TRAUMA & THE BRAIN
FEELINGS UNDER THE BEHAVIOR
COPING & RISK
FAMILY & SUPPORT
STRENGTHS & HEALING
100

True or False?

Trauma only affects emotions.

Answer: False 

  • Trauma affects the brain, body, thoughts, and behavior.

  • It can change how fast someone reacts.

  • It can impact decision-making under stress.

  • It can make the body feel “on edge” even when nothing is happening.

100

Feelings Check

Name 3 emotions someone might feel after experiencing abuse.

shame, guilt, embarrassment, deserving, angry, sadness, hate, fear, Powerlessness, Confusion, oversexual, Loneliness

100

True or False

Self-harm is usually about wanting attention.

False. It often regulates overwhelming feelings. Or helps an individual 'feel' something they aren't able to properly express. 

  • It releases endorphins.

  • It regulates overwhelming emotions.

  • It creates distraction from emotional pain.

  • It can create a sense of control.

100

Healing is easier with a safe adult.

Answer: True

  • Co-regulation regulates the nervous system.

  • Safety rewires the brain.

  • Consistency reduces survival mode.

100

Name one strength.

Creativity

It regulates the nervous system.

200

When someone grows up in unsafe situations, their brain may:

A) Stay on high alert
B) Have trouble trusting people
C) React quickly without thinking
D) All of the above

Answer: D

High alert= hypervigilance.

Trust issues= attachment injury.

Quick reactions= survival brain dominance.

All are protective responses.

200

True or False

Shame is one of the strongest emotions connected to sexual trauma.

Answer: True

Shame says “I am bad.”

Guilt says “I did something bad.”/"I made them do this or that"/"It's my fault"

Shame fuels secrecy.

Secrecy fuels risk.

200

Risky online or sexual behavior can sometimes be about:


A) Wanting validation
B) Wanting connection
C) Trying to feel powerful
D) All of the above

Answer: D

  • Trauma can distort boundaries.

  • Attention can feel like safety.

  • Sexual validation can temporarily reduce shame.

  • Power through sexuality can counter earlier powerlessness.

200

When you see/feel dysregulation, what feeling might be underneath?

  • Fear

  • Shame

  • Overwhelm

  • Feeling out of control

200

What is the main trauma you or your child experienced that you feel like will be more of a struggle for them to heal from? 

  • Early childhood sexual abuse while placed in foster care with family members.
  • Foster care involvement and placement instability (attachment disruption).
  • Lack of legal action, which can compound betrayal trauma.
  • Psychiatric Residential Treatment Facility (PRTF) placement for four months.
  • Ongoing legal involvement related to current criminal charges.
  • Chronic academic struggles and school-related stress, including delayed graduation timeline.
  • History of multiple suicide attempts and overdoses.
300

What is the difference between “survival brain” and “thinking brain”?


fight/flight/freeze/impulse control.

Survival brain = fast, emotional, protective.

Thinking brain = slow, logical, future-focused.

Under stress, survival brain wins.

Teens already have developing prefrontal cortex → more impulsivity.


300

When someone acts angry or defiant, the feeling underneath might be:
A) Fear
B) Hurt
C) Shame
D) All of the above

Answer: D

Anger is often a secondary emotion.

Fear wears anger.

Shame wears defiance.

Hurt wears aggression.

300

Explain the difference between coping that helps long-term vs short-term?

Short-term:

  • Numbs

  • Escapes

  • Creates later consequences

Long-term:

  • Regulates

  • Builds skills

  • Reduces shame

  • Improves safety

300

What helps you feel safest at home?

  • Predictability

  • Non-yelling tone

  • Privacy

  • Clear boundaries

  • Listening

300

3 healthy coping skills.

Avoidance does not equal regulation

400

True or False

When survival brain is activated, long-term consequences feel less important than immediate relief.

Answer: True

The brain prioritizes immediate relief over consequences.

This explains impulsive choices.

Immediate validation can overpower future consequences.

400

If risky behavior could talk, what emotion do you think it is trying to escape from?

Explain....

Risky behavior often tries to escape:

  • Shame

  • Emotional pain

  • Loneliness

  • Feeling unwanted

  • Powerlessness

  • Numbness

  • Anxiety

Risky behavior temporarily numbs or replaces painful emotions.

  • It can create dopamine → short relief.

  • The relief is real but temporary.

  • Afterward, shame may increase.


400

Understanding why a behavior happens means we are excusing it.

  • Accountability and compassion can coexist.

  • Knowing why helps prevent repetition.

  • Ignoring the why keeps the cycle going.

400

What do families misunderstand about trauma behavior?

  • It looks intentional.

  • It looks manipulative.

  • It looks disrespectful.

  • It often isn’t.

400

One thing you survived that shows strength?

Resilience is key

500

What is one behavior that might make more sense when we look at it as a survival response instead of “bad behavior”?

Reflect and describe

Risky online behavior may be about validation.

Self-harm may regulate overwhelming emotions.

Aggression may discharge stress.

Withdrawal may be emotional protection.

500

Where in the body do overwhelming emotions show up?

Chest? Stomach? Head? Hands?


  • Chest tightness = anxiety

  • Stomach pain = fear

  • Headaches = stress

  • Numbness = dissociation

Connect body to behavior.

500

One healthier way to regulate intense emotions?

  • Drawing

  • Cold water grounding

  • 5-4-3-2-1

  • Movement

  • Journaling

  • Calling safe adult

  • Crochet/jewelry making (fine motor calming)

500

What are 3 ways to support healing?


  • Clear boundaries

  • Consistent consequences

  • Calm communication

  • Therapy attendance

  • Structured activities

500

What would healing look like in 1 year?

  • Fewer impulsive choices

  • Improved boundaries

  • Emotional regulation

  • Safe relationships

  • Graduation plan

  • Structured activities

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