Dysregulated anger and heightened levels of aggression are prominent among Veterans and civilians with posttraumatic stress disorder (PTSD). Two decades of research with Veterans have found a robust relationship between the incidence of PTSD and elevated rates of anger, aggression, and violence.
That's what PTSD (post-traumatic stress disorder) is—our body's overreaction to a small response, and either stuck in fight and flight or shut down. People who experience trauma and the shutdown response usually feel shame around their inability to act, when their body did not move.
They may be impulsive, acting before they think. Aggressive behaviors also include complaining, "backstabbing," being late or doing a poor job on purpose, self-blame, or even self-injury. Many people with PTSD only use aggressive responses to threat. They are not able to use other responses that could be more positive.
Such an interaction could likely cause stress. And yelling can be a trigger for PTSD. However, if you do not have PTSD, making this comment can be insensitive to those with the condition. According to the U.S. Department of Veterans Affairs National Center for PTSD, PTSD is a disorder in the DSM-5.
When one is pathologically angry due to chronic dissociation or repression of existential or appropriate anger, the threshold for anger is gradually diminished. Almost anything can then evoke irritability, annoyance, anger, or even rage—all inappropriate overreactions to the current circumstance.
PTSD triggers can vary from person to person, but they are usually tied to your senses such as sight, smell, or sound. In addition, certain lifestyle factors — like not having enough social support — can worsen PTSD triggers.
If someone has PTSD, it may cause changes in their thinking and mood. They may suffer from recurrent, intrusive memories. Upsetting dreams, flashbacks, negative thoughts, and hopelessness are also common. Experiencing PTSD triggers may cause the symptoms to become worse or reoccur frequently.
Chronic feelings of guilt, shame and self-blame. Feelings of emptiness. Difficulty forming and maintaining close relationships. Feeling as through no one understands you or what you've been through.
If you find that your loved one is pushing you away when you try to communicate with them or show support, it may be because those experiencing PTSD often: Find it difficult to regulate emotions. Distance/isolate themselves from others. Experience intimacy challenges.
Although intense anger can cause people with PTSD to be aggressive toward others, more often than not they'll try to push down or hide their anger. This can be effective in the short term, but in the long term, it can build up anger until it's out of control.
Alterations in arousal and reactivity: Arousal and reactive symptoms may include being irritable and having angry outbursts; behaving recklessly or in a self-destructive way; being overly watchful of one's surroundings in a suspecting way; being easily startled; or having problems concentrating or sleeping.
Reliving aspects of what happened
vivid flashbacks (feeling like the trauma is happening right now) intrusive thoughts or images. nightmares. intense distress at real or symbolic reminders of the trauma.
Because traumatized people often feel like they are in danger even when they are not, they may be overly aggressive and lash out to protect themselves when there is no need. For example, a person who was attacked might be quick to yell at or hit someone who seems to be threatening.
SSRIs that have been shown to help with anger include citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), among others. Sertraline seems to have the most supporting data. Other classes of antidepressants, like serotonin norepinephrine reuptake inhibitors (SNRIs), aren't widely used for treating anger.
The symptoms of PTSD can cause problems with trust, closeness, communication, and problem solving. These problems may affect the way the survivor acts with others. In turn, the way a loved one responds to him or her affects the trauma survivor. A circular pattern can develop that may sometimes harm relationships.
In simple terms, PTSD is a response that some people may develop after experiencing or witnessing a traumatic event like violence, an accident, or sexual abuse. It can also be the result of toxic stress.
In the fourth stage, you begin to enter into recovery from PTSD. It is called the “transition” stage because you begin to move into a new level of acceptance and understanding of what happened and how it has been affecting your life. This is the stage where healing finally starts to occur.