Post-traumatic stress disorder (PTSD) often develops following a traumatic event in someone's life, leaving the sufferer to struggle with vivid flashbacks, nightmares and panic attacks.
The U.S. National Center for PTSD estimates that about 6% of Americans will experience PTSD at some point in their lives. Women are twice as likely to experience the condition as men, and veterans and children may also be more susceptible.
To help you better understand PTSD, let's examine what the condition is, plus learn its main symptoms, causes, risk factors and treatments, including medications and therapies that are backed by science.
What is PTSD?
"Clinically when we think about PTSD, it is a reaction to a traumatic event,"Cleveland Clinic staff psychologist Dr. Chivonna Childs said in a podcast.
"That reaction can be flashbacks, nightmares about the event, feeling as if we're reliving the events, being triggered by people, places, things, situations that remind us of the event. That can send us into what we would normally feel like is a panic attack,"she explained.
The condition may also manifest as complex PTSD (C-PTSD). The CPTSD Foundation states that C-PTSD is the result of trauma that's inescapable and happens repeatedly over a period of time, especially during childhood. It usually develops because of firsthand traumatic experiences and involves betrayals of trust and security.
"PTSD is often associated with a one-time experience or a single-incident trauma,"Brickel and Associates director and lead therapist Robyn E. Brickel said in an article. "C-PTSD is different, however, from single-incident trauma because the impact on the nervous system around attachment or relationships becomes more deeply ingrained. C-PTSD is relationship trauma."
PTSD symptoms
The NIMH states that you may be diagnosed with PTSD if you experience some combination of the following symptoms, they last for over a month and they're severe enough to interfere with your work or relationships:
Having terrifying thoughts or flashbacks
Having nightmares
Feeling tense and jumpy
Experiencing outbursts of emotions
Having sleeping issues
Suppressing your feelings and thoughts about the trauma
Steering clear of people, places and things that might make you recall the trauma
Experiencing a lack of clarity about the trauma
Losing interest in people and activities you once enjoyed
Having an unfavorable view of yourself and the world around you
Experiencing distorted feelings like guilt.
Common causes of PTSD
While the causes of PTSD are not fully understood, NIMH notes that it can be triggered by several types of events and situations in your life, such as:
Living through dangerous events and traumas
Getting hurt
Seeing another person hurt, or seeing a dead body
Childhood trauma
Feeling horror, helplessness or extreme fear
Having little or no social support after the event
Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss of a job or home
Having a history of mental illness or substance abuse.
PTSD risk factors
Not everyone who experiences, witnesses or learns about a traumatic event develops PTSD. NIMH outlines several factors that can increase your PTSD risk:
A history of mental health or substance abuse issues
Trauma in childhood
High levels of stress in your daily life
A lack of social support
Experiencing dangerous or traumatic events
Feeling or being helpless
Feeling extreme fear
Witnessing others being traumatized or hurt.
Racial trauma also increases the risk of developing PTSD, according to the National Center for PTSD.
PTSD treatment
For those diagnosed with PTSD, psychiatry.org states that several types of cognitive behavioral therapies (CBT) may be used to treat the condition, including:
Cognitive processing therapy: to change negative beliefs by identifying and addressing them
Trauma-focused CBT: to use with children and teens and includes cognitive behavioral techniques, family support, trauma-sensitive interventions and human-centered philosophies
Eye movement desensitization and reprocessing for PTSD: focuses people on the trauma while using certain eye movements that help reduce the emotions surrounding traumatic memories
Prolonged exposure therapy: gradually exposes people to their trauma triggers and reduce their impact over time.
PTSD medications such as selective serotonin reuptake inhibitors (SSRI) and serotonin-norepinephrine reuptake inhibitors (SNRI) may also be used to treat the condition. In addition, alternative therapies like breathing retraining can calm you down, while recent research published in the journal PLOS ONE showed that service dogs can help you better manage and improve your PTSD symptoms.
"It's a multilayered issue so we need multilayers of treatment, so that we can be well-rounded, well-grounded and very well-supported," Childs said. "Because at the end of the day, that's what we all deserve... a quality of life."
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