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PTSD can disrupt a person's life for years, but treatment can help them recover. Symptoms usually start within 3 months of an event, but they can begin later. According to these guidelines , the person must:. Have been exposed to death or threatened death, serious injury or sexual violence whether directly, through witnessing it, by it happening to a loved one, or during professional duties.
In addition, the symptoms must lead to distress or difficulty coping with work or relationships, and they must not be due to the use of medication or other substances, or another health condition. There may be long-term behavioral changes that contribute to problems and work and a breakdown in relationships.
The person may start to consume more alcohol than previously, or to misuse drugs or medications. In those aged 6 years or under , symptoms may include:. Between the ages of 5 and 12 years, the child may not have flashbacks and they may not have difficulty remembering parts of the event. However, they may remember it in a different order, or feel that there was a sign that it was going to happen. They may also act out the trauma or express it through play, pictures, and stories. They may have nightmares and be irritable. They may find it hard to go to school or spend time with friends or studying.
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From the age of 8 years and above , children generally tend to display similar reactions to adults. Between the ages of 12 and 18 years, the person may show disruptive or disrespectful, impulsive or aggressive behavior. As part of the diagnostic process, the person may be given a screening test to assess whether or not they have PTSD.
The time taken for this can range from 15 minutes to several one-hour sessions. A longer assessment may be used if there are legal implications or if a disability claim depends on it. PTSD tends to last for longer and the symptoms are more severe and may not appear until some time after the event. Examples include :. It remains unclear why some people develop PTSD while others do not. However, the following risk factors may increase the chance of experiencing symptoms:. Some physical and genetic factors may play a role. These may impact the chance of having anxiety, depression, and PTSD.
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Brain structure : Brain scans have shown that the hippocampus appears different in people with PTSD, compared with others. The hippocampus is involved in processing emotions and memories, and it could affect the chance of having flashbacks. Response to stress : Levels of hormones that are normally released in a fight-or-flight situation appear to be different in people with PTSD.
Gender : This may play a role. Studies suggest that, while men are more likely to experience violence, women have a higher chance of having PTSD. Scientists are looking at resilience factors that may help people recover from or avoid PTSD more effectively. Many people experience symptoms after a traumatic event, such as crying, anxiety, and difficulty concentrating, but this is not necessarily PTSD.
Treatment usually involves psychotherapy and counseling, medication, or a combination. Cognitive processing therapy CPT : Also known as cognitive restructuring, the individual learns how to think about things in a new way.
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