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Post-traumatic stress disorder (PTSD) is one of several conditions known as an anxiety disorder. This kind of medical disorder affects approximately 1 in 10 people. They are among the most common of mental health problems. Children and adults can develop PTSD. The disorder can become so severe that that the individual finds it difficult to lead a normal life. Fortunately, treatments exist to help people with PTSD bring their lives back into balance.
The symptoms of PTSD usually begin within 3 months of the traumatic event. However, sometimes they surface many years later. The duration of PTSD, and the strength of the symptoms, vary. For some people, recovery may be achieved in 6 months; for others, it may take much longer.
There are three categories of symptoms.
The first involves re-experiencing the event. This is the main characteristic of PTSD and it can happen in different ways. Most commonly the person has powerful, recurrent memories of the event, or recur-rent nightmares or flashbacks in which they re-live their distressing experience. The anniversary of the triggering event, or situations which remind them of it, can also cause extreme discomfort. Avoidance and emotional numbing are the second category of symptoms. The first occurs when people with PTSD avoid encountering scenarios which may remind them of the trauma. Emotional numbing generally begins very soon after the event. A person with PTSD may withdraw from friends and family, they may lose interest in activities they previously enjoyed and have difficulty feeling emotions, especially those associated with intimacy. Feelings of extreme guilt are also common.
In rare cases, a person may enter dissociative states, lasting anywhere from a few minutes to several days, during which they believe they are re-living the episode, and behave as if it is happening all over again. The third category of symptoms involves changes in sleeping patterns and increased alertness. Insomnia is common and some people with PTSD have difficulty concentrating and finishing tasks. Increased aggression can also result.
Symptoms
Signs and symptoms of post-traumatic stress disorder typically begin within three months of a traumatic event. In a small number of cases, though, PTSD symptoms may not occur until years after the event.
Post-traumatic stress disorder symptoms may include:
Flashbacks, or reliving the traumatic event for minutes or even days at a time
Shame or guilt
Upsetting dreams about the traumatic event
Trying to avoid thinking or talking about the traumatic event
Feeling emotionally numb
Irritability or anger
Poor relationships
Self-destructive behavior, such as drinking too much
Hopelessness about the future
Trouble sleeping
Memory problems
Trouble concentrating
Being easily startled or frightened
Not enjoying activities you once enjoyed
Hearing or seeing things that aren't there
Post-traumatic stress disorder symptoms can come and go. You may have more symptoms during times of higher stress or when you experience symbolic reminders of what you went through. For example, some people whose PTSD symptoms had been gone for years saw their symptoms come back again with the terrorist attacks in the U.S. on Sept. 11, 2001.
When you have PTSD, you may relive the traumatic event numerous times. You may have upsetting memories. Or you may see reminders wherever you go. You may hear a car backfire and relive combat experiences, for instance. Or you may see a report on the news about a rape, and feel again the horror and fear of your own assault.
Risk factors
Although researchers don't know exactly what causes post-traumatic stress disorder, they do know some of the risk factors involved, or the things that make you more likely to get PTSD.
People of all ages can have post-traumatic stress disorder. It's relatively common among adults, with about 7 percent to 8 percent of the population having PTSD at some point in their lives. In any given year, about 5 million U.S. adults have PTSD. Post traumatic stress disorder is especially common among those who have served in combat, and it's sometimes called "shell shock," "battle fatigue" and "combat stress."
Kinds of traumatic events
People with PTSD most often experience one or more of these four types of traumatic events:
Seeing someone being killed or badly injured
Living through a fire, flood or natural disaster
Living through a life-threatening accident
Having been in combat
But many other traumatic events also can lead to post-traumatic stress disorder, including rape, mugging, robbery, assault, civil conflict, car accident, plane crash, torture, kidnapping, life-threatening medical diagnosis, childhood physical abuse or neglect, sexual molestation, being threatened with a weapon, terrorist attacks, and other extreme or life-threatening events.
Increasing your risk
Not everyone who experiences these kinds of traumatic events goes on to develop post-traumatic stress disorders. Some factors that may make you more likely to get PTSD after a traumatic event include:
The traumatic event is especially severe or intense.
The traumatic event was long-lasting.
Having an existing mental health condition.
Lacking a good support system of family and friends.
Having family members with PTSD.
Having family members with depression.
Where to go for more information
For further information about post-traumatic stress disorder, contact a community organization like the Canadian Mental Health Association to find out about support and resources available in your community.
Canadian Mental Health Association
The Mayo Clinic
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