Symptoms of PTSD, written by a Baltimore trauma therapist

As I wrote about in the previous blog, trauma manifests itself in different ways. I wanted to break it down in a list so that you can learn about trauma’s many symptoms. Whether it is diagnosable PTSD or it shows up in other ways, here are some of the ways unresolved trauma might show up in your system (note, this is not an exhaustive list):

Physically:

  • Headaches & migraines

  • Stomachaches & nausea

  • Difficulty sleeping

  • Fatigue

  • Chronic pain

  • High blood pressure

  • Heart palpitations

  • Disordered eating (such as binging and restriction)

  • Autoimmune diseases and other chronic illnesses

  • Substance use & abuse

Mentally:

  • Replaying the events in your head

  • Intrusive thoughts about the event(s)

  • Flashbacks where it feels like you are reliving the traumatic event again

  • Difficulties concentrating

  • Dissociation

  • Addictions (not just to substances)

  • Avoidance of memories and reminders of the traumatic event

  • Difficulty remembering parts or all of the event

  • Having negative beliefs about yourself and the world

  • Blaming yourself and people who don’t deserve the blame for what happened

  • Nightmares

Emotionally:

  • Increased symptoms of depression

  • Hypervigilance

  • Increased feelings of panic

  • Excessive anxiety and worry

  • Increased feelings of anger and irritability

  • Fear

  • Guilt

  • Shame

  • Low self-esteem & feelings of worthlessness

  • Difficulty regulating emotions

  • Self-harm

  • Suicidal thoughts

Socially:

  • Feeling isolated from others

  • Difficulty trusting others

  • Less interest in activities you used to enjoy

  • Decreased interest in romantic relationships and friendships

  • Difficulty staying in relationships/frequent problems with friendships 

  • Differed sex drive (can be increased or decreased)

  • Engaging in risky behaviors (e.g. driving dangerously, living life “on the edge”)


These symptoms can stay with us for a long time. They may ebb and flow or feel constant. Yet, once you start the healing journey, it does get better. Symptoms lessen until one day, they might not take over your life anymore. You can manage them and your life seems easier to live.

Stay tuned for the next blog post, where I’ll talk about the healing steps. For now, be sure to check out my blogs on brainspotting and Internal Family Systems to get a head start.

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Treating Trauma, written by a Baltimore trauma therapist

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The Impacts of Trauma, written by a Baltimore trauma therapist