{"id":774,"date":"2026-08-11T11:55:04","date_gmt":"2026-08-11T11:55:04","guid":{"rendered":"https:\/\/www.fiorapsikoloji.com\/?p=774"},"modified":"2026-08-25T09:54:34","modified_gmt":"2026-08-25T09:54:34","slug":"travma-sonrasi-stres-bozuklugu-tssb-gecmisin-golgesinden-kurtulmak","status":"publish","type":"post","link":"https:\/\/www.fiorapsikoloji.com\/index.php\/2026\/08\/11\/travma-sonrasi-stres-bozuklugu-tssb-gecmisin-golgesinden-kurtulmak\/","title":{"rendered":"Travma Sonras\u0131 Stres Bozuklu\u011fu (TSSB): Ge\u00e7mi\u015fin G\u00f6lgesinden Kurtulmak"},"content":{"rendered":"<h2 data-section-id=\"3bmrnu\" data-start=\"121\" data-end=\"193\"><strong>Travma Sonras\u0131 Stres Bozuklu\u011fu (TSSB): Ge\u00e7mi\u015fin G\u00f6lgesinden Kurtulmak<\/strong><\/h2>\n<p data-start=\"195\" data-end=\"833\">Hayat bazen beklenmedik ve sars\u0131c\u0131 olaylarla aniden y\u00f6n de\u011fi\u015ftirebilir. Do\u011fal afetler, ciddi kazalar, fiziksel veya psikolojik sald\u0131r\u0131lar, kay\u0131plar ya da \u00e7ocukluk d\u00f6neminde ya\u015fanan ihmal ve istismarlar&#8230; Bu t\u00fcr zorlu ya\u015fant\u0131lar yaln\u0131zca o an\u0131 de\u011fil, olay\u0131n \u00fczerinden aylar ya da y\u0131llar ge\u00e7se dahi bireyin i\u00e7 d\u00fcnyas\u0131n\u0131 ve g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 derinden etkilemeye devam edebilir. Bedenimiz ve zihnimiz, tehdit an\u0131nda bizi korumak \u00fczere tasarlanm\u0131\u015f olsa da bazen tehlike ge\u00e7tikten sonra bile alarm durumundan \u00e7\u0131kamaz. \u0130\u015fte bu durum, psikolojide <strong data-start=\"733\" data-end=\"774\">Travma Sonras\u0131 Stres Bozuklu\u011fu (TSSB)<\/strong> olarak adland\u0131r\u0131l\u0131r.<\/p>\n<p data-start=\"835\" data-end=\"1230\">TSSB, sadece &#8220;ge\u00e7mi\u015fe tak\u0131l\u0131 kalmak&#8221; ya da &#8220;zay\u0131fl\u0131k&#8221; de\u011fildir; beynimizin ve sinir sistemimizin a\u011f\u0131r bir stres y\u00fck\u00fcne kar\u015f\u0131 verdi\u011fi n\u00f6robiyolojik ve psikolojik bir tepkidir. Bu yaz\u0131m\u0131zda, TSSB&#8217;nin ne oldu\u011funu, belirtilerini, beyinde ne gibi de\u011fi\u015fimlere yol a\u00e7t\u0131\u011f\u0131n\u0131 ve en \u00f6nemlisi bu a\u011f\u0131r y\u00fckten nas\u0131l kurtulunabilece\u011fini kapsaml\u0131 bir \u015fekilde ele alaca\u011f\u0131z.<\/p>\n<h2 data-section-id=\"10w6u2z\" data-start=\"1232\" data-end=\"1273\">1. Travma Nedir ve TSSB Nas\u0131l Geli\u015fir?<\/h2>\n<p data-start=\"1275\" data-end=\"1764\">Travma, ki\u015finin b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc, g\u00fcvenli\u011fini ya da ya\u015fam\u0131n\u0131 tehdit eden; mevcut ba\u015f etme mekanizmalar\u0131n\u0131 yetersiz k\u0131lan ve ki\u015fide derin bir \u00e7aresizlik hissi yaratan olaylar b\u00fct\u00fcn\u00fcd\u00fcr. Ancak her sars\u0131c\u0131 olay ya\u015fayan ki\u015fide TSSB geli\u015fmez. TSSB, travmatik olay\u0131n \u00fczerinden en az bir ay ge\u00e7mesine ra\u011fmen ki\u015finin zihinsel ve bedensel uyar\u0131lm\u0131\u015fl\u0131k halinin devam etmesi ve bu durumun ki\u015finin i\u015f, sosyal ve \u00f6zel ya\u015fam\u0131n\u0131 belirgin \u015fekilde bozmas\u0131 ile ortaya \u00e7\u0131kar.