Post-Traumatic Stress Disorder (PTSD)

What is PTSD?

Post-traumatic stress disorder (PTSD) is a mental health condition that develops after someone experiences or witnesses a life-threatening event, such as combat, assault, natural disasters, or serious accidents. While it is normal to feel fear, anxiety, or distress after trauma, most people gradually recover. PTSD develops when these symptoms persist for more than a month, interfere with daily functioning, and cause significant distress.

People with PTSD often experience unwanted and upsetting memories, feel constantly on edge, or avoid reminders of the trauma. Symptoms may begin shortly after the event or take months or years to appear. Without treatment, PTSD can disrupt work, relationships, and overall well-being. With professional care, recovery is possible, and symptoms can improve significantly.

Signs & symptoms

PTSD symptoms generally fall into four categories: intrusive memories (re-experiencing), avoidance behaviors, negative changes in thoughts and mood, and heightened arousal or reactivity. Some individuals may have constant, severe symptoms, while others notice that their symptoms come and go over time, often triggered by stressful events or reminders of the trauma. The severity and mix of symptoms can shift throughout life, which makes each person’s PTSD experience different.

  • Flashbacks where you feel as though the trauma is happening again
  • Nightmares about the event
  • Intrusive thoughts, images, or memories triggered by people, places, or sounds
  • Staying away from people, places, or activities that remind you of the trauma
  • Avoiding talking or even thinking about the event
  • Keeping excessively busy or delaying treatment as a way to avoid memories
  • Numbness or loss of interest in activities you once enjoyed
  • Feelings of guilt, blame, or shame connected to the trauma
  • Believing the world is unsafe or that no one can be trusted
  • Trouble remembering parts of the event
  • Being easily startled or “on edge”
  • Irritability, anger, or sudden outbursts
  • Trouble concentrating
  • Difficulty sleeping or reliance on unhealthy coping behaviors like alcohol, drugs, or reckless driving

PTSD is diagnosed by a licensed mental health professional after a thorough evaluation. Criteria include exposure to a traumatic event and persistent symptoms from each of the four categories listed above: re-experiencing, avoidance, negative changes in thoughts and mood, and hyperarousal. These symptoms must last more than one month, cause significant distress, and interfere with daily functioning. To ensure accuracy, clinicians may use structured diagnostic interviews and self-report tools, and rule out other mental health or medical conditions.

Types of post-traumatic stress disorder

PTSD can present in different forms depending on the type and intensity of trauma, the individual’s history, and their specific pattern of symptoms. Variations such as acute, chronic, delayed-onset, and complex PTSD reflect how symptoms emerge, combine, and persist over time.

Acute PTSD develops when symptoms persist for more than one month following a traumatic event, but resolve within three months. People with acute PTSD may struggle with distressing flashbacks, avoidance, and heightened arousal but are likely to see substantial improvement as time passes or through treatment. Early intervention, such as trauma-focused therapy or support groups, can help symptoms resolve and prevent long-term complications.

Chronic PTSD is diagnosed when symptoms last longer than three months, often becoming part of daily life without treatment. Individuals with chronic PTSD commonly experience persistent distressing memories, avoidance, emotional numbness, and difficulty with sleep, concentration, or anger. Because symptoms can linger for years, therapy and ongoing support are critical, and recovery may require a combination of psychotherapy, medication, and lifestyle changes.

Delayed-onset PTSD describes cases where symptoms do not appear until months or even years after the traumatic experience. New triggers, life transitions, or reminders can bring up intense distress unexpectedly. This delayed reaction sometimes makes diagnosis challenging, as individuals may not realize their mental health struggles relate to a past trauma. Targeted therapy can address the origins of the symptoms and support long-term healing.

Complex PTSD develops after prolonged or repeated exposure to trauma, often beginning in childhood, abusive relationships, captivity, or ongoing violence. Alongside classic PTSD symptoms, individuals may struggle with lasting disturbances in self-image, emotional regulation, relationship patterns, and a sense of identity. Treating C-PTSD can be more involved. With specialized therapy such as trauma-focused cognitive behavioral therapy (CBT) and skills training, many people find improvement in stability and well-being.

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Causes & risks

Not everyone exposed to trauma develops PTSD. Risk is shaped by the severity and duration of the event, a person’s prior trauma history, and the presence or absence of supportive relationships. Greater risk is linked to intense or repeated trauma, childhood adversity, or lacking social support after the event. Other factors include previous mental health issues, substance use, and family history, which may also increase vulnerability.

  • Experiencing or witnessing severe trauma such as combat or assault
  • Lack of support system after the trauma
  • Living in unsafe or unstable environments
  • Additional stressors following the event (e.g., loss of housing, financial instability)
  • History of other mental health conditions like anxiety or depression
  • Previous exposure to trauma, especially during childhood
  • Family history of PTSD or other psychiatric disorders
  • Brain chemistry and stress-response system irregularities
  • High risk of suicidal thoughts or attempts in severe cases

Treatment programs

Capella Recovery Center offers structured, evidence-based treatment for post-traumatic stress disorder. Programs are tailored to help patients safely confront and process trauma, reduce distressing symptoms, and build long-term coping skills.

Residential inpatient

Patients admitted to residential treatment receive 24/7 support in a structured and therapeutic setting. Capella offers evidence-based interventions such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and medication management as appropriate for PTSD and related symptoms. Our multidisciplinary team monitors each individual's progress in a safe environment and adjusts treatment plans to best support personal healing and recovery.

Aftercare planning

Post-residential support may include intensive outpatient programs (IOP) or partial hospitalization programs (PHP), which offer continued therapy, symptom management, and relapse prevention. Aftercare services also focus on stress management, grounding skills, and building routines to reduce the risk of symptom flare-ups.

Alumni community

Graduates of Capella’s programs have access to ongoing connection through alumni support groups, mentorship opportunities, and community events. This sense of belonging fosters accountability, reinforces coping skills, and provides a lasting network of peers who share lived experiences of recovery.
Residential inpatient

Patients admitted to residential treatment receive 24/7 support in a structured and therapeutic setting. Capella offers evidence-based interventions such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and medication management as appropriate for PTSD and related symptoms. Our multidisciplinary team monitors each individual’s progress in a safe environment and adjusts treatment plans to best support personal healing and recovery.

Post-residential support may include intensive outpatient programs (IOP) or partial hospitalization programs (PHP), which offer continued therapy, symptom management, and relapse prevention. Aftercare services also focus on stress management, grounding skills, and building routines to reduce the risk of symptom flare-ups.

Graduates of Capella’s programs have access to ongoing connection through alumni support groups, mentorship opportunities, and community events. This sense of belonging fosters accountability, reinforces coping skills, and provides a lasting network of peers who share lived experiences of recovery.

Lifelong management

Living with PTSD requires ongoing attention to triggers, coping strategies, and self-care. Many individuals learn to manage symptoms through continued therapy, mindfulness practices, and reliance on social support networks. Recovery does not mean forgetting the trauma; rather, it means regaining control over life, strengthening resilience, and preventing trauma from defining one’s future.

At Capella Recovery Center, we emphasize building long-term skills not only to reduce symptoms but also to improve overall quality of life. With the right treatment, ongoing support, and active participation in recovery, people living with PTSD can foster stability, renew trust in themselves and others, and move toward a more hopeful future.