WISCONSIN UNITED
for MENTAL HEALTH

Experiencing or witnessing a traumatic event or ordeal, such as a violent attack, war, natural disaster, or accident can trigger post traumatic stress disorder (PTSD). People with PTSD experience many of the following symptoms:

• nightmares, flashbacks, or intrusive memories of the event,
• avoidance of reminders of the event (such as places or people),
• a constant state of increased arousal,
• emotional numbness,
• sleep disturbances,
• depression, anxiety, and irritability or outbursts of anger,
• feelings of intense guilt.

Who gets PTSD?
About 3.6 percent of U.S. adults ages 18 to 54 (5.2 million people) have PTSD during the course of a given year. About 30 percent of the men and women who have spent time in war zones experience PTSD. PTSD can develop at any age, even in childhood. Symptoms typically begin within 3 months of a traumatic event, although occasionally they do not begin until years later. Once PTSD occurs, the severity and duration of the illness varies. Some people recover within 6 months, while others suffer much longer. People who have suffered abuse as children or who have had other previous traumatic experiences are more likely to develop the disorder.

The Role of Biology in PTSD
Studies in animals and humans have focused on pinpointing the specific brain areas and circuits involved in anxiety and fear, which are important for understanding anxiety disorders such as PTSD.
The following are also recent research findings:

• The amygdala, although relatively small, is a very complicated structure, and recent research suggests that different anxiety disorders may be associated with abnormal activation of the amygdala.
• In brain imaging studies, researchers have found that the hippocampus—a part of the brain critical to memory and emotion—appears to be different in cases of PTSD. Scientists are investigating whether this is related to short-term memory problems. Changes in the hippocampus are thought to be responsible for intrusive memories and flashbacks that occur in people with this disorder.
• People with PTSD tend to have abnormal levels of key hormones involved in response to stress. Some studies have shown that cortisol levels are lower than normal and epinephrine and norepinephrine are higher than normal.
• When people are in danger, they produce high levels of natural opiates, which can temporarily mask pain. Scientists have found that people with PTSD continue to produce those higher levels even after the danger has passed, which may lead to the blunted emotions associated with the condition.
• Research to understand the neurotransmitter systems involved in memories of emotionally charged events may lead to discovery of medications or psychosocial interventions that, if given early, could block the development of PTSD symptoms.

Treatments for PTSD
Research shows that cognitive-behavioral therapy, group therapy, and exposure therapy, in which the patient gradually and repeatedly relives the frightening experience under controlled conditions to help him or her work through the trauma, are effective in treating PTSD. Studies have also shown that medications help ease associated symptoms of depression and anxiety and help promote sleep. Scientists are attempting to determine which treatments work best for which type of trauma.

Some studies show that giving people an opportunity to talk about their experiences very soon after a catastrophic event may reduce some of the symptoms of PTSD. A study of 12,000 school children who lived through a hurricane in Hawaii found that those who received counseling early on were doing much better two years later than those who did not.

Resources
"Journey of Self-Discovery-A Study Guide for Trauma Survivors" - a self-care guide from NAMI Wisconsin.  Copies may be obtained by contacting NAMI (800) 236-2988 or info@recoverywisconsin.com

2007 Trauma Summit Report Sponsored by the Wisconsin Department of Health and Family Services and New Partnerships for Women, Inc.


For more information on PTSD and trauma visit the websites of these organizations:

National Center for Trauma Informed Care (NCTIC)
301-634-1785 or email NCTIC@abtassoc.com
The Center for Mental Health Services (CMHS)

The International Society of TraumaticStress Studies
847-480-9282 or e-mail: istss@istss.org
A professional membership organization dedicated to the discovery and dissemination of knowledge about policy, program and service initiatives that seek to reduce traumatic stressors and their immediate and long-term consequences.

National Center for Posttraumatic Stress Disorder
802-296-6300 or email: ncptsd@ncptsd.org
A program of the U.S. Department of Veterans Affairs

Posttraumatic Stress Disorder Alliance  877-507-PTSD
"... a group of professional and advocacy organizations that have joined forces to provide educational resources to individuals diagnosed with PTSD and their loved ones; those at risk for developing PTSD; and medical, healthcare and other frontline professionals."