challenging situations.

Support Network: Build and maintain relationships with people who understand and support your recovery journey.

Self-Advocacy: Learn to recognize your needs, communicate them clearly, and seek help when necessary.

When Recovery Feels Stuck

Recognize Trauma Responses in Daily Life: Sometimes recovery feels stuck because trauma responses are showing up in ways you don’t recognize.

Hidden Impacts: Trauma might be affecting your work performance, relationships, physical health, or decision-making in ways that aren’t immediately obvious.

Professional Assessment: A trauma-informed therapist can help identify ways trauma might be impacting your life that you haven’t recognized.

Address Barriers to Healing: Sometimes external factors create barriers to recovery that need to be addressed.

Practical Barriers: Financial stress, ongoing safety concerns, lack of social support, or other life stressors can interfere with healing.

Internal Barriers: Shame, guilt, fear of emotions, or beliefs about not deserving help can also impede recovery.

Consider Intensive Treatment: Some people benefit from intensive treatment approaches when standard therapy isn’t sufficient.

Options: Intensive outpatient programs, residential treatment, or retreat-based therapy programs can provide more comprehensive support for complex trauma.

Supporting Your Own Recovery

Practice Self-Compassion: Recovery requires treating yourself with kindness and understanding rather than criticism and judgment.

Self-Talk: Notice how you talk to yourself about your recovery and your trauma responses. Try to speak to yourself with the same kindness you would show a good friend.

Realistic Expectations: Set realistic goals for your recovery and celebrate small victories along the way.

Honor Your Own Pace: Everyone recovers at their own pace, and comparing yourself to others can be discouraging.

Individual Journey: Your recovery timeline and process will be unique to you. Trust your own instincts about what you need and when you’re ready for different steps.

Permission to Rest: Recovery is exhausting work. Give yourself permission to rest and take breaks when you need them.

Maintaining Hope: Recovery from trauma is possible, even when it feels impossible in the moment.

Success Stories: Many people recover from severe trauma and go on to live fulfilling, meaningful lives. Recovery doesn’t mean forgetting what happened, but it does mean reclaiming your life.

Professional Support: If you’re struggling to maintain hope, talk to a mental health professional who can help you see possibilities for healing that you might not see right now.

Moving Forward

Recovery from trauma is one of the most challenging but ultimately rewarding journeys you can undertake. It requires courage, patience, and usually support from others, but it is absolutely possible to heal and reclaim your life.

Remember that seeking help is a sign of strength, not weakness. Trauma is not your fault, and you deserve support and healing. Take recovery one day at a time, be patient with yourself, and trust that with time and appropriate support, you can heal from what has happened to you.

Your trauma is part of your story, but it doesn’t have to define your entire life. With time, support, and appropriate treatment, many trauma survivors not only recover but discover new strengths, deepen their relationships, and find meaning and purpose in ways they never expected.

Recovery is possible. You are not alone. And you deserve to heal.


If you’re in crisis or having thoughts of self-harm, please reach out for immediate help: Call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. For ongoing support, consider contacting a mental health professional who specializes in trauma.

””

Balanced Mind of New York

Balanced Mind is a psychotherapy and counseling center offering online therapy throughout New York. We specialize in Schema Therapy and EMDR Therapy. We work with insurance to provide our clients with both quality and accessible care.

Topics

Related Articles

Therapy vs Medication

The Basics: Therapy vs Medication Studies show that both therapy and medication can be effective, but the best option really depends on your specific mental health condition, symptom severity, and other factors. Here’s a quick rundown of how both treatments work:...

Adult Child Estrangement

Amber's Story Amber was the first-born child to her mother and father. By the time she turned five, her parents had four more children, and the weight of responsibility settled on Amber far too soon. While other kids her age were playing with friends and exploring,...

New York Psychotherapy
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.