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Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) can develop after experiencing or witnessing a traumatic event such as an accident, assault, disaster, or prolonged stress. It can cause flashbacks, nightmares, and ongoing feelings of fear or anxiety, even when the danger has passed.

At The Medical Group of New Jersey, our psychiatrists use trauma-informed, evidence-based care to help patients rebuild trust, manage symptoms, and regain a sense of safety and stability. We also treat complex PTSD, which may occur after long-term or repeated trauma.


Symptom Onset & Initial Evaluation

PTSD symptoms can appear soon after trauma or may surface months or even years later. Common symptoms include:

  • Flashbacks or intrusive memories of the traumatic event
  • Nightmares or sleep disturbances
  • Avoidance of reminders, people, or places linked to the trauma
  • Feeling constantly “on edge” or easily startled
  • Emotional numbness, guilt, or irritability
  • Trouble concentrating or maintaining relationships

During your first visit, your psychiatrist will listen to your story at your comfort level and review your emotional and physical health history. The goal is to identify current symptoms, triggers, and coping strategies while creating a safe and supportive treatment plan.


Diagnosis

PTSD is diagnosed through a detailed psychiatric assessment using criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Your psychiatrist may also use validated screening tools such as the PCL-5 (PTSD Checklist) to assess severity.

Other related conditions, such as anxiety, depression, or substance use, are often evaluated at the same time to ensure comprehensive treatment.


Treatment

Recovery from PTSD takes time, but many people experience significant improvement with structured, compassionate care. At The Medical Group of New Jersey, treatment focuses on helping patients process trauma safely and build healthy coping skills.

Your personalized treatment plan may include:

  • Trauma-Focused Psychotherapy: Evidence-based approaches such as Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), and supportive therapy.
  • Medication Management: Antidepressants (SSRIs or SNRIs) can help reduce anxiety, nightmares, and intrusive thoughts.
  • Mind-Body Approaches: Techniques such as mindfulness, breathing exercises, or yoga can help reduce physiological arousal and promote calm.
  • Supportive Therapy: Focuses on restoring self-esteem, rebuilding relationships, and addressing related challenges like sleep disturbance or irritability.
  • Collaborative Care: Coordination with Psychology & Counseling Services ensures ongoing therapy and recovery support, while Primary Care helps manage the physical effects of stress.

Healing is a gradual process, but with consistent treatment, patients often experience fewer flashbacks, better sleep, and a renewed sense of safety and confidence.


Ongoing Management & Follow-Up

Follow-up visits focus on maintaining progress, strengthening coping tools, and preventing relapse. Patients are encouraged to continue therapy, practice grounding techniques, and maintain supportive connections with family, friends, or peer support groups.

For those with complex PTSD, ongoing therapy and medication management can help address emotional regulation, trust issues, and chronic stress responses over time.

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