Olena Pkhaladze Psychotherapy Centre
Client Workbook

Healing from Within

A trauma awareness workbook: understanding how trauma affects you, finding calm in your body, and building strength and support.

This workbook is a gentle companion to your healing. It explains how trauma affects the mind and body and offers practical tools to help you feel safer and more grounded. Go at your own pace. You don't need to finish every page, and you never need to write about anything you are not ready to share.

Name:
Start date:
Olena Pkhaladze Psychotherapy Centre · olenapkhaladze.com · olenapkh.therapy@gmail.com
This workbook is educational material and does not replace individual assessment or treatment.
© 2026 Olena Pkhaladze Psychotherapy Centre. All rights reserved. Provided for personal use only. No part of this workbook may be copied, distributed or adapted without written permission.

Contents

  1. Before you begin
  2. Chapter 1: What is trauma?
  3. Chapter 2: Recognizing trauma and PTSD symptoms
  4. Chapter 3: Self-assessment and calming tools
  5. Chapter 4: Building resilience
  6. Chapter 5: Seeking support
  7. My calming plan
  8. Help and crisis resources

Before you begin

Reading about trauma can stir up difficult feelings, memories or body sensations. That is normal, and it doesn't mean you are doing anything wrong. These guidelines can help you use this workbook safely:

  • Go slowly. One section at a time is enough. Take breaks whenever you need them.
  • You are in charge. Skip any question that feels like too much. You never have to write details of painful events.
  • Notice your body. If your heart races, you feel numb or "far away," stop and use a calming tool from Chapter 3.
  • Rate your distress. Before and after each exercise, rate how upset you feel from 0 (completely calm) to 10 (the most distressed you can imagine). If you go above 6, pause and ground yourself.
  • Bring it to therapy. Your therapist can help you make sense of what comes up.
012345678910
CalmPause and ground yourselfMost distressed
If you are in crisis: call or text 9-8-8 (Suicide Crisis Helpline, 24/7), or call 911 if you are in immediate danger. More resources are listed at the end of this workbook.
Chapter 1

What is trauma?

Trauma is a complex and deeply personal experience. It is not defined only by what happened, but by how an event affected you: when something overwhelms your ability to cope and leaves you feeling unsafe, helpless or alone. Two people can live through the same event and respond very differently. Neither response is "right" or "wrong."

Types of trauma

TypeWhat it can look like
PhysicalAccidents, injuries, assault, medical procedures, natural disasters.
EmotionalHumiliation, rejection, betrayal, sudden loss or grief, ongoing criticism.
PsychologicalThreats, control, manipulation, living with constant fear or unpredictability.
Single-incidentOne overwhelming event, such as a car accident or a violent incident.
ComplexRepeated or long-lasting harm, often in childhood or in close relationships, where escape felt impossible.
Collective and displacementWar, forced migration, community violence, or losing your home, country or way of life.
Secondary (vicarious)Being affected by witnessing or hearing about the trauma of others, often in caring roles.

How trauma affects the body

When we face danger, the nervous system acts automatically to protect us. It doesn't wait for our thinking brain to decide. These survival responses are not choices or weaknesses; they are the body doing its best to keep us alive.

Move toward

Fight

Anger, irritability, tension, wanting to push back or defend.

Move away

Flight

Restlessness, panic, urge to escape, constant busyness.

Shut down

Freeze

Feeling stuck, numb, foggy, disconnected or "not really here."

Appease

Fawn

Pleasing others, avoiding conflict, ignoring your own needs to stay safe.

After trauma, the nervous system can stay on high alert, reacting to reminders as if the danger were happening now. Healing helps the body learn that it is safe in the present.

The window of tolerance

We each have a "window" in which we can feel emotions and still think clearly. Trauma can make this window narrower, so we move more easily into overwhelm (hyperarousal) or shutdown (hypoarousal). Calming tools and therapy help widen the window over time.

Hyperarousal (too much) Anxious, panicky, angry, racing heart and thoughts, on guard Window of tolerance (just right) Present, able to think and feel, connected, able to cope Hypoarousal (too little) Numb, shut down, exhausted, disconnected, "far away"

When I'm above my window, I notice:

When I'm below my window, I notice:

Personal reflection

Answer only what feels manageable. A word or short phrase is enough. You don't need to describe what happened.

Experiences that may still affect me (a title or one word is enough)
When or where do I feel unsafe or on edge?
How does my body usually react (fight, flight, freeze, fawn)?
What has helped me get through hard times before?

Exercise: Your calm place

This guided visualization creates an inner place you can return to whenever you need comfort. It can be real, remembered or completely imagined.

  1. Sit comfortably and take a few slow breaths. Let your eyes close or rest your gaze on the floor.
  2. Bring to mind a place where you feel calm and safe: a beach, a forest, a room, a garden.
  3. Notice what you see: colours, light, shapes.
  4. Notice what you hear, smell, and feel on your skin (warmth, a breeze, a soft blanket).
  5. Notice where in your body you feel the calm. Let it spread.
  6. Choose a word that represents this place, such as "ocean" or "home."
  7. Stay as long as you like, then slowly return, noticing the room around you.

