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Post Traumatic Stress Disorder

Overview

Post-traumatic stress disorder (PTSD) is a mental health problem that happens after a very frightening or stressful experience. This could be something you experienced directly, or something you saw happen to someone else. People react differently to trauma. Some people might have trouble adjusting and coping for a while after a stressful event. This is normal. They may have temporary symptoms, such as feeling anxious, having disturbing thoughts, or having nightmares. These symptoms usually improve with time and self-care.

However, if these symptoms become severe, last for months or even years, and make it hard to do everyday things like work or go to school, it could be PTSD. It's important to remember that this isn't a sign of weakness, but rather a response to a significant event. Getting help for PTSD, as soon as possible, can significantly reduce symptoms and improve daily functioning. Treatment can help people manage their feelings and regain control of their lives.

Symptoms

Post-traumatic stress disorder (PTSD) is a condition that can develop after a frightening or dangerous event. Symptoms often appear within the first few months, but they can sometimes show up years later. Key to recognizing PTSD is that these symptoms last for more than a month and significantly impact daily life, relationships, and work.

PTSD symptoms generally fall into four categories:

  1. Intrusive Memories: These are unwanted and distressing memories of the traumatic event that keep coming back. This can also include:

    • Flashbacks: Feeling like the traumatic event is happening again.
    • Nightmares or upsetting dreams: These are vivid and disturbing dreams related to the event.
    • Strong emotional distress or physical reactions: Seeing, hearing, or thinking about things that remind you of the trauma can trigger strong feelings or physical responses.
  2. Avoidance: This means trying to avoid anything that reminds you of the traumatic event. This might include:

    • Avoiding thoughts or conversations: Not wanting to think or talk about the event.
    • Staying away from places, activities, or people: Avoiding anything that brings back memories of the trauma.
  3. Negative Changes in Thinking and Mood: These are negative feelings and thoughts that persist:

    • Negative self-image or beliefs about others/the world: Developing a negative outlook on yourself, others, or the world.
    • Persistent negative emotions: Experiencing ongoing feelings of fear, anger, blame, shame, or guilt.
    • Memory problems: Struggling to remember important aspects of the traumatic event.
    • Feeling detached from loved ones: Feeling emotionally distant from family and friends.
    • Loss of interest in activities: No longer enjoying activities you used to like.
    • Difficulty feeling positive emotions: Having trouble experiencing happiness or joy.
    • Emotional numbness: Feeling emotionally flat or unresponsive.
  4. Changes in Physical and Emotional Reactions (Arousal Symptoms): These are physical and emotional responses to potential danger:

    • Hyperarousal: Being easily startled or frightened, feeling constantly on edge.
    • Self-destructive behavior: Engaging in harmful behaviors like excessive drinking or reckless driving.
    • Sleep problems: Having trouble falling asleep or staying asleep.
    • Concentration difficulties: Struggling to focus.
    • Irritability, anger, or aggressive behavior: Experiencing mood swings and outbursts.
    • Physical reactions: Physical symptoms like sweating, rapid heartbeat, fast breathing, or trembling.

Children (6 years old and younger): may express PTSD through:

  • Re-enacting the trauma in play: Using toys or games to replay parts of the traumatic event.
  • Disturbing dreams: Nightmares that might or might not include elements of the trauma.

Important Considerations:

  • Symptoms can vary: The severity and type of symptoms can change over time and differ from person to person.
  • Triggers: Stressful situations or reminders of the trauma can cause symptoms to become more intense. For example, a certain time of year or a news report might trigger memories.
  • Seeking Help: If you or someone you know is experiencing disturbing thoughts and feelings about a traumatic event for more than a month, especially if severe, it's crucial to seek professional help. Similarly, if you're struggling to regain control of your life, professional support is vital. Early intervention can prevent PTSD from worsening.

If you are having suicidal thoughts, please get help immediately:

  • Reach out to a friend, family member, or faith leader.
  • Contact a suicide hotline. In the U.S., call or text 988 for the Suicide & Crisis Lifeline. Veterans or service members can press "1" for the Veterans Crisis Line. Spanish language support is also available at 1-888-628-9454.
  • Make an appointment with a mental health professional.
  • If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately.

Important Note: This information is for general knowledge and does not substitute professional medical advice. If you suspect you or someone you know has PTSD, consult a healthcare professional or mental health expert for proper diagnosis and treatment.

