behandlungsfeld traumafolgeerkrankung 1

Trauma-related illness

A post-trau­ma­tic stress dis­or­der is a men­tal ill­ness that deve­lo­ps after short-term (acu­te) or chro­nic trau­ma­tiza­ti­on. Trau­ma­tiza­ti­on is the result of one or more sever­ely stressful events to which a per­son has been expo­sed. Trau­ma-rela­ted ill­nesses include acu­te stress reac­tions, post-trau­ma­tic stress dis­or­der (PTSD) and las­ting per­so­na­li­ty chan­ges. In a broa­der sen­se, depres­si­on and dis­so­cia­ti­ve dis­or­ders can also be seen as con­se­quen­ces of trau­ma­tiza­ti­on.

Forms of post-trau­ma­tic stress dis­or­der — what forms of post-trau­ma­tic stress dis­or­der are the­re?

Differentiation between acute and chronic trauma consequences

The con­se­quen­ces of a trau­ma can be dif­fe­ren­tia­ted accor­ding to whe­ther they are acu­te or chro­nic. Acu­te con­se­quen­ces of trau­ma include post-trau­ma­tic stress dis­or­der, acu­te stress reac­tions and per­ma­nent per­so­na­li­ty chan­ges. Chro­nic trau­ma can mani­fest its­elf in tho­se affec­ted as anxie­ty dis­or­ders, bor­der­line dis­or­ders or depres­si­on, among other things.

Acute stress reaction

An acu­te stress reac­tion occurs direct­ly as a result of a trau­ma­tiz­ing event. The per­son affec­ted shows sym­ptoms such as wan­de­ring, loss of ori­en­ta­ti­on or some­ti­mes has a memo­ry gap. Pal­pi­ta­ti­ons, swea­ting, hea­da­ches or inner rest­less­ness and irri­ta­bi­li­ty can also occur. An acu­te stress reac­tion can some­ti­mes deve­lop into post-trau­ma­tic stress dis­or­der.

Post-traumatic stress disorder (PTSD)

A stress dis­or­der is the result of a sever­ely stressful, one-off or pro­lon­ged trau­ma­tic expe­ri­ence. It usual­ly deve­lo­ps within six months of the event and usual­ly com­pri­ses three typi­cal sym­ptoms: Hyper­a­rou­sal as “easy start­le”, flash­backs as uncon­trol­led re-expe­ri­en­cing of the trau­ma, and avo­id­ance of situa­tions or acti­vi­ties that could evo­ke the trau­ma­tic expe­ri­ence.

Persistent personality change

A per­sis­tent per­so­na­li­ty chan­ge can be the result of a trau­ma and can last for at least two years after the trau­ma. The affec­ted per­son shows chan­ges becau­se they iso­la­te them­sel­ves soci­al­ly due to the trau­ma­tic situa­ti­on, are afraid of the out­side world and hard­ly allow any fee­lings. Main­tai­ning rela­ti­onships or for­ging new bonds often fails. At the same time, he places high expec­ta­ti­ons on other peo­p­le to reco­gni­ze his per­so­na­li­ty chan­ge as a result of the trau­ma. Fre­quent sick­ness, an unsta­ble mood and hypo­chon­dria are also often asso­cia­ted with this.