By Holly Austin Smith — From her column Speaking Out in the Washington Times Communities
ST. LOUIS, Missouri, May 20, 2013 ─ Many believe that post-traumatic stress disorder (PTSD) exclusively affects war veterans. However, Licensed Master Social Worker Margaret Howard dispels this myth. In an interview earlier this month, Margaret explained how PTSD can affect survivors of human trafficking and sexual crimes. Since many are not familiar with the signs and symptoms of this disorder, Howard has agreed to continue the conversation with questions from survivors.
Can I have PTSD and not know it? In other words, must a person be debilitated with terrifying flashbacks in order to be diagnosed with PTSD?
Yes, it is very possible to have PTSD and not know it. Flashbacks are only one possible feature of PTSD, and many people with PTSD do not have them. Usually when we think of flashbacks we think of something visual or auditory, like someone seeing or hearing sights and sounds that are of the original traumatizing event or events. However, traumatic re-experiencing probably more often looks or feels like one of these two things: hyperarousal or hypoarousal. Hyperarousal is an out-of-proportion emotional response to either something that is currently happening or an environmental cue associated with something that happened in the past. Hypoarousal is an emotional response that looks more like a person getting really quiet, spacing out, getting really tired or sleepy, or “going away,” which is dissociation.









