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Everyone responds differently to trauma, and in the same way, it makes sense to expect that the resulting fragmented self would be unique. People who have histories of chronic trauma, or who have gone through multiple types of abuse or neglect often appear normal. But what has really happened is that they have formulated a complex dissociation.

These individuals have their normal selves. But they also have parts of themselves that have become dedicated to taking charge when various other responses are needed. Some of these responses include:

Fight
Flight
Freeze
Submit
Cry for help

This fragmentation can be subtle or it can be blatantly obvious. More often than not, the trauma victim will be able to maintain their normal self whenever it is necessary. But that doesn’t mean there isn’t a lot of suffering that is taking place internally.

Mental Health and its Impact in Fragmentation

Mental health plays a major role in how self-fragmentation is displayed. For example, a person who is or should be diagnosed with PTSD or bipolar II disorder might experience rigid and dramatic shifts. At times they may be irritable, depressed or anxious, but there is never any question about what they are feeling.

A person who suffers from borderline personality disorder may be able to function well at work. But internally, they go from feeling regressed and clingy to feeling angry and cold, or even passively suicidal.

People with dissociative disorder not otherwise specified may struggle with recalling their memories. Certain events can get blacked out altogether; even those that happened recently and had nothing whatsoever to do with the trauma.

What Might be the Result of Not Getting Treatment for Trauma?

A lot of people neglect to get treatment for trauma because of how functional their normal selves are. This is the part of them that is able to continue taking care of their families, going to work and organizing their homes. But those other selves – the ones that have been developed for survival – are always there. They are consistently being activated by trauma-related stimuli. This can result in a lot of issues, including:

Depression
Anxiety
Mistrusting other people
Becoming hypervigilant
Experiencing overwhelming emotions
Fear
Hopelessness about the future
Self-destructive behaviors

The presence of any of the above indicates that there is a need for treatment. It’s understandable that the prospect of talking to a therapist might be scary for trauma victims. But there is no better feeling than healing after months, or even years of carrying around so much pain.

Talk with an Experienced Trauma Therapist Today

There is no one “best” way to treat trauma. Everyone is different and everyone has their own unique needs during the treatment and recovery process.

If you are a trauma victim, it’s important for you to get the help you need from an experienced trauma therapist. I can provide you with the treatment and support you need during this critical period in your life. Please contact me for an appointment.

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