Reactions To Trauma

This psychoeducational handout provides clear, compassionate information about common reactions to trauma. It can be used with clients or shared with families and loved ones to increase understanding about common post-traumatic responses.

Download or send

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

The Reactions To Trauma resource is a psychoeducational tool designed to normalize a range of common trauma responses. It outlines typical emotional, cognitive, behavioral, and physiological reactions that may follow a traumatic experience, including re-experiencing, avoidance, heightened arousal, and changes in beliefs or emotions.

Written in accessible language, this handout is suitable for use in early therapy sessions or as a standalone educational resource. It can also be shared with family members or carers to enhance understanding and includes practical, trauma-informed suggestions for offering support. The resource is intended to foster compassion and increase understanding of post-trauma experiences.

Why Use This Resource?

Understanding trauma responses is an important part of psychoeducation and trauma-informed care. This resource:

  • Helps clients understand that their symptoms are common and valid responses to trauma.
  • Reduces shame or confusion by explaining trauma reactions as survival-oriented and normal.
  • Provides a shared language for clients and therapists to discuss post-trauma experiences.
  • Offers guidance for friends, family, and carers on how to support someone who has experienced trauma.

Key Benefits

Validation

Normalises a wide range of post-trauma responses.

Clarity

Explains cognitive, emotional, physical, and behavioural reactions in understandable language.

Supportive Guidance

Offers practical ways to support trauma survivors with empathy.

Accessibility

Suitable for both clients and non-clinical audiences.

Who is this for?

Clients

Who are beginning trauma-focused therapy.

Survivors Of Trauma

Seeking to understand their own responses.

Family Members, Partners, And Carers

Supporting a loved one through recovery.

Clinicians And Therapists

Providing psychoeducation in early sessions.

Integrating it into your practice

01

Introduction

Use in early therapy sessions to support psychoeducation and reduce fear or shame around symptoms.

02

Discussion

Explore which reactions resonate most with the client and how they’ve experienced them.

03

Reflection

Use the beliefs and emotions section to gently open conversations about meaning-making or shifts in beliefs.

04

Sharing

Offer as a handout for family members or carers to increase understanding and foster supportive communication.

Theoretical Background & Therapist Guidance

This resource reflects core principles from cognitive-behavioural models of post-traumatic stress (PTSD). It is grounded in the understanding that trauma responses are not signs of pathology, but adaptive responses to perceived threat, shaped by the brain and body’s attempt to ensure survival.

The reactions listed in this handout - such as hyperarousal, avoidance, intrusive thoughts, and shifts in beliefs - are characteristic of how the nervous system responds to traumatic experiences. From a psychological perspective, these symptoms arise when traumatic memories are not fully integrated, and the mind continues to perceive danger even in the absence of immediate threat.

The resource also recognises the profound cognitive and emotional shifts that can occur after trauma. These include changes in how individuals see themselves, others, and the world, often accompanied by guilt, shame, or fear. By offering a compassionate and accessible framework for understanding these experiences, the handout can reduce stigma and support early stages of meaning-making.

This tool may complement a range of therapeutic approaches — including trauma-focused CBT and EMDR — by enhancing psychoeducation and helping clients name and normalise their experiences in a supported way.

What's inside

  • Clear descriptions of typical trauma responses and their psychological underpinnings.
  • Examples of common emotional, physical, cognitive, and behavioural reactions.
  • Suggestions for how to support someone who has experienced trauma, written in accessible language.
  • Guidance for clinicians and carers on responding with empathy and without judgement.
Get access to this resource

FAQs

Trauma refers to any event that overwhelms a person’s ability to cope and can include experiences such as accidents, interpersonal violence, natural disasters, or other perceived threats to safety or wellbeing. Trauma may be experienced directly or indirectly, and its impact can vary widely.
Many people experience distressing but common responses such as heightened alertness, nightmares or flashbacks, emotional numbness, avoidance behaviours, and changes in how they see themselves, others, or the world.
Offer steady, non-intrusive support. Listen actively, avoid pushing them to talk before they’re ready, and help support their immediate needs, such as safety, rest, or connection. Respect their pace and avoid judgment.
Yes, this resource can complement trauma-informed training programmes by supporting foundational knowledge about trauma reactions and guidance for supportive responses.

How This Resource Improves Clinical Outcomes

This handout can support trauma-informed care by:

  • Enhancing client insight into their own experiences post-trauma.
  • Providing language for difficult emotional and cognitive states.
  • Reducing shame by emphasising the normality of trauma reactions.
  • Supporting collaborative dialogue between therapists, clients, and their support networks.

References And Further Reading

  • American Psychological Association. (2017). Clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in adults. Retrieved from: https://www.apa.org/ptsd-guideline
  • Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686. https://doi.org/10.1037/0033-295X.103.4.670
  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. https://doi.org/10.1016/S0005-7967(99)00123-0
  • Herman, J. L. (1992). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror. Basic Books.
  • National Institute for Health and Care Excellence. (2018). Post-traumatic stress disorder: NG116. Retrieved from: https://www.nice.org.uk/guidance/ng116
  • Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims. Journal of Traumatic Stress, 5(3), 455–475. https://doi.org/10.1002/jts.2490050309
  • van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Penguin Books.