Services

Trauma and PTSD

Trauma and PTSD

Post-Traumatic stress disorder (PTSD) is a treatable anxiety disorder that affects approximately three million Australians at some point in their lives. It is a condition where fear, anxiety or the memories of a traumatic event are unable to be ignored. These emotions may feel like they will last forever and tend to interfere with how one copes with their day-to-day life. Events that could lead to PTSD could be traumatic experiences such as a serious accident, physical or sexual assault, war, or torture. PTSD can also be developed as the result of an ongoing series of traumatic events such as emotional abuse or living in a war zone. As a result of their traumatic experience the individual often experiences feelings of intense fear, horror or even helplessness.

Within the first couple of weeks of experiencing a traumatic event, it is common for everyone to experience some of the symptoms for PTSD. For many individuals, with the support of family and friends, may instinctively work through these symptoms without experiencing any long term impact on their life. Others for various reasons may not recover so quickly. These ongoing, disruptive to everyday life symptoms maybe PTSD.

 

 

Symptoms of PTSD

Everyone’s experience with PTSD is different. Symptoms can vary from being subtle changes in day-to-day behaviours or numbness and withdrawal, to upsetting flashbacks or even strong physical responses such as a rapidly beating heart.  Symptoms of PTSD may appear in the month after a traumatic event has taken place but may also stay dormant in an individual for years. Some symptoms of PTSD are:

  • Extreme distress when something reminds of the incident
  • Nightmares
  • Memories or disturbing thoughts prompted by sounds, smells, words, or other triggers
  • Re-experiencing trauma
  • Repetitive memories or flashbacks which are uncontrollable and intrude into simple daily tasks
  • Avoiding places, objects or people that may trigger uneasy memories of an incident
  • Changing normal routines to avoid memories related to a traumatic event
  • Unwillingness to talk about an event
  • Having a sense of hopelessness regarding the future and being pessimistic towards it
  • Becoming emotionally detached
  • Constant excessive alertness
  • Being startled easily
  • Lack of concentration
  • No longer enjoying activities that used to be enjoyable
  • Difficulty sleeping

 

Children and Teenagers with PTSD may have similar symptoms but with slight differences. Some particular symptoms to watch for in children and teenagers may include:

  • Being unusually clingy to parents
  • Becoming more irritable, angry or aggressive
  • Having a sudden desire for revenge
  • Behaving in a disrespectful, destructive, or violent way
  • Increasing risk-taking behaviour

 

It is not unusual for individuals with PTSD to suffer from other mental health disorders as well. These mental health disorders may happen as a direct response to the traumatic event or may develop due to the ongoing challenge of coping with PTSD. The longer a person suffers with PTSD the greater their chance of developing mental health illnesses such as anxiety, depression and drug or alcohol substance use disorder.

 

Causes of PTSD

PTSD develops as a result of experiencing or witnessing a traumatic incident. This traumatic incident may be a life threatening experience, a serious injury or an act of sexual, physical, or emotional violence. This incident can be a one off event or something experienced repeatedly over a long period of time. Some examples of experiences that may result in the development of PTSD are:

  • Serious physical assault
  • Natural disasters such as bushfires, floods or earthquakes
  • Seeing another person get seriously injured or killed
  • Living in a war zone
  • Experiencing ongoing or one off sexual assault
  • Being in a serious accident
  • Being in a long term abusive relationship

 

Although anyone can develop PTSD, some people have a higher risk in comparison to others. Like with many other mental health conditions there is no one factor that is certain to make a person more likely to develop PTSD when another person in the same situation may not however there are certain risk factors that may make it more likely.  

 Factors for Developing PTSD 

  • Repeated trauma, e.g. living in a war zone for a long period of time
  • Having insufficient support after a traumatic experience
  • Experiencing additional stress in everyday life after a traumatic incident, e.g. dealing with the death of a loved one at the same time of a traumatic event
  • Having previously experienced another mental health disorder such as depression or anxiety

PTSD is not the only type of disorder that is caused due to traumatic events taking place. Depression, anxiety, and agoraphobia (a fear being in public) are also common types of mental health disorders that can be caused by traumatic events.

 

Diagnosis

The process of diagnosing PTSD typically involves a GP along with another mental health professional such as a psychologist or psychiatrist. The first step is to conduct an initial mental health assessment which asks questions about any current symptoms you are experiencing, and any history of mental health disorders for you or in your family. Depending on the circumstance your GP may conduct a physical examination to check for any other reasons you may be experiencing the symptoms you report. A mental health professional may ask more questions about the duration, frequency and intensity of symptoms as well as about potential traumatic events.

For a formal diagnosis of PTSD, a person typically needs to have experienced the traumatic event more than six months ago and have symptoms of PTSD severe enough to disrupt their ability to properly function at work, home or socially. However even if you don’t meet the exact criteria for PTSD diagnosis you may still be recommended to begin treatment for PTSD if the PTSD symptoms are sufficiently severe and disruptive for a period longer than two weeks. You don’t need to wait for six months after a traumatic event to seek help. Seek help as soon as you feel you need it.

 

Treatment

Treatment for PTSD typically involves psychotherapy and may also involve medication or medication and psychotherapy used together. Everyone's PTSD is different and different types of psychotherapy or medication may work better for you than others. Ultimately psychotherapy is recognised as the best long term solution for recovering from PTSD whilst medication works best to manage symptoms in the short term.

Some common types of psychotherapy used in the treatment of PTSD include:

  • Trauma focused cognitive behavioural therapy (TF- CBT): aims to change unhelpful patterns of thinking, beliefs and behaviours affected by the trauma event through gradual recounting of memories and exposure to triggers in a safe environment.
  • Eye Movement Desensitisation and Reprocessing (EMDR): aims to process memories of the trauma whilst working through a series of eye movements.


Getting support from loved ones such as family members or friends in your recovery from PTSD has also been shown to make recovery more effective. Friends and family may assist you by helping to minimise other stressful life experiences during your recovery as well as by being a listening ear. Recovering from Trauma and PTSD takes time and support. If you think you might be suffering from Trauma and PTSD or are in need of a mental health professional to help you in your treatment give us a call at Inner Psych today. Our professionals can provide an online assessment of your condition and personalise an ongoing treatment to help you take back control of your life.

Become a Member of Our Tribe. Register Today.