<\/p>\n<h2 data-section-id=\"9h7zds\" data-start=\"1766\" data-end=\"1828\">2. TSSB&#8217;nin Temel Belirtileri: Zihnin ve Bedenin Alarm Hali<\/h2>\n<p data-start=\"1830\" data-end=\"1937\">TSSB, ki\u015fiden ki\u015fiye farkl\u0131l\u0131k g\u00f6stermekle birlikte temel olarak d\u00f6rt ana belirti k\u00fcmesi alt\u0131nda incelenir.<\/p>\n<h3 data-section-id=\"1jq4tgf\" data-start=\"1939\" data-end=\"1986\">a. Yeniden Ya\u015fant\u0131lama (Intrusive Symptoms)<\/h3>\n<p data-start=\"1988\" data-end=\"2399\">Travmatik olay zihinde tam olarak i\u015flenemedi\u011fi i\u00e7in an\u0131lar istenmeyen zamanlarda aniden su y\u00fcz\u00fcne \u00e7\u0131kar. Ki\u015fi g\u00fcnd\u00fcz vakitlerinde aniden olay\u0131 hat\u0131rlatan g\u00f6r\u00fcnt\u00fcler veya duyular ya\u015fayabilir (flashback). Gece ise travmay\u0131 yeniden ya\u015fatan kabuslar ve uyku bozukluklar\u0131 s\u0131k\u00e7a g\u00f6zlemlenir. Ki\u015fi sanki olay &#8220;\u015fimdi ve burada&#8221; tekrar ger\u00e7ekle\u015fiyormu\u015f gibi bir deh\u015fete kap\u0131labilir.<\/p>\n<h3 data-section-id=\"1k0s9yf\" data-start=\"2401\" data-end=\"2440\">b. Ka\u00e7\u0131nma Davran\u0131\u015flar\u0131 (Avoidance)<\/h3>\n<p data-start=\"2442\" data-end=\"2784\">Hat\u0131rlat\u0131c\u0131lar\u0131n yaratt\u0131\u011f\u0131 yo\u011fun kayg\u0131dan korunmak ad\u0131na ki\u015fi, travmay\u0131 an\u0131msatan mekanlardan, insanlardan, konu\u015fmalardan hatta kendi d\u00fc\u015f\u00fcnce ve duygular\u0131ndan \u0131srarla ka\u00e7\u0131n\u0131r. \u00d6rne\u011fin trafik kazas\u0131 ge\u00e7iren birinin bir daha arabaya binmek istememesi veya o rotay\u0131 de\u011fi\u015ftirmesi tipik bir ka\u00e7\u0131nma \u00f6rne\u011fidir.<\/p>\n<h3 data-section-id=\"w3m7uc\" data-start=\"2786\" data-end=\"2841\">c. A\u015f\u0131r\u0131 Uyar\u0131lm\u0131\u015fl\u0131k ve Tepkisellik (Hyperarousal)<\/h3>\n<p data-start=\"2843\" data-end=\"3135\">Sinir sistemi s\u00fcrekli &#8220;sava\u015f ya da ka\u00e7&#8221; modunda kal\u0131r. Bu durum a\u015f\u0131r\u0131 irkilme tepkileri, s\u00fcrekli tetikte olma (hipervijilans), odaklanma g\u00fc\u00e7l\u00fc\u011f\u00fc, ani \u00f6fke patlamalar\u0131 ve kronik huzursuzluk ile kendini g\u00f6sterir. Beden, tehlikenin hen\u00fcz ge\u00e7medi\u011fine inan\u0131r.<\/p>\n<h3 data-section-id=\"1o4gnf4\" data-start=\"3137\" data-end=\"3185\">d. D\u00fc\u015f\u00fcnce ve Ruh Halinde Olumsuz De\u011fi\u015fimler<\/h3>\n<p data-start=\"3187\" data-end=\"3545\">Ki\u015fi kendisine veya d\u00fcnyaya kar\u015f\u0131 derin bir g\u00fcvensizlik geli\u015ftirebilir: &#8220;D\u00fcnya tamamen tehlikeli bir yer&#8221; ya da &#8220;Ben kendimi koruyamam&#8221; gibi kal\u0131pla\u015fm\u0131\u015f inan\u00e7lar olu\u015fur. Su\u00e7luluk hissi (\u00f6zellikle hayatta kalanlarda), duygusal k\u00fcntl\u00fck, sevdiklerinden yabanc\u0131la\u015fma ve keyif veren etkinliklere kar\u015f\u0131 ilgi kayb\u0131 ya\u015fanabilir.