What type of thoughts may intrusive reactions to trauma include?

Intrusive reactions to trauma typically manifest as intrusive thoughts and flashbacks. These types of reactions can occur unexpectedly, leading to a re-experiencing of the traumatic event. Intrusive thoughts may include distressing memories or images related to the trauma that can pop up without warning, often triggering intense emotional responses. Flashbacks can transport individuals back to the moment of the trauma, making them feel as though they are reliving the event in vivid detail.

Positively projecting into the future or focusing on daily responsibilities represent cognitive strategies that do not align with the experience of intrusive reactions, as these are generally coping mechanisms rather than symptoms. Similarly, while avoidance of memories can be a response to trauma, it is more about trying to escape from painful memories rather than experiencing the intrusive thoughts and flashbacks that characterize the reaction. The focus of the correct answer is on the distressing nature of the thoughts and memories that arise from trauma, which are key aspects of how individuals may struggle to cope.