What Happens During Trauma? | Inside a Trauma Therapy Program
When faced with a scary or dangerous event, the body responds in a way designed to protect you. The fight or flight response kicks in to help you avoid danger. As the name suggests, it triggers behavior that makes you run or fight to protect yourself. This response comes with an overload of emotions, including fear, anxiety, and sadness.
People experience these emotions at different levels based on the severity of the trauma in adolescence and their individual personalities.. Some recover from it quickly, while others may require specialized teen trauma treatment because the feelings linger or intensify over time. If the trauma symptoms persist or come back later, it can indicate post traumatic stress disorder or PTSD.
What Is Considered a Traumatic Event?
Trauma isn’t everyday stress like fear of a critical exam or a new class. A traumatic event is shocking and makes you feel at risk. That heightened sense of stress and fear is what triggers the fight-or-flight response. A trauma could be different for each person, though. Some common traumas include:
- Natural disasters
- School shootings
- Car accidents
- Violent attacks
A traumatic event puts your ability to function at risk.
What Is PTSD?
Post-traumatic stress disorder, or PTSD, occurs when a person experiences a traumatic event that causes them extreme stress. PTSD is a normal reaction to something that happens that isn’t normal. It becomes a mental health disorder when the symptoms of that trauma persist and interfere with the person’s life.
People tend to associate PTSD with violence or military combat, but it can involve other traumas. For example, the event could be a car accident, sexual abuse, or a natural disaster. The National Institute of Mental Health states that around 5% of adolescents have PTSD, and 1.5% of them have severe impairment.
Severe PTSD can be disabling. It may damage a person’s ability to function in society, hold a job, or attend school, which is why early intervention through comprehensive teen trauma treatment is so vital for long-term recovery. They may become dependent on drugs as a way to cope with the fear. They can lose everything, including their homes and families.
Even though not everyone has PTSD, no one is immune to it. And no two people experience it the same way. Symptoms can appear at any time, even decades after the trauma.
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PTSD in Children and Teens
According to the U.S. Department of Veterans Affairs, up to 43% of children experience a traumatic event in these early years. 2 However, only about 15% develop PTSD. Some common traumas that trigger PTSD in younger people include:
- Neglect
- Physical abuse
- Sexual abuse
- Mental abuse
Add to this list events where a child sees someone hurt or killed, such as a school shooting. Three key factors increase the risk of PTSD. They include:
- Severity – The more severe the trauma, the more likely it is that a teen will develop PTSD.
- Parental reaction – How parents react to a trauma can impact how well a child copes with it.
- Proximity – How close the child was to the trauma
Teens may have unique risk factors for post traumatic stress disorder. You can break the risk factors into environmental, individual, and family categories.
Environmental Risk Factors
Some living situations will increase the risk of trauma and PTSD, such as:
- Domestic, sexual, or child abuse
- Domestic violence in the home
- Community violence
- School violence or shooting
Individual Risk Factors
Individual risk factors are things specific to each teen, like:
- Age – The young person is more likely to develop PTSD than older children and teens.
- Gender – PTSD is more common in girls
- History of mental health issues – Other mental disorders can increase the risk of PTSD; our trauma therapy for teens is designed to address these co-occurring issues like anxiety, depression, or bipolar disorder simultaneously.
- High-strung personality – Someone who is naturally anxious may have an increased risk.
- Lack of social support – Isolation and lack of friends can make dealing with trauma more difficult, which is why our trauma treatment program emphasizes building a strong social support network during recovery.
- School issues – The victim of bullying, school shootings, or someone who struggles academically might have a higher risk.
- Physical health – Someone with chronic health issues may find it hard to cope with emotional distress, making the tailored approach of trauma therapy for teens even more important for physical and mental healing.
Family-Related Risk Factors
Because family is the primary support system for teens, our trauma treatment program often involves family therapy to help parents and children heal together. Family risk factors would include:
- Parental – Parents influence how children react to anything. Parents with psychiatric disorders or who are victims of sexual abuse or violence may under- or overreact to something and trigger PTSD.
- Family problems or dysfunction – Domestic violence or parental substance abuse can increase the risk that a teen will develop PTSD after a trauma.
- Socioeconomic status – Economic hardship can make a teen more vulnerable to PTSD.
