Why Not All Trauma Leads to PTSD

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Why Not All Trauma Leads to PTSD
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Many people use the terms 'trauma' and 'PTSD' interchangeably, but they don't mean the same thing. Here's why that matters.

Ayanna’s car accident may have appeared life-threatening, but that is not how she experienced it. She stated, “I know this sounds crazy, but I never thought I could die. It was a challenge. How fast can I get out of this seat belt, climb out of my sunroof, and swim to safety? I wanted to be timed like in one of those ninja reality shows on TV. I felt powerful.” In contrast, Charles reported, “I was terrified. Everything slowed down, and my body went completely numb.

Did Charles qualify for a diagnosis of PTSD? Yes, but not everyone agreed. By the time I met Charles, he had been assessed by a therapist, a psychiatrist, a psychologist, and a social worker within eight months. He received a diagnosis of GeneralizedDisorder from his therapist; Panic Disorder from his psychiatrist; Adjustment Disorder from his social worker; and PTSD from the psychologist who conducted 8 hours of psychological testing.

an event that did not expose him to actual or threatened death or serious injury despite the fact that he reported symptoms such as, a startle response, hypervigilance, panic attacks when walking near traffic, avoidance of driving and being a passenger in cars, dissociation, negative beliefs about driving and his ability as a driver, an inability to remember details about the accident, unexplained back pain, and consistently blaming himself even though he was struck while parked at a red light.

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