the Impact of Trauma on Mental and Physical Health

Q: the Impact of Trauma on Mental and Physical Health

Hello： Throughout your life, you have experienced a series of pressures that can inevitably lead to negative effects such as anxiety, depression, and insomnia. <br>The events of the past are not your fault, so it is advisable to first show understanding and care for yourself. <br

A number of diseases have emerged for unknown reasons?

Since college, my health has been deteriorating.
During elementary school, my father passed away suddenly and under strange circumstances.
My mother, overwhelmed with grief, turned to alcohol (I still suspect she may have developed alcohol dependence, but that's another story).
I endured long-term verbal abuse and pressure from her when she was drunk, often being woken up at night (for example, she would express suicidal thoughts and say she didn't want us).
There were several instances where she fell silent after drinking, and I had to revive her.
Additionally, my grandfather suffered four strokes (he passed away in July 2016), my grandmother had surgery, and my uncle went through bankruptcy and divorce.
For some reason, all four siblings in our family suddenly developed scabies (which I was treated for in high school).
It felt like our family was cursed, and I don't even remember how I got through each day.
Once I started college, I had to pay for my tuition and living expenses, so I chose to attend a university near my aunt's house (which increased my stress).
Having never been hospitalized before, I ended up spending four days in the hospital due to a gastrointestinal bacterial infection.
My menstrual cycle, which had always been irregular, became even more erratic, sometimes coming every three months or just once a month, with varying flow.
I received two injections to induce menstruation and also took traditional Chinese medicine.
My feet frequently had small wounds that were difficult to heal, and it became severe enough that I needed to take antibiotics and apply ointment for about a month before they improved (the doctor mentioned I was close to developing cellulitis, and this time the doctor said my foot's lymphatic system was inflamed).
I also experienced a bout of alopecia areata (stress-induced hair loss) and had trouble sleeping, often waking up frequently.
Doctors attributed my menstrual issues, foot inflammation, and hair loss to stress, but I couldn't identify any specific stressors.
One day, before heading to school, I started experiencing severe headaches and felt somewhat out of control, easily bursting into tears and feeling inexplicably sad.
I was afraid to face those around me and isolated myself in my room, reluctant to go outside, fearing that something dangerous would happen.
After that period, I gained ten kilograms and couldn't lose the weight.
One night, my uncle sexually assaulted me, and I felt utterly powerless (I won't go into details).
I immediately moved in with my boyfriend, but over the past few months, I've felt irritable and fearful of facing many strangers alone.
My memory has worsened, and I often feel anxious, repeatedly questioning whether I completed my tasks after work, only to decide in the morning to let it go (my sleep has been shallow, filled with nightmares, and my mind keeps racing with thoughts; I want to stop, but I can't help but visualize and hear things in my head).
However, I'm very afraid of seeking medical help.
I only convince myself that I'm healthy, at least based on physical exams being normal.
Is there any way to help me change my thinking? Some have suggested changing my environment or trying something different.
I sought out a school counselor, but I was too scared to keep the appointment.

Yun'e, 20~29 year old female. Ask Date: 2016/11/14

Dr. Liang Sunyuan reply Psychiatry

Hello: Throughout your life, you have experienced a series of pressures that can inevitably lead to negative effects such as anxiety, depression, and insomnia.
The events of the past are not your fault, so it is advisable to first show understanding and care for yourself.
Rationally, try to clearly separate past emotions from your current life, focusing your time and energy on your growth and future.
Accept that unpleasant memories from the past may occasionally resurface, and try to dilute those negative memories with positive life experiences.
Reconnect with your ideals, goals, strengths, and interests, and center your life around these aspects.
Achieving this is not easy, but knowing your goals and working hard every day will bring you closer to them.
However, if you continue to feel troubled, seeking medical help or psychological counseling can be beneficial.
Wishing you all the best.

Reply Date: 2016/11/14

More Info

The impact of trauma on both mental and physical health is profound and multifaceted. Your experiences, which include the loss of a parent, familial stressors, and personal trauma, can lead to a range of psychological and physiological responses. Understanding these impacts requires a look into how trauma affects the brain and body, as well as the potential pathways for healing.

Psychological Impact of Trauma:
Trauma can lead to various mental health issues, including anxiety, depression, post-traumatic stress disorder (PTSD), and other stress-related disorders. The brain's response to trauma often involves the amygdala, which processes emotions, and the prefrontal cortex, which is responsible for rational thinking and decision-making. When exposed to traumatic events, the amygdala can become overactive, leading to heightened anxiety and emotional responses, while the prefrontal cortex may become less effective at regulating these emotions.

Your experiences of feeling overwhelmed, having difficulty sleeping, and experiencing mood swings are common reactions to trauma. The body often responds to stress with a "fight or flight" response, which can lead to physical symptoms such as headaches, fatigue, and gastrointestinal issues. Chronic stress can also lead to dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, which can affect hormone levels and overall health.

Physical Impact of Trauma:
The physical manifestations of trauma can be seen in various ways, such as the issues you've mentioned with your menstrual cycle, skin healing, and weight changes. Stress can lead to hormonal imbalances, which may explain irregular menstrual cycles. Additionally, stress can weaken the immune system, making it harder for your body to heal from injuries or infections, as seen with your recurring skin issues.

The connection between mental and physical health is well-documented. Conditions like chronic pain, fatigue, and even autoimmune disorders can be exacerbated by psychological stress. The body and mind are interconnected, and unresolved trauma can lead to a cycle of physical and emotional distress.

Coping Strategies and Healing:
1. Therapy: Engaging with a mental health professional can provide a safe space to process your experiences. Cognitive-behavioral therapy (CBT) is particularly effective for trauma, helping individuals reframe negative thoughts and develop coping strategies.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, and deep-breathing exercises can help reduce anxiety and improve emotional regulation. These techniques can also promote better sleep and overall well-being.

3. Physical Activity: Regular exercise can be a powerful tool for managing stress and improving mood. It releases endorphins, which can enhance feelings of happiness and reduce anxiety.

4. Support Systems: Surrounding yourself with supportive friends and family can provide emotional comfort. Sharing your experiences with trusted individuals can help alleviate feelings of isolation.

5. Healthy Lifestyle Choices: Maintaining a balanced diet, staying hydrated, and getting adequate sleep are crucial for both physical and mental health. Avoiding substances like alcohol, which can exacerbate anxiety and depression, is also important.

6. Gradual Exposure: If you have fears related to social situations or specific environments, consider gradually exposing yourself to these situations in a controlled manner. This can help desensitize your fears over time.

7. Consultation with Professionals: If you are hesitant to see a therapist, consider starting with a general practitioner who can provide guidance and possibly refer you to a mental health specialist.

It's important to acknowledge that healing from trauma is a process that takes time. Being patient with yourself and recognizing the small steps you take towards recovery can be incredibly beneficial. Remember, seeking help is a sign of strength, and you deserve support as you navigate through these challenges.

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