Can PTSD Symptoms Be Fully Healed After Trauma? - Psychiatry

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Is it possible to completely cure the long-term effects of PTSD?


Hello Doctor: I have been suffering from bipolar disorder for 14 years.
When I was 20 years old, I was sexually assaulted in an accident, and about six months later, I began to experience a series of sequelae, including conversion symptoms, dissociation, and re-experiencing.
I couldn't sleep at night.
However, two years ago, all of these symptoms disappeared, and I thought I had overcome it; I believed it would not return.
But just yesterday, the same traumatic experience resurfaced.
I truly do not understand when all of this will completely vanish from my life.
Is it true that once you experience something like this, you can never fully escape it? Thank you for your response!

Yichen, 20~29 year old female. Ask Date: 2018/05/28

Dr. Cai Qijin reply Psychiatry


Hello: The symptoms of post-traumatic stress disorder (PTSD) typically diminish over time, but they can also be triggered by life stressors, leading to fluctuations, although generally less severe than before.
If the intensity and frequency of the symptoms re-emerge and cause significant distress, it is advisable to seek an evaluation from a physician and consider arranging for psychological therapy.
Additionally, it is important to rule out the possibility of depressive or manic episodes associated with bipolar disorder before attributing the re-emergence of symptoms to PTSD.

Reply Date: 2018/05/28

More Info


Post-Traumatic Stress Disorder (PTSD) is a complex mental health condition that can arise after experiencing or witnessing a traumatic event. Your question about whether PTSD symptoms can be fully healed after trauma is a profound one, and it reflects the struggles many individuals face in the aftermath of such experiences.

First, it’s important to understand that PTSD symptoms can vary widely among individuals. Some people may experience symptoms that diminish over time, while others may find that their symptoms can resurface, especially when triggered by reminders of the trauma. This phenomenon is often referred to as "re-experiencing" the trauma, which can include flashbacks, nightmares, and intrusive thoughts. In your case, it seems that you had a period where your symptoms subsided, only to have them re-emerge after a triggering event. This is not uncommon and can be particularly distressing.

The notion that once you have experienced trauma, you may never fully escape its effects is a reality for many. However, it’s crucial to recognize that while the memories and feelings associated with trauma may persist, the intensity and impact of these symptoms can be significantly reduced through appropriate treatment and coping strategies. Healing from trauma is often a nonlinear process, meaning that individuals may experience periods of improvement followed by setbacks.

Therapeutic interventions play a vital role in managing PTSD symptoms. Evidence-based treatments such as Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and exposure therapy have shown effectiveness in helping individuals process traumatic memories and reduce symptoms. Additionally, mindfulness practices and relaxation techniques can help manage anxiety and improve overall emotional regulation.

It’s also essential to consider the role of medication in managing PTSD symptoms, particularly if you have a history of mood disorders such as bipolar disorder. Medications like selective serotonin reuptake inhibitors (SSRIs) are often prescribed to help alleviate symptoms of PTSD and depression. However, it’s crucial to work closely with a healthcare provider to find the right treatment plan tailored to your specific needs.

Support from friends, family, or support groups can also be invaluable in the healing process. Sharing your experiences with others who understand can provide comfort and reduce feelings of isolation. Engaging in self-care activities, such as exercise, art, or journaling, can also help you process your emotions and foster resilience.

In conclusion, while it may feel overwhelming at times, it is possible to manage and reduce PTSD symptoms significantly. The journey to healing is often complex and requires patience, self-compassion, and professional support. It’s essential to reach out to mental health professionals who can guide you through this process and help you develop effective coping strategies. Remember, you are not alone in this journey, and there is hope for a brighter future.

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