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concentration, sad, withdrawn,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