Mental Health and Trauma: Beyond Physical Injury

Sharron L. Henley, MA, MIN, Journalist Conversations With Charito, LLC

When people hear the word trauma, they often imagine a visible injury; a car crash, an assault, or a natural disaster. These are the kinds of wounds that leave physical marks. However, trauma runs deeper than what can be seen on the surface. It affects not only the body but also the mind and the spirit, leaving invisible scars that can shape a person’s thoughts, emotions, and sense of meaning in life. Unfortunately, many people still misunderstand trauma as being only physical, which can lead to misinformed care and a lack of support for those suffering from emotional or spiritual wounds.

Psychological trauma can come from experiences such as emotional abuse, chronic stress, neglect, or betrayal. A person may not have been physically harmed, yet they can still carry deep emotional pain. Spiritual trauma can occur when a person’s sense of meaning or faith is shaken. Survivors of trauma sometimes feel that their higher power has abandoned them or that life has lost its purpose. Research indicates that when trauma leads to spiritual struggle, such as questioning beliefs or feeling punished, it often correlates with greater psychological distress and post-traumatic symptoms (U.S. Department of Veterans Affairs, 2025). In short, trauma is not only about what happens to the body; it is about what happens to the heart and soul.

One major obstacle to recovery is misinformed care. Many people, including well-intentioned friends, family members, or even some professionals, rely on myths rather than evidence-based practices when supporting trauma survivors. Common misconceptions; such as believing that trauma can be “healed” by simply moving on, by ignoring painful memories, or by forcing a person to relive every detail of their trauma, can actually worsen emotional suffering. These ideas may create shame, reinforce avoidance, or retraumatize individuals who are not ready to process their experiences fully. Studies have shown that misconceptions about trauma-focused therapy and the recovery process can undermine trust and reduce treatment effectiveness (Gray et al., 2023; Contreras, 2024). Genuine healing requires compassion, safety, and a gradual, supported approach rather than pressure or quick fixes (Eldridge, 2024).

The holiday season can make these emotional wounds more noticeable. While holidays are often portrayed as a time of joy, warmth, and togetherness, they can also become a source of anxiety and emotional pain. For many, the season brings back memories of loss, family conflict, or loneliness. The constant reminders of celebration can make those who are grieving or struggling feel even more isolated. According to a recent survey by the American Heart Association, 63% of U.S. adults reported that the holiday season is more stressful than tax season, citing difficulty prioritizing their health and well-being during the period (American Heart Association, 2023). Even simple things like crowds, bright lights, and loud music can trigger stress responses in people with a history of trauma. The expectation to be cheerful when one feels emotionally raw can deepen feelings of shame or inadequacy. On top of that, disrupted routines, less sleep, more obligations, and fewer moments of quiet, can weaken a person’s ability to cope. What is often described as “holiday blues” may actually be a resurfacing of deeper wounds that have not yet been fully healed.

Healing from trauma requires understanding it in its full complexity. It is important to recognize that trauma can harm every part of a person’s being: their body, mind, and spirit. Acknowledging spiritual and emotional pain is the first step toward meaningful recovery. When therapists and caregivers include discussions about faith, identity, and purpose in treatment, they help survivors rebuild not only emotional balance but also a sense of meaning (U.S. Department of Veterans Affairs, 2025).

There are several evidence-based therapies that have shown success in helping people process trauma. For example, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has been tested in numerous randomized controlled trials, showing significant improvement in trauma symptoms among both children and adults (Cohen, Mannarino, & Deblinger, 2024; Larsen et al., 2025). Narrative Exposure Therapy allows survivors to place traumatic experiences within the larger context of their lives, reducing the emotional intensity of those memories. For those whose trauma involves spiritual struggle, approaches that integrate meaning-making and faith exploration, such as the Building Spiritual Strength program, have shown promise (Park, 2023). In addition, mindfulness, grounding exercises, and body-centered practices can help regulate the nervous system and restore a sense of safety after trauma.

During the holidays, it can help to take a proactive approach to self-care. Setting boundaries, saying no when necessary, and making space for rest can make a significant difference. It is perfectly acceptable to skip gatherings or traditions that cause emotional pain. Preparing for potential triggers, planning moments of quiet reflection, and reaching out to supportive friends, family, or a counselor can make the season more manageable. Healing does not mean forcing joy but rather creating an environment that allows peace and emotional safety.

