It’s a Small, Small World: PTSD as Self-Imprisonment. | Big Think.

[Music] War changes people, and this is something that, um, we've known since recorded history. Um, it's been spoken about in literature throughout the ages. It's kind of a Brotherhood of combat veterans, and for many, many years it stayed in the Brotherhood. A lot of people came back from World War II—our fathers, our grandfathers—others didn't talk about what happened, um, because nobody would understand. But the thing is that you're transformed inside; you feel different.

Um, you've seen things, you've seen death, you've experienced, you've tasted fear; you've done things that you don't want to talk about or you feel shouldn't be talked about, um, because it'll be too scary for people to understand. [Music] PTSD is one of the most common, uh, mental health conditions in the United States. I think it might be the fourth most common condition, um, and that's because, um, trauma is so prevalent in our society. About 25% of women experience interpersonal sexual violence, uh, which is extraordinary. There are accidents, natural disasters, uh, more than half of persons, um, will be exposed to at least one traumatic event in their lives.

The way that I like to describe a traumatic event is an event that kind of divides your life into a before and after, like a watershed moment that really kind of changes the way you view the world. Whether or not you get post-traumatic stress disorder, um, it's big. You're leading your life a certain way; something very big happens, and it changes the way that you look at yourself and you look at the world. So those kind of events are certainly transformative; um, they certainly have long-lasting marks, and one of those, um, effects of trauma exposure can be the development of post-traumatic stress disorder.

Imagine if you see danger everywhere and that you're really worried for your safety. That is going to affect almost every interaction that you have at work. You're going to be more on edge, more irritable; it can get you into fights with co-workers or with your employer. The idea that you, uh, can't really experience pleasure or that you have a restricted range of emotions is going to affect you mostly in, um, social and interpersonal domains. A lot of, um, marriages have been ruined by PTSD. Um, the spouse often really wants to help the affected person, but they're used to a certain closeness or intimacy that they find is now more difficult to [Music] access.

The hallmark of PTSD is that the memory of the event becomes haunting. Um, it kind of takes on a life of its own; you start thinking about what happened just out of the blue or in response to triggers in the environment. And what's so distressing about the memory is not that you just have an image or remember what happened; you have the physiologic feeling of fear or horror that you had when the event was occurring in real time. So it's not only a visual or verbal memory out there; it is a physiologic memory, and this can happen while you're awake. It can happen while you're asleep in the form of your dreams.

People that have PTSD have trouble experiencing pleasure, and it's all about trying to become small and not allowing yourself to be affected by the environment. Um, it also, um, includes really changing the way you view the world and yourself: the world's a bad place. Um, you might feel guilty or worthless; you might feel you're to blame for what happened or others are to blame. And finally, there are symptoms that reflect increased arousal. So people that have PTSD are on edge; um, their body and brain chemistry is rigged for danger and for experiencing threat and being very, very concerned about anything in the environment that might threaten them.

So the symptoms in this category include being highly reactive to, um, startle responses, um, scanning the environment for signs of danger, not being able to concentrate, and being very irritable and [Music] angry. Well, nobody's going to wave a magic wand and say, "I'm going to cure you, Bing Bing," and throw fairy dust on you. Um, getting over PTSD is going to require some hard work on the part of the trauma survivor, and there's no getting around that.