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Tips on Getting Through a Trauma Anniversary

Katelyn Hagerty

Reviewed by Katelyn Hagerty, FNP

Written by Our Editorial Team

Published 09/27/2022

Updated 09/28/2022

Do you ever wake up on what should be a normal day feeling more anxious or stressed than usual?

You look at the calendar and remember it’s the anniversary of a certain traumatic event, like a divorce, car crash or the loss of a loved one.

This is what’s known as a trauma anniversary. It can cause unsettling feelings, thoughts or memories on the anniversary of a significant experience.

Even if the traumatic event happened years ago, the wounds can still seem fresh on its anniversary.

The good news is that getting through this day is possible, even though it can be difficult.

Below, we provide tips on how to get through a trauma anniversary.

Going through a traumatic event is not rare, as 60 percent of men and 50 percent of women experience at least one trauma in their lives. 

The anniversary of a traumatic event, or traumaversary, can bring up specific thoughts and feelings from the actual event, even years later.

Around the anniversary of a traumatic event, trauma survivors might remember details of the event vividly. Some may even experience peak levels of anxiety and depression, similar to what they may have felt during the event itself.

You may have an anniversary grief reaction because of the way traumatic experiences are saved in your memory.

Our memories of trauma give you information about the danger associated with the event. This can help us learn when we should be afraid, tell you how to feel in dangerous situations, and provide information that may help us stay safe. But it can also lead to being unnecessarily fearful or having negative emotions in normal situations.

For example, a memory of a sexual assault might tell you that it's important to beware of strangers at night and to run away if one comes near. So when a survivor of a sexual assault remembers the incident — which is likely on the anniversary — that traumatic memory might tell survivors to feel fear and think that they are in danger.

Other examples of events that could trigger an anniversary grief reaction include:

  • Natural disasters, such as hurricanes, floods, fires or earthquakes

  • Serious illness

  • War

  • Mass shootings

  • Car crashes

  • Physical pain or injury

  • Witnessing a death

  • Terrorist attacks

  • Domestic abuse

Trauma survivors may develop post-traumatic stress disorder (PTSD), or long-term effects of the trauma.

Around 10 to 20 percent of people who experience trauma develop PTSD symptoms afterward.

Women have a two to three times higher risk of developing post-traumatic stress disorder than men.

You can learn more about common PTSD symptoms in women in our guide to PTSD.

Common Reactions to a Trauma Anniversary

Traumatic memories may produce strong feelings, as well as physical symptoms and bodily reactions.

Reactions to the anniversary of traumatic events are often like more intense versions of the symptoms of posttraumatic stress disorder. 

Some common reactions during a traumaversary can be:

  • Re-experiencing the trauma. One of the most common reactions on the anniversary of trauma is having the same feelings, thoughts and physical responses you went through when the event first happened. Something reminds you of the trauma and you feel that fear again.

  • Avoidance. Another PTSD symptom is trying to avoid anything related to the trauma. Sometimes the feelings that are triggered by the anniversary are so strong that you might try to avoid certain places or even thoughts or feelings related to the incident.

  • Negative changes in beliefs and feelings. When it gets close to the anniversary of a traumatic event, you might find old thoughts, shame or guilt coming. You may also start to feel sad, or find connecting with loved ones especially difficult.

  • Feeling hyperreactive (or hyperarousal). You might feel nervous and on edge or be constantly on the lookout for danger to prevent another traumatic event from happening. You could be easily startled, on edge or have angry outbursts. You may also have trouble focusing or sleeping if the trauma memory is particularly strong.

Other types of trauma anniversary reactions may include symptoms of anxiety, such as panic, worry or panic attacks. In fact, traumatic life events were also found to be the biggest single cause of anxiety and depression in a 2013 study. 

You may also experience physical symptoms such as fatigue, headaches and stomachaches.

No matter what symptoms you may develop after a traumatic event, coping with the trauma anniversary is possible.

When the anniversary of a traumatic event comes around, you can prepare with these strategies.

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Plan Ahead

Planning is a great way to help you prepare for an upcoming trauma anniversary. While you may not know what to expect the first year after a traumatic event, you can eliminate extra stressors if you feel like you may be particularly vulnerable.

Reach out to friends and family who can support you, try not to schedule any big changes (like a move or job change) and schedule extra sessions with a mental health professional if you see one.

If the trauma you went through was a public event, keep in mind there may be more media coverage of the event. Try not to follow the news or watch television around the date of your trauma.

Embrace Your Emotions

Understand that your feelings are part of the recovery process. Everyone reacts to trauma differently, but it’s perfectly normal to have these strong emotions.

Find healthy ways to cope with whatever emotions come up — whether through talking them out with supportive friends or family members, seeing a psychotherapist or by writing them down. You can also try contemplative activities such as taking a walk.

