When someone lives through a traumatic event, such as active combat, assault, an open-shooter situation, or even a natural disaster, they’ll likely exhibit the symptoms and signs associated with anxiety afterward.
Event-related anxiety symptoms tend to subside as time passes. However, when it comes to PTSD, these symptoms actually worsen over time.
What separates PTSD from other stress disorders, like anxiety, is the fact that it affects each area of the brain in a way that causes it to become overly sensitive and therefore easily triggered.
The result is that the area of the brain responsible for thinking and memory – the frontal lobe – stops functioning properly. When this happens, it becomes harder to separate the safety of the events happening in the now from the traumatic events that occurred in the past.
Therefore, PTSD is typically characterized by the following:
- Intrusive thoughts that are persistent and distressing, such as hyperrealistic memories, flashbacks, and even nightmares
- Avoidance behaviors, where the individual will purposefully avoid places and situations that can trigger intrusive thoughts
- Negative thought patterns, which constantly plague the individual with emotions such as anger, fear, guilt, or shame—often causing distrust in family and friends
- Heightened arousal, which often leads to irritability and angry outbursts. When severe, it can lead to reduced concentration, self-destructive behaviors, and substance abuse
All of the above can get to the point where the individual begins to detach from their loved ones and even reality.
While antidepressants often benefit individuals suffering from PTSD, with a response rate of 60%, only between 20% and 30% achieve full remission.