Post-traumatic stress disorder (PTSD)
By Mayo Clinic staff
Definition
Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.
Many people who go through traumatic events have difficulty adjusting and coping for a while. But with time and taking care of yourself, such traumatic reactions usually get better. In some cases, though, the symptoms can get worse or last for months or even years. Sometimes they may completely shake up your life. In a case such as this, you may have post-traumatic stress disorder.
Getting treatment as soon as possible after post-traumatic stress disorder symptoms develop may prevent long-term post-traumatic stress disorder.
Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.
Many people who go through traumatic events have difficulty adjusting and coping for a while. But with time and taking care of yourself, such traumatic reactions usually get better. In some cases, though, the symptoms can get worse or last for months or even years. Sometimes they may completely shake up your life. In a case such as this, you may have post-traumatic stress disorder.
Getting treatment as soon as possible after post-traumatic stress disorder symptoms develop may prevent long-term post-traumatic stress disorder.
Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.
Many people who go through traumatic events have difficulty adjusting and coping for a while. But with time and taking care of yourself, such traumatic reactions usually get better. In some cases, though, the symptoms can get worse or last for months or even years. Sometimes they may completely shake up your life. In a case such as this, you may have post-traumatic stress disorder.
Getting treatment as soon as possible after post-traumatic stress disorder symptoms develop may prevent long-term post-traumatic stress disorder.
Symptoms
Post-traumatic stress disorder symptoms typically start within three months of a traumatic event. In a small number of cases, though, PTSD symptoms may not appear until years after the event.
Post-traumatic stress disorder symptoms are generally grouped into three types: intrusive memories, avoidance and numbing, and increased anxiety or emotional arousal (hyperarousal).
Symptoms of intrusive memories may include:
Flashbacks, or reliving the traumatic event for minutes or even days at a time
Upsetting dreams about the traumatic event
Symptoms of avoidance and emotional numbing may include:
Trying to avoid thinking or talking about the traumatic event
Feeling emotionally numb
Avoiding activities you once enjoyed
Hopelessness about the future
Memory problems
Trouble concentrating
Difficulty maintaining close relationships
Symptoms of anxiety and increased emotional arousal may include:
Irritability or anger
Overwhelming guilt or shame
Self-destructive behavior, such as drinking too much
Trouble sleeping
Being easily startled or frightened
Hearing or seeing things that aren't there
Post-traumatic stress disorder symptoms can come and go. You may have more post-traumatic stress disorder symptoms when things are stressful in general, or when you run into reminders of what you went through. 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 overcome by memories of your own assault.
When to see a doctor
It's normal to have a wide range of feelings and emotions after a traumatic event. You might experience fear and anxiety, a lack of focus, sadness, changes in how well you sleep or how much you eat, or crying spells that catch you off guard. You may have nightmares or be unable to stop thinking about the event. This doesn't mean you have post-traumatic stress disorder.
But if you have these disturbing thoughts and feelings for more than a month, if they're severe, or if you feel you're having trouble getting your life back under control, talk to your health care professional. Getting treatment as soon as possible can help prevent PTSD symptoms from getting worse.
In some cases, post-traumatic stress disorder symptoms may be so severe that you need emergency help, especially if you're thinking about harming yourself or someone else. If this happens, call 911 or other emergency medical service, or ask a supportive family member or friend for help.
Causes
You can develop post-traumatic stress disorder when you go through, see or learn about an event that causes intense fear, helplessness or horror.
Doctors aren't sure why some people get post-traumatic stress disorder. As with most mental health problems, PTSD is probably caused by a complex mix of:
Your inherited mental health risks, such as an increased risk of anxiety and depression
Your life experiences, including the amount and severity of trauma you've gone through since early childhood
The inherited aspects of your personality — often called your temperament
The way your brain regulates the chemicals and hormones your body releases in response to stress
Risk factors
People of all ages can have post-traumatic stress disorder. However, some factors may make you more likely to develop PTSD after a traumatic event, including:
Being female
Experiencing intense or long-lasting trauma
Having experienced other trauma earlier in life
Having other mental health problems, such as anxiety or depression
Lacking a good support system of family and friends
Having first-degree relatives with mental health problems, including PTSD
Having first-degree relatives with depression
Having been abused or neglected as a child
Women may be at increased risk of PTSD because they are more likely to experience the kinds of trauma that can trigger the condition.
Kinds of traumatic events
Post-traumatic stress disorder is especially common among those who have served in combat. It's sometimes called "shell shock," "battle fatigue" or "combat stress."
The most common events leading to the development of PTSD include:
Combat exposure
Rape
Childhood neglect and physical abuse
Sexual molestation
Physical attack
Being threatened with a weapon
But many other traumatic events also can lead to post-traumatic stress disorder, including fire, natural disaster, mugging, robbery, assault, civil conflict, car accident, plane crash, torture, kidnapping, life-threatening medical diagnosis, terrorist attack and other extreme or life-threatening events.
To continue reading...
http://www.mayoclinic.com/health/pos...sorder/DS00246