TYPES OF TRAUMA
TRAUMA SYMPTOM CLUSTERS
TOP-DOWN & BOTTOM-UP APPROACHES
THE COGNITIVE TRIANGLE
HEALING SKILLS (Mindfulness, Helpful Thoughts, Self-Talk, Music)
COPING & SAFETY SKILLS
100

A trauma caused by one big scary or dangerous event happening suddenly.

What is a distinct traumatic event?

100

When your brain replays the trauma through nightmares, memories, or acting it out.

What is re-experiencing or reenactment?

100

This approach calms the body first using breathing, movement, grounding, or music.

What is a bottom-up approach?

100

The cognitive triangle shows how thoughts, feelings, and ______ are connected.

What are behaviors?

100

Paying attention to right now with curiosity, not judgment.

What is mindfulness?

100

A grounding skill where you name 5 things you see, 4 you can touch, etc.

What is the 5-4-3-2-1 technique?

200

Trauma from not having enough resources like food, safety, or stable housing.

What is poverty-related trauma?

200

When you shut down, zone out, or feel nothing to stay safe.

What is numbing or dissociation (hypoarousal)?

200

This approach helps the mind think differently using CBT skills, thoughts, and problem-solving.

What is a top-down approach?

200

Thinking “Nobody likes me” affects how you feel and act. What part of the triangle is that?

What are thoughts?

200

Replacing “I’m stupid” with “I made a mistake but I can learn” is called _______.

What are accurate and helpful thoughts?

200

Taking a break before reacting uses which part of the brain?

What is the thinking brain (prefrontal cortex)?

300

When someone grows up around fights, shootings, or dangerous neighborhoods.

What is community violence trauma?

300

When trauma makes you believe things like “I’m bad” or “No one cares.”

What is negative thinking patterns?

300

Name a bottom-up skill: deep breathing, grounding, drumming, pacing, or sensory tools.

What is regulating the body?

300

Feeling sad or anxious because of a negative thought fits what part of the triangle?

What are feelings?

300

Saying “I can handle this,” “I’m safe,” or “I can calm down” is an example of _______.

What is positive self-talk?

300

Listening to your cool-down plan is an example of what type of coping?

What is self-regulation?

400

Trauma passed down through groups because of events like slavery, genocide, displacement.

What is historical trauma?

400

When your body is jumpy, loud, quick to anger, or always on alert.

What is hyperarousal or being in survival mode?

400

Name a top-down skill: journaling, reframing thoughts, or talking about feelings.

What is using your thinking brain?

400

Walking away, shutting down, or getting mad fits what part?

What are behaviors?

400

Calming your body with drumming, playlists, or rhythms uses what system? 

What is music for regulation or bottom-up soothing?

400

Using drumming, movement, or sensory items when triggered is what kind of skill?

What is a bottom-up skill?

500

When trauma affects several generations in a family — behaviors, fears, and emotions get passed down.

What is multigenerational trauma?

500

Trauma can affect thoughts, feelings, and behaviors all at once. What is this whole group of symptoms called?

What are trauma clusters or trauma responses?

500

Why is it important to use BOTH bottom-up and top-down approaches?

Because trauma affects both the body and the brain.

500

Changing your thoughts to accurate and helpful ones can change your feelings and behaviors.

What is CBT or cognitive restructuring/reframing?

500

When you notice your breath while listening to slow beats, this is using two skills at once. Which two?

What are mindfulness and music regulation?

500

Using the cognitive triangle, talking through your thoughts, or reframing is what kind of skill?

What is a top-down skill?