Mental Health: The Perils and Pathways of PTSD

Reviewed by: Dr. Steven Knauf, D.C.

By: Martha Michael

For a long time, post-traumatic stress disorder (PTSD) was seen as a struggle primarily faced by military veterans. However, recent research has painted a broader picture, revealing that this condition affects Americans more daily than we ever imagined.

Traumatic experiences can impact people from all walks of life—young and old, regardless of their circumstances. Each person’s journey with PTSD is unique, marked by a range of symptoms that can manifest both mentally and physically. Just as the experiences that lead to PTSD vary, so do the paths to healing. Let’s explore this complex condition and the diverse treatment options available to bring understanding and support to those who need it most.

What is PTSD?

Post-traumatic stress disorder is a mental health condition brought on by a traumatic experience. PTSD is characterized by symptoms like flashbacks, nightmares, and anxiety, according to the Cleveland Clinic. Patients suffering from PTSD typically have intrusive thoughts and feelings that trigger stress response behaviors, many of which significantly impact their lives and those around them.

Symptoms sometimes show up years after the event. Without treatment, these symptoms can last a lifetime. An individual with the disorder may suffer in silence, carrying feelings of guilt or shame or becoming numb from depression. They may avoid social events or circumstances that remind them of the original incident.

Trauma can take many forms, including:

• Military combat
• Physical abuse
• Severe injury
• Car accident
• Verbal abuse
• Sexual assault
• Death of a loved one
• Natural disaster

Two psychiatric diagnoses are related to PTSD.

• Acute stress disorder - A mental health condition that’s short-term in duration, incited by trauma while incurring symptoms lasting fewer than four weeks.
• Complex PTSD - Symptoms brought on by long-term trauma such as domestic violence or war, often resulting in emotional issues and problems with relationships.

According to an article by Medline Plus, symptoms of PTSD fall into four categories.

1. Re-experiencing symptoms - When you have a similar experience to the original trauma, you may relive the same feeling, such as fear. Finding yourself in the same situation can trigger distressing thoughts, nightmares, or flashbacks.
2. Avoidance symptoms - An individual who has experienced trauma may tend to avoid or deflect the possibility of reliving the experience. This behavior results in isolation and a self-imposed life of restrictions, making their life circumstances less full and limiting their ability to connect with others.
3. Arousal and reactivity symptoms - Hypervigilance is a common characteristic of people who suffer from PTSD. They tend to be nervous, are easily startled, and are described as being on edge. They also may have trouble sleeping and controlling intense emotional outbursts.
4. Cognitive and mood symptoms - Suffering from PTSD can affect memory and concentration. Negative thoughts can dominate your mind, and you may lose interest in things you previously enjoyed.

How do you develop PTSD?

When a person endures a stressful experience or witnesses a traumatic event, they may show signs of PTSD fairly early. But symptoms might appear far later—sometimes months or years later. Though it can affect anyone, PTSD is more prevalent among people in certain circumstances and specific demographics.

You are more likely to suffer symptoms of PTSD if you:

• Are female
• Have childhood trauma
• Lack support following the event
• Struggle with fear or feelings of helplessness
• Have a family history of mental illness
• Abuse alcohol or other substances
• Endure the trauma over a long period of time

According to the UK's National Health Service, PTSD results from an instinctive internal survival mechanism. Mentally repeating the experience may be intended to develop a faster response to crises in the future. It may be nature’s way of protecting you, but in reality, it keeps you from recovering from trauma.

Among physical symptoms, patients with PTSD have higher levels of stress hormones, sometimes referred to as “fight or flight” chemicals. This physical response may lead to the numbing of emotions or hyperarousal that some individuals with PTSD experience.

Brain scans show that the hippocampus of a person with PTSD is smaller than someone not suffering from the disorder. Experts suggest it could be tied to symptoms such as flashbacks and memory problems because it’s the part of the brain that supports processing issues stemming from fear and anxiety.

Treatment for PTSD

When it comes to treating PTSD, the approach often depends on the individual’s age and the specific nature of their trauma. Health professionals rely on the latest guidelines from the American Psychological Association, which draw from research to recommend the most effective treatment strategies.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy, or CBT, is one of the most common approaches for helping those with PTSD. This therapy aims to break the cycle of troubling thoughts and behaviors that can arise from trauma. Patients work with practitioners through 12 to 16 sessions—whether in individual or group settings—to identify their triggers and develop healthier coping strategies.

Prolonged Exposure

Another effective form of therapy, prolonged exposure, is a subset of CBT that gently guides patients back to the roots of their triggers. By revisiting the memories of their trauma in a safe and supportive environment, individuals can learn to confront their fears, helping them realize that avoidance isn’t the only option.