<\/p>\n<h2 data-section-id=\"zu62zj\" data-start=\"3547\" data-end=\"3591\">\ud83d\udccc Beyinde Ne Oluyor? N\u00f6robiyolojik Bak\u0131\u015f<\/h2>\n<p data-start=\"3593\" data-end=\"3797\">TSSB esnas\u0131nda beynimizin duygusal alarm merkezi olan <strong data-start=\"3647\" data-end=\"3659\">Amigdala<\/strong> a\u015f\u0131r\u0131 \u00e7al\u0131\u015f\u0131rken, mant\u0131kl\u0131 d\u00fc\u015f\u00fcnme ve an\u0131lar\u0131 zamansal olarak ar\u015fivleme g\u00f6revi g\u00f6ren <strong data-start=\"3745\" data-end=\"3767\">Prefrontal Korteks<\/strong> ve <strong data-start=\"3771\" data-end=\"3785\">Hipokampus<\/strong> bask\u0131lan\u0131r.<\/p>\n<p data-start=\"3799\" data-end=\"3991\">Bu durum, beynin &#8220;Bu olay ge\u00e7mi\u015fte kald\u0131 ve bitti&#8221; sinyalini vermesini zorla\u015ft\u0131r\u0131r. Dolay\u0131s\u0131yla eski an\u0131, bug\u00fcn ya\u015fan\u0131yormu\u015f gibi taze ve tehditkar kal\u0131r.<\/p>\n<h2 data-section-id=\"nuap69\" data-start=\"3993\" data-end=\"4032\">3. Travman\u0131n Beden \u00dczerindeki \u0130zleri<\/h2>\n<p data-start=\"4034\" data-end=\"4487\">D\u00fcnyaca \u00fcnl\u00fc travma ara\u015ft\u0131rmac\u0131s\u0131 <strong data-start=\"4068\" data-end=\"4091\">Bessel van der Kolk<\/strong>&#8216;un ifade etti\u011fi gibi, <strong data-start=\"4114\" data-end=\"4138\">&#8220;Beden Kay\u0131t Tutar.&#8221;<\/strong> \u00c7\u00f6z\u00fcmlenmemi\u015f psikolojik travmalar kendisini kronik kas a\u011fr\u0131lar\u0131, sindirim sistemi bozukluklar\u0131, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131fl\u0131klar\u0131 ve sebebi a\u00e7\u0131klanamayan yorgunluklar \u015feklinde fiziksel d\u00fczlemde de hissettirebilir. Zihnin bast\u0131rmaya \u00e7al\u0131\u015ft\u0131\u011f\u0131 travmatik enerji, bedende somatik tepkiler olarak varl\u0131\u011f\u0131n\u0131 s\u00fcrd\u00fcr\u00fcr.<\/p>\n<h2 data-section-id=\"1awbjh4\" data-start=\"4489\" data-end=\"4540\">4. \u0130yile\u015fme Yolculu\u011fu: TSSB Nas\u0131l Tedavi Edilir?<\/h2>\n<p data-start=\"4542\" data-end=\"4806\">TSSB, kendi kendine ge\u00e7mesi zor olan ancak do\u011fru profesyonel yakla\u015f\u0131mlarla tamamen tedavi edilebilen bir durumdur. \u0130yile\u015fme s\u00fcreci, travmatik an\u0131n\u0131n yeniden i\u015flenmesi ve beynin g\u00fcven duygusunu yeniden in\u015fa etmesiyle m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<ul data-start=\"4808\" data-end=\"5866\">\n<li data-section-id=\"jswrjy\" data-start=\"4808\" data-end=\"5118\"><strong data-start=\"4810\" data-end=\"4884\">EMDR Tedavisi (G\u00f6z Hareketleriyle Duyars\u0131zla\u015ft\u0131rma ve Yeniden \u0130\u015fleme):<\/strong> TSSB tedavisinde en etkili ve kan\u0131ta dayal\u0131 y\u00f6ntemlerden biridir. \u00c7ift tarafl\u0131 uyar\u0131m (g\u00f6z hareketleri, dokunsal veya i\u015fitsel) arac\u0131l\u0131\u011f\u0131yla, beynin kilitli kalm\u0131\u015f travmatik an\u0131y\u0131 do\u011fal bir \u015fekilde i\u015flemesi ve n\u00f6trle\u015ftirmesi sa\u011flan\u0131r.