2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
In a previous article on mental trauma:the mechanism and causes of its occurrence were described in detail. Post-traumatic stress disorder (PTSD) is one of the possible predictions for the development of psychotrauma. Contrary to popular cliche, PTSD is not limited to combatants and military personnel.
Immediately after suffering a traumatic event, in most cases, a person notices changes in his condition. This can be: apathy, freezing reaction, outbursts of uncontrollable rage, severe anxiety, tremors. It's too early to talk about PTSD here. Having escaped a strong danger, a person experiences a high level of arousal in the body and at the psychoemotional level. Rather, these are signs of shock, after which, in a good version, a rather prolonged experience of a crisis unfolds with anger response, mourning, and then a slow recovery and assimilation. This is how the psyche processes potentially traumatic material and recovers without getting stuck in trauma. Post-traumatic stress disorder can be diagnosed 1, 5-2 months and later, after the incident.
PTSD is characterized by three groups of symptoms:
1. Return to the primary experiences of a traumatic situation: poor sleep with nightmares, retraumatization, intense somatic reactions (panic attacks, nausea, asthma attacks, sweating, palpitations, muscle carapace spasms, ringing in the ears). A classic manifestation of PTSD: "flashbacks" are sudden, painful outbursts of trauma in the form of repeated obsessive feelings related to the traumatic situation as if it were happening in the present.
2. Mental protection in the form of denial, dissociation, repression. Avoiding talking or thinking about what happened, denying the impact of a traumatic event, refusing to help. A person can emotionally distance himself from loved ones, isolate himself, "freeze", "go numb." Emotional reactions become scarce, favorite activities are abandoned, interest in communication and activity is lost. A feeling of loneliness, depression, a limited future, a feeling of alienation or derealization (not the reality of what is happening), a feeling of hopelessness, anhedonia, emotional indifference, lethargy, apathy.
3. Very high psycho-emotional stress: over excitability and anxiety. Attacks of uncontrollable fear of death. Excessive startle response. Irritability, outbursts of anger, rage, insomnia, decreased concentration, reduced attention span with difficulty switching, memory impairment. A person can react very sharply to loud noise, or similar stimuli "triggers" that have caused a traumatic reaction. Hyper-vigilance: the instinct of self-preservation is sharpened, reaching paranoid manifestations even in situations that do not carry a real threat. A person automatically compares all signals from outside with a traumatic experience, is in constant readiness to react. Subjective aggravation from events that resemble or symbolize trauma.
For the diagnosis of post-traumatic stress disorder, coincidences in one group of these symptoms are sufficient.
Since with PTSD, internal stress significantly increases, and as a result, the threshold of fatigue decreases - this leads to a decrease in performance. When solving several tasks, it is difficult for a person to distinguish the main one. It is difficult to understand the meaning of the task requirements. This can manifest itself in the avoidance of responsibility when making decisions.
Under the influence of over-vigilance, a person's daily behavior changes, Frequent resorting to obsessive precautions aimed at preventing a recurrence of the traumatic event. A person with PTSD has great difficulty regulating their boundaries and distance between themselves and others. Going into emotional isolation, after a while such a person may notice that loneliness weighs on him and blame loved ones for inattention and callousness.
With PTSD, so-called acquired helplessness can develop: a person's thoughts obsessively revolve around what happened and anxious expectation of a repetition of the trauma. Flashbacks are accompanied by a feeling of helplessness experienced then, which prevents emotional involvement in contact with others, makes contacts superficial. Various triggers easily awaken memories of trauma events, leading to a return of feelings of helplessness.
Thus, in a person there is a decrease in the general level of personality functioning. However, often, people who have undergone traumatic events, due to the peculiarity of psychological defenses, do not attach serious importance to their symptoms, perceiving it as the norm. Most often, with PTSD, a person tends to perceive his condition as natural, ordinary and does not associate it with a traumatic experience. In the event that PTSD has developed against the background of chronic trauma, the person may not even suspect that his experience is traumatic.
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