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Understanding PTSD & Your Treatment Options

Understanding PTSD & Your Treatment Options

Have you been feeling wound up over the past few weeks?

Perhaps you’re finding it difficult to concentrate, with focus seeming almost impossible since the trauma. You might be feeling more on edge, easily startled, or constantly on the lookout for danger.

Sleep might also feel impossible these days. Falling asleep or staying asleep could be challenging due to vivid nightmares that feel so intense and lifelike that your heart races, and you panic as if you’re reliving the traumatic event.

Does any of this sound familiar?

If so, it’s absolutely natural to feel anxious, fearful, or afraid during or after a scary or traumatic situation! Nearly everyone experiences a range of reactions after trauma, and most people recover from initial symptoms naturally.

However, if you continue to experience problems, it may be indicative of Post-Traumatic Stress Disorder (PTSD).

When we struggle to cope weeks after the traumatic event, our bodies remain in a state of ‘fight-or-flight’ and we continue to feel stressed or frightened even when we are no longer in danger.

If this sounds like you, you are not alone.

PTSD affects people from all walks of life, including military personnel, first responders, survivors of accidents or natural disasters, and victims of abuse. This blog aims to provide a comprehensive understanding of PTSD, its symptoms, causes, treatment options, and how to support those affected.

What is PTSD?

Post-Traumatic Stress Disorder (PTSD) is a mental health condition triggered by experiencing or witnessing a traumatic event. The condition can manifest in various ways, including intrusive memories, heightened anxiety, and emotional numbness. While it is natural to feel afraid or anxious after a traumatic event, PTSD occurs when these feelings persist and interfere with daily life.

Symptoms of PTSD

PTSD symptoms can be broadly categorized into four groups:

  1. Intrusive Memories

    • Flashbacks of the traumatic event, as if it is happening again.

    • Disturbing dreams or nightmares related to the trauma.

    • Severe emotional distress or physical reactions to reminders of the event.

  2. Avoidance

    • Avoiding places, activities, or people that remind one of the trauma.

    • Resisting talking or thinking about the traumatic event.

  3. Negative Changes in Thinking and Mood

    • Negative thoughts about oneself, others, or the world.

    • Feelings of hopelessness about the future.

    • Memory problems, including not remembering important aspects of the traumatic event.

    • Difficulty maintaining close relationships.

    • Feeling detached from family and friends.

    • Lack of interest in activities once enjoyed.

    • Difficulty experiencing positive emotions.

    • Feeling emotionally numb.

  4. Changes in Physical and Emotional Reactions

    • Being easily startled or frightened.

    • Always being on guard for danger.

    • Self-destructive behavior, such as drinking too much or driving too fast.

    • Trouble sleeping or concentrating.

    • Irritability, angry outbursts, or aggressive behavior.

    • Overwhelming guilt or shame.

It is important to understand that while almost everyone experiences a range of reactions following a traumatic event, most people naturally recover from the initial symptoms over time. However, for those with PTSD, these symptoms do not fade away. Instead, they intensify, significantly impacting their quality of life. Recognizing and addressing PTSD is crucial for recovery and regaining control over one's life.

Causes of PTSD

The causes of PTSD are multifaceted and can include a wide range of traumatic experiences, these causes include:

  • Combat Exposure. Military personnel are at high risk due to the nature of their work.

  • Childhood Trauma. Physical, emotional, or sexual abuse can leave lasting scars.

  • Accidents. Serious car crashes or other accidents can be deeply traumatic.

  • Natural Disasters. Earthquakes, floods, or hurricanes can lead to PTSD.

  • Violence. Being assaulted or witnessing violence can trigger PTSD.

Understanding these causes is critical for the PTSD therapist to provide effective support. As well as choosing the right type of PTSD treatment.

Risk Factors

Not everyone who experiences trauma will develop PTSD. Certain factors can increase the likelihood, such as:

  • Previous Traumatic Experiences. Multiple traumatic events increase the risk.

  • Family History. A family history of PTSD or other mental health issues.

  • Mental Health Issues. Pre-existing conditions like anxiety or depression.

  • Lack of Support. Insufficient support from family and friends.

  • Personality. Certain personality traits, such as a pessimistic outlook.

