Treating complex trauma can be challenging due to the multifaceted areas of functioning that are affected when trauma symptoms are activated. In essence, a child with complex trauma can experience the survival response of flight, fight, or freeze including other survival responses, even when their survival is not threatened. Consequently, the trauma response can interfere with a child’s capacity to manage social interactions, respond emotionally, affect behavior, distort cognition, react physically, and experience biological and neurological changes
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