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Trauma, some forget, others remember

Trauma will cause some to forget and others to remember.

After a traumatic event you might find that you have forgotten a lot of the time in and around the event and the times when something has triggered the PTSD from it.

The mind forgets as away of protecting you from something that is to overwhelming for you to process.

But it can cause you to remember more clearly not only the event but also a lot of other things after it. You could find it easier to remember lectures from a class so you do better on a test. People around you may think you have a "photographic memory" or eidetic memory. You might remember word for word large passages of text like from books or of poems.

If something triggers a PTSD episode you may not be able to fully control your actions or responses but you will clearly remember the event and might even have flashbacks of it as well because of the the effects of adrenaline that your PTSD causes.

The mind remembers so that you can respond more quickly to prevent or learn from possible future or current traumatic events.

Your mind can even start to react to things that are seen as "normal" as if they are also traumatic even if you know that they shouldn't be.

The NHS National Health Service UK

https://www.nhs.uk/conditions/post-traumatic-stress-disorder-ptsd/causes/

Causes-Post-traumatic stress disorder (PTSD)

Contents

  1. Overview

  2. Symptoms

  3. Causes

  4. Treatment

  5. Complex PTSD

Post-traumatic stress disorder (PTSD) can develop after a very stressful, frightening or distressing event, or after a prolonged traumatic experience.

Types of events that can lead to PTSD include:

  • serious accidents

  • physical or sexual assault

  • abuse, including childhood or domestic abuse

  • exposure to traumatic events at work, including remote exposure

  • serious health problems, such as being admitted to intensive care

  • childbirth experiences, such as losing a baby

  • war and conflict

  • torture

PTSD is not usually related to situations that are simply upsetting, such as divorce, job loss or failing exams.

PTSD develops in about 1 in 3 people who experience severe trauma.

It's not fully understood why some people develop the condition while others do not.

But certain factors appear to make some people more likely to develop PTSD.

Who's at risk

If you have had depression or anxiety in the past, or you do not receive much support from family or friends, you're more susceptible to developing PTSD after a traumatic event.

There may also be a genetic factor involved in PTSD. For example, having a parent with a mental health problem is thought to increase your chances of developing the condition.

Why does it develop?

Although it's not clear exactly why people develop PTSD, a number of possible reasons have been suggested.

Survival mechanism

One suggestion is that the symptoms of PTSD are the result of an instinctive mechanism intended to help you survive further traumatic experiences.

For example, the flashbacks many people with PTSD experience may force you to think about the event in detail so you're better prepared if it happens again.

The feeling of being "on edge" (hyperarousal) may develop to help you react quickly in another crisis.

But while these responses may be intended to help you survive, they're actually very unhelpful in reality because you cannot process and move on from the traumatic experience.

High adrenaline levels

Studies have shown that people with PTSD have abnormal levels of stress hormones.

Normally, when in danger, the body produces stress hormones like adrenaline to trigger a reaction in the body.

This reaction, often known as the "fight or flight" reaction, helps to deaden the senses and dull pain.

People with PTSD have been found to continue to produce high amounts of fight or flight hormones even when there's no danger.

It's thought this may be responsible for the numbed emotions and hyperarousal experienced by some people with PTSD.

Changes in the brain

In people with PTSD, parts of the brain involved in emotional processing appear different in brain scans.

One part of the brain responsible for memory and emotions is known as the hippocampus.

In people with PTSD, the hippocampus appears smaller in size.

It's thought that changes in this part of the brain may be related to fear and anxiety, memory problems and flashbacks.

The malfunctioning hippocampus may prevent flashbacks and nightmares being properly processed, so the anxiety they generate does not reduce over time.

Treatment of PTSD results in proper processing of the memories so, over time, the flashbacks and nightmares gradually disappear.

Page last reviewed: 27 September 2018

Trauma and Shock - American Psychological Association

https://www.apa.org/topics/trauma/

Trauma is an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea.

