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How can I deal with the mental and cognitive impacts of my trauma?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Most people experience some form of emotional or cognitive symptoms after trauma. But, just because it’s common doesn’t mean that it’s always easy to cope with. 

Some common emotional effects of trauma are fear, numbness or detachment, heightened emotional reactivity, depression, guilt, and irritability. Some common cognitive effects include difficulties concentrating or remembering things, nightmares, disorientation, or intrusive thoughts. 

Symptoms manifest differently across people. Sometimes they can cause substantial distress and interference with your ability to function day-to-day. Sometimes, symptoms are mild or barely noticeable symptoms.

There is no right or wrong way to be affected by trauma, just like there is no right or wrong way to heal after trauma. It can be overwhelming and even scary to feel such intense emotions, but remember that you are not alone in feeling any of these things. 

When you’ve been sad, anxious, or angry in the past, what has helped you feel better? Journaling, creating art, or writing can help to express difficult feelings. Getting adequate sleep, establishing a routine, eating enough, and finding ways to be physically active can also improve symptoms. 

Consider reaching out to friends, family, and/or loved ones for support. You don’t have to disclose your trauma if you are uncomfortable with that. It’s okay to just spend time with people who support and care about you. 

Sometimes you might need extra support in more tangible ways. Asking for help around your living space or requesting extensions on deadlines can lessen your stress load, and help facilitate recovery.

When coping with the impacts of trauma, be kind to yourself throughout the process. How you feel right now, is not likely how you will feel forever. Often, these symptoms will decrease naturally over time with patience and persistence. 

If you notice your symptoms are not improving or that you need help coping with them, you might consider reaching out to a mental health professional. However this choice is up to you if you feel comfortable and ready. 

Just because these experiences are common, does not mean you should suffer in silence. It is never a sign of weakness to seek help. Remember that you are in control of your recovery and how you choose to cope is up to you. 

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Grounding activity

Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:

5 – things you can see (you can look within the room and out of the window)

4 – things you can feel (what is in front of you that you can touch?)

3 – things you can hear

2 – things you can smell

1 – thing you like about yourself.

Take a deep breath to end.

From where you are sitting, look around for things that have a texture or are nice or interesting to look at.

Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).

Take a deep breath to end.

Ask yourself the following questions and answer them out loud:

1. Where am I?

2. What day of the week is today?

3. What is today’s date?

4. What is the current month?

5. What is the current year?

6. How old am I?

7. What season is it?

Take a deep breath to end.

Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.

Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.

Take a deep breath to end.

Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.

Take a deep breath to end.