The recent tragedy in Aurora, Colorado was an extreme act of senseless violence that truly shook our nation. When traumatic events like these take place, a ripple of grief, shock and fear spreads to individuals who are both directly and indirectly impacted. For those of us who live far from Aurora, reactions range from a deep sadness we feel for the victims and their families to new-felt tensions when entering a movie theater. Yet, for those who’ve been more closely affected—friends and family of victims, witnesses, law enforcement, medical personnel, and other first responders—the trauma can have an impact on a deep psychological level.