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Condition overview

PTSD and Trauma-Related Conditions

Trauma responses can persist long after a frightening or overwhelming experience.

Overview

Trauma is a response to an experience that overwhelmed a person's ability to cope — this can include violence, accidents, abuse, disaster, combat, discrimination, or the sudden loss of someone close. Many people recover with time and support. When symptoms persist for more than a month and interfere with daily life, post-traumatic stress disorder may be present. Trauma responses are not a sign of weakness, and effective, evidence-based treatments exist.

Common signs and symptoms

These are commonly reported experiences. Having some of them does not mean you have this condition, and not having them does not mean you do not.

  • Intrusive memories, flashbacks, or nightmares
  • Avoiding places, people, or conversations connected to the event
  • Feeling constantly on guard, easily startled, or unable to relax
  • Negative beliefs about yourself, others, or the world
  • Feeling detached from people and activities
  • Sleep problems, irritability, or difficulty concentrating

When professional evaluation may help

  • Symptoms have lasted more than a month
  • You are avoiding significant parts of your life
  • Sleep and concentration are persistently affected
  • You are using substances to manage memories or feelings
  • You are thinking about harming yourself — seek help immediately

General treatment approaches

Not every approach is appropriate for every person. Treatment decisions should be individualized and made with a qualified professional.

Trauma-focused psychotherapy
Trauma-focused cognitive behavioral therapy, cognitive processing therapy, and EMDR are evidence-based approaches. Ask a provider what training they have in trauma treatment.
Medication
Certain medications can reduce symptoms such as nightmares, anxiety, and depression. Medication is prescribed and monitored by a qualified prescriber.
Primary care and coordinated care
A primary care provider can screen for trauma-related symptoms, address sleep and health concerns, and coordinate referrals.
Peer and community support
Veteran service organizations, survivor programs, and peer groups can reduce isolation, which is often a significant part of trauma recovery.

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