Trauma & stress · Understand your experience

Post-traumatic stress disorder (PTSD)

If something that happened still feels close, even when it is over, you may be looking for words for your experience. Here you can understand PTSD, explore support and decide where you want to begin.

You can begin with how life feels now. You do not have to tell your whole story here.
01 / Get a clearer picture

When the past keeps showing up in the present.

PTSD can develop after a traumatic experience. It may involve unwanted reminders, avoiding reminders, feeling on guard, and changes in mood or beliefs. Not everyone who experiences trauma develops PTSD.

Under DSM-5 criteria, symptoms last longer than a month and disrupt everyday life. A professional considers the whole pattern and other possible causes. You can seek support sooner; you do not need to wait a month to ask for help.

Based on NIMH

You can begin with how life feels now. You do not have to tell your whole story here.
A visual explanation

Different ways your day can be affected.

  • Reminders

    Memories, dreams or flashbacks

  • Avoidance

    Staying away from reminders

  • Feeling on guard

    Startle, tension or disturbed sleep

  • Mood & beliefs

    Detachment or negative self-beliefs

Examples of PTSD symptom areas described by NIMH using DSM-5. They can overlap and are not a diagnostic checklist or a sequence. Source: NIMH
A closer look

The effects can reach into ordinary parts of your day.

PTSD can affect sleep, concentration, mood and relationships as well as reactions to reminders. Some experiences are noticeable to others; others may happen internally or lead you to change routines. There is no single outward appearance of PTSD.

The map below separates areas that may need attention. It does not ask you to identify a traumatic event or decide whether each area applies. You can go directly to care information if examples are not useful today.

  • Experience

    Memories, reminders, feeling on guard or changes in mood may be part of what needs discussion.

  • Daily context

    Sleep, work, relationships and practical pressures can affect what support is needed.

  • Care and access

    Safety, communication, treatment preferences and other health concerns belong in the plan.

Possible areas of impact, not a required pattern, a diagnosis or stages of recovery.

Based on NIMH · NHS

You can ask for space, a pause or company while finding out about care.
Two terms you may hear

PTSD and complex PTSD.
How do they relate?

The framework matters. This comparison uses ICD-11, which recognizes two distinct diagnoses.

ICD-11 / PTSD

The core PTSD pattern

  • Reliving the experience in the present
  • Avoiding trauma reminders
  • A persistent sense of current threat

You are exploring PTSD

ICD-11 / Complex PTSD

The PTSD pattern, plus

  • Persistent difficulties managing emotions
  • A deeply negative view of yourself
  • Difficulties sustaining close relationships
Explore complex PTSD
Both involve difficulties that affect life. Under ICD-11, PTSD and complex PTSD are alternative diagnoses, rather than two labels added together. DSM-5 uses a broader PTSD definition and has no separate complex PTSD diagnosis. A clinician considers the full picture.

Based on VA National Center for PTSD · VA National Center for PTSD

02 / Make sense of what has changed

What you might notice

These experiences can help you find words; they are not a diagnostic checklist.

Unwanted reminders

Memories, nightmares or flashbacks that feel difficult to control.

What you avoid

Avoiding places, conversations or feelings that bring reminders.

Your sense of safety

Feeling easily startled or on guard; finding sleep or focus harder.

Mood & connection

Feeling detached, blaming yourself or losing interest in things you care about.

Based on NIMH

In everyday life

You can describe the impact without telling the whole story here.

In a fictional example, Robin wants help because sleep and concentration have become difficult after trauma. Robin is not ready to recount the event during a first phone call, but can say that the problem is affecting work and daily life.

That is enough to begin asking how a service works. A clinician may need relevant information during assessment; you can ask why a question is being asked and how the conversation will be paced. Selfmora does not collect a trauma narrative.

Fictional examples to explain an experience. They are not a checklist or a diagnosis.

A starting sentence

“Something happened, and I want help with how things are now.”

An access request

“Could you explain what you need to know today?”

A preference

“I would like to discuss pauses and whether someone can accompany me.”

Based on NIMH · NHS

03 / Put your experience into context

Your day-to-day experience matters.

A professional asks about symptoms, when they began, their impact and your health. Questionnaires can add information, but they are only one part of assessment.

You can begin with a present-day example: disturbed sleep, a journey you avoid, or feeling watchful. Ask how the appointment will work, including confidentiality and breaks, before deciding what to share.

Based on NIMH · NHS

Your experience, in three prompts
  1. 1
    What has changed?

    One example from a recent day.

  2. 2
    When do you notice it?

    When it began and how often it happens.

  3. 3
    What feels harder?

    The effect on your life and what you want help with.

Make a few notes
Room for your questions

An appointment can begin with present needs.

Assessment considers the experience, timing, impact and other possible or co-occurring difficulties. A symptom questionnaire can contribute information, but does not replace that conversation. The classification system used also affects the terminology.

You can ask what will happen before you attend. If there is ongoing danger, injury or an urgent health need, practical and medical help should not wait for a PTSD assessment.

