PTSD: What It Is, Symptoms, and How It's Diagnosed
Post-traumatic stress disorder is not "a bad mood after stress." It is a neurobiological disorder with specific symptoms. How to recognize it.
“PTSD is only for war veterans.” This is a common myth. PTSD can develop in anyone who has experienced a traumatic event: a car accident, sexual assault, loss of a loved one, difficult childbirth, childhood abuse, natural disaster, witnessing someone else's death.
Here's what's important to know about PTSD.
1. Diagnostic Criteria for PTSD (DSM-5)
PTSD is diagnosed when all four symptom clusters are present, lasting for more than 1 month:
Cluster 1: Intrusion
- Unwanted intrusive memories of the event
- Nightmares about the event
- Flashbacks (feeling as if the event is happening again)
- Intense distress when reminded
- Physical reactions to reminders (heart palpitations, sweating)
Cluster 2: Avoidance
- Avoidance of thoughts and feelings associated with the event
- Avoidance of people, places, situations that remind of the event
Cluster 3: Negative Alterations in Cognitions and Mood
- Inability to recall details of the event
- Persistent negative beliefs about oneself or the world
- Self-blame
- Persistent negative emotions (guilt, shame, fear, anger)
- Feelings of detachment from others
- Inability to experience positive emotions
Cluster 4: Hyperarousal
- Irritability, angry outbursts
- Reckless or self-destructive behavior
- Hypervigilance
- Exaggerated startle response
- Concentration problems
- Sleep disturbances
2. Physiology of PTSD
PTSD is a disorder of the nervous system "stuck" in threat mode. An overactive amygdala signals danger. A suppressed prefrontal cortex cannot "calm" it. Cortisol levels are altered. Memory architecture is changed – memories are not "completed" and intrude as if they are happening in the present.
3. PTSD vs. Acute Stress Reaction
Acute Stress Reaction (ASR): the same, but lasts less than 4 weeks. This is a normal reaction. PTSD is diagnosed only if symptoms persist for more than a month.
4. Treatment for PTSD
- EMDR — Eye Movement Desensitization and Reprocessing therapy. Method #1 according to WHO data
- CPT (Cognitive Processing Therapy): working with beliefs about trauma
- PE (Prolonged Exposure): gradual "re-learning" of safety
- Medications: SSRIs (sertraline, paroxetine — FDA-approved for PTSD)
Talk to our AI psychologist psybot.app. Read also: EMDR for PTSD.