Diagnosing PTSD

Diagnosing PTSD involves a comprehensive evaluation by a mental health professional. The diagnosis is based on specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). To be diagnosed with PTSD, an individual must have experienced or witnessed a traumatic event and exhibit a combination of symptoms that persist for more than one month.

These symptoms are categorized into four main groups:

  • Intrusive Memories. Include recurrent, unwanted distressing memories or flashbacks of the traumatic event.

  • Avoidance Behaviors. Steering clear of reminders of the trauma.

  • Negative Changes in Thinking and Mood. Can include feelings of hopelessness, memory problems, and difficulty maintaining close relationships.

  • Changes in Physical and Emotional Reactions. Might manifest as being easily startled, having trouble sleeping, or experiencing irritability and angry outbursts.

A thorough assessment often includes a detailed discussion of the individual's symptoms and medical history. As well as the impact of symptoms on daily functioning, sometimes supplemented by psychological tests. Early and accurate diagnosis is essential for effective PTSD treatment. Which is important for improving the quality of life for those suffering from PTSD.

PTSD Treatment Options in Philadelphia & Bryn Mawr

PTSD treatment typically involves a combination of psychotherapy, medication, and support from family and friends. Several effective therapies are available, including:

Eye Movement Desensitization and Reprocessing (EMDR)

  • How it works

    • EMDR therapy involves the patient recalling traumatic memories while performing guided eye movements. This process helps reprocess the traumatic memories, reducing their emotional impact.

  • Benefits

    • EMDR therapy can lead to rapid and lasting symptom relief. It is especially beneficial for those who struggle with talk therapy or have difficulty verbalizing their trauma.

Exposure Therapy

  • How it works

    • By confronting and processing trauma-related memories, individuals can reduce their power. This can be done through imagination, writing, or real-life situations.

  • Benefits

    • Exposure therapy can significantly decrease avoidance behaviors and anxiety. Over time, patients often find that their trauma-related distress diminishes.

Internal Family Systems

  • How it works

    • IFS offers a comprehensive and compassionate approach to healing trauma by acknowledging and integrating the various parts of an individual's internal world under the leadership of the Self. Its focus on self-awareness, self-compassion, and internal dialogue makes it particularly beneficial for individuals navigating the complex effects of trauma on their mental and emotional well-being.

  • Benefits

    • IFS views trauma responses as adaptive strategies developed by parts to protect the individual from harm. By compassionately engaging with these parts and understanding their roles, individuals can gradually integrate traumatic experiences into their overall sense of self. IFS therapy also aims not only to alleviate current symptoms but also to foster long-term emotional healing and resilience. By promoting internal harmony and self-compassion, individuals can cultivate a healthier relationship with themselves and others.

Narrative Therapy (NT)

  • How it works

    • Patients create a detailed narrative of their life, focusing on traumatic events. This helps place these events in a broader context and reduces their emotional intensity.

  • Benefits

    • NT helps individuals make sense of their trauma and integrates these experiences into their life story, leading to reduced PTSD symptoms.

Dialectical Behavior Therapy (DBT)

  • How it works

    • DBT therapy combines cognitive-behavioral techniques with mindfulness practices. It focuses on teaching skills to manage emotions, tolerate distress, and improve interpersonal relationships.

  • Benefits

    • DBT therapy is particularly useful for individuals with PTSD who struggle with intense emotions and self-destructive behaviors. It promotes emotional regulation and resilience.

Group Therapy

  • How it works

    • Group therapy can be based on various therapeutic approaches, including CBT, DBT, and supportive therapy. It offers a sense of community and reduces feelings of isolation.

  • Benefits

    • Sharing experiences with others who have similar struggles can provide validation, encouragement, and new coping strategies.

Mindfulness-Based Stress Reduction (MBSR)

  • How it works

    • MBSR involves techniques such as meditation, yoga, and body awareness. These practices help individuals stay present and reduce the impact of distressing thoughts and memories.

  • Benefits

    • MBSR can reduce stress, improve emotional regulation, and enhance overall well-being. It is particularly beneficial as an adjunct to other therapies.

