Signs And Symptoms Of Post-Traumatic Stress Disorder (PTSD)

Trauma doesn't scream—trauma creeps up. On sleepless nights, in shocking leaps at a noise, in seconds of confusing pulling away. Post-Traumatic Stress Disorder (PTSD) isn't a name—it's the whisper after time has passed.

If you and your loved one have hung in there with trauma and can't yet find your path back to feeling safe, assistance isn't just out there—it is waiting here for you.

Begin today.

Talk to a trauma-informed therapist.

What is Post-Traumatic Stress Disorder (PTSD)?

Arpitha Anand, Senior Psychologist at Amaha, explains, “PTSD is a psychiatric disorder that can happen to a person who has witnessed or survived a dangerous, frightening, or very distressing event. Consider car crashes, violence, combat, abuse, natural disasters, and even birth complications. It's understandable to be shaken up by something terrible happening, but PTSD is diagnosed if symptoms last longer than a month and disrupt normal life.

It's not merely "feeling stressed." PTSD reprograms your brain to respond to fear, memory, and emotion differently. But since symptoms can't be perceived or seen, it may remain hidden—and uncorrected—for years.

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Understanding PTSD: Symptoms and Signs

In Women

Women are over twice as likely as men to have PTSD. This is because they are more vulnerable to interpersonal trauma such as medical trauma, intimate partner violence, or rape. The symptoms are:

• Worrying and hypervigilance
• Intrusive memory and nightmares
• Blame, guilt, or depression
• Avoidance of emotional cues or intimacy
• Physical complaints such as gastrointestinal discomfort or chronic pain

In Men

Men might have more externalising symptoms. Men are usually socialised to "tough it out" culturally, and this can present as:

• Irritability, explosive anger, or numbness
• Risk-taking or impulsive behaviours
• Alcohol and drug use as coping strategies
• Avoidance of responsibility and relationships
• Flashbacks or sleep disturbances

During Pregnancy

Trauma can be triggered during pregnancy or establish new fears if conception or delivery is complicated, prenatal bonding problems, panic attacks, or irrational fear of labour in pregnant women with PTSD. Dissociation may occur during medical procedures or visits.

It can increase the risk of postpartum depression and affect birth outcomes.

In Children

Actions are louder than words, but children do not talk.

• Bedwetting, sucking thumbs, retrogressive behavior
• Reliving the trauma while playing
• Unpredictable mood swings or separation anxiety
• Avoidance of the reminder of the trauma
• Nightmares and sleep disruptions

In Teens

Adolescents exhibit a mixture of child and adult symptoms.

• They can have either rebelliousness, suicidal conduct, drug abuse, or withdrawal.
• Other presentations include non-adult compliance with adults, poor academic performance, or hostility.
• Trauma can also present as identity confusion, promiscuity or risky sexual activity, or numbing.

In India: A Cultural Perspective

PTSD is not always textbook-presenting, particularly in multicultural populations such as in India.

In this, trauma is transmitted in a hidden way, generation to generation, mostly by those populations that've been displaced, exposed to violence based on caste or gender-based violence. Trauma is spiritualised (it's karma) or medicalised (it's weakness) and not identified as PTSD.

Individuals will describe their pain in somatic symptoms, such as headaches, palpitations, or eye issues, and seek general practitioners or faith healers. Stigmatisation across generations, particularly of sexual assault, leads to so many not even considering the trauma, let alone seeking therapy.

Types of PTSD and Their Symptoms

Type: Acute PTSD

Key Features: Symptoms last between 1-3 months after trauma.

Type: Chronic PTSD

Key Features: Symptoms persist for longer than 3 months.

Delayed-Onset PTSD

Key Features: Symptoms appear more than 6 months after the event.

Complex PTSD (C-PTSD)

Key Features: Caused by prolonged trauma (e.g., childhood abuse); involves emotional dysregulation, dissociation, and interpersonal difficulties.

