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What is Post-traumatic Stress Disorder (PTSD)?

PTSD

PTSD can start after any traumatic event. A traumatic event is one where you see you are in danger, your life is threatened or you see other people dying or being injured.

Typical traumatic events include:

  • Serious accidents.
  • Military combat.
  • Violent personal assault (sexual assault, physical attack, abuse, robbery, mugging).
  • Being taken hostage.
  • Terrorist attack.
  • Being a prisoner of war.
  • Natural or man-made disasters.
  • Being diagnosed with a life threatening illness.
  • Hearing about unexpected injury or death of a family member or close friend.

The symptoms of PTSD can start immediately or after a delay of weeks and months, but usually within 6 months.

What is PTSD?

Many people feel grief-stricken, depressed, anxious, guilty and angry after a traumatic experience. As well as these understandable emotional reactions, there are three main types of experiences. 

Avoidance and numbing

  • It can be just too upsetting to re-live your experience over and over again. 
  • So you distract yourself. 
  • You keep your mind busy by losing yourself in a hobby, working very hard, or spending your time absorbed in crosswords or jigsaw puzzles. 
  • You avoid places and people that remind you of the trauma, and try not to talk about it. 
  • You may deal with the pain of your feelings by trying to feel nothing at all by becoming emotionally numb. 
  • You communicate less with other people who then find it hard to live or work with you.

Flashbacks and nightmares

  • You find yourself re-living the event, again and again. 
  • This can happen both as a ‘flashback’ in the day and as nightmares when you are asleep.
  • These can be so realistic that it feels as though you are living through the experience all over again. 
  • You see it in your mind, but may also feel the emotions and physical sensations of what happened such as fear, sweating, smells, sounds, pain. 
  • Ordinary things can trigger flashbacks. 
  • For instance, if you had a car crash in the rain, a rainy day might start a flashback.

Being ‘on guard’

  • You find that you stay alert all the time, as if you are looking out for danger. 
  • You can’t relax. 
  • This is called ‘hyper-vigilance’. 
  • You feel anxious and find it hard to sleep. 
  • Other people will notice that you are jumpy and irritable.

Video

The following video ‘What PTSD is really like’ contains first person accounts of PTSD.