Five Dialectical Dilemmas of Trauma Survivors: Brief Guide and Treatment
United States Department of Homeland Security
Key Points
- Trauma survivors are stuck at the extremes of both “too much” and “too little”
- Trauma survivors demonstrate hypervigilance vs dissociation, obsessive rumination vs impulsive decision making, emotional overwhelm vs emotional numbness, maladaptive coping vs paralysis, aggression vs passivity.
- The five skills include mindfulness, distress tolerance, dialectical thinking, emotion regulation, and interpersonal effectiveness
