Complex trauma describes both childrens exposure to multiple traumatic events often of an invasive interpersonal nature and the wide ranging long term effects of this exposure these events are severe and pervasive such as abuse or profound neglect. In people with complex trauma research suggests that repeated exposure to traumatic events early in development not only inhibits the neural systems ability to return to normal but changes the . Their emotional responses may be unpredictable or explosive a child may react to a reminder of a traumatic event with trembling anger sadness or avoidance for a child with a complex trauma history reminders of various traumatic events may be everywhere in the environment. What are the impacts of childhood trauma on physical health adults who have experienced childhood trauma are more likely to visit the doctor for physical problems more often draper et al 2007 new understandings in neuroscience show that ongoing stress or trauma affects the structure and function of the developing brain. Trauma informed care tic involves a broad understanding of traumatic stress reactions and common responses to trauma providers need to understand how trauma can affect treatment presentation engagement and the outcome of behavioral health services this chapter examines common experiences survivors may encounter immediately following or long after a traumatic experience
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