Signs & Symptoms of Trauma in Men & Women | Awareness Guide

What is Trauma?

Trauma is an emotional response to deeply distressing or disturbing events that overwhelms an individual's ability to cope. 

Trauma occurs when a shocking or frightening event impacts so hard that the person struggles to process it, and it goes far beyond the actual event that occurred. It sets in motion whenever someone lives through or even sees anything related that endangers their safety or peace of mind. Trauma may arise from a car crash, a natural disaster, a violent encounter, or months of bullying at school. It disrupts the normal processing of experiences, often leaving individuals feeling helpless, overwhelmed, and disconnected from their usual coping mechanisms.

“Trauma responses vary widely. Because no two reactions look alike, healing demands a flexible, personal plan. Factors such as previous experiences, support systems, resilience levels, and personal circumstances all influence how someone responds to potentially traumatic events,” says Dr Lavanya P Sharma, psychiatrist at Amaha.

The effects of trauma can be immediate or delayed, sometimes appearing months or even years after the initial incident. These effects can manifest in various ways, including changes in thinking patterns, emotional regulation, behaviour, and physical health.

Types of Trauma

PTSD (Post-Traumatic Stress Disorder)

Post-traumatic stress disorder is one of the most common ways people respond. PTSD appears when an event is more than just stressful. 

PTSD begins after a person experiences or witnesses a disturbing event or horror, and from that point, a set of symptoms makes ordinary life hard. The condition is characterised by four main symptom clusters: intrusive memories, deliberate avoidance, mood and thought shifts, and the body that stays on high alert.

Intrusive memories in PTSD include flashbacks, nightmares, and distressing thoughts about the traumatic event. These experiences can be so vivid that individuals feel as though they are reliving the trauma. Avoidant behaviours involve deliberate efforts to avoid trauma-related thoughts, feelings, places, people, or activities. Negative mood alterations include persistent negative beliefs about oneself or the world, distorted blame, negative emotional states, diminished interest in activities, and feelings of detachment from others.

Changes in arousal and reactivity manifest as hypervigilance, exaggerated startle responses, concentration difficulties, sleep disturbances, and irritability or anger outbursts. These symptoms must persist for more than one month and cause significant distress or impairment in social, occupational, or other important areas of functioning for a PTSD diagnosis.

Here’s a real life incident about Maya who suffered from sexual abuse during her childhood and suffers from PTSD. 

– As the movie played, Maya’s boyfriend gently reached for her hand. Instinctively, she pulled away, her body tense before she could even think. She caught the confusion in his eyes—a look she’d seen too many times before. Suddenly, the cozy theater seats felt suffocating, like the four walls of that old basement where she’d once felt so powerless.

Mumbling a shaky excuse, Maya hurried to the bathroom. Alone, she stared at her reflection. The woman looking back at her was supposed to be strong, grown, healed. But in that moment, all she saw was a frightened little girl, still trying to protect herself from a world that sometimes felt too close, too much.

Traumatic Asphyxia

Traumatic asphyxia is a type of physical trauma that occurs when severe pressure is applied to the chest and upper abdomen, preventing normal breathing and blood circulation. This condition can result from crush injuries, being trapped under heavy objects, or severe compression during accidents. While primarily a physical trauma, traumatic asphyxia often has psychological components.

The psychological impact of traumatic asphyxia can be intense. Survivors may experience fear of suffocation, panic attacks, claustrophobia, and anxiety disorders. The memory of being unable to breathe can create lasting psychological distress and may trigger symptoms similar to PTSD. The recovery process often involves addressing both the physical injuries and the psychological trauma associated with the life-threatening experience.

– Aman's chest was pinned under the fallen beam of his apartment for 20 minutes. When paramedics freed him, his face was deep purple, eyes bloodshot and bulging. Weeks later, the physical bruising faded, but Jake couldn't sleep. Every time he lay down, panic consumed him. The weight on his chest returned nightly. Breathing became a conscious effort, not automatic anymore.

Childhood Trauma

Childhood trauma encompasses various adverse experiences that occur during critical developmental periods. These experiences can include physical, sexual, or emotional abuse, neglect, witnessing domestic violence, parental substance abuse, mental illness in the family, or experiencing natural disasters. Childhood trauma is particularly significant because it occurs during crucial brain development stages.

Dr Aakriti Peshion, a Children First psychiatrist, explains, “The impact of childhood trauma extends well into adulthood. Children who experience trauma may develop difficulties with emotional regulation, attachment relationships, self-concept, and cognitive processing. The developing brain adapts to traumatic environments, potentially leading to long-term changes in stress response systems, emotional processing, and interpersonal relationships.”

Childhood trauma often results in complex trauma responses, where individuals experience multiple traumatic events over extended periods. This can lead to difficulties with trust, intimacy, emotional regulation, and self-worth that persist throughout life. Early intervention and trauma-informed care are crucial for helping children process and heal from traumatic experiences.

