The term ‘trauma informed practice’ has become more common in recent years as people realise its value. If you are treating someone whose experience of the world is shaped by their traumatic experiences, it is vital that you account for this in your approach.
The impact of trauma
Trauma is when an event is so distressing that we are unable to process it fully; instead, it may have an enduring negative impact on our health and wellbeing.
There are many types of trauma, from a single, acute event such as a car accident or violent assault to complex trauma resulting from multiple or extended incidents, such as war or prolonged abuse. Even more minor events that involve fear, unhappiness, or loss of control can cause trauma-like symptoms, and some people will experience vicarious trauma if they work with trauma survivors.
Just as trauma comes in many different forms, its effects can be wide-ranging; for example, it can cause mood swings, depression, anxiety, and irritability. It can interfere with memory and concentration and can impact every aspect of how we perceive the world and interact with others.
There can also be physical symptoms, such as panic attacks. People may end up in a permanent state of ‘fight or flight’. Sometimes, symptoms can manifest years after the original event if a memory is triggered.
How it informs practice
Practising in a trauma informed way involves acknowledging the different ways trauma can manifest in individuals and communities, including in invisible, contradictory, or sometimes illogical seeming forms. It is about patience and compassion as you build trust with the patient and create a safe environment in which they will not be retraumatised. Collaboration, free choice, and empowerment are also essential. The focus is not on judging the person but exploring the events that shaped them.
Providers such as https://www.tidaltraining.co.uk/mental-health-training-courses/trauma-informed-practice-training/ offer courses in trauma informed practice training.
If you don’t understand how trauma has impacted someone, you cannot adjust your therapeutic approach to their needs. Trauma informed practice may help you build a relationship with a patient and respond appropriately to their experiences.