Eye Movement Desensitization and Reprocessing (EMDR)

Often referred to as EMDR, this structured therapy also helps individuals process traumatic memories. During sessions, patients relive their experiences while engaging in bilateral stimulation, such as following the therapist’s hand movements from side to side. This method taps into the mind-body connection, offering a pathway to healing by allowing the brain to reprocess the trauma.

Often referred to as EMDR, this structured therapy also helps individuals process traumatic memories. During sessions, patients relive their experiences while engaging in bilateral stimulation, such as following the therapist’s hand movements from side to side. This method taps into the mind-body connection, offering a pathway to healing by allowing the brain to reprocess the trauma.

Each of these therapies offers unique pathways toward recovery, empowering individuals to reclaim their lives and find peace after trauma.

Treating PTSD through chiropractic care

Living with PTSD can bring mental and emotional challenges, along with physical struggles, often stemming from the original trauma. For military veterans, this can mean grappling with the pain of injuries while navigating the mental anguish of their experiences. It’s a heavy burden that can feel isolating.

We recognize the sacrifices made by veterans and are dedicated to supporting them on their journey toward healing. Whether they’ve served in combat or contributed in other vital ways, we honor their commitment and strive to provide care that addresses their unique challenges. Through partnerships with programs like K9 for Warriors, we’re witnessing the profound impact of holistic support for veterans dealing with service-related trauma.

Regular chiropractic care can play an important role in promoting overall wellness for those living with PTSD. Chiropractors at The Joint Chiropractic are dedicated to helping you monitor and enhance your physical health, recognizing the strong connection between the body and emotional well-being. By addressing misalignments in the spine and improving nervous system function, chiropractic adjustments can help reduce the physical discomfort and tension that often accompany PTSD.

Many individuals with PTSD experience symptoms such as sleep disturbances, anxiety, and chronic pain. Through personalized care plans, our chiropractors work to alleviate those symptoms that present as physical pain or discomfort without the side effects of medications. Techniques such as spinal manipulation can enhance circulation, promote relaxation, and improve the body’s ability to cope with stress.

Additionally, regular visits can foster a sense of routine and support, providing a safe space for patients to discuss their experiences and feelings. This holistic approach targets physical ailments while encouraging mindfulness and a greater awareness of one’s body, which can be empowering for those navigating the challenges of PTSD. By integrating chiropractic care into a broader wellness strategy, individuals can find relief and support on their journey toward healing and resilience.

“Chiropractors cannot provide a cure for PTSD, but chiropractic care may positively influence a person’s health by better managing their physical ailments,” says Dr. Steven Knauf, VP of chiropractic and compliance at The Joint Chiropractic.

Lifestyle choices to improve PTSD symptoms

Making thoughtful choices about your health can significantly impact your experience with PTSD. Several strategies can help you navigate the challenges of this condition.

Strong relationships

Building a solid sense of community can provide a vital safety net, especially for those facing mental health struggles. Connecting with supportive family and friends is crucial. Joining a support group with fellow trauma survivors can also help combat the isolation that often accompanies PTSD, creating a sense of shared understanding and support.

Exercise

Staying physically active offers a wealth of benefits. Engaging in moderate exercise at least three times a week can strengthen your muscles, boost your energy levels, and help you maintain a healthy weight. Physical activity is a fantastic mood booster and can be a mental reset when needed. Bonus points for getting your workout outdoors or teaming up with family for added connection!

Volunteerism

Finding purpose in helping others can be incredibly rewarding. Many people discover that contributing to their communities benefits those in need and enriches their lives. There are plenty of opportunities to get involved, whether through housing assistance, coaching sports, reading programs, animal adoption, health services, or youth programs.

Our experiences—both positive and negative—shape our lives in profound ways. PTSD can develop from experiencing or witnessing trauma, leaving lasting effects.

If you’re struggling with PTSD symptoms, remember that you’re not alone. If you’re having thoughts of self-harm or suicide, please reach out for immediate help by calling 988.

Fortunately, our understanding of PTSD continues to grow, breaking down the stigma around mental health challenges. Numerous resources are available to support your healing and resilience journey. Don’t hesitate to explore the options that can help you move past trauma and reclaim your life.

The information, including but not limited to text, graphics, images, and other material contained on this page, is for informational purposes only. The purpose of this post is to promote broad consumer understanding and knowledge of various health topics, including but not limited to the benefits of chiropractic care, exercise, and nutrition. It is not intended to provide or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your chiropractor, physician, or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this page.