Emma, now 35, still jumped when doors slammed. At work, her colleague's raised voice sent her straight back to age 7, cowering in her bedroom closet while her father's belt cracked against the wall, searching for her. Years of beatings had taught her to hide. Her hands trembled as she excused herself to the bathroom. The successful lawyer felt like that terrified child again, waiting for the next blow.

What is Trauma Bonding?

Trauma bonding is a psychological phenomenon where individuals develop strong emotional attachments to people who have caused them harm. Trauma bonding grows during repeated cycles of hurt followed by rare moments of kindness or relief, and the mixed signals forge a mental connection that feels almost impossible to untie. Such bonds usually form where power is imbalanced, as in violent love affairs, abusive parent-child dynamics, or even hostage scenarios.

The link deepens because of brief bursts of warmth that drop into long stretches of pain. Over time, the bond turns into a coping strategy, a flickering light that feels safer than complete darkness.

Recognising trauma bonding is important because it reveals why people stay in harmful relationships or find leaving nearly impossible. The emotional attachment can blur clear reasoning and self-protection signals, so victims often doubt their own eyes and hesitate to break free.

Not Sure If It's Just Sadness or Depression?

Let this simple check-in help you understand your emotions better.

Try the Free Assessment

Signs and Symptoms of Trauma

Emotional symptoms of trauma:

• Confusion
• Denial
• Lack of focus
• Fear
• Shame
• Low mood
• Numbness
• Guilt
• Hopelessness
• Irritability
• Sadness
• Anxiety
• Agitation
• Numbness
• Dissociation

Some trauma survivors have difficulty regulating emotions such as anger, anxiety, sadness, and shame. Trauma can also often evoke two emotional extremes: feeling either too much (overwhelmed) or too little (numb) emotion.

Physical Symptoms of Trauma

• Sleep disturbances
• Gastrointestinal concerns
• Headaches
• Unexplained pain
• Racing heart
• Sweating

Signs and Symptoms of Trauma in Women

Women often experience trauma symptoms differently than men, influenced by biological, psychological, and social factors. 

• Women are more likely to internalise trauma responses, leading to symptoms such as depression, anxiety, self-blame, and emotional numbing. They may experience heightened emotional sensitivity, mood swings, and difficulties with emotional regulation.
• Physical symptoms in women frequently include chronic pain, headaches, gastrointestinal issues, and sleep disturbances. Women may also experience changes in their menstrual cycles, sexual dysfunction, and eating disorders following traumatic experiences. 

“Many women experience guilt or shame related to their trauma, particularly in cases of sexual assault or domestic violence,” says Dr Sharadhi C, a trauma expert psychiatrist at Amaha.

Signs and Symptoms of Trauma in Men

Men typically display trauma symptoms differently, often externalising their distress through anger, aggression, or risk-taking behaviours. 

• Men may experience irritability, explosive anger, and difficulties with emotional expression.
• Physical symptoms in men often include tension headaches, muscle pain, cardiovascular issues, and substance abuse. Men may engage in workaholism, excessive exercise, or thrill-seeking activities as ways to cope with trauma symptoms. They may also experience sexual dysfunction, sleep disturbances, and concentration difficulties.
• Social symptoms involve withdrawal from family and friends, difficulty maintaining relationships, and challenges with intimacy and emotional connection. 
• Men may struggle with feelings of weakness or failure, particularly if they perceive themselves as unable to protect themselves or others during the traumatic event.

Signs and Symptoms of Trauma in Old People

• Elderly individuals face unique challenges when experiencing trauma, as they may have accumulated multiple losses and traumatic experiences throughout their lives. Elderly trauma survivors may experience increased confusion, disorientation, and memory difficulties.
• Physical symptoms in elderly individuals often include exacerbation of existing health conditions, sleep disturbances, and appetite changes. They may experience social withdrawal, increased dependency on others, and fear of being alone. Depression and anxiety are common, sometimes manifesting as irritability or agitation.
• Elderly trauma survivors may struggle with feelings of helplessness and vulnerability, particularly if the trauma involved victimisation or loss of independence. 

Signs and Symptoms of Trauma in Children

Children's trauma responses vary significantly based on their developmental stage, with younger children often displaying regressive behaviours and older children showing more adult-like symptoms. 

• Common childhood trauma symptoms include bedwetting, sleep disturbances, nightmares, and separation anxiety. Children may exhibit changes in behaviour, such as increased aggression, withdrawal, or clinginess.
• Academic performance often declines following trauma, with children experiencing concentration difficulties, memory problems, and learning challenges. 
• Physical symptoms can include headaches, stomach-aches, and frequent illnesses.
• Children may develop fears related to their traumatic experiences, such as fear of the dark, strangers, or specific situations. They often struggle with emotional regulation, exhibiting intense emotions or emotional numbing. 

Signs and Symptoms of Trauma in Pregnant Women

Pregnancy can be a particularly vulnerable time for trauma exposure and symptom development. Pregnant women who experience trauma may face increased risks for both maternal and fetal health complications. 