Traumatic Events: Causes, Effects, and Management - Healthline

https://www.healthline.com/health/traumatic-events

A traumatic event is an incident that causes physical, emotional, spiritual, or psychological harm. The person experiencing the distressing event may feel threatened, anxious, or frightened as a result. In some cases, they may not know how to respond, or may be in denial about the effect suchan event has had.Jan 28, 2016

Post traumatic stress disorder

Also called: PTSD

The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions.

Symptoms may include nightmares or unwanted memories of the trauma, avoidance of situations that bring back memories of the trauma, heightened reactions, anxiety, or depressed mood.

Treatment includes different types of trauma-focused psychotherapy as well as medications to manage symptoms.

Mayo Clinic

https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967

Post-traumatic stress disorder (PTSD)

Overview

Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.

Most people who go through traumatic events may have temporary difficulty adjusting and coping, but with time and good self-care, they usually get better. If the symptoms get worse, last for months or even years, and interfere with your day-to-day functioning, you may have PTSD.

Getting effective treatment after PTSD symptoms develop can be critical to reduce symptoms and improve function.

Symptoms

Post-traumatic stress disorder symptoms may start within one month of a traumatic event, but sometimes symptoms may not appear until years after the event. These symptoms cause significant problems in social or work situations and in relationships. They can also interfere with your ability to go about your normal daily tasks.

PTSD symptoms are generally grouped into four types: intrusive memories, avoidance, negative changes in thinking and mood, and changes in physical and emotional reactions. Symptoms can vary over time or vary from person to person.

Intrusive memories

Symptoms of intrusive memories may include:

  • Recurrent, unwanted distressing memories of the traumatic event

  • Reliving the traumatic event as if it were happening again (flashbacks)

  • Upsetting dreams or nightmares about the traumatic event

  • Severe emotional distress or physical reactions to something that reminds you of the traumatic event

Avoidance

Symptoms of avoidance may include:

  • Trying to avoid thinking or talking about the traumatic event

  • Avoiding places, activities or people that remind you of the traumatic event

Negative changes in thinking and mood

Symptoms of negative changes in thinking and mood may include:

  • Negative thoughts about yourself, other people or the world

  • 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 you once enjoyed

  • Difficulty experiencing positive emotions

  • Feeling emotionally numb

Changes in physical and emotional reactions

Symptoms of changes in physical and emotional reactions (also called arousal symptoms) may include:

  • 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

  • Trouble concentrating

  • Irritability, angry outbursts or aggressive behavior

  • Overwhelming guilt or shame

For children 6 years old and younger, signs and symptoms may also include:

  • Re-enacting the traumatic event or aspects of the traumatic event through play

  • Frightening dreams that may or may not include aspects of the traumatic event

Intensity of symptoms

PTSD symptoms can vary in intensity over time. You may have more PTSD symptoms when you're stressed in general, or when you come across reminders of what you went through. For example, you may hear a car backfire and relive combat experiences. Or you may see a report on the news about a sexual assault and feel overcome by memories of your own assault.

When to see a doctor

If you have disturbing thoughts and feelings about a traumatic event for more than a month, if they're severe, or if you feel you're having trouble getting your life back under control, talk to your doctor or a mental health professional. Getting treatment as soon as possible can help prevent PTSD symptoms from getting worse.

If you have suicidal thoughts

If you or someone you know has suicidal thoughts, get help right away through one or more of these resources:

  • Reach out to a close friend or loved one.

  • Contact a minister, a spiritual leader or someone in your faith community.

  • Call a suicide hotline number — in the United States, call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to reach a trained counselor. Use that same number and press 1 to reach the Veterans Crisis Line.

  • Make an appointment with your doctor or a mental health professional.

When to get emergency help

If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately.

If you know someone who's in danger of attempting suicide or has made a suicide attempt, make sure someone stays with that person to keep him or her safe. Call 911 or your local emergency number immediately. Or, if you can do so safely, take the person to the nearest hospital emergency room.

More Information

  • How trauma can affect memory

Request an Appointment at Mayo Clinic

Causes

You can develop post-traumatic stress disorder when you go through, see or learn about an event involving actual or threatened death, serious injury or sexual violation.

