If you're a returning combat veteran having some difficulty re-adjusting to civilian life, you may be wondering what's going on. Why am I angry all the time? Why am I feeling detached?
If this sounds like you, you may want to review the following list of some of the general symptoms associated with post-traumatic stress disorder (PTSD).
What You Need to Know
- Traumas happen to many competent, healthy, strong, good people. No one can completely protect him- or herself from traumatic experiences.
- Many people have long-lasting problems following exposure to trauma. Up to 8% of individuals will have PTSD at some time in their lives.
- People who react to traumas are not going crazy. They are experiencing symptoms and problems that are connected with having been in a traumatic situation.
- Having symptoms after a traumatic event is not a sign of personal weakness. Many psychologically well-adjusted and physically healthy people develop PTSD. Probably everyone would develop PTSD if they were exposed to a severe enough trauma.
- When a person understands trauma symptoms better, he or she can become less fearful of them and better able to manage them.
- By recognizing the effects of trauma and knowing more about symptoms, a person is better able to decide about getting treatment.
- Distressing recollections
- Flashbacks (feeling as if you're back in combat while awake)
- Nightmares (frequent recurrent combat images while asleep)
- Feeling anxious or fearful (as if you're back in the combat zone again)
Because trauma survivors have these upsetting feelings when they feel stress or are reminded of their trauma, they often act as if they are in danger again. They might get overly concerned about staying safe in situations that are not truly dangerous. For example, a person living in a safe neighborhood might still feel that he has to have an alarm system, double locks on the door, a locked fence, and a guard dog. Because traumatized people often feel like they are in danger even when they are not, they may be overly aggressive and lash out to protect themselves when there is no need. For example, a person who was attacked might be quick to yell at or hit someone who seems to be threatening.
- Extensive and active avoidance of activities, places, thoughts, feelings, memories, people, or conversations related to or that remind you of your combat experiences
- Loss of interest
- Feeling detached from others (finding it hard to have loving feelings or experiencing any strong emotions)
- Feeling disconnected from the world around you and things that happen to you
- Restricting your emotions
- Trouble remembering important parts of what happened during the trauma
- Shutting down (feeling emotionally and/or physically numb)
- Things around you seem strange or unreal
- Feeling strange and/or experiencing weird physical sensations
- Not feeling pain or other sensations
Because thinking about the trauma and feeling as if you are in danger is upsetting, people who have been through traumas often try to avoid reminders of the trauma. Sometimes survivors are aware that they are avoiding reminders, but other times survivors do not realize that their behavior is motivated by the need to avoid reminders of the trauma.
- Difficulty sleeping
- Irritability or outbursts of anger
- Difficulty concentrating or thinking clearly
- An exaggerated startle response (triggers bring you back to a certain combat zone event)
- Hypervigilence, being overly angry or aggressive (feeling as if you need to defend yourself from danger)
- Panic attacks
- Specific scenes - crowded streets, sunsets, sunrises, familiar clothing
- Movement - someone rushing towards the individual
- TV - even if the story is unreal, the subject or the environment may cause thoughts which act as a trigger
- Sound - helicopters, songs, unexpected loud noises
- Smell - jungle or bush, rain, smoke, blood, cordite or explosives
- Reading - or discussion about subjects of trauma
- Touch - gun metal, webbing, blood
- Situational - being crowded, walking across open spaces, feeling vulnerable or not in control