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Chapter Twenty-Four - Secondary Trauma (Re-traumatization in mental health)

Along the way, I have spoken about trauma, and I said something very important: while living with people who have mental disorders, it is very easy—often without realizing it—to traumatize them again. Not intentionally, not out of cruelty, but simply through everyday routines, ordinary interactions, and unexamined reactions. This is where many problems begin.

Most people do not think they are traumatizing anyone. What they see instead is what they call problematic behavior or challenging behavior. Someone shouts. Someone refuses. Someone withdraws. Someone becomes aggressive. And in that moment, the caregiver, the family member, or the person nearby does what comes naturally—they react. They shout back. They argue. They panic. They force. They raise their voice. And without knowing it, they make the situation worse.

When you react, you are acting from emotion, not understanding. Reaction is fast, impulsive, and uncontrolled. It comes from anger, fear, frustration, or exhaustion. In mental health care, reaction does not solve problems—it multiplies them. When you shout at someone who is already overwhelmed, you add more noise to their mind. When you argue with someone who is triggered, you deepen their fear. When you force someone who feels unsafe, you confirm their belief that they are not protected. Reaction does not bring peace. Reaction accelerates crisis. Many caregivers burn out not because the people they care for are “too difficult,” but because they react over and over again. Every reaction drains energy, increases tension, and breaks trust.

Responding is different. Responding is intentional. Responding is thoughtful. Responding begins with awareness. To respond means I recognize that something is wrong—but I do not let the situation control me. Responding may look like: walking away for a moment, remaining silent instead of shouting, taking a deep breath, drinking water, stepping outside, giving space and pausing before speaking. Responding means I choose calm over chaos. You cannot respond when you are emotionally flooded. That is why stepping away is not weakness—it is wisdom. You are not avoiding the problem; you are preparing yourself to handle it well.

What many people label as “bad behavior” is often a trauma response. The person is not trying to be difficult. They are trying to protect themselves. When a person reacts strongly to something small, it is often because that “small thing” reminds them of something painful from the past. When you react back with anger or shouting, you confirm their fear and deepen the trauma. Responding calmly tells them something different: “You are safe. I am not a threat.” That message alone can de-escalate many situations.

Not every situation needs words. Sometimes silence is the best response. Silence allows emotions to settle. Silence removes pressure. Silence communicates control and safety. Many caregivers think they must explain, correct, or discipline immediately. But immediate response is often reaction in disguise. True response waits for calm.

This is not only about mental health. This is a life principle. In families. In marriages. In workplaces. In friendships. Reaction destroys relationships. Response builds them. When you react, you lose control. When you respond, you keep it.

Choosing to respond instead of react takes practice. It requires self-awareness. It requires humility. It requires admitting, “I am triggered too.” Caregivers are human. They get tired. They get frustrated. But mental health care demands something higher: emotional discipline. If you want peace, you must guard your reactions.

When caring for people with mental disorders, remember this: you are not there to win arguments. You are not there to control behavior. You are not there to prove a point. You are there to support healing. And healing does not grow in reaction—it grows in response. Learn to pause. Learn to breathe. Learn to walk away and come back calm. Do not react. Respond. That single choice can transform care, preserve dignity, and protect both you and the person you support.


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