If trauma symptoms persist, such as flashbacks, persistent sadness, detachment, or a loss of faith, it may be time to seek professional help. Therapists trained in trauma-informed care can provide guidance and evidence-based support tailored to the individual’s needs.

Ultimately, understanding trauma as more than physical harm allows for a more compassionate and effective response. The holidays, though often difficult for those with emotional wounds, can also become a time of renewal when approached with awareness and self-compassion. Healing is possible when we acknowledge the pain, seek help, and rebuild meaning, by taking each step, one day at a time, while celebrating each milestone of the healing process.


References

American Heart Association. (2023, December 18). New survey: 79% of survey respondents overlook their health needs during the holidays; find the holidays more stressful than tax season. https://newsroom.heart.org/news/new-survey-79-of-survey-respondents-overlook-their-health-needs-during-the-holidays-find-the-holidays-more-stressful-than-tax-season

Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2024). Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): At-A-Glance. National Center for Child Traumatic Stress. https://tfcbt.org/wp-content/uploads/2025/02/Trauma-Focused-Cognitive-Behavioral-Therapy-2024.pdf

Contreras, A. (2024, July 11). 5 myths about healing from trauma. Psychology Today.https://www.psychologytoday.com/us/blog/traumatization-and-its-aftermath/202407/5-myths-about-healing-from-trauma

Eldridge, M. (2024, June 27). Debunking myths about trauma and abuse: What survivors really need you to know.Pathway to Healing Wellness Library. https://www.pathwaytohealingcs.org/wellness-library/debunking-myths-about-trauma-and-abuse-what-survivors-really-need-you-to-know

Gray, R., Wong, L., et al. (2023). Ten misconceptions about trauma-focused CBT for PTSD. Behaviour Research and Therapy, 157, 104239. 

Larsen, K., et al. (2025). Efficacy of cognitive behavioural therapies with a trauma focus for posttraumatic stress disorder: An individual participant data meta-analysis. Journal of Consulting and Clinical Psychology, 93(6), 401–426. 

Park, C. L. (2023). Use of religious and spiritual responses after trauma to prevent posttraumatic stress symptoms and suicidality: The role of meaning in life. Journal of Affective Disorders, 333, 368–380. https://pubmed.ncbi.nlm.nih.gov/37670214/

U.S. Department of Veterans Affairs. (2025). Addressing religious or spiritual dimensions of trauma and PTSD. National Center for PTSD. https://www.ptsd.va.gov/professional/treat/txessentials/spirituality_trauma.asp

Women, Self-Care, and Mental Health: An Integrated Perspective

Sharron L. Henley, MA, MIN, Journalist Conversations With Charito, LLC

Women and the Importance of Self-Care

Women often balance several roles in their daily lives such as professional, family, and community responsibilities. This can lead to stress and neglect of personal needs if self-care is not prioritized (Moudatsou et al., 2025). Cultural and social norms often expect women to focus on others first, which can lead them to ignore or silence their own needs. This pattern has been linked to a higher risk of anxiety and depression (Thibaut, 2025).

A recent Gallup survey showed that nearly two-thirds of women in the United States find it difficult to prioritize their own health, citing emotional exhaustion, caregiving duties, and work stress as major barriers (Gallup, 2024). This suggests that self-care is not simply a lifestyle choice but a necessary foundation for women’s long term health.

Preventive self-care, which involves taking actions to maintain health before illness develops, is especially relevant. Wilson Takaoka, Jaccheri, and Sharma (2024) found that women who reported lower self-care engagement had higher levels of anxiety and depression, especially in high stress occupations. This demonstrates the strong connection between preventive self care and mental well-being .

The Relationship Between Self Care and Mental Health

Recent studies confirm that self-care helps reduce the effects of stress and supports positive mental health. For example, Moudatsou et al. (2025) found that women who took part in personal development and support groups during health crises reported better resilience and emotional balance. These results show that self-care can act as a protective factor that promotes healthier responses to stress.

