Post Traumatic Stress Disorder: Diagnosis & Current treatments

In light of the Sandy Hook School shooting, which closely followed the devastation of hurricane Sandy, along with other horrific and traumatic events have occurred recently, there have been many people experiencing Post Traumatic Stress Disorder symptoms. Post Traumatic Stress Disorder (PTSD) is frequently associated with combat veterans coming back from war, but it is also associated with other traumatic events, and is commonly misunderstood.  There are many side effects, some subtle and some not so, but the average person tends not to really understand this disorder, what sufferers go through, and the current available treatment options.

What is PTSD?

PTSD is the bodies stress response after some sort of traumatic event, usually where people feel their lives (or others around them) are in danger.  Some events that can result in PTSD are: exposure to live combat (i.e. war veterans), serious accidents (car accidents, plane crashes), physical and/or sexual abuse (especially during childhood), large-scale or national disasters (terrorist attacks, school shootings), after a loved one’s suicide or traumatic loss of life, and natural disasters (tornadoes, forest fires, hurricanes).  Basically any major traumatic event will lead to some form of PTSD, which can be transient, in that the symptoms come and go, or are experiences for a short period of time then go away and never come back, while some people experience the symptoms for the rest of their lives.

one of the many reasons for PTSD

one of the many reasons for PTSD

Who will get PTSD?

It is truly unknown why some people experience symptoms and others don’t.  You can put two people in the exact same situation and they will respond differently, and it is very difficult to predict who will have more severe symptoms.  Usually the experience itself determines if people have symptoms and the length of time. Some other factors that may lead to a more intense PTSD reaction:

-If the event was fatal (people died)

- How close the survivor was to the event (i.e. someone who actually had a gun aimed at them during en event and were not shot would have more risk of long-term symptoms vs. their significant other would be effected by the event but have a lesser risk for long-term symptoms)

- If a person was injured during and event or lost someone close to them

- The control you felt during the event(s) or lack thereof

- If treatment, therapy, assistance was sought out after the event

What are the symptoms of PTSD?

As I stated earlier, some of these symptoms are more subtle than others, and most people who survive traumatic events will have some of these symptoms immediately, then they can go away, or continue on.  Once the symptoms last more than 4 weeks continuously and start to effect your personal life and work life, or cause you great distress consistently, you fit the criteria for PTSD as a diagnosis. The four main symptoms of PTSD are: 1. Reliving the event (having nightmares, constantly thinking about the events during the day causing you to be unable to concentrate). 2. Avoiding similar situations (If you were in a traumatic car or plane accident, no longer riding in cars or planes). 3. Inability to feel (many PTSD victims have a lack of experiencing true feelings after the event, they describe themselves as being “numb”  or having “dulled” feelings). 4. Constant hyper-arousal (always anxious and expecting something bad to happen, constantly looking over their shoulders, worried). These symptoms can lead to behaviors by the victims to try to combat them.  Some people drink or take drugs to slow their minds so they aren’t constantly thinking about the event, while some become severely depressed leading to suicidal thoughts/actions or extreme anger, or acting out and being very promiscuous to try to get their mind off of the event. These are all coping skills that are not healthy and can lead to problems at work, in relationships, suicide, and addiction.  There are ways to help and alleviate the symptoms of PTSD.

What are the Treatments?

Some people are treated with Selective Serotonin Reuptake Inhibtors (SSRIs) to help with depression.  Psychotherapy (counseling) in conjunction with SSRIs can help to alleviate the symptoms of PTSD and help people to get back to their mental state (basically) from before the event.  Cognitive Behavioral Therapy (CBT) is the most effective type of therapy to help victims to work through their feelings about the event and their responses to it; you learn the skills to actively change your thoughts and feelings in response to the traumatic event.  Essentially you work through your feelings and change your response, and no longer keep your feelings bottled up about the event, prior, and after. There is also Prolonged Exposure therapy, where you talk about the event and your feelings so extensively, that it no longer causes you such pain and anxiety, you then expose yourself to   things you have been staying away from to decrease your anxieties.

There are treatments out there, and they are not quick or easy, but they work.  All victims need to know that they should not keep their feelings inside, and they need to talk to a therapist that will help them work through their feelings.  It can be horrible to relive experiences, but it will be worth it to work through the feelings and anxiety, and be able to live your life without the fear or stress of that traumatic experience, and truly begin to live your life again.  If you know anyone with symptoms, or you think you might have symptoms, talk to a family member, your HCP, a therapist, anyone to get help.  If you are in crisis, call 911, go to the nearest emergency room, or call a suicide prevention line (800-273-8255) * if you are a veteran, you can press 1 after dialing the same suicide prevention number and speak with someone trained to specifically work with veterans.

Take control of your life back.

Yours in Good Health

B

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