PTSD ยท recognise

More than just flashbacks

PTSD is often narrowed down to intense re-experiences. The symptoms go further, and in complex PTSD there is another layer on top.

Important in advance: this page helps you prepare the conversation with a GP or practitioner. It's not a diagnosis. Only a doctor or mental health practitioner can diagnose PTSD or complex PTSD.
The characteristics

What often occurs together

Not every characteristic has to be correct, but together they form a recognizable picture.

๐Ÿ”„ Re-experiencing

Unwanted, recurring memories of the event, sometimes as a flashback, sometimes as a nightmare.

๐Ÿšซ Avoidance

Avoiding places, people, conversations or thoughts that are related to the event remembering.

๐Ÿ’ฅ Increased alertness

Exaggerated startle responses, irritability, sleep problems, and difficulty concentrating.

๐ŸŽต Negative thoughts or mood

Persistent negative beliefs about yourself or the world, feelings of guilt, or feeling cut off from others.

๐Ÿ’” In complex PTSD: emotion regulation

Strong emotions that are difficult to control, sometimes accompanied by self-mutilation or dissociation.

๐Ÿ‘ค In complex PTSD: self-image and relationships

A persistent negative self-image, shame, and difficulty trusting others or allowing others to be close come.

๐ŸŽ Need immediate help?

In case of immediate danger to yourself or someone else: call 112. Are you in distress or are you thinking about suicide? You can call or chat with 113 Suicide Prevention day and night via 0800-0113. Zorgfuik is not a crisis service and cannot solve acute requests for help, but we think it is important that you know where you can go.

When to discuss possible PTSD symptoms with your GP

Make an appointment if memories, nightmares, avoidance, alertness or shame keep affecting daily life. You do not need to prove a diagnosis before asking for help. A GP can discuss what fits, what is urgent and which referral may be appropriate.

What a PCL-5 questionnaire can and cannot say

A questionnaire can help structure symptoms, but it does not replace a professional assessment. It can be useful to bring the outcome to a conversation and explain what has changed in daily life.

Prepare

What you can write down before an appointment

What triggers it

Describe moments, places, sounds or contact that bring symptoms back.

What you avoid

Write down what you no longer do because it feels unsafe, overwhelming or too confronting.

What it costs

Include specific situations that you avoid or manage only with intense distress, such as travelling, driving, being a passenger or spending time in crowded places. One difficulty does not prove that you have PTSD, but its effect on daily life helps a professional assess the wider picture. See examples from daily life โ†’

Explain the effect on sleep, work, relationships, driving, concentration or caring for others.

Reliable explanation and help

Zorgfuik does not diagnose PTSD or complex PTSD. If there is immediate danger or suicidal thinking, call emergency services or 113. For non-urgent concerns, discuss symptoms with your GP.

Sources

Reliable explanation and help

  • Thuisarts: PTSS - explanation about signs, help and treatment for post-traumatic stress disorder.
  • GGZ Standaarden - care standards and guidelines for Dutch mental healthcare.
Map your situation

Is recognition or diagnosis taking a long time?

Answer a few questions. You do not get a diagnosis or advice, but you do get points and questions you can take into a next conversation.

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