Self Care Interventions and Mental Health Outcomes

Digital programs and online mental health resources that promote self-care have also shown positive outcomes. A 2025 study published in the Journal of Medical Internet Research found that individuals, especially women, who used self-care tools reported higher levels of wellbeing and emotional regulation (JMIR, 2025). This supports the growing use of digital self-care strategies as accessible mental health resources.

The Cycle of Poor Mental Health and Neglected Self Care

When mental health declines, motivation and energy for self-care often decrease. This creates a cycle where poor mental health leads to reduced self-care, which then worsens mental distress. Integrated programs that combine self-care education and mental health support are needed to break this pattern (KFF, 2025).

Practical Dimensions of Women’s Self Care: Physical Foundations

Physical self-care includes sleep, exercise, and nutrition. The World Health Organization (2025) emphasizes that these behaviors are essential to global health and must be encouraged for all women. Preventive medical visits, awareness of personal health changes, and stress management are also critical components of physical self-care.

Emotional and Psychological Dimensions

Emotional self-care involves activities that help manage stress and strengthen emotional resilience. Practices such as mindfulness, journaling, and creative outlets can improve emotional stability. Katan and Kelly (2023) found that self compassion among women with eating disorders supported healthier coping behaviors and reduced emotional distress. In addition, maintaining supportive social networks is essential for emotional wellbeing (Moradi et al., 2021).

Holistic and Contextual Considerations

Self-care changes throughout life and is influenced by social and environmental factors. A 2024 study in BMC Medical Informatics and Decision Making highlighted that self-care must be made accessible and adaptable to women from different backgrounds, especially those facing emotional or economic challenges. Women in resource limited communities often experience barriers that reduce their ability to practice consistent self-care. Addressing these barriers requires social and policy level action (BMC Medical Informatics and Decision Making, 2024).

Self-Care as Empowerment, Not Indulgence

Although self-care is sometimes seen as indulgent, research clearly shows that it is a form of empowerment. When women take care of their mental and physical health, they become better able to function in their families, workplaces, and communities (Thibaut, 2025). Self-care represents a reclaiming of control over personal well-being and challenges social systems that undervalue women’s health needs.

Women’s self l-care is a critical factor in maintaining good mental health. Current research shows that self-care reduces stress, builds resilience, and improves emotional stability. However, social expectations, unequal access to resources, and stigma can prevent women from engaging in sustained self-care. By creating supportive environments, expanding education, and ensuring access to mental health resources, society can help women make self-care a sustainable part of daily life.

References

BMC Medical Informatics and Decision Making. (2024). A national platform for advancing self-care processes for common illnesses and conditions: Designing, evaluating, and implementing. BMC Medical Informatics and Decision Making, 24, Article 331. https://doi.org/10.1186/s12911-024-02744-4

Gallup. (2024, April 16). Majority of U.S. women struggle to prioritize healthhttps://news.gallup.com/poll/646529/majority-women-struggle-prioritize-health.aspx

Katan, A., & Kelly, A. C. (2023). A daily diary study of self compassion and adaptive coping behaviors in women with symptoms of bulimia nervosa. Journal of Eating Disorders, 11, 50. https://doi.org/10.1186/s40337-023-00755-6

KFF. (2025, May 6). Access and coverage for mental health care for womenhttps://www.kff.org/womens-health-policy/access-and-coverage-for-mental-health-care-for-women/

Moudatsou, M., Stavropoulou, A., Rovithis, M., Mimarakis, D., & Koukouli, S. (2025). Promoting women’s mental health and resilience in times of crisis through personal development groups. Healthcare, 13(9), 1035. https://doi.org/10.3390/healthcare13091035

Thibaut, F. (2025). Recent progress in women’s mental health research and future priorities. European Psychiatry, 68(Suppl 1), S40. https://doi.org/10.1192/j.eurpsy.2025.146

Wilson Takaoka, A. J., Jaccheri, L., & Sharma, K. (2024). Exploring self-care, anxiety, depression, and the gender gap in the technology workforce. International Journal of Environmental Research and Public Health, 21(11), 1468. https://doi.org/10.3390/ijerph21111468

World Health Organization. (2025, June 24). Self Care Month 2025https://www.who.int/news-room/events/detail/2025/06/24/default-calendar/self-care-month-2025