If unpleasant images or feelings appear, open your eyes, look around the room, and try a different place or a grounding exercise. This is common and okay.

My calm place
My cue word
Distress before / after (0–10)
Chapter 2

Recognizing trauma and PTSD symptoms

After a frightening event, it is normal to feel shaken for days or weeks. For many people these reactions ease with time and support. When they continue for more than a month, or get in the way of daily life, they may be signs of post-traumatic stress disorder (PTSD). PTSD is a treatable condition, not a personal failing.

The four main groups of PTSD symptoms

GroupWhat it can feel like
Re-experiencingFlashbacks, nightmares, intrusive memories, strong reactions to reminders.
AvoidanceStaying away from people, places, conversations or feelings linked to the event.
Changes in thoughts and moodGuilt, shame, blame, feeling detached, losing interest, trouble feeling positive emotions.
HyperarousalBeing on guard, easily startled, irritable, trouble sleeping or concentrating.

People who lived through long-lasting or repeated trauma may also struggle with intense emotions, a deep sense of being "not good enough," and difficulty trusting or feeling close to others. This is sometimes called complex trauma or complex PTSD.

Self-check

Over the past month, how much have you been bothered by the following? Tick one box per row.

ExperienceNot at allA littleModeratelyQuite a bitExtremely
Re-experiencing
Unwanted, upsetting memories that pop into my mind
Nightmares or disturbing dreams
Feeling as if the event is happening again (flashbacks)
Strong physical reactions to reminders (racing heart, sweating)
Avoidance
Avoiding thoughts or feelings about what happened
Avoiding people, places or activities that remind me
Thoughts and mood
Blaming myself or feeling guilt or shame
Feeling distant or cut off from others
Losing interest in things I used to enjoy
Feeling numb or unable to feel happiness or love
Hyperarousal
Being "on guard," watchful, or feeling unsafe
Being easily startled by noises or movements
Irritability or angry outbursts
Trouble falling or staying asleep
Difficulty concentrating
Please note: this self-check is for reflection, not diagnosis. If you ticked "quite a bit" or "extremely" for several items, or these experiences are affecting your work, relationships or sleep, please talk with a therapist or your doctor. Help is available.

Two examples

These are fictional examples, combining common experiences.

After an accident

Maria

Eight months after a car accident, Maria avoids highways and feels her chest tighten whenever she hears brakes screech. She sleeps poorly and snaps at her children, then feels guilty. She thought she should "be over it by now." In therapy, she learned that her body was still trying to protect her, and step by step she began driving short distances again.

After displacement

Oleh

Oleh left his home city because of war. He is safe now, but fireworks and sirens make him freeze or want to run. He often feels numb and disconnected from his family, and he blames himself for leaving others behind. Learning grounding skills helped him notice when he was "back there," and EMDR therapy helped the memories feel less overwhelming.

Exercise: My reminders and reactions

Reminders (sometimes called triggers) are sights, sounds, smells, places, dates or feelings that bring the past into the present. Knowing yours helps you prepare and respond with care.

ReminderWhat I feel in my bodyWhat I usually doWhat could help instead
Chapter 3

Self-assessment and calming tools

Understanding where you are now, including your strengths, helps you and your therapist plan the next steps. Then, learning to calm your nervous system gives you tools you can use anywhere.

Reflective questions

How do past events show up in my life today?
How do I usually cope with stress? Which ways help, and which cost me?
What personal strengths have helped me survive and keep going?
What would feeling "better" look like in my daily life?

Journal space

Use this space to write freely about your thoughts, feelings or hopes. Focus on how you feel now rather than details of the past.

Grounding: 5-4-3-2-1

Grounding brings your attention back to the present moment through your senses. It is especially helpful during flashbacks, panic or when you feel "far away." Slowly name:

5things you can see2things you can smell
4things you can feel (feet on floor, chair, clothes)1thing you can taste, or one kind thing to say to yourself
3things you can hearThen say: "I am here, today is ______, and I am safe right now."

Calm breathing: four-count (box) breathing

Breathe in 4 Hold 4 Breathe out 4 Hold 4 Repeat 4x
  1. Breathe in slowly through your nose for a count of 4.
  2. Hold gently for 4.
  3. Breathe out slowly through your mouth for 4.
  4. Hold for 4, then repeat four times.

If holding your breath feels uncomfortable, skip the holds and simply make your out-breath a little longer than your in-breath. That alone tells your body it is safe to settle.

Butterfly hug

Cross your arms over your chest so your fingertips rest just below your collarbones. Slowly tap left, right, left, right, like the wings of a butterfly, while breathing gently. Continue for a minute or two, noticing anything that feels calmer. Use it when you feel upset, or to strengthen your calm place.

