Things to know about PTSD

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June is Post Traumatic Stress Disorder Awareness Month, and New York State’s Trauma-Informed Network & Resource Center urges communities to broaden their understanding: PTSD can result from many events beyond combat—car crashes, medical trauma, abuse, or repeated stress—and affects people of any age, background, or profession, underscoring need for trauma-informed support and care.

Broad Causes and Common Misconceptions

PTSD is often linked in popular imagination to military combat, but it arises from many kinds of traumatic experiences. Car accidents, medical emergencies, domestic abuse, betrayals, and witnessing violence can all precipitate symptoms. Furthermore, PTSD may have delayed onset: months or even years can pass before signs appear, complicating diagnosis. Recognizing diverse causes helps reduce stigma and encourages people to seek help. Mental health providers and communities that adopt trauma-informed approaches are better positioned to identify hidden or late-emerging PTSD, offer appropriate interventions, and support healing across different populations and life stories. Early education and outreach save lives and resources.

Signs, Brain Changes, and Child Presentations

PTSD manifests beyond cinematic flashbacks: emotional numbness, detachment, dissociation, hypervigilance, insomnia, nightmares, and physical symptoms like chronic pain or digestive problems are common. Brain imaging shows biological correlates—overactive amygdala, reduced hippocampus volume, and decreased prefrontal cortex activity—reflecting altered fear response and memory processing. Children often present differently, reenacting trauma through play, regressing developmentally, or becoming clingy or withdrawn rather than describing events. Awareness of varied symptoms across ages is essential for accurate screening and for tailoring trauma-informed therapies that address both psychological and physiological dimensions of PTSD.

At-Risk Workers, Health Risks, and Help

First responders, journalists, therapists, and others repeatedly exposed to traumatic material face secondary or vicarious trauma and remain at risk for PTSD. Long-term post-traumatic stress elevates risk for autoimmune disorders, heart disease, chronic pain syndromes, and gastrointestinal illnesses, linking mental and physical health. Complex PTSD, arising from prolonged or repeated harm, adds persistent shame, emotional dysregulation, and identity disturbances. Trauma-informed workplaces, accessible treatment, and community resources reduce harm and promote recovery. New York State’s Trauma-Informed Network & Resource Center offers tools for individuals and organizations to identify trauma and connect to care and resources.