- Avoidance: Feeling guilt, depression, worry, numbness, or hopelessness; avoiding activities that were once enjoyable; withdrawing from relationships; avoiding thinking about or having trouble remembering the traumatic event
- Hyper-arousal: Trouble sleeping or concentrating, startling easily, angry outbursts or irritability, feeling “on guard”
- You may also experience physical symptoms of anxiety, such as headache, racing heartbeat, or dizziness/faintness.
Early Warning Signs
PTSD symptoms can return or worsen due to unexpected triggers, the anniversary of a traumatic event, or unavoidable life events such as the release of an incarcerated offender. It is important to learn the early warning signs so you can take control before your symptoms start to feel unmanageable. Early warning signs signal a return to old behaviors or thought processes. Here are some examples of things to watch out for:- Changes in sleeping patterns (too much or too little, nightmares)
- Frequent crying
- Angry outbursts
- Panic attacks
- Avoiding people, places, or activities you once found enjoyable
- Slipping into unhealthy coping behaviors such as substance abuse or deliberate self-harm
- Feeling hopeless
- PTSD is a personal experience, and your warning signs will be unique to you. You should look for recurrent negative changes in behavior, thoughts, or feelings and commit yourself to using healthy coping strategies at the first sign of trouble.

