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Trauma is defined as a unique individual experience triggered by a sudden, external overwhelming event or of persistent overwhelming conditions in which one’s ability to cope is compromised, as one experiences a real or perceived threat to his/her life, bodily integrity, or that of a significant other (Saakvitne, K. et al, 2000).

Trauma impacts internal and external psychological functioning, and therefore requires treatment which addresses internal processes, as well as structured and problem-oriented intervention.

What is PTSD?

PTSD is a debilitating Anxiety Disorder triggered by exposure to a traumatic event or experience which is regarded as unnatural, overwhelming, and beyond one’s control. A traumatic event could be an interpersonal event such as physical, emotional or sexual assault, rape, exposure to disaster or accidents, natural catastrophes, serious injury, terrorism, combat or witnessing a traumatic event.

The diagnosis of Post-Traumatic Stress Disorder (PTSD) is made by a trained Clinical Psychologist or a Psychiatrist in the mental health field. Our psychologists are more concerned at addressing and focusing on significant impairment and how distressed you or a significant other feels after the traumatic event experienced.


Symptoms listed below may be experienced after some delay as symptoms do not usually develop directly after the traumatic event. Symptoms of PTSD fall into three main categories:

1. “Reliving” the traumatic event which disrupts day-to-day activity:

2. Avoidance

3. Hyper-Arousal

Psycho-somatic complaints:


One can increase the chances of a good psychological outcome with an

  1. Early diagnosis
  2. Early intervention
  3. Strong social support system

Early treatment and a good support system can help prevent PTSD from developing after a trauma. Should PTSD occur, confronting the original trauma through various forms of treatment “” may be used. E.g.

Trauma debriefing, Trauma Counselling, Talk Therapy or Psychotherapy, EMDR (Eye movement Desensitisation and Reprocessing), Cognitive Behavioural Therapy are a few techniques used.

Therapeutic Treatment assists in:

People with PTSD may also have problems with Alcohol or other substance abuse, Depression or Related medical conditions. Medicines that act on the nervous system can help reduce anxiety and other symptoms of PTSD.

Trauma Counselling for children and adolescents:

Trauma is an extraordinary experience in which dangerous and potent stimuli overwhelm the child’s capacity to regulate emotions. – Early Trauma Treatment Network

The subjective experience of trauma or danger depends on the child’s developmental age and stage.

Traumatic events can be in the form of physical or sexual assaults, natural disasters, traumatic death of a loved one, or emotional abuse or neglect. The child could be a witness to the traumatic event or have been told about it. Severe emotional trauma has widespread effects on children’s development. These include affecting children’s sense of security in a reasonable and safe world in which they can grow and explore, as well as causing a child to not believe that their parents can protect them from harm. Traumatized children and teenagers become preoccupied with danger and vulnerability, sometimes leading to misperceptions of danger, even in situations that are not threatening. Many researchers note that, once posttraumatic stress symptoms emerge, PTSD leads to neurophysiological correlates that impact brain function in developing children and adolescents.

What to look out for – Symptoms in children:

The initial response to the trauma, which involves the experience of horror, helplessness, fear or disorganised behavior in children. Symptoms of re-experiencing the trauma, avoidance, and persistent arousal last more than one month and the disturbance causes clinically significant distress in social, school, or family settings.

New fears (e.g. Fear of using the bathroom alone; Fear of the dark; New fears of things or situations not directly related to the trauma)


In teenagers, symptoms may include:

Treatment for children:

The Play Therapy Room provides a safe space for children to express distressing feelings and thoughts through symbolic play and drawing. Short-term treatment (approximately 6 sessions) is used to assist children in understanding the traumatic incident(s), making meaning, identifying distressing feelings and thoughts triggered by the trauma. Once a symptom-evaluation and a Parental Guidance session has been completed, the child may need to continue with the Play Therapy process to address possible underlying distress.

Various techniques are used to work therapeutically with a child:

Eye Movement Desensitisation and Reprocessing

Play Therapy

For more information please contact one of our Clinical Psychologist at PsychMatters Family Therapy Centre in Bedfordview, on 011 4503576 or info@psychmatters.co.za

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