<\/li>\n<li data-section-id=\"1i4t9ym\" data-start=\"5120\" data-end=\"5387\"><strong data-start=\"5122\" data-end=\"5184\">Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi (BDT) &amp; Maruz B\u0131rakma Terapisi:<\/strong> Ki\u015finin travma sonras\u0131 geli\u015ftirdi\u011fi olumsuz inan\u00e7 kal\u0131plar\u0131n\u0131 (\u00f6rne\u011fin &#8220;Her \u015fey benim su\u00e7umdu&#8221;) yeniden yap\u0131land\u0131rmas\u0131n\u0131 ve ka\u00e7\u0131nd\u0131\u011f\u0131 durumlarla g\u00fcvenli bir ortamda a\u015famal\u0131 olarak y\u00fczle\u015fmesini hedefler.<\/li>\n<li data-section-id=\"1fq05cm\" data-start=\"5389\" data-end=\"5641\"><strong data-start=\"5391\" data-end=\"5438\">Somatik Deneyimleme ve Bedensel \u00c7al\u0131\u015fmalar:<\/strong> Beden odakl\u0131 yakla\u015f\u0131mlar, sinir sisteminde s\u0131k\u0131\u015f\u0131p kalm\u0131\u015f olan stresi serbest b\u0131rakmay\u0131 ve bedensel g\u00fcvenlik hissini yeniden kurmay\u0131 ama\u00e7lar. Yoga, nefes egzersizleri ve mindfulness bu s\u00fcreci destekler.<\/li>\n<li data-section-id=\"1rl1y0q\" data-start=\"5643\" data-end=\"5866\"><strong data-start=\"5645\" data-end=\"5679\">Farmakoterapi (\u0130la\u00e7 Tedavisi):<\/strong> A\u015f\u0131r\u0131 kayg\u0131, depresif belirtiler ve uyku sorunlar\u0131n\u0131n yo\u011fun oldu\u011fu durumlarda bir psikiyatrist kontrol\u00fcnde medikal tedavi s\u00fcrece dahil edilebilir.<\/li>\n<\/ul>\n<h2 data-section-id=\"k8x2i9\" data-start=\"5868\" data-end=\"5928\">5. Kendinize ve Yak\u0131nlar\u0131n\u0131za Nas\u0131l Destek Olabilirsiniz?<\/h2>\n<p data-start=\"5930\" data-end=\"6000\">TSSB s\u00fcrecindeki bir birey i\u00e7in en \u00f6nemli ihtiya\u00e7 g\u00fcven ve anlay\u0131\u015ft\u0131r:<\/p>\n<ul data-start=\"6002\" data-end=\"6430\">\n<li data-section-id=\"1fi7ogb\" data-start=\"6002\" data-end=\"6129\"><strong data-start=\"6004\" data-end=\"6031\">Duygular\u0131 Yarg\u0131lamay\u0131n:<\/strong> &#8220;Art\u0131k bunu unutmal\u0131s\u0131n&#8221;, &#8220;Ge\u00e7ti gitti&#8221; gibi ifadeler ki\u015fiyi anla\u015f\u0131lamam\u0131\u015f ve yaln\u0131z hissettirir.<\/li>\n<li data-section-id=\"s3wtf2\" data-start=\"6130\" data-end=\"6246\"><strong data-start=\"6132\" data-end=\"6149\">Sab\u0131rl\u0131 Olun:<\/strong> \u0130yile\u015fme do\u011frusal bir \u00e7izgi de\u011fildir; bazen iyi g\u00fcnler ve geri \u00e7ekilmeler bir arada ya\u015fanabilir.<\/li>\n<li data-section-id=\"eszdhd\" data-start=\"6247\" data-end=\"6430\"><strong data-start=\"6249\" data-end=\"6276\">G\u00fcvenli Alan Olu\u015fturun:<\/strong> Ki\u015fiyi zorla konu\u015fturmaya \u00e7al\u0131\u015fmak yerine, haz\u0131r hissetti\u011finde dinleyece\u011finizi hissettirmek en de\u011ferli destektir.<\/li>\n<\/ul>\n<h2 data-section-id=\"15s2fph\" data-start=\"6432\" data-end=\"6461\">Sonu\u00e7: \u0130yile\u015fmek M\u00fcmk\u00fcnd\u00fcr<\/h2>\n<p data-start=\"6463\" data-end=\"6871\" data-is-last-node=\"\" data-is-only-node=\"\">Travma ge\u00e7mi\u015finizin bir par\u00e7as\u0131 olabilir ancak gelece\u011finizin s\u0131n\u0131rlar\u0131n\u0131 belirlemek zorunda de\u011fildir. Zihnin ve bedenin verdi\u011fi alarm tepkilerini tan\u0131mak, \u00e7aresizlik yerine bir iyile\u015fme ad\u0131m\u0131n\u0131n ba\u015flang\u0131c\u0131 olabilir. Do\u011fru destek, zaman ve profesyonel rehberlikle sinir sisteminizin yeniden g\u00fcvene kavu\u015fmas\u0131 ve hayat\u0131n dizginlerini ellerinize alman\u0131z tamamen m\u00fcmk\u00fcnd\u00fcr.