Trauma vs PTSD
It’s common for people to feel confused about trauma and PTSD. Some people believe that if they don’t have all the symptoms of PTSD, they must not have experienced trauma. It’s important to know that you can experience the effects of trauma without having a formal PTSD diagnosis.
Trauma affects everyone differently, and symptoms can be broader and show up in many ways including emotionally, physically, or in your thoughts and behaviours. You might notice difficulties such as anxiety, flashbacks, trouble trusting others, or feeling constantly on edge and expect the worse, even if you don’t meet all the criteria for PTSD.
Not everyone who experiences trauma will develop PTSD. PTSD occurs when the memory of the event remains “stuck” and continues to cause distress, often through flashbacks, nightmares, or ongoing hyper-alertness.
Symptoms of PTSD are generally grouped into four main areas:
1. Re-experiencing or re-living the trauma
- Flashbacks or feeling like the event or trauma is happening again
- Nightmares or disturbing memories
- Intrusive thoughts that appear unexpectedly
2. Avoidance
- Staying away from people, places or situations that remind you of the trauma
- Trying not to think or talk about what happened
3. Changes in thoughts and mood
- Feeling guilty, ashamed or hopeless
- Trouble remembering parts of the event
- Feeling disconnected from others or losing interest in things you used to enjoy
4. Being on high alert (hyperarousal)
- Feeling jumpy or easily startled
- Difficulty sleeping or concentrating
- Angry outbursts or irritability
Not everyone experiences all of these symptoms and the intensity can vary.
A helpful way to understand this is to imagine your brain pressing “replay” on the traumatic event. Even though the danger is over, your mind and body respond as if it’s happening right now. Trauma can be thought of like a physical wound: it needs care, attention and time to heal. Without support, the wound can remain sensitive and continue to affect your daily life.