Why do some folks develop PTSD? Recovery versus Non-Recovery of PTSD Symptoms

No matter how hard we might try to live a safe, healthy and happy life, we can not rid ourselves fully of the possibility of experiencing a traumatic event. These events are often out of our control, and can feel shocking, frightening, or saddening to experience. No two people will process and cope with the same event in the same way, which often leads to questions as to why one person might recover from their PTSD symptoms, while another does not.

                After a trauma occurs, our brain interacts with the memory in three ways; through autobiographical memory (the facts about the event), intrusions (behaviour) and emotions. This is normal. Over time, when healthy processing of the event occurs, brain space taken up from intrusions and emotions decrease, while autobiographical memory increases. In other words, the memory of the event feels less emotionally charged, and becomes more neutral overall. For those who do not have the social support or the means to process the event appropriately, strong negative emotions lead to escape and avoidance, and an increase in behavioural intrusions. PTSD symptoms can be loosely explained as avoidance of external and internal reminders.

                The best way to support a person who has gone through a traumatic event is to meet them where they are. Talk about the event- allow space for them to feel whatever emotions might arise without the need to snuff them out. Validate the vulnerability and hold it close, reminding your loved one that you are not going anywhere.

If a couple of months have passed and yourself or a loved one is still struggling, it might be time to reach out to a mental health professional. Behavioural intrusions to look out for are emotional suppression, dissociation, substance abuse or bingeing, aggression, somatic complaints, and self-harm behaviours. Cognitive Processing Therapy (CPT) is a trauma specific modality aimed to provide processing of the experience, and to limit the need to avoid reminders. CPT is practiced regularly at Reflective Path Psychotherapy, and I would be honoured to work through your traumas with you!