Acute Versus Complex Trauma

Written by
Wendy Berman, LCSW-C
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Acute trauma often happens from a single overwhelming event that threatens physical or emotional safety. Examples of acute trauma can include a car accident, assault or robbery, witnessing violence, or a sudden medical emergency. These are one time events that cause significant distress in an individual and often necessitates trauma counseling. Common symptoms include:

  • Intrusive memories or flashbacks
  • Loss of appetite
  • Trouble sleeping / nightmares
  • Free floating anxiety
  • Avoidance of reminders of the incident
  • Exaggerated startle response.

Several evidence-based therapeutic approaches can be helpful and highly effective. These approaches include:

  • Somatic therapies
  • Supportive and compassionate talk therapy
  • Nervous system regulation work
  • EMDR

On the other hand, Complex Trauma develops from repeated and prolonged exposure to traumatic events, often beginning in childhood. It is usually resulting from interpersonal relationships and is ongoing throughout an individual’s life. Examples of Complex Trauma include chronic childhood emotional, physical or sexual abuse, ongoing neglect, domestic violence exposure or repeated relational betrayal. Other Complex Trauma symptoms may include:

  • Feeling not good enough
  • Chronic feelings of shame
  • Emotional dysregulation
  • Dissociation

Treatment can often be longer term with Complex Trauma and the therapeutic relationship is often paramount in recovery. Healing requires the individual to learn to stabilize the nervous system as well as deeply process the trauma. If you are tired of feeling stuck, The Trauma Resource is here to help! Please call 410-984-8808 or email at wendy.berman.lcswc@gmail.com.

Wendy Berman
Written by
Wendy Berman, LCSW-C
About Wendy Berman, LCSW-C

Wendy Berman, LCSW-C, is a trauma therapist and the founder of The Trauma Resource in Baltimore, Maryland. With more than 20 years of clinical experience, she provides integrative, trauma-informed therapy for adults navigating trauma, chronic stress, and complex life experiences. Wendy helps clients better understand their emotional patterns, calm their nervous systems, and move forward with greater clarity and confidence. Learn more about trauma therapy in Baltimore or get in touch to schedule a consultation.