Treatments - Post-Traumatic Stress Disorder (PTSD)

People with PTSD often experience feelings of panic or extreme fear, similar to the fear they felt during the traumatic event. A person with PTSD experiences four main types of difficulties.

• Re-living the traumatic event – The person relives the event through unwanted and recurring memories, often in the form of vivid images and nightmares. There may be intense emotional or physical reactions, such as sweating, heart palpitations or panic when reminded of the event.
• Being overly alert or wound up – The person experiences sleeping difficulties, irritability and lack of concentration, becoming easily startled and constantly on the lookout for signs of danger.
• Avoiding reminders of the event – The person deliberately avoids activities, places, people, thoughts or feelings associated with the event because they bring back painful memories.
• Feeling emotionally numb – The person loses interest in day-to-day activities, feels cut off and detached from friends and family, or feels emotionally flat and numb.

It’s not unusual for people with PTSD to experience other mental health problems at the same time. These may have developed directly in response to the traumatic event or have followed the PTSD. These additional problems, most commonly depression, anxiety and alcohol or drug use, are more likely to occur if PTSD has persisted for a long time.

Have you experienced or seen something that involved death, injury, torture or abuse and felt very scared or helpless?

Have you then experienced any of the following:

• upsetting memories, flashbacks or dreams of the event?
• feeling physically and psychologically distressed when something reminds you of the event

If you answered yes to all of these questions, have you also experienced at least two of the following:

• had trouble remembering important parts of the event
• had very negative beliefs about yourself, others or the world
• persistently blamed yourself or others for what happened
• persistently felt negative, angry, guilty or ashamed
• felt less interested in doing things you used to enjoy
• feeling cut off from others
• had trouble feeling positive emotions (e.g. love or excitement)

And have you experienced at least two of the following:

• had difficulties sleeping (e.g. had bad dreams, or found it hard to fall or stay asleep)
• felt easily angered or irritated
• engaged in reckless or self-destructive behaviour
• had trouble concentrating
• felt on guard or vigilant
• been easily startled?

Anyone can develop PTSD following a traumatic event, but people are at greater risk if the event involved deliberate harm such as physical or sexual assault or they have had repeated traumatic experiences such as childhood sexual abuse or living in a war zone. Apart from the event itself, risk factors for developing PTSD include a past history of trauma or previous mental health problems, as well as ongoing stressful life events after the trauma and an absence of social supports.

Around 12 per cent of Australians will experience PTSD in their lifetime. Serious accidents are one of the leading causes of PTSD in Australia.¹

If you feel very distressed at any time after a traumatic event, talking to your doctor or other health professional is a good first step. If you experience symptoms of PTSD that persist beyond two weeks, a doctor or a mental health professional may recommend starting treatment for PTSD.

Many people experience some of the symptoms of PTSD in the first couple of weeks after a traumatic event, but most recover on their own or with the help of family and friends. For this reason, treatment does not usually start until about two weeks after a traumatic experience. Even though formal treatment may not commence, it is important during those first few days and weeks to get whatever help is needed.

Support from family and friends is very important for most people. Trying, as far as possible, to minimise other stressful life experiences allows the person to focus more on his/her recovery. If a person feels very distressed at any time after a traumatic event, he/she should talk to a doctor or other health professional. If a person experiences symptoms of PTSD that persist beyond two weeks, a doctor or a mental health professional may recommend starting treatment for PTSD.

Effective treatments are available. Most involve psychological treatment (talking therapy), but medication can also be prescribed in some cases. Drug treatments are not recommended within four weeks of symptoms appearing unless the severity of the person’s distress cannot be managed by psychological means alone. Generally, it’s best to start with psychological treatment rather than use medication as the first and only solution to the problem.