Somatic Therapy

  • How it works

    • Somatic trauma therapy is an approach to PTSD treatment that recognizes the intimate connection between the mind and body. It aims to address and heal trauma through bodily sensations, movements, and awareness. By helping individuals regulate their nervous system through techniques such as grounding exercises, breathwork, and mindful movement, somatic therapy promotes a sense of safety and assists clients in staying within their optimal arousal zone. Moreover, somatic therapy provides tools to gently explore and release traumatic memories and experiences stored in bodily tissues and nervous system responses. This comprehensive approach can lead to a more integrated and holistic healing process, addressing trauma at both the physical and psychological levels.

  • Benefits

    • By addressing trauma from a holistic perspective that includes body, mind, and emotions, somatic therapy supports comprehensive and enduring healing outcomes. It promotes integration, balance, and a restored sense of well-being.

Pharmacotherapy

  • How it works

    • Medications such as selective serotonin reuptake inhibitors (SSRIs) can help manage symptoms of depression and anxiety that often accompany PTSD.

  • Benefits

    • When combined with therapy, medication can provide significant relief from symptoms, making it easier for individuals to engage in therapeutic work.

Supporting Someone with PTSD

Supporting someone with PTSD can be both challenging and rewarding. As a friend or family member, your understanding and compassion can make a significant difference in their recovery journey. If a loved one is struggling with PTSD, there are several ways to provide support:

  • Educate Yourself. Understanding PTSD can help you empathize and offer appropriate support.

  • Be Patient. Recovery is a gradual process, and setbacks are common.

  • Listen. Offer a listening ear without judgment or unsolicited advice.

  • Encourage Treatment. Gently encourage seeking professional help.

  • Create a Safe Environment. Help them feel safe and supported.

  • Avoid Triggers. Be mindful of potential triggers and avoid them when possible.

Supporting someone with PTSD requires empathy, patience, and understanding. By being a consistent and compassionate presence in their life, you can help them feel supported and hopeful as they work towards recovery. Remember, your support can make a significant positive impact on their journey to healing.

PTSD is a serious condition, but with the right support and treatment, individuals can regain control over their lives. Understanding the symptoms, causes, and treatment options is the first step towards healing.

Whether you are affected by PTSD or know someone who is, remember that help is available, and recovery is possible.

It's essential to take care of your own well-being as well, so you can be a steady source of support. While the road to recovery can be long and challenging, your unwavering presence and understanding can provide the hope and encouragement your loved one needs to heal and reclaim their life. Together, you can navigate the complexities of PTSD and move towards a future marked by resilience and strength.

Experience the Healing Power of PTSD Treatment Today in Philadelphia & Bryn Mawr, PA

PTSD is a complex and deeply personal experience that can have profound and lasting effects on an individual’s life. Understanding trauma and its impact is the first step toward healing. PTSD treatment offers a powerful and effective path to recovery. Our Philadelphia trauma therapists help individuals process and integrate their traumatic experiences, reduce symptoms, and reclaim their lives.

  1. Reach out for a free consultation about PTSD therapy

  2. Start your journey with a trauma PTSD therapist at Spilove Psychotherapy

  3. Feel empowered as you start healing


About the Author, Pennsylvania PTSD Therapist

Julia Salerno, M.S., LPC a trauma and PTSD specialist on our team, graduated from Villanova University with an MS in Counseling and is licensed in Pennsylvania and New Jersey. She assists individuals with anxiety, depression, flashbacks, inner childhood wounds, and eating disorders and serves as Spilove Psychotherapy's Assistant Clinical Director.

Julia uses EMDR, Internal Family Systems (IFS), DBT, and mindfulness-based techniques to provide an accepting space for exploring thoughts, emotions, and experiences. She helps clients build resilience, understand triggers, and develop effective coping strategies.

If you're ready to break free from disconnection and regain control over your life, Julia is here to support you. Reach out for a consultation and take the first step towards healing. Julia currently offers virtual appointments for clients.


Other Therapy Services We Offer in Bryn Mawr & Philadelphia

Along with specializing in PTSD therapy, our licensed therapists provide other counseling services. This includes couples therapy, LGBTQIA+ therapy, and eating disorder treatment. Our services are available for children with a specialization in play therapy.

We also offer group therapies including DBT skills, LGBTQIA+ support, and infertility support.

Are you more interested in life coaching compared to therapy? We offer in-person life coaching in Pennsylvania or online throughout the US.