20 Questions

Trauma Questions to Ask Clients

Sensitive and therapeutic questions for mental health professionals to ask clients who have experienced trauma, helping facilitate healing while maintaining safety and building trust.

1

How are you feeling right now, and what would help you feel safer in this moment?

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Why this works

Establishes safety and grounding in the present, which is essential before exploring traumatic experiences.

2

What would you like me to know about your experience that feels important to share?

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Why this works

Empowers the client to control disclosure and share what feels relevant, honoring their autonomy and pace.

3

What coping strategies have you found helpful, and what makes them effective for you?

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Why this works

Identifies existing strengths and resources, building on what already works rather than focusing only on problems.

4

Are there topics or situations that feel too difficult to discuss right now?

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Why this works

Respects boundaries and establishes safety, preventing re-traumatization by moving too quickly.

5

What does safety mean to you, and how can we create that feeling here?

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Why this works

Explores the client's unique safety needs and collaborates on creating a therapeutic environment that feels secure.

6

Who or what in your life provides support, and how can we strengthen those connections?

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Why this works

Identifies support systems and relationships that can aid healing and provide ongoing resources.

7

What would healing or recovery look like for you?

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Why this works

Establishes treatment goals based on the client's vision rather than imposing external definitions of recovery.

8

How do you experience trauma symptoms in your body, and what helps you manage them?

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Why this works

Addresses the somatic nature of trauma and identifies body-based coping strategies and sensations.

9

What strengths and resilience have helped you survive and cope with difficult experiences?

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Why this works

Reframes the narrative from victim to survivor, highlighting inherent resilience and capabilities.

10

Are there times when you feel more grounded or present, and what contributes to that?

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Why this works

Identifies windows of tolerance and factors that promote regulation, which can be built upon in therapy.

11

What do you need from me as your therapist to feel supported and understood?

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Why this works

Invites collaboration in the therapeutic relationship and ensures the client's needs guide the treatment approach.

12

How do traumatic experiences continue to affect your daily life and relationships?

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Why this works

Explores current impact and functional impairment, helping identify specific areas for therapeutic intervention.

13

What parts of your story feel most important for me to understand?

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Why this works

Respects the client's narrative authority and allows them to emphasize what matters most to them.

14

Are there times when you feel triggered or overwhelmed, and what helps in those moments?

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Why this works

Identifies triggers and existing coping mechanisms, building a crisis management and safety plan.

15

What beliefs about yourself or the world have been affected by your experiences?

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Why this works

Explores cognitive impact of trauma and identifies beliefs that may be targeted in cognitive processing.

16

How can we pace our work together so it feels manageable and not overwhelming?

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Why this works

Collaborates on treatment pacing, ensuring therapy proceeds at a speed that feels safe and sustainable.

17

What would you like to be different in your life as a result of our work together?

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Why this works

Clarifies concrete goals and desired outcomes, making treatment focused and meaningful to the client.

18

Are there cultural or identity factors that are important for me to understand about your experience?

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Why this works

Honors the client's cultural context and ensures culturally responsive, appropriate trauma treatment.

19

What gives your life meaning or brings you moments of peace, even if small?

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Why this works

Identifies sources of resilience, meaning, and positive experiences that can be nurtured and expanded.

20

How will you know when you're making progress, and what markers will tell you things are improving?

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Why this works

Establishes client-defined success metrics and helps track meaningful change throughout treatment.

Best Practices for Trauma-Informed Conversations

Expert tips and techniques for getting the most out of these questions.

Best Practices

Prioritize Safety

Always establish emotional and physical safety before exploring traumatic material. Create a secure therapeutic environment.

Follow the Client's Lead

Allow clients to control the pace and depth of disclosure. Never push for details or force conversation about traumatic events.

Focus on Strengths

Balance exploration of trauma with recognition of resilience, coping, and strengths that helped the client survive.

Question Sequences

The Safety Establishment

1
How are you feeling right now?
2
What does safety mean to you?
3
Are there topics that feel too difficult to discuss?
4
What do you need from me as your therapist?

The Strength Assessment

1
What coping strategies have you found helpful?
2
Who or what provides support in your life?
3
What strengths have helped you survive?
4
What gives your life meaning?

Common Pitfalls

Don't Rush to Details

Avoid pushing for graphic details of traumatic events. Focus on impact, meaning, and healing rather than re-living trauma.

Don't Pathologize Normal Reactions

Recognize that trauma responses are normal reactions to abnormal events, not signs of weakness or dysfunction.

Don't Ignore Cultural Context

Understand how culture, identity, and systemic factors shape trauma experiences and healing processes.

Conversation Templates

The Trauma-Informed Opening

1
Step 1: Start with: "How are you feeling right now, and what would help you feel safer in this moment?"
2
Step 2: Follow with: "What would you like me to know about your experience?"
3
Step 3: Deepen with: "What does healing or recovery look like for you?"

Further Reading

"The Body Keeps the Score" by Bessel van der Kolk
"Trauma and Recovery" by Judith Herman
"What Happened to You?" by Bruce Perry and Oprah Winfrey

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