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Trauma is complicated.  Not everyone who experiences a traumatic event has post-traumatic stress symptoms and many people who have symptoms see a natural decrease in those symptoms while others wind up with post-traumatic stress disorder.  Still others see other symptoms that are bit different and get other diagnoses.  Why?   A lot of reasons. Here’s a few of them to consider. Some of these matter more than others when we look at trauma overall, but as a practitioner I know that everyone is different and I’ve seen all these interact with trauma in different ways. Also, it’s possible to break down many of these into smaller and smaller categories.    What are some that you’ve seen?