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Hidden or Underestimated Symptoms of PTSD

Not all the signs are yelling trauma. Some are murmuring in the background, low-key:

• Lack of interest or indifference to activities once enjoyed
• Control or perfectionism
• Sleeplessness most nights without any reason why
• Discrepant survivor's guilt
• Emotional numbing during combat or fighting
• Trouble focusing, memory loss, or "foggy
• Compulsive busyness or working long hours in an attempt to avoid inner stillness

These symptoms can linger as burnout, anxiety, or indolence, and therefore, PTSD is hiding in plain sight.

What Causes PTSD? And What's the Prospect?

PTSD is not a weakness—PTSD is overload.

Causes are:

• Direct trauma (e.g., assault, accidents, medical crisis)
• Indirect exposure (e.g., hearing about a loved one's trauma)
• Repetitive exposure (e.g., first responders, frontline workers)

Prognosis

Generally recover with proper treatment. Untreated PTSD, however, is disabling and chronic. Depression, anxiety, and substance use disorders are frequent and treatable comorbidities.

How is PTSD Diagnosed?

Clinical diagnosis, duration of symptoms, and functioning. A clinician may employ:

• Structured interviews such as the Clinician-Administered PTSD Scale (CAPS)
• Self-report scales such as the PTSD Checklist (PCL-5)
• Assessment of trauma history and symptom clusters

There isn't a brain scan or blood test—but there is a feeling of knowing about seeing, hearing, and believing you.

How is PTSD Treated or Managed?

It is possible to speak about healing. Therapy is the answer.

Treatment is usually holistic and tailored:

• Trauma-Focused CBT (TF-CBT): Inverts how bad thoughts are thought and decreases avoidance
• EMDR (Eye Movement Desensitisation and Reprocessing): Processes trauma memories
• Medication: SSRIs and SNRIs decrease anxiety, depression, and insomnia
• Group therapy: Reduces shame and loneliness
• Mind-body practices: Yoga, art therapy, and somatic experiencing

Not always a linear path, but it is possible to cross it, step by step.

Effect of PTSD

Physical Effect

• Chronic fatigue, muscle tension, and immunosuppression
• Increased risk of cardiovascular illness and autoimmune disease
• Gastrointestinal issues such as IBS

Emotional Effect

• Difficulty in relationships due to avoidance or irritability
• Low self-esteem and inevitable guilt or shame
• Aspects of not feeling joy, love, or safety

Trauma is in the body, but healing is in relationship.

How Do Caregivers Help a Loved One with PTSD?

• Listen without curing. Don't interrupt the story or downplay the hurt.
• Be trauma-informed. Learn what is and is not a trigger for your loved one and help create safety.
• Involve professional care. Therapy is not an indulgence—but a lifeline.
• Establish a routine. Predictability enhances safety.

Take care of yourself, too. Secondary trauma is not just in your head; get help for yourself, too.

Need to help someone with PTSD?

Go to caregiver resources

Last Word

Pratiksha Sahasrabudhe, Senior Psychologist at Amaha, assures, “PTSD isn't system failure—it's the system doing its best to survive long after the danger has passed. But you don't just get to survive. You get to heal, connect, and feel safe in your own body again.

You've weathered the worst. Recovery can be the next chapter.

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Frequently Asked Questions (FAQs)

1. Does PTSD get better without assistance?

Yes, occasionally, but not necessarily. Some recover without professional help, but others require therapy to work through the trauma and regain control.

2. When do symptoms appear after trauma?

They can appear soon after or perhaps be delayed until months or even years from now.

3. Is PTSD curable?

PTSD is very treatable, though "cure" is a relative term. Some recover completely from symptoms; some learn to accept and flourish.

4. Can you develop PTSD from emotional abuse?

Yes. Prolonged emotional abuse may result in Complex PTSD (C-PTSD), particularly if it occurred during childhood or in intimate relationships.

5. What if my trauma isn't 'big enough'?

Trauma is subjective. If it overwhelmed your ability to cope, it's significant. There's no trauma Olympics—your hurt matters.