In the world of trauma care and support, “big T and little t trauma” are viewed in a synonymous way. All trauma is valid. “Big T” is defined as significant events like a natural disaster, violence, or war. “Little t” is used to describe events on a smaller scale such as a parent with a mental health disorder, bullying, loss of a job, or financial struggles. What if someone experiences “little t trauma” repeatedly? Over time, the smaller cuts produce unseen wounds. If left unchecked, death by 1,000 paper cuts create an infection.