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Symptoms
By Mayo Clinic staffSigns and symptoms of post-traumatic stress disorder typically begin within three months of a traumatic event. In a small number of cases, though, PTSD symptoms may not occur until years after the event.
Post-traumatic stress disorder symptoms are commonly grouped into three types: intrusive memories, avoidance and numbing, and increased anxiety or emotional arousal (hyperarousal).
Symptoms of intrusive memories may include:
- Flashbacks, or reliving the traumatic event for minutes or even days at a time
- Upsetting dreams about the traumatic event
Symptoms of avoidance and emotional numbing may include:
- Trying to avoid thinking or talking about the traumatic event
- Feeling emotionally numb
- Avoiding activities you once enjoyed
- Hopelessness about the future
- Memory problems
- Trouble concentrating
- Difficulty maintaining close relationships
Symptoms of anxiety and increased emotional arousal may include:
- Irritability or anger
- Overwhelming guilt or shame
- Self-destructive behavior, such as drinking too much
- Trouble sleeping
- Being easily startled or frightened
- Hearing or seeing things that aren't there
Post-traumatic stress disorder symptoms can come and go. You may have more post-traumatic stress disorder symptoms during times of higher stress or when you experience reminders of what you went through. You may hear a car backfire and relive combat experiences, for instance. Or you may see a report on the news about a rape, and feel again the horror and fear of your own assault.
When to see a doctor
It's normal to have a wide range of feelings and emotions after a traumatic event. The feelings you experience may include fear and anxiety, a lack of focus, sadness, changes in sleeping or eating patterns, or bouts of crying that come easily. You may have recurrent nightmares or thoughts about the event. This doesn't mean you have post-traumatic stress disorder.
But if you have these disturbing feelings for more than a month, if they're severe, or if you feel you're having trouble getting your life back under control, consider talking to your health care professional. Getting treatment as soon as possible can help prevent PTSD symptoms from getting worse.
In some cases, post-traumatic stress disorder symptoms may be so severe that you need emergency help, especially if you're thinking about harming yourself or someone else. If possible, call 911 or other emergency services, or ask a supportive family member or friend for help.
- Posttraumatic stress disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed March 3, 2009.
- Hollander E, et al. Posttraumatic stress disorder. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed March 3, 2009.
- Ciechanowski P, et al. Overview of post-traumatic stress disorder. http://www.uptodate.com/home/index.html. Accessed March 3, 2009.
- How common is PTSD? National Center for Posttraumatic Stress Disorder. http://www.ncptsd.va.gov/ncmain/ncdocs/fact_shts/fs_how_common_is_ptsd.html. Accessed March 3, 2009.
- Nakell L. Adult post-traumatic stress disorder: Screening and treating in primary care. Primary Care: Clinics in Office Practice. 2007;34:593.
- How common is PTSD? National Center for Posttraumatic Stress Disorder. http://www.ncptsd.va.gov/ncmain/ncdocs/fact_shts/fs_how_common_is_ptsd.html. Accessed March 3, 2009.
- Treatment of patients with acute stress disorder and posttraumatic stress disorder. American Psychiatric Association Practice Guidelines. Arlington, Va.: American Psychiatric Association; 2004. http://psychiatryonline.com/pracGuide/pracGuideTopic_11.aspx. Accessed March 3, 2009.
- Self-care and self-help following disasters. National Center for Posttraumatic Stress Disorder. http://www.ncptsd.va.gov/ncmain/ncdocs/fact_shts/fs_self_care_disaster.html. Accessed March 3, 2009.
- Feldman MD, et al. Posttraumatic stress disorder. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/123833839-2/811458959/1701/472.html. Accessed March 3, 2009.
- What is posttraumatic stress disorder (PTSD)? Center for Posttraumatic Stress Disorder. http://www.ncptsd.va.gov/ncmain/ncdocs/fact_shts/fs_what_is_ptsd.html. Accessed March 3, 2009.
- Helping a family member who has PTSD. Center for Posttraumatic Stress Disorder. http://www.ncptsd.va.gov/ncmain/ncdocs/fact_shts/helping_a_family_member.html. Accessed March 3, 2009.
- Taylor HR, et al. Prazosin for treatment of nightmares related to PTSD. American Journal of Health-System Pharmacy. 2008;65:716.
