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November 2003

More Than Stress

Post Traumatic Stress Disorder began receiving national attention after the Vietnam War, but men and women who served in World War II, Korea and in the Persian Gulf were also victims. However, combat is just one event that can trigger PTSD.  Post Traumatic Stress Disorder is a psychiatric disorder that can occur after experiencing or witnessing any life-threatening event, including natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape. Other common causes are witnessing someone being badly injured or killed, being involved in a fire or flood, sexual molestation, physical attack, being threatened with a weapon, or childhood physical abuse.

People who suffer from PTSD often relive the experience through nightmares and flashbacks, have difficulty sleeping, poor concentration and feelings of danger and feel detached or estranged. Physical symptoms include sleep disturbances, shakiness, racing heartbeat, breathlessness and agitation. These symptoms can be severe enough and last long enough to significantly impair the person's daily life.

According to a national study, the estimated lifetime prevalence of PTSD among adult Americans is 7.8%.  Women (10.4%) are twice as likely as men (5%) to have PTSD at some point in their lives. The report concluded, "PTSD is a highly prevalent lifetime disorder that often persists for years. ” The study found that qualifying events for PTSD are also common.

Research indicates that people who have survived previous traumatic events may be particularly sensitive to effects of later traumatic events like terrorist acts and war. The events can cause symptoms from general distress to an increase in PTSD symptoms, irritability, anger, alcohol and substance use.

Veterans with PSTD may be particularly susceptible to reactivation or worsening of symptoms when exposed to situations with high emotional or symbolic value, like veteran gatherings or patriotic displays. To help a veteran that might be experiencing effects of PTSD, friends and family can encourage the veteran to transform negative feelings by contributing to support efforts in a positive way, like giving blood, contributing to the Red Cross, volunteering or donating to a food bank. 

Written accounts of PTSD symptoms go back to ancient times, and there is documentation in historical medical literature starting with the Civil War, when a PTSD-like disorder was known as "Da Costa's Syndrome." Posttraumatic stress symptoms are recorded in the medical literature for Holocaust survivors. Children and women who have been molested often experience PTSD symptoms.

PTSD is marked by clear biological changes as well as psychological symptoms. Diagnosis is complicated since it may occur in conjunction with related disorders like depression, substance abuse, memory or cognition difficulties or other problems. PTSD may impair the ability to function in social or family life, generating occupational instability, marital problems, divorce and family discord. 

Most people exposed to a traumatic event experience some symptoms of PTSD in the days and weeks following exposure. 8% of men and 20% of women go on to develop PTSD, and roughly 30% of them develop a chronic form that persists through life. Chronic PTSD usually involves periods of increased symptoms followed by remission or decreased symptoms. Still, some people experience symptoms that are unremitting and severe. Acknowledging effects of the condition is important  

Medical treatment can improve the prognosis and quality of life for those that experience PTSD.  The most successful results have combined medication with therapy and may be short term or long term, depending on the individual. PL

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