In trauma symptom types, which item is a physical symptom?

• A. Guilt, shame, and self-blame
• B. Insomnia and nightmares
• C. Anger and irritability
• D. Anxiety and fear

Answer: (B)

Trauma symptom types include physical (somatic) symptoms that involve the body’s responses to stress, such as sleep disturbances. Insomnia and nightmares are sleep-related disturbances driven by hyperarousal from trauma, reflecting the body's physical reaction to stress. In contrast, guilt, shame, and self-blame are cognitive-emotional assessments; anger and irritability are emotional/behavioral responses; and anxiety and fear are emotional states. So insomnia and nightmares best fit the physical symptom category because they involve the body's sleep and dreaming processes affected by trauma.