Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after a person experiences or witnesses a traumatic event. These events may include combat, physical or sexual assault, natural disasters, serious accidents, abuse, or the sudden loss of a loved one.
PTSD is more than just fear or anxiety—it involves a lasting psychological response that disrupts a person’s ability to feel safe, process memories, and function normally in daily life.
Common Symptoms of PTSD
PTSD symptoms generally fall into four categories:
Intrusion (Re-experiencing)
- Flashbacks, nightmares, or unwanted thoughts of the traumatic event
- Feeling as though the trauma is happening again
Avoidance
- Avoiding people, places, or situations that trigger memories
- Avoiding thoughts or conversations about the trauma
Negative Thoughts and Mood Changes
- Persistent guilt, shame, or sadness
- Feeling numb, hopeless, or detached from others
- Loss of interest in activities
Hyperarousal and Reactivity
- Irritability or angry outbursts
- Being easily startled or constantly “on edge”
- Difficulty sleeping or concentrating
To be diagnosed with PTSD, symptoms must persist for more than one month and cause significant distress or impairment.
How PTSD Is Treated with a Mental Health Counselor
Mental health counselors use a variety of evidence-based therapies to help individuals safely process trauma, reduce symptoms, and reclaim control of their lives.
1. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
- Helps clients identify and challenge negative beliefs caused by the trauma (e.g., “I’m not safe,” “It was my fault”).
- Teaches coping skills to manage distress and regulate emotions.
- Gradual exposure to trauma memories helps reduce fear.
2. Eye Movement Desensitization and Reprocessing (EMDR)
- A structured therapy that uses bilateral stimulation (like guided eye movements) to help the brain process and heal from trauma.
- Helps reduce the emotional intensity of traumatic memories without needing to talk about them in detail.
3. Prolonged Exposure Therapy
- Helps individuals confront trauma-related thoughts, memories, and situations in a safe, controlled way.
- Over time, this reduces fear and avoidance.
4. Narrative Therapy or Trauma Processing
- Involves telling and reshaping the story of the traumatic experience.
- Helps integrate the trauma into the person’s life story without being dominated by it.
5. Grounding and Mindfulness Techniques
- Used to reduce dissociation and stay present during emotional distress.
- Techniques include deep breathing, body awareness, and sensory grounding.
6. Psychoeducation
- Counselors help clients understand how trauma affects the brain and body.
- Reduces confusion, shame, and fear about symptoms.
7. Somatic Therapies
- Focus on how trauma is stored in the body.
- Techniques may include body scans, movement, breath-work, or somatic experiencing.
8. Group Therapy or Support Groups
- Sharing experiences with others can reduce isolation and build a sense of connection and hope.
- Often led by trauma-informed counselors.
Goals of PTSD Counseling
- Help clients process and integrate traumatic experiences
- Reduce symptoms such as flashbacks, nightmares, and hyper-vigilance
- Rebuild a sense of safety, trust, and identity
- Restore emotional and physical well-being
- Support clients in living a full, meaningful life beyond trauma
PTSD is treatable, and healing is possible. A mental health counselor provides a safe and compassionate space for clients to reclaim their power and peace after trauma.