Trauma Impact Statement
Template by Reflective
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The Trauma Impact Statement Worksheet is a gentle tool for trauma survivors to explore how their experiences have shaped their sense of safety, trust, power and control, self-esteem, and intimacy. This guided reflection helps individuals recognize patterns, validate their emotions, and gain deeper insight into the ways trauma has influenced their thoughts, behaviors, and relationships. By identifying these impacts, survivors can begin to rebuild a sense of empowerment and take meaningful steps toward healing. Therapists can share this worksheet through the Reflective app for easy client access or download the free printable PDF for in-session or personal use.
Share the Trauma Impact Statement worksheet with your client
Share the Trauma Impact Statement worksheet with your client using the Reflective app so they can practice between sessions. Simply enter their email, and they’ll be able to fill in the worksheet from the convenience of their phone. Sign up for a Free trial.
How does Reflective work?
Share exercise with client via Reflective
Client receives email with app link and connection request
Client clicks link to download app
Client accepts your connection and exercises you shared
Client uses app to fill in exercises, gets reminders
What Is a Trauma Impact Statement?
A Trauma Impact Statement is a personal reflection that helps individuals understand the ways trauma has affected different aspects of their life. Trauma often disrupts feelings of safety, trust, self-worth, and connection with others, leaving lasting emotional and psychological imprints. By putting these experiences into words, survivors can validate their emotions, recognize patterns, and begin processing their trauma in a structured and supportive way.
Completing this worksheet allows clients to explore how trauma has influenced their thoughts, relationships, and sense of self, while also creating space for healing and personal growth. Identifying these effects can be an empowering step toward trauma patients reclaiming their strength, developing healthier coping strategies, and working toward a renewed sense of stability, self-worth, and well-being.
