Trauma And Ptsd
What is PTSD?
Posttraumatic Stress Disorder (PTSD) can occur after you have been through a traumatic event. A traumatic event is something terrible and scary that you see, hear about, or that happens to you, like:
Child sexual or physical abuse
Sexual or physical assault
Serious accidents, like a car wreck
Natural disasters, like a fire, tornado, hurricane, flood, or earthquake
During a traumatic event, you think that your life or others' lives are in danger. You may feel afraid or feel that you have no control over what is happening around you. Most people have some stress-related reactions after a traumatic event; but, not everyone gets PTSD. If your reactions don't go away over time and they disrupt your life, you may have PTSD.
How does PTSD develop?
Most people who go through a trauma have some symptoms at the beginning. Only some will develop PTSD over time. It isn't clear why some people develop PTSD and others don't.
Whether or not you get PTSD depends on many things:
How intense the trauma was or how long it lasted
If you were injured or lost someone important to you
How close you were to the event
How strong your reaction was
How much you felt in control of events
How much help and support you got after the event
What are the symptoms of PTSD?
PTSD symptoms usually start soon after the traumatic event, but they may not appear until months or years later. They also may come and go over many years. If the symptoms last longer than four weeks, cause you great distress, or interfere with your work or home life, you might have PTSD.
There are four types of symptoms of PTSD
You may have bad memories or nightmares. You even may feel like you're going through the event again. This is called a flashback.
You may try to avoid situations or people that trigger memories of the traumatic event. You may even avoid talking or thinking about the event.
The way you think about yourself and others may change because of the trauma. You may feel fear, guilt, or shame. Or, you may not be interested in activities you used to enjoy. This is another way to avoid memories.
You may be jittery, or always alert and on the lookout for danger. Or, you may have trouble concentrating or sleeping. This is known as hyperarousal.
Can children have PTSD?
Children can have PTSD too. They may have symptoms described above or other symptoms depending on how old they are. As children get older, their symptoms are more like those of adults. Here are some examples of PTSD symptoms in children:
Children age birth to 6 may get upset if their parents are not close by, have trouble sleeping, or suddenly have trouble with toilet training or going to the bathroom.
Children age 7 to 11 may act out the trauma through play, drawings, or stories. Some have nightmares or become more irritable or aggressive. They may also want to avoid school or have trouble with schoolwork or friends.
Children age 12 to 18 have symptoms more similar to adults: depression, anxiety, withdrawal, or reckless behavior like substance abuse or running away.
What other problems do people with PTSD experience?
People with PTSD may also have other problems. These include:
Feelings of hopelessness, shame, or despair
Depression or anxiety
Drinking or drug problems
Physical symptoms or chronic pain
Relationship problems, including divorce
In many cases, treatments for PTSD will also help these other problems, because they are often related. The coping skills you learn in treatment can work for PTSD and these related problems.
Will I get better?
"Getting better" means different things for different people, and not everyone who gets treatment will be "cured." Even if you continue to have symptoms, however, treatment can help you cope. Your symptoms don't have to interfere with your everyday activities, work, and relationships.
What treatments are available?
When you have PTSD, dealing with the past can be hard. Instead of telling others how you feel, you may keep your feelings bottled up.
There are two main types of treatment, psychotherapy (sometimes called counseling) and medication. Sometimes people combine psychotherapy and medication.
There is hope and if these symptoms are familiar to you we encourage you to seek help with a qualified trauma therapist.
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