What is post-traumatic stress disorder?
PTSD is an anxiety disorder caused by very frightening or distressing events. While some cases surface quickly after the stressful incident, others may take years or even decades to develop. It is estimated that one in three serious traumas will result in PTSD.
The sorts of events the can cause PTSD include:
- serious accidents
- violent assaults, such as sexual assault, mugging or robbery
- long-term sexual abuse, violence or severe neglect
- war and other violent or extremely frightening situations
- natural disasters
Symptoms of PTSD
It is normal to find any of the above events upsetting, and most people will find they recover their normal level of wellbeing after three weeks. If, after four weeks, you are still having problems, you should seek help.
Examples of PTSD symptoms include:
- feelings of guilt, moodiness and isolation
- difficulty concentrating
For some people, a disruptive or upsetting incident in the present - anything which triggers similar sensory reactions such as sounds, smells, visuals - can dramatically bring up issues and memories that were thought long forgotten.
Treatment for PTSD
Psychotherapy is recommended by NICE as the first treatment for those with PTSD. In cases that develop quickly after the traumatic event, cognitive behavioural therapy (CBT), as well as eye movement desensitisation and reprocessing treatment (EMDR), have been found to be especially effective (see below). Medication may also be prescribed in severely debilitating cases.
How can counselling help with PTSD?
Many people find that counselling helps them deal with the symptoms of PTSD, such as guilt and mood changes. Talking to a non-judgmental person works well for anyone going through a bad time or who has emotional problems they can’t sort out on their own. Research shows that it can help whatever the age or background of the person involved.
CBT works on the idea that your thoughts, feelings, physical sensations and actions are interconnected, and that negative thoughts and feelings can trap you in a vicious cycle.By breaking down overwhelming problems into smaller parts and showing you how to change these negative patterns to improve the way you feel, CBT aims to deal with your current problems rather than focusing on what has happened in your past..
EMDR therapy begins by taking a thorough history of the client and a preparation phase which involves creating self-soothing activities and building positive resources. The distinctive technique employed by EMDR practitioners is bilateral stimulation. That means that the brain is activated on alternating left - right - left sides by various means via the body. This can be by moving the eyes from right to left, by playing a simple sound in alternating ears or by tapping gently on different sides of the body such as on alternate knees, shoulders or hands. This bilateral stimulation is thought to help the brain to process information which has got stuck due to emotional and sensory overload. EMDR is often very effective for trauma, and especially can be successful as a 'quick fix' for one-off traumas such as a car accident. If the trauma was repetitive and long term it is of course more complex and will likely take longer to resolve.
Last updated on 21 September 2015