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The Impact of Trauma on the Brain and Body: A Deep Dive

Writer: Piper Harris, APC NCCPiper Harris, APC NCC


Trauma, whether from a single catastrophic event or long-term exposure to stress, creates profound and lasting effects on both the brain and body. These impacts can shape how we experience emotions, respond to daily life, and relate to others. By understanding the mechanisms behind trauma and how it alters our brain-body connection, we can start to heal and move forward with clarity and control.


How the Brain Responds to Trauma


When you encounter a traumatic experience, your brain's alarm system, the amygdala, kicks into overdrive. The amygdala is responsible for processing fear and emotions, and when faced with a perceived threat, it signals the body to prepare for a fight, flight, or freeze response. This is a life-saving reaction in dangerous situations, but when trauma persists or is left unresolved, the amygdala can remain hyperactive, causing individuals to feel constant anxiety or dread, even in safe environments.


At the same time, the prefrontal cortex, which governs reasoning and decision-making, struggles to regulate emotional responses. This is why people who have experienced trauma often feel overwhelmed by emotions or have difficulty concentrating. Trauma impacts the brain's ability to distinguish between real danger and perceived threats. The hippocampus, which is essential for memory formation and retrieval, can also be affected, leading to fragmented or distorted memories of the traumatic event. Individuals might experience flashbacks, intrusive thoughts, or feel as though they are constantly reliving their trauma.

In severe cases of chronic trauma, such as prolonged childhood abuse, this neural dysregulation can result in changes to the brain's structure. The hippocampus may shrink, leading to difficulties with memory, learning, and emotional regulation. Meanwhile, the overactive amygdala keeps the body in a heightened state of alertness, leading to hypervigilance, a constant sense of threat, and difficulty trusting others.


The Body's Physical Response to Trauma


Trauma isn’t just a mental experience—our body physically reacts to it. The brain and body are in constant communication, and the nervous system plays a key role in how trauma is stored and manifested physically. When a person is exposed to trauma, their sympathetic nervous system (the fight-or-flight mechanism) is activated. This system prepares the body for danger by increasing heart rate, dilating pupils, tightening muscles, and releasing stress hormones like cortisol and adrenaline.


For some, this heightened state of alertness can persist long after the traumatic event has passed. The body remains stuck in fight-or-flight mode, even when there is no real threat. This chronic activation of the sympathetic nervous system can lead to a variety of physical symptoms: insomnia, digestive issues, headaches, muscle tension, and more. Over time, the body’s inability to return to a calm state (known as the parasympathetic response, or “rest and digest”) can lead to health problems like hypertension, chronic pain, and a weakened immune system.


Dr. Stephen Porges’ polyvagal theory provides insight into how the body responds to trauma. This theory explains that our nervous system has three primary states: safe (rest and digest), mobilized (fight or flight), and immobilized (freeze). When trauma is unprocessed, the body may get stuck in these maladaptive states, leading to emotional dysregulation, avoidance behaviors, and the shutdown of social engagement systems.


The Long-Term Consequences of Unresolved Trauma


The longer trauma remains unresolved, the more deeply ingrained its effects become. Trauma survivors often find themselves in a cycle of hyperarousal or hypoarousal. Hyperarousal manifests as anxiety, irritability, anger, and an inability to relax, while hypoarousal can show up as depression, dissociation, or emotional numbness.


One of the long-term consequences of trauma is that it can change how we view and interact with the world. For example, someone who experienced domestic violence may develop an overactive threat detection system, constantly scanning their environment for potential danger. This vigilance can make it difficult to form healthy relationships, as trust becomes a major barrier.


Furthermore, trauma survivors often experience difficulties with emotional regulation, meaning they may react disproportionately to minor stressors. This can create challenges in personal and professional life, where the demands of everyday interactions may trigger overwhelming emotional responses.


Real-Life Examples of Trauma Responses


Take Sarah, who survived a serious car accident. Even though she has physically healed, her body still remembers the trauma. Whenever she hears a sudden loud noise, like screeching tires, her heart races, her palms sweat, and her muscles tense as though she’s about to relive the crash. Despite knowing she’s safe, her body triggers an involuntary response rooted in her trauma.


Then there’s Alex, who experienced emotional abuse throughout childhood. In his adult life, he struggles with relationships and often avoids intimacy. His brain and body have been trained to see closeness as a threat, making it difficult for him to connect with others. Although he’s aware that not all relationships are dangerous, his body remains guarded, shutting down emotionally when faced with vulnerability.


The Path to Healing: Retraining the Brain and Body


While the effects of trauma are profound, healing is possible. The brain has an incredible capacity for neuroplasticity, meaning it can rewire itself and form new neural connections. Through therapeutic approaches like Cognitive Behavioral Therapy (CBT), trauma survivors can learn to manage their emotional responses, shift negative thought patterns, and retrain their nervous systems.


CBT helps individuals reframe distorted thoughts and beliefs about themselves, their trauma, and the world. By learning how to challenge irrational beliefs, individuals can begin to reduce the emotional intensity of their trauma-related memories. Somatic therapies focus on the body’s physical response, helping individuals release stored tension and restore balance to their nervous system.


One of the most empowering aspects of trauma recovery is the realization that, while the trauma may not be your fault, healing is within your control. The process may be difficult, but by seeking therapy and building resilience, survivors can reclaim their lives.


Ready to Begin Healing?


If you’ve experienced trauma and want to better understand how it’s impacting your brain and body, we invite you to take our trauma assessment. This assessment is the first step in identifying the root causes of your emotional and physical responses, and it can guide your journey toward healing.



At Untangled Mind, we specialize in trauma-informed care, offering a blend of CBT and holistic therapies that address both the mind and body. Our tailored approach helps you regain control of your life and navigate the challenges that trauma creates.


Schedule your session today by visiting the link below:



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