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Travma Sonras\u0131 Stres Bozuklu\u011fu (TSSB): Ge\u00e7mi\u015fin G\u00f6lgesinden Kurtulmak Hayat bazen beklenmedik ve sars\u0131c\u0131 olaylarla aniden y\u00f6n de\u011fi\u015ftirebilir. Do\u011fal afetler, ciddi kazalar, fiziksel veya psikolojik sald\u0131r\u0131lar, kay\u0131plar ya da \u00e7ocukluk d\u00f6neminde ya\u015fanan ihmal ve istismarlar&#8230; Bu t\u00fcr zorlu ya\u015fant\u0131lar yaln\u0131zca o an\u0131 de\u011fil, olay\u0131n \u00fczerinden aylar ya da y\u0131llar ge\u00e7se dahi bireyin i\u00e7 d\u00fcnyas\u0131n\u0131 ve g\u00fcnl\u00fck [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":757,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[103,104,105,108,76,89,101,106,83,91,95,90,65,84,96,109,88,62,60,59,61,82,92,63,87,75,98,97,85,73,93,70,74,100,94,67,64,52,68,72,66,77,69,99,79,80,51,86,58,102,56,54,53,49,55,81,57,50,107,71,78],"class_list":["post-774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psikoloji","tag-ankarapsikolog","tag-ankarapsikoloji","tag-ankaraterapi","tag-ankarauzmanpsikolog","tag-anksiyete","tag-asiriuyarilmislik","tag-bireyselterapi","tag-cankayapsikolog","tag-cocukluktravmalari","tag-duyguduzenleme","tag-duygusaldayaniklilik","tag-duygusalduzenleme","tag-duygusaliyilesme","tag-duygusaltravma","tag-farkindalik","tag-fiorapsikoloji","tag-flashback","tag-gecmisibirakmak","tag-gecmisingolgesindenkurtulmak","tag-gecmisinizleri","tag-gecmisleyuzlesmek","tag-gecmistravmalar","tag-guvenduygusu","tag-iyilesmesureci","tag-kacinma","tag-kaygi","tag-kendinesefkat","tag-kendinitanima","tag-komplekstravma","tag-mentalsaglik","tag-ozsefkat","tag-psikolog","tag-psikoloji","tag-psikolojikdanismanlik","tag-psikolojikdayaniklilik","tag-psikolojikdestek","tag-psikolojikiyilesme","tag-psikolojiktravma","tag-psikoterapi","tag-ruhsagligi","tag-ruhsaliyilesme","tag-stres","tag-terapi","tag-terapisureci","tag-tetiklenme","tag-tetikleyiciler","tag-travma","tag-travmabelirtileri","tag-travmadaniyilesme","tag-travmaodakliterapi","tag-travmapsikolojisi","tag-travmasonrasiiyilesme","tag-travmasonrasistres","tag-travmasonrasistresbozuklugu","tag-travmaterapisi","tag-travmatikanilar","tag-travmaylabasetme","tag-tssb","tag-umitkoypsikolog","tag-uzmanpsikolog","tag-yogunstres"],"_links":{"self":[{"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/774","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/comments?post=774"}],"version-history":[{"count":4,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/774\/revisions"}],"predecessor-version":[{"id":796,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/774\/revisions\/796"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/media\/757"}],"wp:attachment":[{"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/media?parent=774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/categories?post=774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fiorapsikoloji.com\/index.php\/wp-json\/wp\/v2\/tags?post=774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}