Exactly. If the trait has evolved as a legitimate (though potentially as an excessive/not-nuanced) response to an ongoing threat and/or has other uses, it can be very threatening to consider no longer having it. Someone who gets PTSD in a warzone due to a bomb going off, is going to take awhile to calm down enough to not consider bombs everywhere. If really traumatized and they can't process the experience well (keep trying to avoid it), it may be never.

It can even be legitimately dangerous to try to remove it blindly, if the actual circumstances aren’t considered. Maybe they're on a bombsquad. Or live in Afghanistan.

Or things like exposure to it makes a lot of money, and they’ll have real consequences if their spending/financial obligations aren’t adjusted. Or rejection of what they're being exposed to will make them a target for punishment or death. Suddenly deciding to not be a killer/thug without having a really good exit strategy first isn't a good plan for a member of a violent gang.

Or a key relationship seems to/actually requires it, and it will cause worse problems if that isn’t addressed.

Adjusting the response, taking a closer and less pain driven look at it can give options and help adapt and reduce the pain.

Most folks seem to get into these states because they’re trying harder to make what they can see work, and ignoring the pain (or can’t figure out why they’re feeling pain for various reasons). The trauma reaction is so severe it is getting them stuck through it's side effects.

For extreme creativeness (perhaps due to a need to escape a terrible environment), maybe it could be ‘losing the muse’, and hence their ability to earn a living or be famous or whatever their goal is.

For extreme aggressiveness, (perhaps due to a need to fight back against constant physical threats), it could mean losing a job or being killed/replaced if a real threat shows up - say if someone is a professional fighter, soldier, cop, gang member/leader, etc.

For extreme avoidance or manipulation (due to say an overpoweringly powerful threat in childhood), it could mean picking a direct fight they definitely won’t win.

For example, a NEET trying to go out into the world after a decade of isolation cold turkey, or a traumatized child of a powerful business magnate trying to recognize what he's dealing with, or a hapless middle manager pushing back against an experienced (but toxic) executive. They are NOT going to have a good time if they don’t take a nuanced approach. And a nuanced approach is exactly what is hardest with a non-adaptive trauma response.

Techniques like CBT can help untangle the confused thoughts and figure out how much can be dialed back or let go of and how much is worth/needs to be kept.

It allows the maladaptive to start to become adaptive.

Interestingly, CBT is about as effective against ADHD as it is with PTSD/Trauma.

EMDR might also worth considering based on what seems to be coming up, as it is quite effective with Trauma but hasn’t been well
explored for ADHD near as I can tell.

Edit: I actually looked up EMDR for ADHD, and while not applicable with some co-morbidities, I definitely am not the only one starting to notice this connection. It is indeed promising in many cases [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961224/#:~:tex....]