“The passage of time heals all wounds.” This saying is often true but not necessarily for people who have endured severe stress. Every doctor encounters grieving, shocked, silent, withdrawn, or overexcited, “traumatized” individuals who require medical help. However, they often do not directly ask for “help after trauma.” Instead, they complain of sleep problems, physical symptoms, inner detachment, nervousness, anxiety, sadness, lack of motivation, and many other symptoms that can only be understood as “post-traumatic” within the context of a biopsychosocial history. The essential goal of basic psychosomatic care in the context of an acute stress reaction is to achieve both external and internal safety. The most important tool for this is a trustworthy, empathetic doctor-patient relationship that provides security and hope.