Some people do not look “traumatised.” They look angry, impatient, controlling, or emotionally distant. Trauma often expresses itself through the nervous system, and one of its most common outward faces is irritability.

When the brain stays in threat mode, it becomes hyper-alert. Minor stressors feel overwhelming. The body reacts as if danger is constant, and anger becomes the fastest protective response.

Signs trauma may be behind anger

• Overreaction to small triggers
• Difficulty relaxing or feeling safe
• Sleep disruption and nightmares
• Emotional numbness between outbursts

Why it is often misdiagnosed

People are labelled as “difficult” rather than distressed. This increases shame and delays care.

What helps

Trauma-informed therapy, nervous system regulation skills, stable routines, and social support reduce reactivity over time. For some, medication may help stabilise sleep and mood while therapy addresses roots.

Bottom line: Anger can be a symptom of survival. Treatment restores safety inside the body.