Trauma Awareness & Treatment Center TATC

PTSD and Comorbidity

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Disorders & Problems Co-Morbid with PTSD
Larry Beall, Ph.D.
 
Disorder                               Symptomatic, Behavioral Manifestations
 
 
Mood/Anxiety disorders
 
 
Major Depression                     Mood swings, insomnia, impaired   
and Bipolar                          concentration, sad, withdrawn,
                                          fatigued
 
Generalized Anxiety                Irritability, hyper-vigilance,
Disorder                                   startle response, poor concentration,
                                          insomnia, unrealistic worry
 
Phobias                                      (Most common:simple phobias, social
                                          phobias, and agoraphobia) avoidant
                                          behaviors triggered by enviroment
                                          and/or social stimuli
 
Panic Disorder                           Choking, numbness, tingling, fear of
                                          going crazy, fear of dying
 
Sleep Disorder                           Common with unresolved trauma in
                                          connection with arousal or sympathetic
                                          nervous system.  Often exacerbates
                                          other disorders.
 
Anger or Explosive               The psychic pain of trauma can
Disorders                            generate anger on the level of rage
                                          and the behavioral problems often
                                          associated with rage.  The deeper the
                                          violation, the more intense the rage.
 
 
Disorders of Cognitive Functioning
 
 
Attention Deficit                   Forgetful, confused, difficulty
Disorder                                      learning from experience, 
                                           problems with concentration, easily
                                           distracted 
 
Thought Disorder                        Chaotic, disorganized, loose  
(Schizophrenic-like)              associations, loss of contact with
                                            reality
 
 
Disorders of Dissociation          Rapid changes in personality, rapid
                                            age regression, amnesia, third person
                                            references, daze or trance states,
                                            time loss, vivid images
 
 
Somatic Disorders
 
 
Somatization Disorders          Rapidly changing physical complaints
Psychosomatic/
Conversion/Somatoform
 
Migraine Headache                Because of its frequency, intensity 
                                            and disabling features, it is given
                                            distinction as a somatic disorder
 
 
Behavioral Disorders                
 
Chemical Abuse &                      Drug and alcohol abuse is frequently  
Dependency                          co-morbid with PTSD both for self-
                                            medication and as a result of the
                                            substance abuse lifestyle that leads
                                            to traumatic experiences
 
Addictive Behaviors                  Because of the anxiety generated by
                                           PTSD, and the coping problems it
                                           creates, addictions are highly
                                           correlated with post-trauma
                                           conditions.
 
Eating Disorders                   Preoccupation with food is common
                                           with unresolved trauma.  Food is a
                                           readily available form of self
                                           medication.  Also because of control
                                           issues, Bulemia, Anorexia Nervosa and
                                           other food addictions can result.
 
 
Self-Destructive                         Because of the intensity of intra-
Behaviors                             psychic emotional forces associated
                                            with childhood sexual abuse in 
                                            particular, self-mutilation needs to be
                                            assessed.
 
Conduct/Personality                 Lying, inappropriate sexual behavior,
Disorders                                   aggression, explosive temper, self-
                                            mutilation
 
 
Interpersonal Problems
 
Relationship Problems              Common with trauma survivors for
                                           several reasons.  They are often
                                           fearful, ashamed, have low self-
                                           esteem, and inability to trust. 
                                           Difficulty with self-assertion.  Marital
                                           problems and staying with abusive
                                           partners.
 
Paranoia                              Early trauma contributes to
                                           suspiciousness, fears of being harmed,
                                           looking over shoulder

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Trauma Awareness & Treatment Center TATC
32 West Winchester Street, Suite 101
Murray, UT  84107 

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