thoughtscape NP Psychiatry · Understanding mental health

Post-traumatic stress disorder (PTSD)

The effects of trauma can continue after an event is over. Care begins with understanding how those effects are showing up in your life.

New educational draft · Clinician and editorial review pending.

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01 / Understanding the details

Understanding PTSD

Many people have reactions after trauma; not everyone develops PTSD. PTSD includes symptoms that persist beyond one month, interfere with daily life and meet a specific clinical pattern.

Symptoms can include intrusive memories or nightmares, avoiding reminders, feeling constantly on guard, and changes in mood or beliefs. Sleep, concentration, and relationships may also be affected.

Source: NIMH — Post-Traumatic Stress Disorder

02 / Understanding the details

An assessment makes room for context

A clinician considers the symptoms, their duration, and impact, other health concerns, and whether there is ongoing danger. The presence of distress after trauma does not, by itself, establish a diagnosis.

Source: NIMH — Post-Traumatic Stress Disorder

03 / Understanding the details

Treatment options

Psychotherapy, medication, or a combination may be used. Some therapies specifically address trauma-related symptoms. Treatment should be planned with a professional experienced in PTSD, taking account of your circumstances, and any ongoing safety needs.

Supportive relationships and everyday routines may help recovery, alongside appropriate treatment. Recovery is individual and does not follow one fixed timetable.

Source: NIMH — Post-Traumatic Stress Disorder

04 / Understanding the details

Questions for a first visit

What changes in sleep, mood, concentration, or daily life are most difficult right now? What would help me feel more comfortable having this conversation? Which parts of my history am I ready to discuss?

Ask about the clinician’s experience with trauma-related care, the treatment approaches available, and whether a specialist referral would be useful. Listing a treatment approach in this guide does not mean every approach is provided at thoughtscape NP Psychiatry.

A next step, when you are ready

Bring your questions.

Thoughtscape offers online adult psychiatric care in New York. An initial conversation can help clarify whether the practice fits your needs; specific therapy approaches may require a referral.

Make an appointment

About this information

For general education only. This information does not replace individualized medical advice, diagnosis, or treatment. Do not start, stop, or change medication without guidance from your prescriber. For an emergency, call 911 or go to the nearest emergency department.

thoughtscape NP PsychiatryJeffrey Panko, PMHNP-BC