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Working with children and families from hard places, I have seen the trail of devastations that PTSD symptoms leave in a survivor’s life. The flashbacks, depression, shame, fear, guilt, substance misuse, difficult behaviors, aggression, and self-harming behaviors that can result from PTSD are all painful to live with and witness. In their own volatile ways, symptoms from any of the four categories Sanderson (2013) lists on page 21 can seriously interfere with a survivor’s everyday life.
Of the four categories of PTSD symptoms, I feel that intrusive symptoms may be the most difficult for a survivor to cope with. This is because of the disruptive and dissociative nature of intrusive symptoms. However, I acknowledge that a survivor’s experience with any other category of symptoms – avoidance, cognition, or reactive – is completely valid. Three reasons for my assessment are to follow.
First, a survivor’s ability to cope with trauma can be challenged by their unconscious susceptibility to triggers in their environment. Avoidance, cognition, or reactive symptoms may develop as the brain attempts to protect the survivor from such triggers. However, it is often difficult to predict what will trigger intrusive symptoms. Furthermore, such maladaptive coping strategies to intrusive symptoms actually maintain PTSD symptoms (Clohessy & Ehlers, 1999).
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