Post-traumatic stress disorder (PTSD) is a disorder which is triggered by either experiencing or witnessing a terrifying event.
Most people experience a “fight or flight” response to typical traumatic event, and with time get better. This is a reaction to prevent a person from harm. However, some people continue to experience these reactions which can lead to PTSD.
Signs and Symptoms
Symptoms usually begin early, within 3 months of the traumatic incident, or may not begin until years afterward. Symptoms must last more than a month and be severe enough to interfere with relationships or work to be considered PTSD. The course of the illness varies. Some people recover within 6 months, while others have symptoms that last much longer. In some people, the condition becomes chronic. Symptoms may include:
Recurrent, unwanted distressing memories of the traumatic event
Reliving the traumatic event as if it were happening again (flashbacks)
Upsetting dreams or nightmares about the traumatic event
Severe emotional distress or physical reactions to something that reminds you of the traumatic event
Trying to avoid thinking or talking about the traumatic event
Avoiding places, activities or people that remind you of the traumatic event
Hopelessness about the future
Memory problems, including not remembering important aspects of the traumatic event
Lack of interest in activities you once enjoyed
Feeling emotionally numb
Being easily startled or frightened
Always being on guard for danger
Self-destructive behavior, such as drinking too much or driving too fast
Irritability, angry outbursts or aggressive behavior
Overwhelming guilt or shame
PTSD is often accompanied by depression, substance abuse, or one or more of the other anxiety disorders, eating disorders, suicidal thoughts and actions.
Risk Factors include war veterans, children, and people who have been through a physical or sexual assault, abuse, accident, disaster, or other serious events. Women are more likely to develop PTSD than men, and genes may make some people more likely to develop PTSD than others. The sudden, unexpected death of a loved one can also lead to PTSD.
Some factors that increase risk for PTSD include:
Living through dangerous events and traumas- combat exposure, torture,
Seeing another person hurt, or seeing a dead body
Childhood physical abuse
Being threatened with a weapon
Feeling horror, helplessness, or extreme fear
Having little or no social support after the event
Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss of a job or home
Having a history of mental illness or substance abuse
Exposure to fire, natural disaster, plane crash, terrorist attacks
Some factors that may promote recovery after trauma include:
Seeking out support from other people, such as friends and family
Finding a support group after a traumatic event
Learning to feel good about one’s own actions in the face of danger
Having a positive coping strategy, or a way of getting through the bad event and learning from it
Being able to act and respond effectively despite feeling fear
Treatment and Therapies
Treatment is for the symptoms control.
Depression and anxiety are managed by using Antidepressants. Antidepressants usually take higher dose and longer duration (8-12 weeks) to work. Once you start feeling better, usually after a course of 6 to 12 months, you may be able to gradually taper off the antidepressants. Stopping them abruptly can cause withdrawal symptoms.
Please Note: In some cases, children, teenagers, and young adults under 25 may experience an increase in suicidal thoughts or behavior when taking antidepressants, especially in the first few weeks after starting or when the dose is changed. This warning from the U.S. Food and Drug Administration (FDA) also says that patients of all ages taking antidepressants should be watched closely, especially during the first few weeks of treatment.
If you are considering taking an antidepressant and you are pregnant, planning to become pregnant, or breastfeeding please let us know prior to starting the medicines.
Several types of psychotherapy (also called “talk therapy” or, in a less specific form, counseling) can help people with depression. Examples of evidence-based approaches specific to the treatment of depression include cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and problem-solving therapy.
Getting regular exercise such as brisk walk, swimming, jogging etc. helps with anxiety and depression and promote sleep in addition to the physical benefits of work out
Yoga and anaerobic exercise have also shown beneficial effects on mental health.
Keep a mood log
Be mindful of your triggers and warning signs
Eat healthy and nutritious diet
Maintain regular follow ups with your care providers
Take all medicines as prescribed, consult your doctor before making any medicine changes