Additional Symptoms of PTSD

Detachment
Trauma survivors may feel detached or disconnected from others because they have difficulty feeling or expressing positive feelings. After traumas, people can become overwhelmed by their problems or become numb and stop putting energy into their relationships with friends and family.
 
Survivors may get into arguments and fights with other people because of the angry or aggressive feelings that are common after a traumatic event. Also, a person's constant avoidance of social situations (such as family gatherings) may create hurt feelings or animosity in the survivor's relationships.
 
Loss of Interest
Less interest or participation in things the person used to like to do may result from depression following a trauma. When a person spends less time doing fun things and being with people, he or she has fewer chances to feel good and have pleasant interactions.
 
Social Isolation
Social isolation can happen because of social withdrawal and a lack of trust in others. This often leads to the loss of support, friendships, and intimacy, and it increases fears and worries.
 
Identity and Self-Esteem Problems
Survivors may have problems with identity when symptoms of PTSD change important aspects of a person's life, such as relationships or whether the person can do his or her work well. A person may also question his or her identity because of the way he or she acted during a trauma. For instance, a person who thinks of himself as unselfish might think he acted selfishly by saving himself during a disaster. This might make him question whether he really is who he thought he was.
 
Feeling permanently damaged can result when symptoms don't go away and a person doesn't believe he or she will get better.
 
Survivors may develop problems with self-esteem because symptoms make it hard for a person to feel good about himself or herself. Sometimes, because of how they behaved at the time of the trauma, survivors feel that they are bad, worthless, stupid, incompetent, evil, etc.
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