Psychological Trauma: Myths and Mistakes That Make Things Worse

One of the most persistent and harmful misconceptions about psychological trauma is that it will resolve on its own. Dr. Saulitis is unambiguous: if trauma is not treated, it transitions into a chronic form. Just as an untreated concussion leaves lasting consequences, unaddressed psychological trauma becomes entrenched and more complex over time.

Myth 1: "Alcohol helps you cope with acute stress"

This is one of the most dangerous myths. According to the doctor, using alcohol during a period of acute traumatisation — including in the context of blast injury or combat stress — dramatically amplifies organic brain damage. The combination of intoxication and trauma can lead to irreversible consequences. Alcohol does not relieve trauma; it makes it untreatable.

Myth 2: "You need to make a decision right now" — before the psyche has recovered

Another common mistake is pressuring oneself to "pull it together" immediately. Dr. Saulitis explains that the ability to make a decision is a sign that the psyche has already recovered — not a tool for achieving that recovery. When the brain is functionally impaired, decisions driven by emotion rather than facts and cause-and-effect reasoning can be actively destructive.

What actually comes first: restoring homeostasis

Before attempting to "solve problems," it is essential to re-establish basic homeostasis: adequate sleep, proper nutrition, and physical activity. Restoring these foundations is what creates the conditions for normal thinking and sound decision-making to return.

Myth 3: "Talking about the trauma is enough"

The doctor cautions that working with trauma in the wrong way can amplify it rather than resolve it. Repeatedly revisiting the traumatic experience without a proper therapeutic context is not treatment — it is re-traumatisation.