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Most people who are exposed to a traumatic, stressful event experience
some of the symptoms of PTSD
in the days and weeks following exposure, but the symptoms generally
decrease over time and eventually disappear. However, about 8% of men and
20% of women go on to develop PTSD, and roughly 30% of these individuals
develop a chronic form that persists throughout their lifetimes.
Three clusters of symptoms are associated with PTSD:
Re-experiencing of the traumatic event:
* Recurring nightmares
* Intrusive daydreams or flashbacks
* Dissociative experiences [is there a less technical term for this?]
* Intensification of symptoms on exposure to reminders of the event
Avoidance or numbing:
* Efforts to avoid thoughts, feelings, activities, or situations
associated with the trauma
* Feelings of detachment or alienation
* Inability to have loving feelings
Hyper-arousal:
* Exaggerated startle response
* Insomnia and other sleep disturbances
* Irritability or outbursts of anger
* Physiological reactions to exposure to reminders of the event
PTSD often occurs in conjunction with related disorders and symptoms
, including:
* Depression, and feelings of guilt and hopelessness
* Substance abuse
* Disillusionment with authority
* Problems of memory and cognition
PTSD often results in impairment of the person's ability to function in
social or family situations
, including
* Occupational instability
* Marital problems and divorces
* Discord with family and friends
* Difficulties in parenting
The course of chronic PTSD usually involves periods of symptom increase
followed by remission or decrease, although for some individuals symptoms
may be unremitting and severe.
| How is PTSD assessed and treated? |
In recent years a great deal of research has been aimed at development
and testing of reliable assessment tools. It is generally thought that the
best way to diagnose PTSD - or any psychiatric disorder, for that matter -
is to combine findings from structured interviews and questionnaires with
physiological assessments. PTSD is treated
by a variety of forms of psychotherapy and drug therapy. There is no
definitive treatment, and no cure, but some treatments appear to be quite
promising and research into improved treatments is taking place
constantly.
Here are some ways to find help. When you call, tell people you speak
to that you are trying to find a mental health provider who specializes in
helping people who have been through traumatic events and/or have lost
loved ones. Check back on this web site for updated information on how to
get help. We will be listing new ways to get help as they become
available.
For veterans:
VA medical centers and Vet Centers provide mental health services for
veterans that can be paid for by health insurance or provided at low or no
cost, according to a veteran's ability to pay. VA medical centers and Vet
Centers are listed in the phone book in the blue Government pages. Under
"United States Government Offices" look in the section for
"Veterans Affairs, Dept of." In that section, look for VA
Medical Centers and Clinics listed under "Medical Care" and for
"Vet Centers - Counseling and Guidance" and call the one nearest
to where you live. On the Internet, go to the VA website
and look for the VHA Facilities Locator link under "Health Benefits
and Services" or go to the Vet Center
website.
For non-veterans:
Some local mental health services are listed in the phone book in the blue
Government pages. In the "County Government Offices" section for
the county where you live, look for a "Health Services (Dept.
of)" or "Department of Health Services" section. In that
section, look for listings under "Mental
Health."
In the yellow pages, services and mental health professionals are
listed under "counseling," "psychologists,"
"social workers," "psychotherapists," social and human
services," or "mental health." Health insurance may pay for
mental health services and some are available at low
cost according to your ability to pay. For anyone: Call your doctor's
office or ask friends if they know of any mental health providers who they
recommend.
If you work for a large company or organization, call the Human Resources
or Personnel office to find out if they provide mental health services or
make referrals.
If you are a member of an Health Maintenance Organization (HMO), or a
private medical care company such as Bupa, call to find out if mental
health services are available.
Call the National Center for Victims of Crime's toll-free information and
referral service at 1-800-FYI-CALL. This is a comprehensive database of
more than 6,700 community services agencies throughout the country that
directly support victims of crime.
Contact your local mental health agencies or family physician.
To find specific Mental health Institutions that deal specifically with
PTSD try:
Support for USA
Support for UK
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