Trauma Reaction Cards™ Checklist

Client Name:_______________________ Date:______________________

Behavior Reactions
⬜ Hitting
⬜ Fighting
⬜ Running away
⬜ School problems
⬜ Avoiding people, places, things,
or sensations related to the trauma
⬜ Hurting your own body
⬜ Taking out your feelings on
people you care about
⬜ Trouble getting along with others
⬜ ⬜
⬜ Arguing ⬜ Not listening /defiance
⬜ Cursing ⬜ Breaking things
⬜ Crying ⬜ Outbursts of anger
⬜ Lying ⬜ Bathroom problems
⬜ Acting younger than you are ⬜ Isolating yourself from others
⬜ Unsafe sexual practices ⬜ Trying to end your life
⬜ Stealing ⬜ Using drugs/alcohol/cigarettes
⬜ Tantrums ⬜ Trusting others too quickly/
⬜ Difficulty separating from Inappropriate boundaries
caregivers ⬜________________________
⬜

Body Reactions
⬜ Feeling like you are re-
experiencing the trauma
⬜ Jumpy or easily startled
⬜ Body feeling shaky
⬜ Trouble with sleep
⬜ Low energy
⬜ Body or muscles tense
⬜ Being on guard or constantly ⬜ Feeling disconnected from your
alert body
⬜ Trouble with eating ⬜ Hyperactive
⬜ Feeling short of breath ⬜ Nightmares
⬜ Bellyaches/Nausea ⬜ Headaches
⬜ Body feeling of panic ⬜ Feeling disgusting/gross/dirty
⬜ ⬜

Feelings Reactions
⬜ Guilty ⬜ Having worries ⬜ Sad
⬜ Angry ⬜ Nervous/Anxious ⬜ Moody/Irritable
⬜ Ashamed ⬜ Depressed ⬜ Helpless
⬜ Numb ⬜ Betrayed ⬜ Hopeless about Future
⬜ Rejected ⬜ Easily upset ⬜ Not caring about others
⬜ Not enjoying the things used to ⬜ Feeling different from others ⬜ Embarrassed
⬜ ⬜ ⬜

Brain & Thinking Reactions

⬜ “Everyone is unsafe” ⬜ Not trusting others ⬜ “It’s my fault” or blaming self
⬜ “The world is a bad place” ⬜ “I am bad” ⬜ Change in spiritual beliefs
⬜ Difficulty concentrating/ ⬜ Forgetting parts of the trauma ⬜ Tring to keep feelings/
focusing ⬜ Thinking about the trauma thoughts of trauma out of head
⬜ Having memories/flashbacks often ⬜ Thoughts about what happened
⬜ Thinking nothing good will ever ⬜ Thinking about dying/ wanting pop into you head
happen to die ⬜ Pictures of what happen pop
⬜ ⬜ into your head

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Trauma Reaction Cards Checklist ©2016 by Beth Richey, All Rights Reserved