The container

Imagine a strong container, such as a safe, a chest or a sealed jar. Picture placing distressing thoughts, images or feelings inside it for now, and closing it securely. They are not gone; they are stored safely until you choose to work on them, ideally with your therapist. This can help when memories show up at difficult times, such as before sleep or at work.

Tool I practisedWhenDistress before (0–10)Distress after (0–10)
Chapter 4

Building resilience

Resilience is not about "bouncing back" as if nothing happened. It is the ability to adapt, find meaning and keep moving forward, even with pain. It grows with practice, support and self-compassion. Many people also notice positive changes after trauma, such as deeper relationships, a new appreciation for life or a clearer sense of what matters. This is called post-traumatic growth, and it can exist alongside hurt.

Strengths assessment

Circle or tick the qualities you recognize in yourself, even a little. Ask someone who knows you well to add more.

CourageKindnessPatienceHumourHonestyDeterminationCreativityLoyaltyFaith or spiritualityCuriosityHopeEmpathyHard workGratitudeAdaptabilityProtectivenessWisdomLove of learningCalmnessGenerosityLeadershipResourcefulnessOpennessStrength

Other strengths I have:

Reflective questions

A difficult time I got through, and what helped me
Which strengths did I use then?
Who or what gave me hope?

Coping inventory

All coping strategies made sense at some point. Some help in the long run; others bring relief now but cost us later. Notice yours without judgement.

Ways of coping that help meWays of coping that cost meOne small change I could try

Visual activity: My tree of strength

Write on the tree: in the roots, the people, values and experiences that ground you; on the trunk, your core strengths; on the branches, skills and resources you use; and in the leaves, your hopes and dreams.

Leaves: hopes and dreams Branches: skills and resources ← Trunk: core strengths Roots: people, values, experiences

Self-compassion and affirmations

Trauma often leaves behind a harsh inner voice. Try speaking to yourself the way you would speak to a dear friend. Use this template to create affirmations that feel true for you, or at least a little true:

"I am [positive quality], and I have the strength to [action]."

Example: "I am resilient, and I have the strength to take one small step today."

My affirmations:

Chapter 5

Seeking support

Trauma often happens in isolation, and healing happens in connection. Reaching out is a sign of strength, not weakness. You do not have to do this alone.

When to reach out for professional help

  • Symptoms have lasted more than a month or are getting worse.
  • Sleep, work, school or relationships are being affected.
  • You are using alcohol, drugs or other behaviours to numb your feelings.
  • You feel hopeless, or have thoughts of harming yourself. Please seek help right away (see the crisis resources below).

How therapy can help

Trauma-focused therapy can help the mind and body process difficult memories so that they have less power over the present. Approaches offered at the Centre include:

EMDREye Movement Desensitization and Reprocessing uses bilateral stimulation (such as eye movements or tapping) to help the brain reprocess distressing memories, so they feel less vivid and upsetting.
CBTCognitive Behavioural Therapy helps you notice and change unhelpful thoughts and patterns connected to trauma.
DBTDialectical Behaviour Therapy builds skills for managing intense emotions, distress and relationships.
ACT and MBCTAcceptance and Commitment Therapy and Mindfulness-Based Cognitive Therapy help you relate to painful thoughts and feelings with openness while moving toward what matters to you.
Clinical hypnosisA focused, relaxed state used to strengthen calm, inner resources and a sense of safety.

Activity: My support network

Write names in each circle. In the centre is you; closest to you are the people you trust most. It is okay if some circles are empty right now. This shows where you might build connection.

Me People I trust most Friends, family, neighbours Professionals, groups, community
Type of supportName(s) and contact
Family
Friends
Therapist or doctor
Support groups
Online communities
Faith, cultural or community groups

My calming plan

Fill this in when you feel calm, and keep it somewhere easy to find, such as on your phone or fridge.

Early warning signs that I'm leaving my window (thoughts, feelings, body)
Things I can do on my own to calm down
My calm place and cue word
People and places that help me feel safe
People I can contact for help (name and number)
Reasons to keep going, and what matters most to me
My therapist or counsellor (name and contact)

Help and crisis resources

If you need help now

  • Emergency: call 911 or go to the nearest hospital emergency department.
  • 9-8-8 Suicide Crisis Helpline: call or text 988, available 24/7 across Canada.
  • Kids Help Phone (young people): call 1-800-668-6868 or text CONNECT to 686868.
  • Hope for Wellness Helpline (Indigenous peoples): 1-855-242-3310.
ResourceDetails
Canadian Mental Health Association, York Region and South SimcoeLocal counselling and support programs: cmha-yr.on.ca/get-support/osp
Government of CanadaMental health support and where to get help: canada.ca › Mental health support: Get help
ConnexOntarioFree, confidential information about mental health and addiction services in Ontario: 1-866-531-2600

Ready to take the next step?

Olena Pkhaladze offers trauma-focused therapy, including EMDR,. Book a session at olenapkh.janeapp.com or learn more at olenapkhaladze.com.