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Estrategias de afrontamiento, y apoyo

If stress and other problems caused by a traumatic event affect your life, see your doctor or mental health professional. You can also take these actions as you continue with treatment for post-traumatic stress disorder:

  • Follow your treatment plan. Although it may take a while to feel benefits from therapy or medications, treatment can be effective, and most people do recover. Remind yourself that it takes time. Following your treatment plan and routinely communicating with your mental health professional will help move you forward.
  • Learn about PTSD. This knowledge can help you understand what you're feeling, and then you can develop coping strategies to help you respond effectively.
  • Take care of yourself. Get enough rest, eat a healthy diet, exercise and take time to relax. Try to reduce or avoid caffeine and nicotine, which can worsen anxiety.
  • Don't self-medicate. Turning to alcohol or drugs to numb your feelings isn't healthy, even though it may be a tempting way to cope. It can lead to more problems down the road, interfere with effective treatments and prevent real healing.
  • Break the cycle. When you feel anxious, take a brisk walk or jump into a hobby to re-focus.
  • Stay connected. Spend time with supportive and caring people — family, friends, faith leaders or others. You don't have to talk about what happened if you don't want to. Just sharing time with loved ones can offer healing and comfort.
  • Consider a support group. Ask your mental health professional for help finding a support group, or contact veterans' organizations or your community's social services system. Or look for local support groups in an online directory.

When someone you love has PTSD

The person you love may seem like a different person than you knew before the trauma — angry and irritable, for example, or withdrawn and depressed. PTSD can significantly strain the emotional and mental health of loved ones and friends.

Hearing about the trauma that led to your loved one's PTSD may be painful for you and even cause you to relive difficult events. You may find yourself avoiding his or her attempts to talk about the trauma or feeling hopeless that your loved one will get better. At the same time, you may feel guilty that you can't fix your loved one or hurry up the process of healing.

Remember that you can't change someone. However, you can:

  • Learn about PTSD. This can help you understand what your loved one is going through.
  • Recognize that avoidance and withdrawal are part of the disorder. If your loved one resists your help, allow space and let your loved one know that you're available when he or she is ready to accept your help.
  • Offer to attend medical appointments. If your loved one is willing, attending appointments can help you understand and assist with treatment.
  • Be willing to listen. Let your loved one know you're willing to listen, but you understand if he or she doesn't want to talk. Try not to force your loved one to talk about the trauma until he or she is ready.
  • Encourage participation. Plan opportunities for activities with family and friends. Celebrate good events.
  • Make your own health a priority. Take care of yourself by eating healthy, being physically active and getting enough rest. Take time alone or with friends, doing activities that help you recharge.
  • Seek help if you need it. If you have difficulty coping, talk with your doctor. He or she may refer you to a therapist who can help you work through your stress.
  • Stay safe. Plan a safe place for yourself and your children if your loved one becomes violent or abusive.

Prevención

After surviving a traumatic event, many people have PTSD-like symptoms at first, such as being unable to stop thinking about what's happened. Fear, anxiety, anger, depression, guilt — all are common reactions to trauma. However, the majority of people exposed to trauma do not develop long-term post-traumatic stress disorder.

Getting timely help and support may prevent normal stress reactions from getting worse and developing into PTSD. This may mean turning to family and friends who will listen and offer comfort. It may mean seeking out a mental health professional for a brief course of therapy. Some people may also find it helpful to turn to their faith community.

Support from others also may help prevent you from turning to unhealthy coping methods, such as misuse of alcohol or drugs.

Feb. 18, 2017
References
  1. Posttraumatic stress disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Dec.13, 2016.
  2. Clinician's guide to medications for PTSD. National Center for PTSD. http://www.ptsd.va.gov/professional/treatment/overview/clinicians-guide-to-medications-for-ptsd.asp. Accessed Dec. 13, 2016.
  3. Understanding PTSD and PTSD treatment. National Center for PTSD. http://www.ptsd.va.gov/public/PTSD-overview/basics/index.asp. Accessed Dec. 13, 2016.
  4. Treatment of PTSD. National Center for PTSD. http://www.ptsd.va.gov/public/treatment/therapy-med/treatment-ptsd.asp. Accessed Dec. 13, 2016.
  5. Coping with traumatic stress reactions. National Center for PTSD. http://www.ptsd.va.gov/public/treatment/cope/coping-traumatic-stress.asp. Accessed Dec. 13, 2016.
  6. Helping a family member who has PTSD. National Center for PTSD. http://www.ptsd.va.gov/public/family/helping-family-member.asp. Accessed Dec. 13, 2016.
  7. Post-traumatic stress disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml. Accessed Dec. 13, 2016.
  8. Posttraumatic stress disorder. National Alliance on Mental Illness. https://www.nami.org/Learn-More/Mental-Health-Conditions/Posttraumatic-Stress-Disorder/Support. Accessed Dec. 13, 2016.
  9. Rothbaum BO. Psychotherapy for posttraumatic stress disorder in adults. http//www.uptodate.com/home. Accessed Dec. 13, 2016.
  10. What is posttraumatic stress disorder? American Psychiatric Association. https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd. Accessed Dec. 13, 2016.
  11. Lifestyle changes recommended for PTSD patients. National Center for PTSD. http://www.ptsd.va.gov/public/treatment/cope/coping-ptsd-lifestyle-changes.asp. Accessed Dec. 13, 2016.
  12. Krieger CA (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 10, 2017.
  13. Sawchuk CN (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 13, 2017.