The Orange Stripe

Your Information Center For All Veterans


O'er the land of the free and the home of the brave!

PTSD



Agent Orange, Anthrax, Depleted Uranium, Dioxin, Gulf War Veterans' Health, Iraq and Afghanistan Veterans, Herbicidal Warfare, Hodgkin's Disease, News, Non-Hodgkin's Lymphomas PTSD, Multiple Myeloma, Radiation-Related Health Issues, Respiratory cancers, Spinal Cord Injury, Traumatic Brain Injury, Veterans' Health, WWII, Korean, Vietnam Veterans and more.



 

If you are in an immediate crisis, please go to your nearest Emergency Room, or call 911, or call 1-800-273-TALK (1-800-273-8255) to talk to someone right now.


PTSD Knows No Boundaries

What is Posttraumatic Stress Disorder (PTSD)?

Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur after you have been through a traumatic event. A traumatic event is something horrible and scary that you see or that happens to you. During this type of event, you think that your life or others' lives are in danger. You may feel afraid or feel that you have no control over what is happening.

Anyone who has gone through a life-threatening event can develop PTSD. These events can include:

  • Combat or military exposure
  • Child sexual or physical abuse
  • Terrorist attacks
  • Sexual or physical assault
  • Serious accidents, such as a car wreck.
  • Natural disasters, such as a fire, tornado, hurricane, flood, or earthquake.

After the event, you may feel scared, confused, or angry. If these feelings don't go away or they get worse, you may have PTSD. These symptoms may disrupt your life, making it hard to continue with your daily activities.

How does PTSD develop?

All people with PTSD have lived through a traumatic event that caused them to fear for their lives, see horrible things, and feel helpless. Strong emotions caused by the event create changes in the brain that may result in PTSD.

Most people who go through a traumatic event have some symptoms at the beginning. Yet only some will develop PTSD. It isn't clear why some people develop PTSD and others don't. How likely you are to get PTSD depends on many things. These include:

  • How intense the trauma was or how long it lasted
  • If you lost someone you were close to or were hurt
  • How close you were to the event
  • How strong your reaction was
  • How much you felt in control of events
  • How much help and support you got after the event

Many people who develop PTSD get better at some time. But about 1 out of 3 people with PTSD may continue to have some symptoms. Even if you continue to have symptoms, treatment can help you cope. Your symptoms don't have to interfere with your everyday activities, work, and relationships.

What are the symptoms of PTSD?

Symptoms of posttraumatic stress disorder (PTSD) can be terrifying. They may disrupt your life and make it hard to continue with your daily activities. It may be hard just to get through the day.

PTSD symptoms usually start soon after the traumatic event, but they may not happen until months or years later. They also may come and go over many years. If the symptoms last longer than 4 weeks, cause you great distress, or interfere with your work or home life, you probably have PTSD.

There are four types of symptoms: reliving the event, avoidance, numbing, and feeling keyed up.

Reliving the event (also called re-experiencing symptoms):

Bad memories of the traumatic event can come back at any time. You may feel the same fear and horror you did when the event took place. You may have nightmares. You even may feel like you're going through the event again. This is called a flashback. Sometimes there is a trigger: a sound or sight that causes you to relive the event. Triggers might include:

  • Hearing a car backfire, which can bring back memories of gunfire and war for a combat veteran
  • Seeing a car accident, which can remind a crash survivor of his or her own accident
  • Seeing a news report of a sexual assault, which may bring back memories of assault for a woman who was raped

Avoiding situations that remind you of the event:

You may try to avoid situations or people that trigger memories of the traumatic event. You may even avoid talking or thinking about the event.

  • A person who was in an earthquake may avoid watching television shows or movies in which there are earthquakes
  • A person who was robbed at gunpoint while ordering at a hamburger drive-in may avoid fast-food restaurants
  • Some people may keep very busy or avoid seeking help. This keeps them from having to think or talk about the event.

Feeling numb:

You may find it hard to express your feelings. This is another way to avoid memories.

  • You may not have positive or loving feelings toward other people and may stay away from relationships
  • You may not be interested in activities you used to enjoy
  • You may forget about parts of the traumatic event or not be able to talk about them.

Feeling keyed up (also called hyperarousal):

You may be jittery, or always alert and on the lookout for danger. This is known as hyperarousal. It can cause you to:

  • Suddenly become angry or irritable
  • Have a hard time sleeping
  • Have trouble concentrating
  • Fear for your safety and always feel on guard
  • Be very startled when someone surprises you

What are other common problems?

People with PTSD may also have other problems. These include:

  • Drinking or drug problems
  • Feelings of hopelessness, shame, or despair
  • Employment problems
  • Relationships problems including divorce and violence
  • Physical symptoms

Can children have PTSD?

Children can have PTSD too. They may have the symptoms described above or other symptoms depending on how old they are. As children get older their symptoms are more like those of adults.

  • Young children may become upset if their parents are not close by, have trouble sleeping, or suddenly have trouble with toilet training or going to the bathroom
  • Children who are in the first few years of elementary school (ages 6 to 9) may act out the trauma through play, drawings, or stories. They may complain of physical problems or become more irritable or aggressive. They also may develop fears and anxiety that don't seem to be caused by the traumatic event.

What treatments are available?

When you have PTSD, dealing with the past can be hard. Instead of telling others how you feel, you may keep your feelings bottled up. But treatment can help you get better.

There are good treatments available for PTSD. Cognitive-behavioral therapy (CBT) is one type of counseling. It appears to be the most effective type of counseling for PTSD. There are different types of cognitive behavioral therapies such as cognitive therapy and exposure therapy. A similar kind of therapy called EMDR, or eye movement desensitization and reprocessing, is also used for PTSD. Medications can be effective too. A type of drug known as a selective serotonin reuptake inhibitor (SSRI), which is also used for depression, is effective for PTSD.