• Trauma symptoms during pregnancy can include severe anxiety, depression, panic attacks, and intrusive thoughts about potential harm to the baby.
• Physical symptoms may include high blood pressure or pregnancy complications.
• Pregnant trauma survivors may experience fear about their ability to protect and care for their children, leading to anticipatory anxiety about parenting responsibilities.
• Trauma during pregnancy can affect maternal-infant bonding and may impact the developing fetus through stress hormones and other physiological changes. 

Signs and Symptoms of Trauma in Teens

Adolescents experiencing trauma often display symptoms that can be mistaken for typical teenage behaviour, making recognition challenging. 

• Teen trauma symptoms may include academic decline, risk-taking behaviours, substance experimentation, and relationship difficulties. They may exhibit mood swings, irritability, and defiant behaviour toward authority figures.
• Social symptoms frequently involve changes in peer relationships, social withdrawal, or engagement with risky peer groups. Teens may experience identity confusion, self-esteem issues, and difficulties with future planning. They may engage in self-harm behaviours, eating disorders, or sexual risk-taking as coping mechanisms.
• Physical symptoms can include sleep disturbances, appetite changes, frequent illness, and somatic complaints. Teens may struggle with emotional regulation and may alternate between emotional numbness and intense emotional outbursts. Early intervention and age-appropriate treatment approaches are crucial for supporting adolescent trauma recovery.

Treatment for Traumatic Events

Effective trauma treatment requires comprehensive, individualised approaches that address the complex nature of trauma responses. Evidence-based treatments have shown significant success in helping individuals recover from traumatic experiences and develop healthy coping strategies.

• Cognitive Behavioural Therapy (CBT) and Trauma-Focused CBT are widely used approaches that help individuals identify and change negative thought patterns and behaviours related to their trauma. These therapies focus on developing coping skills, processing traumatic memories, and reducing avoidance behaviours.
• Eye Movement Desensitisation and Reprocessing (EMDR) is a specialised therapy that helps individuals process traumatic memories through bilateral stimulation, typically involving guided eye movements. EMDR has shown effectiveness in reducing PTSD symptoms and helping individuals integrate traumatic experiences.
• Somatic therapies focus on the body's role in trauma storage and recovery, incorporating techniques such as body awareness, breathing exercises, and movement therapies. These approaches recognise that trauma affects both mind and body and work to restore the natural flow of energy and sensation.
• Group therapy provides opportunities for trauma survivors to connect with others who have had similar experiences, reducing isolation and shame while building support networks. Support groups can be particularly beneficial for specific populations or types of trauma.
• Medication may help manage specific trauma symptoms, particularly when combined with psychotherapy. Antidepressants, anti-anxiety medications, and sleep aids may be prescribed to address symptoms that interfere with daily functioning and therapy engagement.
• Family therapy and couples therapy can address the impact of trauma on relationships and help rebuild trust and communication. These approaches recognise that trauma affects not only individuals but also their support systems and relationships.

Recovery from trauma is possible with appropriate support, treatment, and time. Understanding the various forms of trauma and their manifestations across different populations is crucial for providing effective care and support. With proper intervention and ongoing support, individuals can develop resilience, restore their sense of safety and well-being, and build meaningful, fulfilling lives beyond their traumatic experiences.

Talk to Someone Who Gets It

Sometimes, you just need to speak with someone who truly listens—no judgment, just care.

Book a Free Call

Frequently Asked Questions -

How to heal from a trauma? 

Professional therapy, particularly EMDR or CBT, helps significantly. Build strong support networks, practice mindfulness or yoga, maintain regular exercise and sleep routines. Healing takes patience - avoid rushing the process like treating a common cold.

What are the 5 signs of injury trauma? 

Phantom pain in healed areas, hypervigilance protecting injured body parts, specific phobias about injury causes, recurring nightmares about the incident, and avoiding previously enjoyed activities that might pose similar risks or dangers.

What are the 5 reactions to trauma? 

Denial ("it wasn't serious"), anger at circumstances or people, bargaining with "what if" scenarios, depression when reality sets in, and eventual acceptance. These stages don't follow neat timelines - they bounce around unpredictably.

How does trauma affect the brain? 

Trauma overactivates the amygdala (fear center) while shutting down the prefrontal cortex (logical thinking). This creates hypervigilance, memory problems, and difficulty processing emotions rationally. Your brain's alarm system gets stuck in overdrive mode.

Can toxic stress cause trauma? 

Absolutely. Chronic exposure to stressful situations - workplace harassment, family conflicts, financial instability - can be as traumatic as single shocking events. Your brain doesn't distinguish between ongoing stress and acute trauma incidents.

Is trauma a mental illness? 

Trauma itself isn't a mental illness - it's a response to overwhelming experiences. However, untreated trauma can develop into mental health conditions like PTSD, anxiety, or depression. Think of trauma as the wound, mental illness as potential infection.