Post Traumatic Stress Disorder, Rape, and Sexual Abuse

The estimated risk for rape survivors developing postreappear later in life. This can make it difficult to
traumatic stress disorder (PTSD) is 49%. The risk forrecognize when PTSD is occurring, as survivors may
those beaten or experiencing physical assault is 31.9%,not associate their current feeling and behaviours with
whilst the risk for others who experienced sexualpas events.Each time symptoms appear, however,
assault is 23.7%. Given these figures, it is no wonderthey provide an opportunity for healing. Post traumatic
women are more likely to develop PTSD than men, asstress disorder can be treated, using a combination of
they are statistically significantly more likely tomedication and psychotherapy.Whilst medications
experience sexual assault.Post traumatic stresswere not thought to help in the treatment of PTSD in
disorder is characterized by intense fear, a sense ofthe past, they have been found to be beneficial now,
helplessness, or horror. It can affect all areas of aprobably due to newer ones being available. The
person's life, their emotions, mental wellbeing, andSSRI's (selective serotonin uptake inhibitors) zoloft and
physical health. And symptoms are generally worse inpaxil are both approved by the FDA for treating
situations, like rape and abuse, where the trauma wasPTSD. And newer antidepressants like effexor and
deliberately initiated against those involved.A personserzone are also beneficial, and tend to be used when
with post traumatic stress disorder may re-live thethe patient does not tolerate paxil and zoloft, or those
traumatic events, having flashbacks or other remindersmedications aren't effective.There are 3 types of
and images that intrude on their waking hours, or inpsychotherapy that can be used to treat PTSD.
dreams and nightmares. These reminders may alsoThese are exposure management, cognitive therapy,
trigger physical symptoms, such as heart palpitations orand anxiety management. A combination of all 3 may
chills. Or emotional problems, like anxiety, depression,be used, or one individually. Each person is different in
and dread.People with post traumatic stress disorderwhat they will respond to.In exposure therapy, patients
may avoid any reminders of the trauma, whether thatconfront, in a safe therapeutic environment, the
is people associated with the experience, or places, orsituations, people, and memories associated with the
even thoughts of the trauma. They can distancetrauma. People with PTSD usually avoid this very thing,
themselves from family and friends, and withdrawbut by working through the trauma in this way,
from everyday activities and things they used toexposure therapy is actually very effective at healing
enjoy.Relationship problems are common for survivorsPTSD.Cognitive therapy helps in the process of
of rape and sexual abuse. Some survivors avoidunderstanding how our thoughts affect our feelings,
intimacy, others avoid sex, and some avoid both, andand provides ways of shifting negative thinking.
create patterns in their lives where those copingNegative thinking can perpetuate a mental prison
mechanisms are maintained. But sufferers of PTSDwhere joy and interconnectedness is no longer felt.
who did not experience any sexual abuse can alsoChanging those dynamics can provide a new
have problems in their relationships, or in socialframework with which to process the trauma, and
situations.Another characteristic of post traumaticallow healing to occur.In anxiety management, skills are
stress disorder is being on guard all the time, andlearnt that help one cope better with the symptoms
suddenly feeling anger or irritability. There can beand triggers of post traumatic stress disorder. They
problems with sleeping and concentrating, andcan help reduce the intensity of the symptoms, though
sufferers may be startled easily. Self destructivethey need to be practised to be effective. Anxiety
behaviours, such as gambling, risky sex, drug use,management techniques can be very helpful in
alcohol abuse, or other problems like dangerous driving,controlling anxiety whilst doing exposure therapy.
may be present. Depression, disassociation, or otherSome techniques used include relaxation, breathing
mental health problems can develop.Not all of thesetechniques, assertiveness training, and positive thinking
characteristics may be present in PTSD, and theand self talk.References:1. ptsdalliance.org
degree to which one experiences them may varyabout_what.html2. ptsd.factsforhealth.org
also. And PTSD may not develop until months orwhatmeds.html3. nimh.nih.gov/publicat/anxiety.cfmFor
years after the trauma. Particularly in relation to abusemore articles on anxiety and depression, click here.
in childhood, symptoms of PTSD can pass, then