What is Posttraumatic Stress Disorder (PTSD)?
PTSD FAQs
Treatment of PTSD
How common is PTSD?
What can I do if I think I have PTSD?
Helping a Family Member Who Has PTSD
How is PTSD Measured?
Traumatic Stress in Female Veterans
FAQs About PTSD Assessment
DSM-IV-TR criteria for PTSD
FAQs About PTSD Assessment: For Professionals

Trauma Exposure Measures

Chart - Trauma Exposure Measures
Potential Stressful Events Interview (PSEI)
Stressful Life Events Screening Questionnaire (SLESQ)
Trauma Assessment for Adults-Self-report (TAA)
Trauma History Questionnaire (THQ)
Trauma History Screen (THS)
Traumatic Events Questionnaire (TEQ)
Traumatic Life Events Questionnaire (TLEQ)
Traumatic Stress Schedule (TSS)
Combat Exposure Scale (CES)
Evaluation of Lifetime Stressors (ELS)
Life Stressor Checklist-Revised (LSC-R)

Trauma Exposure Measures

PTSD Screening Instruments

Below is a list of links to information on select PTSD Screens, brief questionnaires completed in order to identify people who are more likely to have PTSD. A positive response to the screen does not necessarily indicate that a patient has Posttraumatic Stress Disorder. However, a positive response does indicate that a patient may have PTSD or trauma-related problems and further investigation of trauma symptoms by a mental-health professional may be warranted.

Chart - Screens for PTSD
Short Form of the PTSD Checklist - Civilian Version
Short Screening Scale for PTSD
The SPAN
SPRINT
The Primary Care PTSD Screen (PC-PTSD)
Trauma Screening Questionnaire (TSQ)
Beck Anxiety Inventory - Primary Care (BAI-PC)

PTSD Screening

PLEASE NOTE: Screens are to be used to determine possible problems, and positive cases should be followed up by assessment with a structured interview for PTSD.


Common Reactions to Trauma

People experience a range of reactions following trauma. Here you will find information on what these common reactions are, including anger, nightmares, sleep problems, and more.

Avoidance
Nightmares
Anger and Trauma
Sleep and Posttraumatic Stress Disorder (PTSD)
What Are the Traumatic Stress Effects of Terrorism?
Common Reactions After Trauma


Issues Specific to Women

http://www.ptsd.va.gov/public/pages/fslist-specific-women.asp

Women report exposure to many different types of traumatic events, and are especially likely to experience sexual assault in childhood, adulthood, or both. Sexual assault is a type of trauma that often leads to the onset of PTSD for both women and men. Given greater exposure to this type of trauma, women are particularly at risk for PTSD. These fact sheets have information that is specific to women and trauma.

Sexual Assault against Females
Rape of Women in a War Zone
Women, Trauma and PTSD
Traumatic Stress in Female Veterans
Military Sexual Trauma
Child Sexual Abuse


Men and Sexual Trauma

At least 10% of men in our country have suffered from trauma as a result of sexual assault. Like women, men who experience sexual assault may suffer from depression, PTSD, and other emotional problems as a result. However, because men and women have different life experiences due to their different gender roles, emotional symptoms following trauma can look different in men than they do in women.
Men and Sexual Trauma


Intimate Partner Violence (IPV)

Intimate Partner Violence (IPV) occurs when a current or former partner uses behaviors or threats that can make you feel scared, controlled, or intimidated. A relationship in which IPV occurs is known as an abusive relationship.
Intimate Partner Violence (IPV)


The Effects of Community Violence on Children and Adolescents

A summary of the effects and suggestions on how to cope.
The Effects of Community Violence on Children and Adolescents


PTSD and Relationships

How does trauma affect relationships?

Trauma survivors with PTSD often experience problems in their intimate and family relationships or close friendships.

PTSD involves symptoms that interfere with trust, emotional closeness, communication, responsible assertiveness, and effective problem solving.
PTSD and Relationships


FOR MORE INFORMATION:
Email: ncptsd@va.gov
Call: THE PTSD Information Line at (802) 296-6300

National Sexual Assault hotline: 1-800-656-4673
http://www.rainn.org


From the National Center for Posttraumatic Stress Disorder,
US Department of Veterans Affairs.

www.mentalhealth.va.gov




Coping With a Spouse Who Has PTSD

Military Veterans PTSD Reference Manual

National Center for PTSD

National Center for Posttraumatic Stress Disorder

Post Traumatic Stress Disorder

Suicide Prevention

PTSD Examinations

Middle East Vets

The PTSD Help Network

Information on Obtaining Benefits for PTSD

PTSD 101

Vietnam Veterans of America

Vet Centers

PTSD Forms, Assessments and Guides

African American Post Traumatic Stress Disorder Association

PTSD and Domestic Violence

Invisible Wounds of War

Vets 4 Vets

Combat Vets with PTSD Online Group

Post Traumatic Stress Disorder/Women Veterans Online Group

PTSD Military : Post Traumatic Stress Disorder Online Group

PTSD Forum

PTSD Fact Sheet

PTSD News

PTSD Forum

PTSD: What You Need to Know

Army Behavioral Health Web site

Center for the Study of Traumatic Stress

Mental Health and Behavior





The National Center has produced a guide for families of Military Personnel.


The National Center has also produced a similar guide for Military Personnel.





If you are in an immediate crisis, please go to your nearest Emergency Room, or call 911, or call 1-800-273-TALK (1-800-273-8255) to talk to someone right now.




O'er, the land of the free and the home of the brave!