Avoid Unhealthy Coping Mechanisms

While it may be tempting to use alcohol on the anniversary of a trauma event, alcohol and drugs are unhealthy coping mechanisms.

It’s understandable why people choose to use alcohol as a way to reduce stress or anxiety after a traumatic or distressing memory. Alcohol acts as a sedative that can take your mind off your troubles and reduce fear.

However, once the relaxing effect wears off, alcohol can increase feelings of anxiety.

If you have unsettling feelings, try a calming activity like watching a movie you enjoy, chatting with a friend or going for a walk in nature.

Meditation can also help moderately relieve traumatic symptoms by lowering stress and reducing intrusive thoughts, according to a 2017 review.

Talk to a Therapist

Seeking help from a mental health professional can help you process whatever feelings come up on your traumaversary.

Cognitive behavioral therapy (CBT) is one type of psychotherapy used for traumatic stress. Cognitive behavioral therapy has consistently been found to be the most effective treatment for traumatic stress in both short-term and long-term treatment.

CBT helps people identify unhealthy and negative thought patterns that fuel harmful behaviors and find ways to change them.

If you’re unsure of where to start with therapy, our online mental health resources can get you started right from the comfort of your home.

Use Medication If Necessary

Sometimes a mental health professional or your healthcare provider will prescribe medication to help you deal with traumatic stress symptoms.

One of the more common types of medications used is selective serotonin reuptake inhibitors (SSRIs).

Currently, only two SSRIs are FDA-approved for the treatment of PTSD. Those are sertraline (Zoloft®) and paroxetine (Paxil®).

Remember Your Loved Ones

If the traumatic memory was the loss of a loved one, you may be going through an anniversary grief reaction. While anniversaries of lost loved ones are difficult times, taking time to remember them can be cathartic and a way to honor them.

You may visit the cemetery, donate to a non-profit they supported, sign up for an associated charity event, pass on a family name or heirloom or plant a memorial garden.

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Feeling better is possible

Dealing with the anniversary of a traumatic event is a difficult time.

But with a supportive network, calming activities and the right treatment options for you, getting through a trauma anniversary is possible.

11 Sources

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.

  1. Serani, D. (2011, May 19). The Anniversary Effect. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/two-takes-depression/201105/the-anniversary-effect
  2. How Common Is PTSD in Adults? (n.d.). U.S. Department of Veterans Affairs. Retrieved from https://www.ptsd.va.gov/understand/common/common_adults.asp
  3. Hamblen, J., Friedman, M. J., & Schnurr, P. P. (n.d.). Anniversary Reactions: Research Findings. U.S. Department of Veterans Affairs. Retrieved from https://www.ptsd.va.gov/professional/treat/essentials/anniversary_reactions.asp#two
  4. Kinderman, P., Schwannauer, M., Pontin, E., & Tai, S. (2013, October 16). Psychological Processes Mediate the Impact of Familial Risk, Social Circumstances and Life Events on Mental Health. PLOS. Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0076564
  5. Anxiety, sadness may increase on anniversary of a traumatic event. (2011, September 1). American Psychological Association. Retrieved from https://www.apa.org/topics/trauma/anniversary-traumatic-event
  6. Alcohol and fatigue. (n.d.). Harvard Health. Retrieved from https://www.health.harvard.edu/mind-and-mood/alcohol-and-fatigue
  7. Hangxiety: The Link Between Anxiety And Alcohol Henry Ford LiveWell. (2019, March 5). Henry Ford Health. Retrieved from https://www.henryford.com/blog/2019/03/hangxiety-link-between-anxiety-alcohol
  8. Gallegos, A. M., Crean, H. F., Pigeon, W. R., & Heffner, K. L. (2017). Meditation and yoga for posttraumatic stress disorder: A meta-analytic review of randomized controlled trials. Clinical psychology review, 58, 115–124. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5939561/
  9. PTSD Facts & Treatment. (2020, May 18). Anxiety and Depression Association of America, ADAA. Retrieved from https://adaa.org/understanding-anxiety/posttraumatic-stress-disorder-ptsd/treatment-facts
  10. Medications for PTSD. (n.d.). American Psychological Association. Retrieved from https://www.apa.org/ptsd-guideline/treatments/medications
  11. Hendriksen, E. (2016, September 22). 5 Ways to Deal With Anniversary Reactions. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/how-be-yourself/201609/5-ways-deal-anniversary-reactions

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Katelyn Hagerty, FNP

Kate Hagerty is a board-certified Family Nurse Practitioner with over a decade of healthcare experience. She has worked in critical care, community health, and as a retail health provider.

She received her undergraduate degree in nursing from the University of Delaware and her master's degree from Thomas Jefferson University. You can find Katelyn on Doximity for more information.

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