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Post-Traumatic Stress Disorder (PTSD)

Understanding PTSD

 

"12 Million People in the US Living with PTSD - PTSD Facts"

 

It's normal to have upsetting memories, feel on edge, or have trouble sleeping after a traumatic event (also called "trauma"). At first, it may be hard to do daily activities you are used to doing, like go to work, go to school, or spend time with people you care about. But most people start to feel better after a few weeks or months. For some people, post-traumatic stress (PTSD) symptoms may start later, or they may come and go over time.

 

If it's been longer than a few months and thoughts and feelings from the trauma are upsetting you or causing problems in your life, you may have PTSD.1


Post-traumatic stress disorder, or PTSD, is a serious potentially debilitating condition that can occur in people who have experienced or witnessed a traumatic event, such as a natural disaster, serious accident, terrorist incident, sudden death of a loved one, war, violent personal assault such as rape, or other life-threatening events. There are currently about 12 million people in the United States living with PTSD and that is only a small portion of those who have gone through a traumatic event.

 

It’s not unusual for people who have experienced traumatic events to have flashbacks, nightmares, or intrusive memories when something terrible happens — like the 9/11 terrorist attacks and those in cities around the world, school shootings, the COVID-19 pandemic, or active military combat. 

 

PTSD Symptoms

 

  • Spontaneous or cued recurrent, involuntary, and intrusive distressing memories of the traumatic events (Note: In children repetitive play may occur in which themes or aspects of the traumatic events are expressed.)
  • Recurrent distressing dreams in which the content or affect (i.e. feeling) of the dream is related to the events (Note: In children there may be frightening dreams without recognizable content.)
  • Flashbacks or other dissociative reactions in which the individual feels or acts as if the traumatic events are recurring (Note: In children trauma-specific reenactment may occur in play.)
  • Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic events
  • Physiological reactions to reminders of the traumatic events
  • Persistent avoidance of distressing memories, thoughts, or feelings about or closely associated with the traumatic events or of external reminders (i.e., people, places, conversations, activities, objects, situations)
  • Inability to remember an important aspect of the traumatic events (not due to head injury, alcohol, or drugs)
  • Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., “I am bad,” “No one can be trusted,” "The world is completely dangerous"). 
  • Persistent, distorted blame of self or others about the cause or consequences of the traumatic events
  • Persistent fear, horror, anger, guilt, or shame
  • Markedly diminished interest or participation in significant activities
  • Feelings of detachment or estrangement from others
  • Persistent inability to experience positive emotions

Additional symptoms: 

 

  • Irritable or aggressive behavior
  • Reckless or self-destructive behavior
  • Hypervigilance
  • Exaggerated startle response
  • Problems with concentration
  • Difficulty falling or staying asleep or restless sleep

 

Also, clinically significant distress or impairment in social, occupational, or other important areas of functioning not attributed to the direct physiological effects of medication, drugs, or alcohol or another medical condition, such as traumatic brain injury.

 

If these symptoms persist over months or years or cause you to drop into deep depression or anxiety, it is possible you have developed PTSD. You can take a self-screening test to help you find out if your feelings and behaviors may be related to PTSD, but keep in mind that only a trained provider can diagnose PTSD. Explore ADAA's Find Your Therapist directory.

 

Learn more about PTSD:

 

Statistics

Many people experience a traumatic event at some point in their lives, the National Center for PTSD found that about 6 of every 10 men (or 60%) and 5 of every 10 women (or 50%) experience at least one trauma in their lives1. It's typical for those people to recover from that event over time, but people who develop PTSD continue to be severely depressed and anxious for months or even years following the event. And PTSD often occurs with depression, substance abuse, or other anxiety disorders. (The following statistics are based on the U.S. population):

 

Adults:

  • About 6 out of every 100 people (or 6% of the population) will have PTSD at some point in their lives
  • About 12 million adults in the U.S. have PTSD during a given year. This is only a small portion of those who have gone through a trauma
  • About 8 of every 100 women (or 8%) develop PTSD sometime in their lives compared with about 4 of every 100 men (or 4%).
  • Women are 2x more likely to develop PTSD than men, and children can also develop PTSD

 

Children and Teens:

  • 15% to 43% of girls and 14% to 43% of boys go through at least one trauma
  • Of those children and teens who have had a trauma, 3% to 15% of girls and 1% to 6% of boys develop PTSD

 

Veterans:

PTSD does not solely affect deployed, active duty military officers. PTSD can affect any unit of special forces such as first responders, the National Guard, or police forces. These statistics are specifically of PTSD in Iraq and Afghanistan Veterans. 10.9% of non-deployed officers and 15.7% of deployed officers develop PTSD2. Access the full range of data about veterans and PTSD here.

 

Trauma survivors who have PTSD may have trouble with their close family relationships or friendships. Their symptoms can cause problems with trust, closeness, communication, and problem-solving, which may affect the way the survivor acts with others. In turn, the way a loved one responds to him or her affects the trauma survivor. A circular pattern may develop that could harm relationships. Read more from the National Center for PTSD

     

    ADAA Resources:

    Personal Stories:

     

    Additional Resources:

     


    Research Resources

    1. US Department of Veterans Affairs. ptsd.va.gov. PTSD: National Center for PTSD. https://www.ptsd.va.gov/

    2. US Department of Veteran Affairs. Publichealth.va.gov. PTSD in Iraq and Afghanistan Veterans. https://www.publichealth.va.gov/epidemiology/studies/new-generation/ptsd.asp

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