Symptoms of intrusive memories can be addressed in an e therapy session. These signs may include:

• Recurrent, unwanted distressing memories of the traumatic event

• Reliving the traumatic event as if it were happening again (through flashbacks)

• Upsetting dreams or nightmares about the traumatic event

• Severe emotional distress or physical reactions to something that reminds you of the traumatic event

Symptoms of avoidance can be addressed with an online counselor, and may include:

• Trying to avoid thinking or talking about the traumatic event

• Avoiding places, activities, or people that remind you of the traumatic event

Symptoms of negative changes in thinking and mood may include:

• Negative thoughts about yourself, other people, or the world
• Hopelessness about the future
• Memory problems, including not remembering important aspects of the traumatic event
• Difficulty maintaining close relationships
• Feeling detached from family and friends
• Lack of interest in activities you once enjoyed
• Difficulty experiencing positive emotions
• Feeling emotionally numb

Symptoms of changes in physical and emotional reactions (also called arousal symptoms by online therapists) may include:

• Being easily startled or frightened
• Always being on guard for danger
• Self-destructive behavior, such as drinking too much or driving too fast
• Trouble sleeping
• Trouble concentrating
• Irritability, angry outbursts, or aggressive behavior
• Overwhelming guilt or shame