

Bireyin günlük yaşantısında sorunlara neden olan, beklenmedik şekilde gelişen, bireyin yoğun stres yaşamasına neden olan deneyimler (kaza, doğal afetler, taciz, yaralanma vb.) olarak tanımlanabilir. Bu yaşantılar sadece doğrudan maruz kalan bireyleri değil, ailesindeki ve sosyal çevresindeki kişileri, travmatik yaşantı hakkında detaylı bilgi edinen bireyleri ve travmaya maruz kalan bireylerle çalışan meslek elemanlarını (psikologlar, acil servis elemanları, arama kurtarma ekipleri gibi) da etkileyebilmektedir. Travmatik duruma bu şekilde maruziyet ikincil travma olarak adlandırılmaktadır.
Travmatik yaşantıya tanık olmak veya hakkında bilgi edinmek, travmatize olmuş bireye karşı yoğun sempati duymak, yardım etmek istemek ikincil travmanın gelişimine neden olabilir. Bireyin kendi geçmişinde travmatik yaşantıların olması ikincil travmadan etkilenmesinde önemli bir faktör olarak ele alınmaktadır.
-Travmatik olayın yeniden yaşanması: Hatırlama, rüyada görme, yeniden deneyimleme hissi gibi travmatik yaşantıyı tekrar tekrar yaşamayı içerir.
-Hatırlatıcılardan kaçınma: Travmaya maruz kalan bireyi veya travmatik olayı hatırlatacak durum, duygu ve düşüncelerden kaçma davranışıdır.
-Aşırı uyarılma: Stresli olma, uyku problemleri, dikkatte artma ya da azalma, hızlı ve kolay öfkelenme gibi belirtilerdir.
İkincil travmatik stres belirtileri kısa süreli olabilir, fakat bireyi travmaya doğrudan maruz kalmış kadar yoğun bir şekilde etkileyebilir. Çoğu zaman ikincil travmatik stresin belirtilerinin kaynağını anlamlandırmak zor olsa da psikolojik sağlığın korunması açısından terapi sürecine başlanması önemlidir.
Birincil travma ve ikincil travmanın olumsuz etkileri benzerlik gösterdiğinden, terapi sürecinde travma sonrası stres bozukluğunda kullanılan terapi yöntemlerinden yararlanılabilir. Bu terapi yöntemleri sıklıkla EMDR (Göz hareketleriyle duyarsızlaştırma ve yeniden işleme) olmak üzere, Bilişsel Davranışçı Terapi ve Şema Terapidir.
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