CPTSD CASE STUDY


wellbeing programs for Aviva. Professor Renos Papadopoulous PhD,


Director of Trauma Studies at the University of Essex and the United Nations advisor on trauma, has assisted us in putting together the trauma-aware training package for our instructors.


I am confident that if Norfolk and Suffolk


Constabularies take on the ‘Rewilding’ peer support programme, it will have a huge impact on people who need help, and encourage discussions about emotional and mental wellbeing. I am so grateful for the support and assistance I’ve received. It has had such a profound effect on my life. I hope my story can act as a trigger and ultimately help others.


SPOTTING THE SIGNS The NHS guidance on PTSD symptoms can help keep officers alert to people at risk


The symptoms of post-traumatic stress disorder (PTSD) can have a significant impact on your day-to-day life. In most cases, the symptoms develop during the first month after a traumatic event, but in a minority of cases, there may be a delay of months or even years before symptoms start to appear. Some people with PTSD experience long periods when their symptoms are less noticeable, followed by periods where they get worse. Other people have constant severe symptoms. The specific symptoms of PTSD


can vary widely between individuals, but generally fall into the categories described below.


RE-EXPERIENCING Re-experiencing is the most typical symptom of PTSD. This is when a person involuntarily and vividly relives the traumatic event in the form of:


• Flashbacks • Nightmares • Repetitive and distressing images or sensations


• Physical sensations, such as pain, sweating, feeling sick or trembling


Some people have constant negative thoughts about their experience, repeatedly asking themselves questions that prevent them coming to terms with the event. For example, they may wonder why the


22 | POLICE | JUNE 2023


event happened to them and if they could have done anything to stop it, which can lead to feelings of guilt or shame.


AVOIDANCE AND EMOTIONAL NUMBING Trying to avoid being reminded of the traumatic event is another key symptom of PTSD. This usually means avoiding certain people or places that remind you of the trauma, or avoiding talking to anyone about your experience. Many people with PTSD try to push memories of the event out of their mind, often distracting themselves with work or hobbies. Some people attempt to deal with their feelings by trying not to feel anything at all. This is known as emotional numbing. This can lead to the person becoming


isolated and withdrawn, and they may also give up pursuing activities they used to enjoy.


HYPERAROUSAL (FEELING “ON EDGE”) Someone with PTSD may be very anxious and find it difficult to relax. They may be constantly aware of threats and easily startled. This state of mind is known as Hyperarousal. Hyperarousal often leads to:


• Irritability • Angry outbursts • Sleeping problems (insomnia) • Difficulty concentrating


OTHER PROBLEMS Many people with PTSD also have a number of other problems, including:


• Other mental health problems, such as depression, anxiety or phobias


• Self-harming or destructive behaviour, such as drug misuse or alcohol misuse


• Other physical symptoms, such as headaches, dizziness, chest pains


and stomach aches


PTSD sometimes leads to work-related problems and the breakdown of relationships.


WHEN TO SEEK MEDICAL ADVICE It’s normal to experience upsetting and confusing thoughts after a traumatic event, but in most people these improve naturally over a few weeks. You should visit your GP if you are still


having problems after about four weeks following the traumatic experience, or the symptoms are particularly troublesome. Your GP will want to discuss your if


symptoms with you in as much detail as possible. They’ll ask whether you have experienced a traumatic event in the recent or distant past and whether you have re-experienced the event through flashbacks or nightmares. Your GP can refer you to mental


health specialists if they feel you’d benefit from treatment.


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