While risk factors can make a difference, any teen can experience PTSD after trauma.

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Other Mental Health Conditions Associated With an Experienced Trauma
Teens with PTSD have a higher risk of developing co-occurring health conditions. 3 The symptoms of post traumatic stress disorder can trigger them. People with PTSD can also experience:
- Major depression
- Substance use disorder
- Anxiety disorders
- Eating disorders
These co-morbid disorders are a complication of the PTSD.
Post Traumatic Stress Symptoms in Children and Adolescents
There are some common symptoms of PTSD, including:
- Nightmares and difficulty sleeping
- Upset or angry when something triggers a memory of the event
- Negative emotions
- Intense fear or sadness that lasts
- Outbursts or acting out
- Paranoia about possible threats
- Withdrawal
- Avoidance of people or places associated with the event
Parents should watch for any changes in younger children after a trauma and consider trauma treatment if they suspect their child is susceptible to PTSD.4
Teen Trauma Treatment
At Elevate Mental Health, we know the path to healing after an experienced trauma is different for each teen. We take an individualized approach that factors in the psychological, emotional, and developmental elements that influence how a teen deals with trauma. Our trauma therapists provide evidence-based treatment options designed to meet the specific needs of your teenager.
At the heart of our treatment program is psychotherapy, or talk therapy. Through psychotherapy, our trained professionals use communication to develop relationships with teens and help them better understand how the trauma affects their behavior.
Cognitive Behavioral Therapy for Traumatic Events (TF-CBT)
Cognitive behavioral therapy combines two common approaches that can be critical to teen trauma treatment: cognitive and behavioral therapy. For teens who experienced trauma, we structure the program to help them process these experiences and manage the symptoms of PTSD.
CBT targets thoughts and beliefs related to a trauma, such as witnessing violence or physical abuse. Some of the thoughts might not be accurate or may be overly pessimistic. For example, they may think that they are responsible in some way for the traumatic event. We teach teens to regulate their emotions better and control these negative and false thoughts.
Behavioral therapy deals with how the teen responds to these thoughts, such as acting out. Within our teen trauma therapy sessions, our specialists help adolescents find more productive and healthier coping mechanisms.
Eye Movement Desensitization and Reprocessing (EMDR)
As a key component of our trauma therapy program, EMDR is a distinctive therapy for processing traumatic memories using guided eye movements and other forms of bilateral stimulation. It is a technique that helps to reduce the intensity of the emotions that come with these memories and to create more adaptive coping mechanisms.
Dialectical Behavior Therapy (DBT)
DBT is a practical approach for teens who have PTSD along with co-occurring mental health issues such as emotional dysregulation and self-harm. DBT applies skills such as mindfulness and emotion regulation that help them better tolerate complicated feelings and modify their behaviors in response to them.
Family Therapy
Family and parental support are crucial in trauma treatment. Our therapists work closely with families to ensure they have the resources and education to support open communication and a positive, safe space at home.
Family group sessions also help those close to an impacted teen learn more about PTSD. It can be a hard condition for others to understand, especially for those who didn’t experience the trauma. Family therapy teaches them more about the condition and how it can impact a person’s life.
Group Therapy
Group therapy at our trauma treatment facility lets teens connect with other survivors who share their experiences and truly understand their feelings in a safe, clinical setting. It creates a safe environment for children and adolescents to share stories of traumatic experiences and discuss coping strategies.
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Finding Support for PTSD in Teens
At Elevate Mental Health, we emphasize a holistic approach when treating trauma. We recognize that the trauma in children and adolescents can impact various aspects of their lives. If your teen is struggling with trauma or experiencing PTSD, our compassionate team of mental health professionals can help. Give us a call today to make an appointment for a consultation.
View Article References
- National Institute of Mental Health. Post-Traumatic stress disorder (PTSD). www.nimh.nih.gov. Published 2019.
- U.S. Department of Veterans Affairs. PTSD in Children and Teens – PTSD: National Center for PTSD. Va.gov. Published 2014.
- National Institute of Mental Health. Post-traumatic stress disorder. National Institute of Mental Health. Published December 2024.
- CDC. Post-traumatic Stress Disorder in Children. Children’s Mental Health. Published September 26, 2024.
