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Article #47: Post Traumatic Stress Disorder, Rape, and Sexual Abuse

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The estimated risk for rape survivors relation to abuse in childhood, symptoms
developing post traumatic stress disorder of PTSD can pass, then reappear later in
(PTSD) is 49%. The risk for those beaten life. This can make it difficult to
or experiencing physical assault is recognize when PTSD is occurring, as
31.9%, whilst the risk for others who survivors may not associate their current
experienced sexual assault is 23.7%. feeling and behaviours with pas events.
Given these figures, it is no wonder Each time symptoms appear, however, they
women are more likely to develop PTSD provide an opportunity for healing. Post
than men, as they are statistically traumatic stress disorder can be treated,
significantly more likely to experience using a combination of medication and
sexual assault. psychotherapy.
Post traumatic stress disorder is Whilst medications were not thought to
characterized by intense fear, a sense of help in the treatment of PTSD in the
helplessness, or horror. It can affect past, they have been found to be
all areas of a person's life, their beneficial now, probably due to newer
emotions, mental wellbeing, and physical ones being available. The SSRI's
health. And symptoms are generally worse (selective serotonin uptake inhibitors)
in situations, like rape and abuse, where zoloft and paxil are both approved by the
the trauma was deliberately initiated FDA for treating PTSD. And newer
against those involved. antidepressants like effexor and serzone
A person with post traumatic stress are also beneficial, and tend to be used
disorder may re-live the traumatic when the patient does not tolerate paxil
events, having flashbacks or other and zoloft, or those medications aren't
reminders and images that intrude on effective.
their waking hours, or in dreams and There are 3 types of psychotherapy that
nightmares. These reminders may also can be used to treat PTSD. These are
trigger physical symptoms, such as heart exposure management, cognitive therapy,
palpitations or chills. Or emotional and anxiety management. A combination of
problems, like anxiety, depression, and all 3 may be used, or one individually.
dread. Each person is different in what they
People with post traumatic stress will respond to.
disorder may avoid any reminders of the In exposure therapy, patients confront,
trauma, whether that is people associated in a safe therapeutic environment, the
with the experience, or places, or even situations, people, and memories
thoughts of the trauma. They can distance associated with the trauma. People with
themselves from family and friends, and PTSD usually avoid this very thing, but
withdraw from everyday activities and by working through the trauma in this
things they used to enjoy. way, exposure therapy is actually very
Relationship problems are common for effective at healing PTSD.
survivors of rape and sexual abuse. Some Cognitive therapy helps in the process of
survivors avoid intimacy, others avoid understanding how our thoughts affect our
sex, and some avoid both, and create feelings, and provides ways of shifting
patterns in their lives where those negative thinking. Negative thinking can
coping mechanisms are maintained. But perpetuate a mental prison where joy and
sufferers of PTSD who did not experience interconnectedness is no longer felt.
any sexual abuse can also have problems Changing those dynamics can provide a new
in their relationships, or in social framework with which to process the
situations. trauma, and allow healing to occur.
Another characteristic of post traumatic In anxiety management, skills are learnt
stress disorder is being on guard all the that help one cope better with the
time, and suddenly feeling anger or symptoms and triggers of post traumatic
irritability. There can be problems with stress disorder. They can help reduce the
sleeping and concentrating, and sufferers intensity of the symptoms, though they
may be startled easily. Self destructive need to be practised to be effective.
behaviours, such as gambling, risky sex, Anxiety management techniques can be very
drug use, alcohol abuse, or other helpful in controlling anxiety whilst
problems like dangerous driving, may be doing exposure therapy. Some techniques
present. Depression, disassociation, or used include relaxation, breathing
other mental health problems can develop. techniques, assertiveness training, and
Not all of these characteristics may be positive thinking and self talk.
present in PTSD, and the degree to which References:
one experiences them may vary also. And 1. ptsdalliance.org/about_what.html
PTSD may not develop until months or 2. ptsd.factsforhealth.org/whatmeds.html
years after the trauma. Particularly in 3. nimh.nih.gov/publicat/anxiety.






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