Posttraumatic stress symptoms were experienced by 27% of the women trafficked for sex work and by 7% of the women trafficked for other kinds of work (Tsutsumi et al. In Europe, at IOM's Counter Trafficking Unit in Kosovo, the most common reactions observed by a clinical psychologist working for several years were acute stress reactions with numbness and detachment, posttraumatic stress disorder with continuing flash backs of the traumatic events and nightmares, dissociation and self harm but also symptoms of depression (Tudorache 2004). But they also argue that increased training is central to achieve this. This was obvious in a European study reporting that 28% of trafficking victims encountered a health care professional while still in captivity (World Childhood Foundation 2005).