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Somatic |
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| Lowered
concentration
Decreased self-esteem Apathy Rigidity Disorientation Perfectionism Minimization Preoccupation with trauma Thoughts of self-harm or harm to others |
Powerlessness
Anxiety Guilt Anger/rage Survivor guilt Shutdown Numbness Fear Helplessness Sadness Depression Emotional roller coaster Depleted Overly sensitive |
Impatient
Irritable Withdrawn Moody Regression Sleep disturbance Nightmares Appetite changes Hypervigilance Elevated startle response Accident proneness Losing things |
Questioning
the meaning of life
Loss of purpose Lack of self-satisfaction Pervasive hopelessness Anger at God Questioning of prior religious beliefs Loss of faith in a higher power Greater skepticism about religion |
Withdrawal
Decreased interest in intimacy or sex Mistrust Isolation from others Over protection as a parent Projection of anger or blame Intolerance Loneliness Increased interpersonal conflicts |
Shock
Sweating Rapid heartbeat Breathing difficulties Aches and pains Dizziness Increased number and intensity of medical maladies Other somatic complaints Impaired immune system |
Low
morale
Low motivation Avoiding tasks Obsession about details Apathy Negativity Lack of appreciation Detachment Poor work comm. Staff conflicts Absenteeism Exhaustion Irritability Withdrawal from colleagues |