Trauma

Emotional Regulation and Distress

Client reports persistent anxiety, fear, or heightened emotional distress following exposure to a traumatic or overwhelming experience.
Client experiences difficulty regulating emotions, including feeling easily overwhelmed, irritable, or emotionally reactive.
Client reports emotional numbness, detachment, or difficulty accessing and expressing emotions.
Client reports feeling consistently “on edge” or having difficulty returning to a sense of calm following stress.
Client reports episodes of feeling disconnected from their emotions, surroundings, or sense of self.

Client reports intrusive thoughts, memories, or reminders related to a traumatic experience.
Client reports difficulty concentrating, persistent rumination, or repetitive trauma related thinking.
Client experiences shame, guilt, self blame, or negative beliefs related to a traumatic experience.
Client experiences difficulty adjusting to changes in their sense of safety, identity, relationships, or worldview following trauma exposure.

Client demonstrates avoidance of people, places, conversations, activities, or situations associated with a traumatic experience.
Client utilizes avoidance, emotional suppression, excessive distraction, overworking, or other coping strategies to manage trauma related distress.
Client demonstrates withdrawal from relationships, responsibilities, or previously enjoyable activities.
Client reports difficulty identifying personal needs or prioritizing self care following traumatic experiences.

Client reports persistent feelings of danger, threat, or lack of safety despite being in a safe environment.
Client experiences hypervigilance, an exaggerated startle response, or difficulty relaxing.
Client reports difficulty sleeping, including trouble falling asleep, staying asleep, or experiencing distressing dreams.
Client experiences physical tension, fatigue, somatic distress, or other physiological responses associated with stress.

Client reports difficulty trusting others or maintaining a sense of safety within relationships.
Client experiences difficulty with vulnerability, emotional intimacy, or communicating needs to others.
Client demonstrates difficulty establishing or maintaining healthy interpersonal boundaries.
Client reports fear of rejection, abandonment, or interpersonal conflict following traumatic experiences.
Client engages in people pleasing or excessive efforts to maintain control and predictability as a means of managing perceived threat.

Client demonstrates increased impulsivity, risk taking, or other behaviors that may function as attempts to manage emotional distress.
Client reports trauma related distress that is interfering with social, occupational, academic, family, or daily functioning.