Pre-Traumatic Stress Disorder

Many of us have grandparents who often tell us stories about how they survived during wars in the past. Their raw emotions denote the psychological scars left behind by experiencing such trauma, thus leading to a well-known condition called post-traumatic stress disorder, which is most prevalent in soldiers nowadays. But what if I told you that even “pre” traumatic stress disorder exists? And you and I have both experienced it without even realizing that we were going through it. For instance, the extreme stress that we undergo right before an important exam could possibly be pre-traumatic stress disorder. For instance, they become fearful for themselves and their loved ones when they hear about individuals being sick or dying. Even though the DSM-5 does not identify this mental disease, it is nonetheless very real and severe.

Increased anxiety, ongoing concern, and intrusive thoughts about the impending catastrophe are typical symptoms. People with hyperarousal may exhibit symptoms like restlessness, agitation, and a heightened startle response. Prolonged stress can also cause physical symptoms like headaches, exhaustion, and tense muscles. Emotional symptoms frequently include diminished concentration and trouble carrying out daily tasks, along with feelings of helplessness, dread, or impending doom. People may exhibit avoidance tendencies in certain situations such as avoiding situations, friends, or discussions that make them think about the impending trauma. These symptoms can have a major negative effect on a person's quality of life and frequently result in a chronic stress state, which may put the person at risk for more serious mental health problems should the feared trauma materialize.

Fortunately, coping mechanisms do exist. Pre-traumatic stress disorder requires proactive coping mechanisms to control the tension and anxiety associated with the upcoming trauma. Creating a network of support is essential; speaking with dependable family members, friends, or a mental health professional can offer consolation and useful guidance. By encouraging a sense of calm and grounding, mindfulness practices like yoga, meditation, and deep breathing exercises can help manage symptoms of hyperarousal. Thought reframing is one cognitive-behavioural method that can help people confront and change negative thought patterns, which can be helpful in resolving intrusive thoughts and feelings of dread. Small, attainable goals might help offset emotions of helplessness by making daily chores feel more manageable. Exercise has been shown to have positive effects on mood by lowering stress hormones and releasing endorphins. Restoring energy and resilience requires maintaining a regular sleep schedule; practicing relaxation techniques prior to bed can assist with sleep issues. To address symptoms more thoroughly, it may be helpful in certain circumstances to seek professional assistance through therapy, such as eye movement desensitization and reprocessing (EMDR). When prescribed by a medical professional, medicines can also assist relieve acute anxiety or insomnia. Prioritizing self-care and fostering resilience can enable people to better control their symptoms and stop pre-TSD from getting worse.

Remember – it is never too late to ask for help.

-Dhrishit Patel