Post-Traumatic Stress Disorder (PTSD)
Sources consulted
This article is original patient-education content.
- WHO—Health topics A–Z(2024)
- NHS—Health A to Z(2024)
- CDC—Health topics(2024)
Based on international clinical guidelines
Overview
Post-Traumatic Stress Disorder (PTSD) is a mental health condition that some people develop after experiencing or witnessing a terrifying, shocking, or dangerous event. It is a normal reaction to an abnormal situation, and with proper support and treatment, people can recover.
Key facts
- PTSD can happen after any traumatic event, not just combat.
- Symptoms can start soon after the event or appear months or years later.
- Effective treatments, including therapy and medication, are available.
PTSD is more common than many people think. In the UK, about 1 in 3 people who experience a traumatic event may develop PTSD. It affects people of all ages, backgrounds, and cultures.
Anyone can develop PTSD after a traumatic event. This includes survivors of accidents, violence, abuse, natural disasters, or war. It also affects those who witness trauma or learn about a trauma happening to a loved one.
Symptoms
- Thinking about harming yourself or ending your life
- Feeling like you might hurt someone else
- Hearing voices or seeing things that aren't there
- Feeling unable to keep yourself safe
- ⚠Having severe panic attacks or flashbacks that make you feel out of control
- ⚠Feeling extremely depressed or hopeless and unable to cope
- ⚠Using drugs or alcohol in a dangerous way to cope with symptoms
- ⚠Having thoughts of harming yourself that you are able to resist for now
Common symptoms
- Reliving the event through flashbacks, nightmares, or upsetting memories
- Avoiding places, people, or thoughts that remind you of the trauma
- Feeling constantly on edge, easily startled, or having angry outbursts
- Having negative thoughts about yourself or the world
- Feeling emotionally numb or detached from others
- Trouble sleeping or concentrating
Symptoms in children
- Wetting the bed after being toilet trained
- Forgetting how to talk or acting younger than their age
- Having nightmares or night terrors
- Repeating the traumatic event in their play or drawings
- Being unusually clingy or having tantrums
Symptoms in older adults
- Becoming withdrawn or depressed
- Having more physical health problems like pain or fatigue
- Memory problems that may be mistaken for dementia
- Increased alcohol or medicine use to cope
- Trouble trusting caregivers or family
Causes
Main causes
- Experiencing a life-threatening event such as a serious accident, physical or sexual assault, combat, or natural disaster
- Witnessing violence or the death of someone else
- Learning that a traumatic event happened to a loved one
- Repeated exposure to traumatic details, such as for first responders
Risk factors
- Having a history of mental health conditions like anxiety or depression
- Lack of support from family or friends after the trauma
- Experiencing a very severe or prolonged trauma
- Having had other traumatic experiences in the past
- Being female (women are more likely to develop PTSD)
When to see a doctor
See a doctor urgently if:
- If you are having thoughts of harming yourself or others
- If you feel disconnected from reality or unsafe
Book a routine appointment if:
- If PTSD symptoms last more than a month and are affecting your daily life
- If you have trouble sleeping, working, or maintaining relationships
- If you are using alcohol or drugs to cope
Diagnosis
A doctor or mental health professional will talk with you about your symptoms and the traumatic event. They will ask how long symptoms have lasted and how they affect your life. They may also check for other health conditions that could cause similar symptoms.
Tests that may be done
- A psychological assessment: talking about your thoughts, feelings, and behaviors
- A physical exam to rule out other medical causes
- Sometimes questionnaires or interviews with you and your family
What to expect at your appointment
The assessment usually takes one or two sessions. It is confidential, and you can bring a trusted friend or family member for support. The goal is to understand your experience and find the best ways to help you heal.
Treatment
PTSD is treatable, and many people recover fully. Treatment often involves therapy, medication, or both. The right approach depends on your symptoms and preferences. It is important to work with a healthcare professional to find the safest and most effective plan for you.
Self-care at home
- Talk to someone you trust about your feelings
- Try to keep a regular sleep schedule and eat balanced meals
- Avoid using alcohol or drugs to cope, as they can make symptoms worse
- Practice relaxation techniques like deep breathing or gentle yoga
- Set small daily goals to help you feel in control
Medical treatments
Doctors may recommend trauma-focused talking therapies, such as cognitive behavioural therapy (CBT) or eye movement desensitisation and reprocessing (EMDR). These help you process the trauma and change unhelpful thought patterns. For some people, medication can help reduce symptoms, especially when used together with therapy. Any medication must be prescribed and monitored by a doctor.
Living with this condition
Living with PTSD can be challenging, but many people find ways to manage symptoms and lead fulfilling lives. It helps to establish a routine, connect with supportive people, and be patient with yourself. Recovery is a journey, not a race.
Lifestyle tips
- Stay active: gentle exercise like walking can improve mood
- Spend time in nature to feel calmer
- Limit caffeine and screen time before bed to help with sleep
- Join a support group to share experiences with others who understand
Diet and exercise
Eating a balanced diet with plenty of fruits, vegetables, and whole grains can support your overall health. Regular physical activity, even 20 minutes a day, can reduce stress and improve sleep. Avoid skipping meals, as low blood sugar can make irritability worse.
Mental health and emotional wellbeing
PTSD can affect your mood, relationships, and sense of self. It is common to feel depressed, anxious, or ashamed. These feelings are part of the condition, not a personal failure. Getting help for both PTSD and any related mental health issues is important for recovery.
Prevention
It is not always possible to prevent PTSD after a traumatic event, but early support can reduce the risk. Having a strong network of caring people, learning healthy coping skills, and seeking help soon after a trauma can help prevent symptoms from becoming long-lasting.
Complications
If left untreated
- Chronic depression or anxiety
- Substance use problems (alcohol, drugs, or medication misuse)
- Difficulties in relationships and work
- Physical health problems like heart disease or chronic pain
- Increased risk of self-harm or suicide
Long-term outlook
With the right support and treatment, most people with PTSD improve significantly. Many recover completely and go on to live healthy, meaningful lives. It takes time, but healing is possible. You are not alone, and there is hope.
Find support
International organisations
Local organisations
- Mind (UK) ↗ · United Kingdom
- National Center for PTSD (US) ↗ · United States
Helplines
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.