Doctors aren't sure why some people get PTSD. As with most mental health problems, PTSD is probably caused by a complex mix of:

  • Stressful experiences, including the amount and severity of trauma you've gone through in your life

  • Inherited mental health risks, such as a family history of anxiety and depression

  • Inherited features of your personality — often called your temperament

  • The way your brain regulates the chemicals and hormones your body releases in response to stress

Risk factors

People of all ages can have post-traumatic stress disorder. However, some factors may make you more likely to develop PTSD after a traumatic event, such as:

  • Experiencing intense or long-lasting trauma

  • Having experienced other trauma earlier in life, such as childhood abuse

  • Having a job that increases your risk of being exposed to traumatic events, such as military personnel and first responders

  • Having other mental health problems, such as anxiety or depression

  • Having problems with substance misuse, such as excess drinking or drug use

  • Lacking a good support system of family and friends

  • Having blood relatives with mental health problems, including anxiety or depression

Kinds of traumatic events

The most common events leading to the development of PTSD include:

  • Combat exposure

  • Childhood physical abuse

  • Sexual violence

  • Physical assault

  • Being threatened with a weapon

  • An accident

Many other traumatic events also can lead to PTSD, such as fire, natural disaster, mugging, robbery, plane crash, torture, kidnapping, life-threatening medical diagnosis, terrorist attack, and other extreme or life-threatening events.

Complications

Post-traumatic stress disorder can disrupt your whole life ― your job, your relationships, your health and your enjoyment of everyday activities.

Having PTSD may also increase your risk of other mental health problems, such as:

  • Depression and anxiety

  • Issues with drugs or alcohol use

  • Eating disorders

  • Suicidal thoughts and actions

photographic memory

pho·to·graph·ic mem·o·ry

/ˌfōdəˌɡrafik ˈmem(ə)rē/

noun

  1. the ability to remember information or visual images in great detail.

Eidetic memory

Eidetic memory is an ability to recall images from memory vividly after only a few instances of exposure, with high precision for a brief time after exposure, without using a mnemonic device. Wikipedia

Adrenaline | You and Your Hormones from the Society for Endocrinology

https://www.yourhormones.info/hormones/adrenaline/

Key actions of adrenaline include increasing the heart rate, increasing blood pressure, expanding the air passages of the lungs, enlarging the pupil in the eye (see photo), redistributing blood to the muscles and altering the body's metabolism, so as to maximise blood glucose levels (primarily for the brain).

normal

nor·mal

/ˈnôrməl/

Learn to pronounce

adjective

  1. 1.

conforming to a standard; usual, typical, or expected.

"it's quite normal for puppies to bolt their food"

synonyms:usual, standard, typical, stock, common, ordinary, customary, conventional, habitual, accustomed, expected, wonted, everyday, regular, routine, day-to-day, daily, established, settled, set, fixed, traditional, quotidian, prevailing More

  1. 2.

TECHNICAL

(of a line, ray, or other linear feature) intersecting a given line or surface at right angles.

noun

  1. 1.

the usual, average, or typical state or condition.

"her temperature was above normal"

  1. 2.

TECHNICAL

a line at right angles to a given line or surface.

Normality

Normality is a behavior that can be normal for an individual when it is consistent with the most common behaviour for that person. Normal is also used to describe individual behaviour that conforms to the most common behaviour in society. Wikipedia

Complex PTSD or DTD Developmental trauma disorder?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541245/

This article reviews the current debate on developmental trauma disorder (DTD) with respect to formalizing its diagnostic criteria. Victims of abuse, neglect, and maltreatment in childhood often develop a wide range of age-dependent psychopathologies with various mental comorbidities. The supporters of a formal DTD diagnosis argue that post-traumatic stress disorder (PTSD) does not cover all consequences of severe and complex traumatization in childhood.

Inclusion of post-traumatic stress disorder (PTSD) in psychiatric diagnostic systems represents an important milestone since a clear connection between traumatic experiences and mental disorders have not been established previously. Clinicians in the field of child and adolescent psychiatry and clinical psychology have to face acute traumatized children and victims of different shades and forms of chronic child abuse, maltreatment and neglect.

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