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Post Traumatic Stress Disorder What is Post Traumatic Stress Disorder (PTSD)? depression putting relationships or work under strain. Life is rarely a completely smooth journey and most of us will experience unpleasant or frightening events at some point. Although distressing at the time, the intensity of the feelings usually fades quickly and we are able to continue with our lives as before. Symptoms usually start within six months of the trauma but it can be later. PTSD can occur at any age, but if it happens during childhood it may affect how the child develops as a person. They may feel guilty or ashamed or find it difficult to trust others. If we are subject to or witness an exceptionally threatening or catastrophic ordeal, the effects are likely to be longer lasting. This is a normal response and can interfere with daily life. Why does it happen? The majority of people will gradually adjust to the experience, but for one in three people the effects will be longer lasting and more debilitating. These people will develop symptoms of Post Traumatic Stress Disorder (PTSD) which can include: • Vivid dreams or flashbacks which can be triggered by reminders of the trauma • Avoidance of situations or places associated with the event • A feeling of numbness or being on ‘hyperalert’ • An incomplete memory of the event • Poor concentration and sleep • There may also be physical symptoms such as diarrhoea, muscle cramps, headaches or an awareness of your own heart beat. People with PTSD may try to manage their difficulties by using drugs or alcohol, which may become a problem itself. To some extent, the symptoms of PTSD are a natural response to a threat and aim to protect the person from a repeat threat. However, if the body stays in this heightened state despite an absence of further trauma, then healthy processing and adjustment won’t happen. The effects of the initial trauma will continue to be powerful. Delay in getting help Many people live with PTSD for years before seeking help. Some fear they may ‘lose control’ if they talk about the trauma, or they may be concerned how the other person will react to hearing their story. Others worry they may be perceived as ‘mad’, or weak for not coping. Military personnel are at particularly high risk of developing psychiatric problems, such as PTSD, as a result of their job and might face even more barriers to accessing help. Examples include difficulty getting time off work, feeling embarrassed by the stigma associated with mental health, feeling blamed by employers, and not knowing how to access help. The stress of dealing with flashbacks may contribute to panic attacks, angry outbursts and Delivering high quality care cornwallfoundationtrust.nhs.uk Treatment Medication A diagnosis of PTSD is usually made by a GP or a specialist in mental healthcare. They may recommend a talking therapy or medication, alongside simple self-help measures. Psychological debriefing to prevent PTSD after a traumatic event is not recommended and may even do harm. Medication is helpful for some people. An antidepressant called a ‘Selective Serotonin Reuptake Inhibitor’ helps treat the symptoms of PTSD as well as those of any depression or anxiety. The earlier help is sought, the better the outcome is likely to be. Self help It is important to do enjoyable activities and hobbies and to establish some sort of routine in the day. Relaxation, exercise and a balanced diet can contribute to a general sense of wellbeing and also help to reduce anxiety. Useful information and support Community Veterans’ Nurse A specialist nurse who promotes mental health and provide support to veterans and their carers. Available weekdays 9.00 am - 5.00 pm. Tel: 01579 335226 or email: [email protected] Talking to people, whether they be family, friends or professionals may feel hard, but often provides relief. Using alcohol and drugs to cope with or numb the symptoms will only make things worse in the long run. Surf Action A non-profit organisation focusing on the wellbeing and support of combat veterans and their families. Talking therapies There are different styles of talking therapy, but those used in PTSD focus on the traumatic event. The aim is to help the individual find words to describe their feelings without being overwhelmed. This allows the brain to process the trauma so it no longer intrudes on day to day life. It can also change thinking habits that may be maintaining the symptoms or making them worse. The therapy is delivered by a specialist trained to work with people with PTSD and can occur oneto-one or in a group setting. Tel: 01736 811920 or visit www.surfaction.co.uk Veterans’ Groups in Cornwall Service Veterans’ treatment and education groups which meet on the last Wednesday of each month 1.00 - 3.00 pm at Richmond House, Tolver Place, Tolver Road, Penzance, TR18 2AB; and on the second Tuesday of each month 1.00 pm - 3.00 pm at The Keep, Lostwithiel Road, Bodmin, PL31 1DL. Assist (Assistance Support and Self Help in Surviving Trauma) Some people find talking with others who have been through similar experiences very helpful. Telephone helpline: 01788 560 800 or visit: www.assisttraumacare.org.uk Eye Movement Desensitisation and Reprocessing Combat Stress This treatment uses eye movements to help the brain to process vivid memories and reduce their intensity. Tel: 01372 587000 or visit: www.combatstress.org.uk January 2015 Cornwall Partnership NHS Foundation Trust Head Office: Fairview House, Corporation Road, Bodmin, PL31 1FB