Post-Traumatic Stress Disorder (PTSD)
Most people have experienced a terrifying or traumatic event at some point in their lives. Initially, they may have difficulty coping with the trauma but usually, with time, emotions related to the traumatic event tend to decrease. Gradually feeling better, they tend to get on with life.
However, some people struggle to escape the experience, remaining anxious and severely distressed for an extended period to the extent that it may impact their ability to function in everyday life. If this is the case, they may have a medical condition known as PTSD.
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TRAUMATIC EVENTS MAY INCLUDE:Back to top
- Violence (rape, physical assault, domestic abuse, kidnapping, or the violence associated with military combat)
- Natural disasters (floods, earthquakes, tornadoes or hurricanes)
- Serious accidents such as a car crash or house fire causing injury or death
- Sudden or unexpected death of a partner, friend or family member
- Diagnosis of a life-threatening illness
HOW PTSD AFFECTS DAILY FUNCTIONINGBack to top
For someone with PTSD, mentally reliving an event can be as traumatic as the actual event.
The physical and psychological symptoms associated with such an experience are worsened by feelings of embarrassment, confusion and frustration and can drastically affect a person’s ability to function at work, at school, and in the home.
Living with PTSD can place significant strain on relationships as people with PTSD tend to withdraw from everyday social and interpersonal activities. Often co-occurring with depression, substance abuse or other anxiety disorders, in extreme cases, if untreated, PTSD can become so distressing that the person attempts suicide.
SIGNS AND SYMPTOMS OF PTSDBack to top
3 CORE SYMPTOMSBack to top
- Reliving or re-experiencing the traumatic event through intrusive memories, flashbacks or recurrent dreams and nightmares, and experiencing feelings and behaviours as intensely as if they were actually happening.
- Avoidance of anything associated with the traumatic event, experiencing a feeling of emotional numbness towards others, losing interest in activities, and steering away from people and places that could remind them of it.
- Hyperarousal symptoms include difficulty falling or staying asleep, irritability or outbursts of anger, difficulty concentrating, hyper-vigilance, and an exaggerated startle response.
Not everyone exposed to trauma will develop PTSD
WHO IS AFFECTED?Back to top
DIAGNOSING PTSDBack to top
PTSD is a disorder characterised by very specific symptoms but it can be misdiagnosed. It is critical therefore that you consult a healthcare professional if symptoms persist for a month a more.
Someone suffering from PTSD is likely to experience various symptoms that ultimately lead to a formal diagnosis. Chronic PTSD applies to cases where symptoms persist for 3 months or more.
In other cases, symptoms do not present until several months or years after the trauma. This is known as delayed onset PTSD.
PREVENTING PTSDBack to top
As no one can predict when or if a traumatic event will occur, health practitioners focus on early intervention rather than prevention. There is some preliminary evidence to suggest that starting treatment (medications and/or psychotherapy) within a short time after a traumatic event may prevent the onset of PTSD, but further studies are required. If you or someone you know has experienced a traumatic event, educate yourself on common reactions to trauma and on PTSD.
USEFUL PTSD MANAGEMENT STRATEGIESBack to top
Try not isolate yourself – rather take the time to talk to people who are likely to offer help and support
Do things you enjoy particularly activities that help you to relax for example, listening to music or going for walks
Find a clinician experienced in treating PTSD and be honest and open with them remembering that you are entitled to get a second opinion
Find and join a support group for people with PTSD
Try to maintain a healthy lifestyle with balanced nutrition and regular exercise
CAN PTSD BE TREATED?Back to top
Medication and psychotherapy
Anti-depressants are commonly prescribed but are most effective when combined with psychotherapy. Medication acts to relieve PTSD symptoms and makes a person more susceptible to techniques used in psychotherapy.
Widely used as a form of psychotherapy, cognitive behavioural therapy (CBT) has shown to be effective in helping people with PTSD to return to functioning normally. A therapeutic environment (group or individual) provides a safe space for sufferers to discuss traumatic events and express the fears and reactions associated with PTSD. Most people who seek treatment ultimately enjoy a better quality of life.
Remember that treatment responses vary from individual to individual and what works for one person may not necessarily work for another.
Bathuthuzele Youth Stress Clinic (021) 938 9162/9374
SA Depression and Anxiety Group (011) 783 1474/6
Survivors of Violence (031) 305 5500
Trauma Centre (021) 465 7373
1. https://www.khanacademy.org/science/health-and-medicine/mental-health/anxiety/a/post-traumatic-stress-disorder-article. 2. https://www.psychologytoday.com/us/blog/the-mindful-self-express/201809/how-ptsd-andtrauma-affect-your-brain-functioning. 3. https://www.khanacademy.org/science/health-and-medicine/mental-health/anxiety/a/post-traumatic-stress-disorder-article. RESOURCES IN SOUTH AFRICA Bathuthuzele Youth Stress Clinic (021) 938 9162/9374 • SA Depression and Anxiety Group (011) 783 1474/6 • Survivors of Violence (031) 305 5500 • Trauma Centre (021) 465 73 73 MRC UNIT ON ANXIETY AND STRESS DISORDERS
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