Although Post Traumatic Stress Disorder (PTSD) is only one of the identifiable responses to trauma, it has become the main focus of trauma research, writing, and clinical interventions. The unquestioned use worldwide of PTSD, however, presents the risk of oversimplifying human responses to traumatic events. This article goes beyond critiques of the current trauma paradigm and intends to offer new theoretical tenets whereby multiple local contexts could be better incorporated into trauma discourse and practice. If a renewed trauma paradigm aims to have a role in the global health arena, it should be informed locally and globally.