Trauma and Its Effects on the Brain

Neurobiology of Trauma and Sexual assault
Definition of Trauma
The psychological
response to an event
when they:
Are experienced as
physically or
emotionally harmful or
threatening
Have lasting adverse
effects of the
individual’s functioning
and physical, social,
emotional or spiritual
well being.
Center for Social Justice and Non-Violence
Trauma is not an event, but a
response
 to an event that
overwhelms people physically
and psychologically.
Dr. Peter Levine, Waking the Tiger, 1997
Traumatic Responses Can Alter…
Physiology
Heart rate, respirations,
dry mouth, knot in
stomach, dilated pupils
Affective (mood and
emotion) responses
Fear, helplessness,
horror
End Violence Against Women International
Traumatic Responses Can Alter…
Cognitive (thought)
processing
Memory – fragmented,
out of sequence
Time distortion
Increased confabulation
Trauma memory and
recall
End Violence Against Women International
The Prefrontal Cortex
Plans a person’s
response to complex
and difficult problems
Acts as an “executive”
for the decision making
process.
Weaves past events to
present experiences in
order to make the best
choices.
Jim Hopper, Exploring the Nature of Traumatic Memory
Key Functions of Prefrontal Cortex
Chooses where you focus attention and thoughts –
reality testing
Holds thoughts, memories and other information so
you can imagine alternatives
Inhibits habits and automatic responses, and
inappropriate actions
Regulates emotions, how strong they are, how long
they last, how you express them
End Violence Against Women International
High Stress = Impaired
Prefrontal Cortex
Old and primitive brain
structures take control
We cannot
Control attention
Think logically
Over-ride emotions
Hellooooooo amygdala!
End Violence Against Women International
Memory
Amygdala:
Processes emotional
reactions and memories
Signals Hypothalamus
HPA Axis kicks in
THREAT
Steven Southwick, MD, Yale University
HPA-Axis is
responsible for
bringing the 
body 
back into
balance
Hormones
Catecholamines
:  Fight/Flight/Freeze levels are
increased; damage to memory, hyper vigilance &
irrational thought (INCREASE)
Cortisol:
  Effects the energy available in your body
to act
Opiods:
  Prevents pain.  If levels increase, can
result in flat affect, little emotion, no energy
Oxytocin:
  Promotes good feelings to
counterbalance emotional or physical pain
Rebecca Campbell, Ph.D., Michigan State University
Steven Southwick, MD, Yale University
Tonic Immobility
Uncontrollable
mammalian response in
extremely fearful
situations
Paralysis, increased
breathing
More common in
victims with trauma
history
Grace Galliano, Kennesaw State College
Memory Maker
Hippocampus:  processes information into
memories
STEP ONE:  Encoding = organizing sensory
information
STEP TWO:  Consolidation = grouping information
into memories and storing them
Amygdala – Specializes in the processing of
emotional memories (works with hippocampus)
Both structures are VERY sensitive to
hormonal fluctuations
Rebecca Campbell, Ph.D., Michigan State University
How the Victim is Perceived
Inaccurate & Unreliable:
Fragmented memories
Lying:  “Inappropriate”
reactions
Crazy:  Psychiatric
symptomatology
FETI, Russell Strand
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Trauma is not just an event but a response that overwhelms individuals physically and psychologically. The neurobiological impact of trauma, such as alterations in physiology, cognition, and memory, can be profound. This content delves into how traumatic experiences can affect brain functions, specifically the Prefrontal Cortex, which plays a crucial role in decision-making, attention, memory processing, and emotional regulation.

  • Trauma Effects
  • Brain Function
  • Neurobiology
  • Prefrontal Cortex
  • Emotional Regulation

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  1. Neurobiology of Trauma and Sexual assault

  2. Definition of Trauma The psychological response to an event when they: Are experienced as physically or emotionally harmful or threatening Have lasting adverse effects of the individual s functioning and physical, social, emotional or spiritual well being. Center for Social Justice and Non-Violence

  3. Trauma is not an event, but a response to an event that overwhelms people physically and psychologically. Dr. Peter Levine, Waking the Tiger, 1997

  4. Traumatic Responses Can Alter Physiology Heart rate, respirations, dry mouth, knot in stomach, dilated pupils Affective (mood and emotion) responses Fear, helplessness, horror End Violence Against Women International

  5. Traumatic Responses Can Alter Cognitive (thought) processing Memory fragmented, out of sequence Time distortion Increased confabulation Trauma memory and recall End Violence Against Women International

  6. The Prefrontal Cortex Plans a person s response to complex and difficult problems Acts as an executive for the decision making process. Weaves past events to present experiences in order to make the best choices. Jim Hopper, Exploring the Nature of Traumatic Memory

  7. Key Functions of Prefrontal Cortex Chooses where you focus attention and thoughts reality testing Holds thoughts, memories and other information so you can imagine alternatives Inhibits habits and automatic responses, and inappropriate actions Regulates emotions, how strong they are, how long they last, how you express them End Violence Against Women International

  8. High Stress = Impaired Prefrontal Cortex Old and primitive brain structures take control We cannot Control attention Think logically Over-ride emotions Hellooooooo amygdala! End Violence Against Women International

  9. Memory Amygdala: Processes emotional reactions and memories THREAT Signals Hypothalamus HPA Axis kicks in Steven Southwick, MD, Yale University

  10. HPA-Axis is responsible for bringing the body back into balance

  11. Hormones Catecholamines: Fight/Flight/Freeze levels are increased; damage to memory, hyper vigilance & irrational thought (INCREASE) Cortisol: Effects the energy available in your body to act Opiods: Prevents pain. If levels increase, can result in flat affect, little emotion, no energy Oxytocin: Promotes good feelings to counterbalance emotional or physical pain Rebecca Campbell, Ph.D., Michigan State University

  12. Amygdala Detects Threat Activates Hypothalamus Can trigger a Complete SHUT DOWN HPA Axis Kicks in Hormonal Flood Steven Southwick, MD, Yale University

  13. Tonic Immobility Uncontrollable mammalian response in extremely fearful situations Paralysis, increased breathing More common in victims with trauma history Grace Galliano, Kennesaw State College

  14. Memory Maker Hippocampus: processes information into memories STEP ONE: Encoding = organizing sensory information STEP TWO: Consolidation = grouping information into memories and storing them Amygdala Specializes in the processing of emotional memories (works with hippocampus) Both structures are VERY sensitive to hormonal fluctuations Rebecca Campbell, Ph.D., Michigan State University

  15. How the Victim is Perceived Inaccurate & Unreliable: Fragmented memories Lying: Inappropriate reactions Crazy: Psychiatric symptomatology FETI, Russell Strand

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