The Neurobiology of Trauma: How Trauma Affects the Brain

February 18, 2026
Begin Again International
Trauma Recovery

Trauma profoundly affects the brain's structure and function. Understanding these neurobiological changes is essential for developing effective treatment approaches and supporting recovery.

The Amygdala and Threat Detection

The amygdala, often called the brain's "alarm system," becomes hyperactive following trauma. This heightened sensitivity can cause individuals to perceive threats in situations that are actually safe, leading to anxiety, hypervigilance, and panic responses.

The Prefrontal Cortex and Executive Function

The prefrontal cortex, responsible for rational thinking, decision-making, and emotional regulation, becomes less active in trauma survivors. This can result in difficulty concentrating, impulsive behavior, and challenges with emotional control.

The Hippocampus and Memory

The hippocampus, crucial for forming and storing memories, can be affected by trauma. This may result in fragmented memories, difficulty distinguishing past from present, and intrusive flashbacks.

The Nervous System's Dysregulation

Trauma dysregulates the autonomic nervous system, which controls our "fight, flight, or freeze" responses. Survivors may experience:

  • Chronic hyperarousal (feeling constantly on alert)
  • Dissociation or numbing
  • Difficulty with emotional expression
  • Path to Recovery

    The good news is that these neurobiological changes are not permanent. Through trauma-informed therapy, creative expression, sensory work, and other interventions, the brain can heal and reorganize itself.

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