When to see a doctor

If you're having upsetting thoughts or feelings about a traumatic event for more than a month, especially if they're intense, talk to your doctor or a mental health expert. It's also important to see a professional if you're struggling to manage your daily life. Early treatment can help prevent problems related to Post-Traumatic Stress Disorder (PTSD) from getting worse. Seeking help is a sign of strength, not weakness.

Causes

Post-traumatic stress disorder (PTSD) can develop after a person experiences, witnesses, or learns about a frightening event. This event might involve actual or threatened death, serious injury, or sexual assault. Doctors aren't entirely sure why some people develop PTSD. It's likely caused by a combination of things, similar to other mental health conditions:

  • Stressful experiences: The more stressful events a person has been through, and the more severe those events were, the higher the risk of PTSD. This includes not just the initial trauma, but also ongoing stress and difficult life experiences.

  • Family history of mental health problems: If someone has family members with anxiety or depression, they might have a higher chance of developing PTSD. This suggests a genetic or inherited predisposition to mental health challenges.

  • Personality traits: A person's natural personality, sometimes called their temperament, can also play a role. This refers to how a person typically responds to stressful situations. Some people may be more resilient, while others may be more prone to reacting strongly to trauma.

  • How the brain handles stress: The way a person's brain processes and regulates stress hormones and chemicals (like adrenaline and cortisol) can impact their vulnerability to PTSD. Different people have different ways of responding to stress, and this response can be influenced by genetic factors, past experiences, and current environment.

Risk factors

Post-traumatic stress disorder (PTSD) can affect people of any age. However, some factors make it more likely that someone will develop PTSD after a traumatic experience.

One key factor is the severity and length of the trauma. A more intense or prolonged traumatic event generally increases the risk of PTSD. For example, a single, short event might not cause PTSD, but a prolonged period of abuse or a repeated series of distressing events is more likely to lead to the condition.

Physical injury during the traumatic event is another significant risk factor. If you are hurt physically, it can have a profound impact on your emotional well-being and increase the chance of developing PTSD. This is because the physical pain and injury can be linked to the mental distress caused by the traumatic event.

A history of past trauma, such as childhood abuse, also plays a role. Experiencing trauma earlier in life can increase your vulnerability to developing PTSD later on. This is often because the initial trauma can disrupt a person's emotional development and create a heightened sensitivity to future stressors.

Certain professions, like military service or emergency response, can expose individuals to frequent and potentially traumatic events. The constant exposure to such situations can significantly increase the risk of PTSD. This is because the repeated nature of the trauma can overwhelm a person's coping mechanisms.

Existing mental health conditions, like anxiety or depression, can also make people more susceptible to PTSD. If you already have a predisposition to mental health issues, the stress of a traumatic event can exacerbate these problems and make it harder to recover.

Substance abuse, including excessive drinking or drug misuse, can also increase the risk of developing PTSD. Alcohol and drugs can disrupt brain function and impair the body's ability to cope with stress, making it harder to overcome the emotional impact of a traumatic event.

A lack of strong social support from family and friends can significantly increase the risk of PTSD. Having a supportive network of people can provide comfort, understanding, and practical help during a difficult time. The absence of this support can leave individuals feeling isolated and vulnerable, making it harder to heal.

Finally, a family history of mental health problems, including PTSD or depression, can be a risk factor. Genetics and family environment can play a role in developing mental health conditions, and a family history can increase the likelihood of an individual experiencing PTSD.

Complications

Post-traumatic stress disorder (PTSD) can seriously affect many areas of your life. It can impact your schooling, work, relationships, physical health, and even your ability to enjoy simple pleasures.

If you have PTSD, you might also be more likely to develop other mental health problems. For example, you could experience depression or anxiety. You might also struggle with substance abuse, such as alcohol or drug problems. Sadly, PTSD can even increase the risk of thoughts of suicide and suicide attempts.

Prevention

Experiencing a traumatic event can cause many people to feel overwhelmed initially. It's common to have thoughts that keep replaying in your mind, along with feelings like fear, anxiety, anger, sadness, and even guilt. These are normal responses to a shocking experience. Crucially, most people don't develop a condition called Post-Traumatic Stress Disorder (PTSD).

The key is to get help early on. This can stop normal stress reactions from becoming more serious. Reaching out to friends and family who can listen and provide comfort is often a good first step. Talking to a therapist or counselor might also be helpful. This might involve a short period of therapy to help you process your feelings. Sometimes, support from a religious or spiritual community can also be beneficial.

Seeking help early on can also prevent you from turning to unhealthy ways of coping, such as abusing alcohol or drugs. These coping mechanisms can make the healing process much harder.

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