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Emotional Trauma and Post Traumatic Stress Disorder (PTSD)

Emotional trauma can be extremely devastating, which may lead to a condition known as post-traumatic stress disorder (PTSD). Learning about these two concepts can be very helpful in recognizing their symptoms and addressing them promptly.

Emotional Trauma

Emotional trauma can be describe as feeling unsafe, hurt, and helpless after a traumatizing event/experience. Some people experience emotional trauma after a single event, whereas others only develop it when exposed to a continuous series of negative experiences (e.g., bullying, abuse, racism).

The connection between emotional trauma and physical harm 

Experiencing a physical incident (e.g., a car accident, sexual assault) may lead to emotional trauma. However, you do not have to sustain a physical injury to develop emotional trauma.

PTSD

Post-traumatic stress disorder (PTSD) is a relatively prevalent mental disorder that occurs after emotional trauma. The triggers of the emotional trauma could be physical (e.g., car accident) or psychological (e.g., bullying).

PTSD is especially common in individuals who have sensitive jobs (e.g., military personnel, doctors, paramedics, firemen).

Natural disasters such as earthquakes and tsunamis are also known triggers of PTSD.

What does PTSD feel like?

People with PTSD describe feeling a heightened sense of danger causing anxiety which may leads to fight / flight /freeze response, leading to feeling overwelled.

The occurrence of these symptoms can be sporadic or linked to certain triggers (e.g., photos, places, smells and etc).

When first discovered, scientists considered PTSD to be a war-exclusive disorder. However, subsequent research shows that this disorder can affect anyone, anywhere, and at any age.

Causes and risk factors of PTSD

As we established above, there are several causes of PTSD, including military confrontation, road accidents, natural disasters, terrorist attacks, violence, sexual assault, etc.

 

A general rule of thumb is that anyone who undergoes severe fear, horror, or shock can develop PTSD. Further, research have identified risk factors that make individuals more prone to PTSD than others.

These risk factors include:
  • Lack of social/psychological support after a traumatizing event
  • A history of mental illness 
  • A history of substance abuse
  • Childhood abuse
  • Poor physical health
  • Issues arising shortly after the event (e.g., the death of a loved one, job loss)
What reduces the risk of PTSD?
Evidence-based research have identified the factors that can lower the risk of PTSD or preventing it from happening can be listed as;
  • Seeking help from others or accessing professional support. 
  • Developing coping strategies. 
  • Individual characteristics and the environment. 
The signs and symptoms of PTSD
PTSD manifests with various signs and symptoms. Without treatment, this can impact person’s daily life.
Here are the different categories of PTSD symptoms:
 
Intrusion
This category includes the following symptoms:
  • Flashbacks – Reliving the event repeatedly
  • Nightmares – Frequent with bits about the event
  • Memories – Vivid, unsettling 
  • Intense mental distress 
Arousal and reactivity
This category includes the following symptoms:
  • Irritability
  • Difficulty concentrating
  • Exaggerated reactions
  • A constant feeling of being on the edge
Cognitive and mood
  • Negative thoughts
  • Feelings of guilt, worry, and self-blame
  • Loss of interest in previously enjoyable activities (i.e., anhedonia)
Avoidance
Starting to avoid certain locations, situations, and people related to the trauma. This is due to feeling fearful or worrying that exposure might trigger above symptoms.
 
The treatments of PTSD
The therapeutic alliance between the therapist and the individual is important for a successful intervention. Trust helps to reduce the stress, describing trauma. As a experienced therapist, I always reassure clients that they does not have to disclose any information that makes them uncomfortable. It’s important working at the client’s pace to avoid feeling overwhelmed.    
 
Cognitive Behavioral Therapy (CBT) is commonly used to assist with trauma and PTSD. This can be described as;
  • Cognitive – identifying unhelpful and challenging or negative thinking patterns
  • Behavioral – confronting the trauma in a safe environment such as role play, imagination 
Mindfulness and relaxation techniques are also effective to finding calmness, dealing with stress.  
 
If you have experienced a traumatic event or diagnosed with PTSD and need assistance managing emotional wellbeing, book an appointment with Jayani Jayatilake, Peaceful Mind Counselling.
 
 
A highly experienced Counsellor, Jayani Jayatilake has a Masters Degree in Social Work. Jayani believes that the client is an expert in his/her own situation and encourages clients to take an active role in their recovery by helping them to recognise and acknowledge their own strengths, resilience and resourcefulness in overcoming barriers to improve their quality of life.
 
References:
 

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