TRAUMA

Question 1

what is trauma??

Answer 1

trauma results from an event/multiple events/circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the persons functioning and physical, social, emotional or spiritual wellbeing.

Question 2

what are some different types of trauma?

Answer 2

• acute
• complex
• neglect
• historical/intergenerational
• sanctuary/harm or betrayal trauma

Question 3

what is childhood trauma?

Answer 3

prolonged exposure to repetitive or severe events such as child abuse, likely to cause the most severe and lasting effects.
trauma in the early years shapes the brain and psychological development, sets up vulnerability to stress and to a range of MH problems

Question 4

what are the 3 E’s?

Answer 4

EVENT
EXPERIENCE
EFFECTS

Question 5

what are some syx of trauma?

Answer 5

physical stress response
hyper-vigalance 
triggers - everywhere 
dissociation 
numbing 
amnesia, flashbacks
insomnia
self harm
guilt/shame 
difficulty trusting others/ rship boundary issues

Question 6

how to people respond to trauma??

Answer 6

fight
flight
freeze
submit

• shutting down of non-essential tasks
• rational thought is le possible at this time

Question 7

what are ACE’s??

Answer 7

adverse childhood experiences.

• experienced prior to 18 years
• higher ACE score = higher chance of risky behaviour (alcohol, drugs, smoking)

Question 8

long term effects of trauma?

Answer 8

higher ACE score means higher chance of experiencing:

• alcholism+drug use
• COPD
• depression
• heart disease
• obesity
• suicide attempts
• intimate partner violence (IPV)
• STI’s

Question 9

what are some protective factors for children at risk of ACE’s?

Answer 9

• ONE OLDER SUPPORTIVE PERSON
• MASTERY OF A SKILL
• INVOLVEMENT WITH A GROUP (church, sport)
• strength of mother-partner r/ship
• parental health + wellness
• strength of parent-child r/ship
• parental finances
• neighbourhood+community characteristics

Question 10

how to best work with/ care for people who have been through trauma?

Answer 10

• safety (keeping door open, choice of gender)
• choice
• collaboration
• empower
• trust (building trust)

Question 11

what are the 4 R’s??

Answer 11

a trauma-informed programme, organisation or system

• REALISES
• RECOGNITION
• RESPONDS
• RESISTS

Question 12

what is ACUTE STRESS DISORDER?

Answer 12

transient anxiety response to severe trauma
syx of anxiety, disturbance of thoughts, dreams, flash backs
for dx must last b/w 2-31 days
if persists after 1 month or starts after 1 month = PTSD

Question 13

what is PTSD?

Answer 13

POST TRAUMATIC STRESS DISORDER 
=long lasting anxiety response following a traumatic event 
response is delayed - 1 month to years later 
SYX: images, dreams, flashbacks 
intrusive memories
avoidance of cues/triggers
depressed/irritable mood 
social withdrawal