Managing and preventing PTSD flashbacks

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Post-traumatic stress disorder (PTSD) can be overwhelming to live with. It can cause you to experience flashbacks, where you repeatedly relive traumatic events that have taken place in the past.

PTSD flashbacks are incredibly disruptive and can feel unpredictable and unmanageable. It's important to remember that there's support available; you don’t have to live with re-experiencing these painful memories. Here, we outline the treatment you can receive at Priory to manage flashbacks, and work towards preventing them from happening in the future.

What are PTSD flashbacks?

As one of the most common signs of PTSD, a flashback is when something triggers you to go back to a past traumatic event. In the moment when you're reliving the memory, you can feel the same emotions you did at the time, act in the same way and even have the same physical sensations.

During a flashback, you may retain a connection with the present moment. However, they can be so realistic that it feels as though you're going through the experience again.

Ordinary things can trigger a flashback. A certain name, place or emotion can all be cues that cause you to become immersed once more in the past event.

Managing and preventing PTSD flashbacks

Flashbacks can have a profound effect on your mental health. As they're emotionally charged and seem uncontrollable, your day-to-day life can be considerably impacted. You may find it difficult to do normal daily tasks, as you're worried about setting off a flashback. You may also feel distressed, have a lower mood and feel ashamed or embarrassed when flashbacks happen.

If you're diagnosed with PTSD, there are a number of treatments that are available to help. At Priory, our specialists will be able to talk you through the different options and work with you to recommend the most suitable treatment. These can include the following:

Prolonged exposure (PE) for PTSD

PE teaches you to gradually approach trauma-related memories, feelings and situations that you've been avoiding since your trauma. By talking through and confronting them, you can work towards decreasing your symptoms and regaining more control of your life.

Eye movement desensitisation and reprocessing (EMDR) for PTSD

EMDR helps you process and make sense of your trauma while paying attention to a back-and-forth movement or sound (like a finger waving side to side, a light or a tone). It can help your brain to process the memories and emotions that have been supressed, and relieve negative thoughts.

Cognitive processing therapy (CPT) for PTSD

CPT teaches you how to change the upsetting thoughts and feelings you've had about yourself and the world since your trauma, so you no longer miss out on the things you once enjoyed.

Trauma-focused cognitive behavioural therapy (TF-CBT)

TF-CBT can teach you techniques that help you stay in the present so you can manage the overwhelming feelings caused by PTSD. It also gives you the opportunity to make sense of how you felt at the time of the experience, and decide on how to feel about yourself now.

Group therapy/supportive psychotherapy

Talking to other PTSD sufferers can help you recognise that you're not alone. You can support one another, learn coping strategies and express how you feel, which you may not have been able to do before. This can increase your confidence and trust, which in turn can help you to focus more on the present rather than the past.

Mindfulness

Combined with other treatment, mindfulness can be an effective way of reducing the frequency and intensity of flashbacks in the long-term. You learn how to slow down and focus on the present, so you can deal with emotions as they occur and have more control of your day-to-day life.

Compassion focused therapy (CFT)

Flashbacks can often be painful and shaming. CFT helps you develop and work with feelings of self-soothing, inner warmth and safeness in memories, and reduce self-critical cycles by introducing you to compassionate self-talk.

This page has been clinically reviewed by Jane Chugg-White, Psychological Therapist at Priory Hospital Ticehurst House

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