After Trauma I: Basic Info for Trauma Survivors

A lot of trauma survivors fail to get the support they so much deserve, simply because the symptoms of trauma are often mistaken for other disorders. In this post, I want to share with you basic information for trauma survivors and a practical list of things you can do after trauma.

What it is Like After Trauma

Trauma affects the nervous system at deep, pre-conscious levels. Traumatic memories are not stored in a place where thought and talk-based mechanisms are managed in the human brain. Trauma seems to be processed when it is happening mainly by the instinctual part of the brain – the part that makes you yell and jump a foot into the air when something startles you – and it also seems to take up long-term residence there.

The instinctual brain is a sort of pre-conscious data management and control network. It is responsible, among other things, for basic sensory integration.

Think of an advanced robot with lots of sensors and wiring for detecting sound, motion, light and temperature, balance, etc.

Now imagine that robot exposed to something highly damaging. like a fire. After such a trauma, the robot’s high-level central computer might still work. But its autonomic systems for gathering and interpreting data about the world now malfunction. It frequently interprets and reports incoming data to be extremely threatening, even when there is no danger at hand.

The human sensory integration mechanism (of sound, sight, motion and temperature etc.) takes a severe hit from trauma and chronic, high-level stress.

The impact of cumulative stress is less immediate but eventually similar in its brain responses to that of trauma. Survivors consume far more energy coping with unusual or uncomfortable sensory experiences than previously and if they are severely traumatized, they may react in ways that are unpredictable, to themselves and others.

After trauma, one of the most common responses is a lingering sense that things are “out of control,” accompanied by a deep longing or drive to re-assert control. This response is predictable from a nervous system that once – in a time of past trauma – correctly perceived that things were out of control and danger imminent. But now it is reporting constant alarms, mostly false.

As the key monitor, interpreter and coordinator of the body’s systems for communication with the external world, the nervous system of a traumatized person frequently misreads the data coming in from the senses. Any unexpected or unusual inputs are likely to trigger emergency responses to threat, which most of the time doesn’t exist in the current reality.

Wrong Diagnosis

It’s hard to live and maintain routines when inner alarm bells keep going off. An ordinary day can be full of them. Tiredness and chronic fatigue are a common result. And so are depression, hyper-activity and deep anxieties about all kinds of things.

When therapists are not well-informed about trauma, they can easily miss its presence as a root cause entirely. Frequently, they misdiagnose trauma as depression, ADHD or anxiety and personality disorders.

Speaking From Experience

I am a trauma survivor myself. As a young adul,t I spent almost 10 years in therapy with two different therapists, in which time the word trauma was not once mentioned. I often left the therapy room emotionally flooded, feeling like this terrible time would never end.

Life brings difficult experiences to everyone, so of course I had plenty of things to work on in therapy. But today, I know that the core of my struggle was not the psychodynamics of childhood I was discussing with my therapists, but the unrecognized and untreated traumatic experiences that I carried all those years.

After Trauma I: Basic Info for Trauma Survivors

Odelya Gertel Kraybill, Ph.D.

Dr. Odelya Gertel Kraybill was born and raised in Israel. Her personal journey as a trauma survivor has led her to become a trauma specialist and therapist. She was a Fulbright scholar and focused on trauma studies in three graduate studies programs in the U.S. Odelya has lived in and worked with trauma survivors in Israel, Lesotho, Philippines and the U.S. She is a graduate adjunct faculty member at the George Washington University art therapy program and is widely recognized as a blogger on stress and trauma integration at Visit her on Facebook.


APA Reference
Gertel Kraybill, O. (2015). After Trauma I: Basic Info for Trauma Survivors. Psych Central. Retrieved on September 18, 2020, from


Scientifically Reviewed
Last updated: 30 Sep 2015
Last reviewed: By John M. Grohol, Psy.D. on 30 Sep 2015
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