Post-traumatic Stress Disorder(PTSD)
by
Julie Smith Riley, MS, RD DefinitionPost-traumatic stress disorder (PTSD) is a trauma and stressor-related disorder anxiety disorder that develops after a traumatic event. PTSD has also been called "shell shock" or "battle fatigue." CausesThe exact cause of PTSD is unknown. PTSD is triggered by exposure to a traumatic event. Situations in which a person feels intense fear, helplessness, or horror are considered traumatic. PTSD has been reported in people who experienced:
Researchers are studying how problems with synapses in the brain may be linked to PTSD. Risk FactorsNot everyone who experiences a traumatic event will develop PTSD. Symptoms of PTSD are more likely to occur if the person has:
SymptomsPeople with PTSD experience symptoms of anxiety following a traumatic event. These symptoms fall into 3 categories:
People with PTSD may also have:
DiagnosisYou will be asked about your symptoms and medical history. This may be done by using a structured interview and/or a questionnaire. You will also likely be given a psychological assessment. PTSD will be diagnosed if you have:
PTSD is categorized according to when symptoms occur and how long they last. There are 3 types of PTSD:
TreatmentThere are many treatments available to help manage PTSD. General goals include learning how to cope with symptoms, reducing symptoms, and strategies to improve relationships with family or friends. Treatment will also focus on any other conditions you may have, such as depression or substance abuse. The length of treatment will depend on the individual but can range from a few months to a few years. Treatment can often include a combination of approaches. Cognitive-Behavior TherapyCognitive-behavior therapy (CBT) is a very effective type of counseling for PTSD. Therapy focuses on:
There are a few different types of CBT including:
Eye Movement Desensitization and Reprocessing (EMDR)During this type of therapy, you are asked to talk about the traumatic event, including your memories, feelings, and sensations. While talking, you will be asked to do simple tasks like hand-tapping, following therapist's hand with your eyes, or listening to tones through headphones. The reason why is not clear, but repeating the story with the physical distraction allows your brain to process the trauma in a different way. In effect the process overwrites some of the negative thought processes related to the trauma. Other TherapyOther therapeutic options that may help include:
MedicationMedication can help manage some symptoms while you go through counseling or during a crisis period. They may help manage anxiety, depression, and insomnia. Antidepressants known as selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs) are often prescribed. PreventionThe events that trigger PTSD cannot be predicted or prevented. However, there are some factors that might prevent PTSD from developing after a traumatic event, such as:
RESOURCES:Anxiety and Depression Association of America https://adaa.org National Center for PTSD—US Department of Veterans Affairs https://www.ptsd.va.gov CANADIAN RESOURCES:Canadian Psychiatric Association https://www.cpa-apc.org Canadian Psychological Association https://cpa.ca References:Jeffereys M. Clinician's guide to medications for PTSD. National Center for PTSD—US Department of Veterans Affairs website. Available at:
https://www.ptsd.va.gov/professional/treatment/overview/clinicians-guide-to-medications-for-ptsd.asp. Updated November 17, 2017. Accessed January 31, 2018. Post-traumatic stress disorder. American Psychiatric Association website. Available at: ...(Click grey area to select URL) Accessed January 31, 2018.
Posttraumatic stress disorder (PTSD). EBSCO DynaMed Plus website. Available at:
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Last reviewed November 2018 by
EBSCO Medical Review Board
Adrian Preda, MD Last Updated: 1/26/2016 |
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