Dr Michael Bott Consultant Psychiatrist

MB BS MRCS LRCP DPM FRC Psych MEWI

  • Home
  • Profile
  • Background
  • Services
    • Post Traumatic Stress Disorder
    • Alcoholism
    • Stress in the workplace
    • Panic attacks
    • Depression
  • Medico-legal
  • Resources
    • Suffering from trauma
    • Trauma resources
    • The symptoms of trauma
    • Trauma – your questions answered
  • Contact me

The symptoms of trauma

MIND has an excellent factsheet on understanding trauma. View it online here, or download a copy as a pdf here.

Symptoms of trauma can be many and varied. They can also change over time.

The symptoms are generally broken into three categories: intrusive, avoidism and hyperarousal*.

Intrusive symptoms include:
• Recurring thoughts, flashbacks or nightmares about the event
• Psychological distress when experiencing something reminiscent of the trauma
• Physiological response when experiencing something reminiscent of the trauma

Avoidant or numbing symptoms include:
• Avoiding thoughts or feelings connected with the trauma
• Avoiding people / places or things reminiscent of the trauma
• Inability to recall important aspects of the trauma
• Disinterest in significant activities
• Feeling withdrawn, disconnected or different from others
• Feeling pessimistic about the future

Hyperarousal symptoms include:
• Difficulty falling or staying asleep
• Increased or exaggerated startle response (eg jumping when a door slams or a car backfires)
• Hypersensitivity – almost every remark is perceived as critical
• Hypervigilance – acute awareness of the external environment, excessive alertness
• Irritability or outbursts of anger
• Difficulty concentrating

* The symptoms for children may be different, and may include repetitive play in which parts of the trauma are re-enacted.

Dr Michael Bott Copyright © 2026