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Posttraumatic Stress Disorder

WHAT YOU SHOULD KNOW

In this disorder, the victim of an overwhelming accident, attack, or disaster begins reliving the event over and over. These flashbacks are often accompanied by a permanent state of anxiety, tension, and insomnia. If the problem surfaces within a few days or weeks of the trauma, it's likely to disappear on its own within 6 months. But if the onset is delayed, the condition may drag on for years.

Causes

The more sudden, horrible, and injurious the event, the more likely that it will lead to posttraumatic stress. Among the traumas most frequently at fault are:
  • Rape
  • Family violence
  • Child abuse
  • Armed combat
  • Terrorist attacks
  • Crashes and accidents
  • Natural disasters such as hurricanes and tornadoes

Signs/Symptoms

The hallmark of this disorder is a persistent replaying of the traumatic event, either through vivid waking memories or constant nightmares. Victims typically suffer insomnia. Many develop a phobia or revulsion towards anything that reminds them of the event. If there were fatalities, victims often feel guilt over their own survival. Emotional pain and anxiety may lead to a burned-out feeling of general detachment. Specific signs of the problem include:
  • Sudden feelings of sadness, fear, or anger
  • Nervousness
  • Panic
  • Irritability
  • Poor concentration
  • Use of alcohol or drugs to numb emotional pain
  • Loss of interest in friends, family, and object of enjoyment

Care

Therapy focuses on relieving tension and helping the victims put the event behind them. Tranquilizers and antidepressants may provide temporary relief, but don't help over the longer term. Relaxation exercises may help. Ventilating emotional pain with a professional counselor is a key part of treatment.

WHAT YOU SHOULD DO

  • If the doctor prescribes a medication, be sure to take it exactly as directed. Because it may cause drowsiness, don't operate heavy machinery or drive until you know how the drug affects you. To guard against dangerous interactions, check with the doctor before taking any other prescription or over-the-counter drug.
  • Alcohol doesn't mix well with the type of medicines prescribed for this problem. Check with your doctor before taking a drink.
  • There are a variety of techniques for conquering tension, including deep breathing exercises, muscle relaxation, meditation, and biofeedback. Check with your doctor for guidance and training.
  • Learn more about the problem, and don't hold back from discussing it with those close to you. For more information, call or write:
    • National Center for Post Traumatic Stress Disorder
      VAM & ROC 116D
      Rural Route 5
      White River Junction, VT 05009
      (802) 296-5132
    • National Institute of Mental Health
      5600 Fishers Lane
      Room 15C-05
      Rockville, MD 20857
      (301) 443-2403
    • For Victim Assistance
      1757 Park Road, NW
      Washington, DC 20010
      (202) 232-6682

Seek Care Immediately If...

  • You begin to have thoughts of suicide.

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