Trauma Issues   Sometimes trauma happens directly to us (e.g. rape, car wreck) or sometimes can indirectly affect us (e.g. witness to an act of violence). Sometimes memories (old or new) from these traumas can be so disturbing that it can influence the functioning in our daily lives. The following may indicate the need for professional help: A persistent feeling of "numbing" after the trauma. Traumatic event is persistently re-experienced either through flashbacks, dreams or physical sensations. Persistent avoidance of anything associated with the trauma — including thoughts, activities, places and people. Significant diminishment in interests or participation in activities. Sense of a foreshortened future (e.g. does not expect to have normal life span, career or marriage). Persistent physical arousal — such as difficulty with sleep, increased anger, difficulty concentrating, exaggerated startle response, very vigilant about potential dangers.