Changes in the brain One part of the brain responsible for memory and emotions is known as the hippocampus. In people with PTSD, the hippocampus appears smaller in size. It's thought that changes in this part of the brain may be related to fear and anxiety, memory problems and flashbacks.
PTSD causes your brain to get stuck in danger mode. Even after you're no longer in danger, it stays on high alert. Your body continues to send out stress signals, which lead to PTSD symptoms. Studies show that the part of the brain that handles fear and emotion (the amygdala) is more active in people with PTSD.
Brain regions that are felt to play an important role in PTSD include hippocampus, amygdala, and medial prefrontal cortex. Cortisol and norepinephrine are two neurochemical systems that are critical in the stress response (Figure 1.)
With PTSD, a trigger is something that brings on memories or reminders of a traumatic event. For example, flashbacks are often prompted by a trigger. The flashback causes you to feel as though you're reliving the traumatic experience (or some parts of it) all over again.
Relaxation techniques such as meditation, deep breathing, massage, or yoga can activate the body's relaxation response and ease symptoms of PTSD. Avoid alcohol and drugs. When you're struggling with difficult emotions and traumatic memories, you may be tempted to self-medicate with alcohol or drugs.
Triggers can include sights, sounds, smells, or thoughts that remind you of the traumatic event in some way. Some PTSD triggers are obvious, such as seeing a news report of an assault. Others are less clear. For example, if you were attacked on a sunny day, seeing a bright blue sky might make you upset.
The course of the illness varies: Although some people recover within 6 months, others have symptoms that last for a year or longer.
How long does PTSD last? The course of the illness will vary from person to person and event to event. Some people may experience PTSD recovery within six months, while others have PTSD symptoms that last much longer. PTSD can also become chronic.
PTSD can typically be a lifelong problem for most people, resulting in severe brain damage.
For individuals who continually experience traumatic events, or who relive traumatic memories from their childhood as adults, this means the brain can rewire itself in such a way that sometimes causes us to feel overly stressed, even when there's nothing overt to stress about.
You can do this by slowing down, taking deep breaths, and refocusing your thoughts. These steps allow your brain's frontal lobes to take over for the irrational amygdala. When this happens, you have control over your responses, and you won't be left feeling regret or embarrassment at your behavior.
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response.
People with PTSD have intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. They may relive the event through flashbacks or nightmares; they may feel sadness, fear or anger; and they may feel detached or estranged from other people.
Trauma survivors can capitalize on this plasticity to heal. A traumatized brain tends to experience excessive activation in areas related to fear, and reduced activation in "thinking" areas. Psychotherapy and mindfulness training can reduce activation in the fear center and allow for healthy emotional expression.
The Intermediate Recovery Stage
As the last of the four phases of post-traumatic stress disorder, the intermediate recovery phase of PTSD refers to the transition back to everyday life. Once the person has addressed their needs in relation to their safety, they can then shift their attention to other problems.
intrusive thoughts or images. nightmares. intense distress at real or symbolic reminders of the trauma. physical sensations such as pain, sweating, nausea or trembling.
So, does PTSD ever go away? No, but with effective evidence-based treatment, symptoms can be managed well and can remain dormant for years, even decades. But because the trauma that evokes the symptoms will never go away, there is a possibility for those symptoms to be “triggered” again in the future.
Re-experiencing is the most typical symptom of PTSD. This is when a person involuntarily and vividly relives the traumatic event in the form of: flashbacks. nightmares.
PTSD Relapse Signs
Hyper-arousal, which is a feeling of constantly being “on-guard” and unable to rest. Depression and distance. Changes in sleeping habits. Increased frequency of attacks and flashbacks.
Feeling jittery, nervous or tense.
Women experiencing PTSD are more likely to exhibit the following symptoms: Become easily startled. Have more trouble feeling emotions, experience numbness. Avoid trauma reminders.
Recurrent, unwanted distressing memories of the traumatic event. Reliving the traumatic event as if it were happening again (flashbacks) Upsetting dreams or nightmares about the traumatic event. Severe emotional distress or physical reactions to something that reminds you of the traumatic event.
Emotional Trauma Symptoms
Psychological Concerns: Anxiety and panic attacks, fear, anger, irritability, obsessions and compulsions, shock and disbelief, emotional numbing and detachment, depression, shame and guilt (especially if the person dealing with the trauma survived while others didn't)
Complex PTSD comes in response to chronic traumatization over the course of months or, more often, years. This can include emotional, physical, and/or sexual abuses, domestic violence, living in a war zone, being held captive, human trafficking and other organized rings of abuse, and more.