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What is Post Traumatic Stress
Disorder (PTSD)?
What is post-traumatic stress disorder?
Post-Traumatic Stress Disorder
(PTSD) is a debilitating condition that often follows a terrifying physical
or emotional event -- causing the person who survived the event to have
persistent, frightening thoughts and memories, or flashbacks, of the ordeal.
Persons with PTSD often feel chronically, emotionally numb.
Jennifer, age 32, was sexually assaulted by a
stranger two months ago. He had broken into her apartment and waited for her to
return home from work. Then he attacked her repeatedly.
Since the assault, Jennifer has been staying at a female friend's house. She
has been unable to return to her apartment to collect clothes and other
personal belongings. Any time she is near the apartment building, she remembers
the assault in vivid and painful detail. These memories make her extremely
anxious.
In general, Jennifer feels emotionally detached from other people. She has a
lot of headaches and has difficulty falling asleep at night.
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PTSD was first brought to public attention by war veterans and was once
referred to as "shell shock" or "battle fatigue". The
likelihood of developing PTSD depends on the severity and duration of the
event, as well as the person's nearness to it.
What triggers PTSD to develop?
The event(s) that triggers PTSD may be:
- something that occurred in the person's life
- something that occurred in the life of someone close to him or her
- something the person witnessed
Examples include:
- serious accidents (such as car or train wrecks)
- natural disasters (such as floods or earthquakes)
- man-made tragedies (such as bombings, a plane crash)
- violent personal attacks (such as a mugging, rape, torture, being held
captive, or kidnapping)
- military combat
- abuse in childhood
Characteristics of PTSD:
People with PTSD experience extreme emotional, mental, and physical distress
when exposed to situations that remind them of the traumatic event. Some people
repeatedly relive the trauma in the form of nightmares and disturbing
recollections during the day. They may also experience:
- sleep problems
- depression
- feeling detached or numb
- feeling jittery or on guard
- being easily startled
- loss of interest in things they used to enjoy
- trouble feeling affectionate
- feeling irritable, more aggressive than before, or even violent
- avoidance of certain places or situations that bring back memories
Symptoms of PTSD:
Symptoms may be mild or severe, including;
- irritability
- violent outbursts
- trouble working or socializing
- flashbacks or intrusive images
(A person having a flashback, which can come in the form of images, sounds,
smells, or feelings, usually believes that the traumatic event is happening all
over again.)
- losing touch with reality
- reenacting the event for a period of seconds or hours or, very rarely, days
Diagnosing post-traumatic stress
disorder:
Not every person who experiences a trauma gets full-blown PTSD, or experiences
symptoms at all. PTSD is diagnosed only if symptoms last more than one month.
In those who do have PTSD, symptoms usually begin within 3 months of the
trauma, but can also start months or years later.
PTSD can occur at any age, including childhood, and may be accompanied by:
- depression
- substance abuse
- anxiety
The length of the illness varies. Some people recover within 6 months,
others have symptoms that last much longer.
Treatment for
PTSD:
Antidepressants and
anxiety-reducing medications often ease the
symptoms of
depression and sleep problems. Psychotherapy, including
cognitive-behavioral therapy,
is also often an integral part of treatment. People with PTSD are susceptible
to other anxiety disorders, depression, and substance abuse.
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