  1. What needs help now?

    Current safety, health and practical difficulties can be raised first.

  2. What does assessment involve?

    Ask about relevant questions, privacy and your communication needs.

  3. What happens next?

    Ask how the outcome, options and follow-up will be explained.

An example of appointment topics, not a fixed pathway or a requirement to disclose in this order.

Based on NIMH · NHS

04 / Explore your support options

Support that works with your needs

You and your clinician can discuss what fits your needs, preferences and health.

Based on NHS

Professional care

Treatment options include trauma-focused cognitive behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and sometimes medication. A professional can explain the options, benefits and possible side effects.

Support in your daily life

Daily support might include a trusted person, time for rest and skills practiced with your clinician. Discuss what feels manageable for you and what support you need between appointments.

Understand your options

Trauma-focused care has a purpose you can ask about.

Trauma-focused psychological treatments address the effects of trauma rather than asking you to simply forget it. Options described in current guidance include trauma-focused CBT and EMDR. Medication may also be discussed for particular needs. Suitability and the plan require a qualified professional.

Before treatment, ask what sessions usually involve, how consent and pace are handled, and how the professional will respond if you feel overwhelmed. This page does not guide you through memory processing or an exposure exercise.

Purpose

“What is this treatment intended to help with?”

Choice

“What alternatives are appropriate, and how can I decide?”

Continuity

“Who can I contact if difficulties increase between sessions?”

Based on NIMH · NHS

Make room for what helps

Support can include the practical parts of life.

Someone you trust might help arrange an appointment, attend with you if wanted, or assist with an everyday task. Discuss what would feel helpful rather than assuming that talking in detail is the best support.

Sleep, physical health and other mental-health concerns can need attention alongside trauma-focused care. Recovery does not follow a universal deadline, and a plan can be reviewed as needs change.

Based on NIMH · NHS

05 / Choose your next step

A little clarity. A place to start.

Explore a tool, prepare a conversation or find someone to talk to. Choose what feels useful to you.

Questionnaires you might hear about

These are different approaches to assessment, not a set of tests you need to complete. They are explained here rather than offered as self-tests on Selfmora. You can ask a professional whether one would be useful for you.

PC-PTSD-5

A brief starting point in primary care

Primary Care PTSD Screen for DSM-5

An exposure question followed, when applicable, by five yes/no questions about the past month.

What it can and cannot tell you

A positive screen needs further assessment. It does not identify complex PTSD or establish a diagnosis.

Official measure information

Based on VA National Center for PTSD

PCL-5

A fuller picture of PTSD symptoms

PTSD Checklist for DSM-5

Twenty self-report items used for screening and to follow symptom changes with a professional.

What it can and cannot tell you

A clinician interprets the score in context. This DSM-5 measure cannot establish an ICD-11 complex PTSD diagnosis.

Official measure information

Based on VA National Center for PTSD

ITQ

Explore the ICD-11 PTSD and complex PTSD pattern

International Trauma Questionnaire

Twelve symptom items plus six questions about the effect on everyday life. It covers PTSD and the additional complex PTSD domains.

What it can and cannot tell you

Its symptom and impairment rules matter; a single total-score cutoff is not the diagnostic algorithm. Responses need clinical context.

Official measure information

Based on VA National Center for PTSD · International Trauma Consortium

You can seek help without a score. A questionnaire cannot replace a conversation about your needs.

Something you can use today

Practical guideYour words

Prepare for a conversation

A few prompts to help you explain what you have noticed and what you would like help with.

  • A simple notes builder
  • Copy your notes to keep
  • No account needed

You decide how much to write and share.

Find your words
Support directorySomeone beside you

Find your next kind of support

Explore where to begin with everyday support, professional help or an urgent conversation.

  • Ways to ask for help
  • Country-specific crisis contacts
  • Support at your own pace

If you need urgent help, go straight to support.

Find support
You can start right here

Your first sentence does not need to be perfect.

If reminders, sleep difficulties or feeling on guard are affecting your life, arrange a health appointment. You can ask for someone experienced in trauma care.

Choose one thing you want help with today. The sentence here is yours to adapt; no detailed account of the event is needed on Selfmora.

Based on NHS

“Something that happened is still affecting my sleep and how safe I feel. I would like help, but I am not ready to explain every detail yet. Can we talk about how an assessment would work?”
Make it sound like you
Things you may be wondering

Your questions, with room for nuance.

You can read just the answer you need.

Do I have to describe everything in a first contact?

You can ask how the service handles information, consent and pacing. Relevant history may be needed during clinical assessment, but you can start by explaining current difficulties and asking what the process involves.

Based on NIMH · NHS

Can trauma-related difficulties appear later?

Symptoms can emerge at different times. A professional can consider the history and other explanations; timing alone does not establish or rule out a diagnosis.

Based on NIMH · NHS

Does everyone exposed to trauma develop PTSD?

No. Reactions and longer-term courses vary. You can seek help for distress or practical needs without first deciding whether a PTSD diagnosis applies.

Based on NIMH

Will treatment require doing an exercise from this page?

No. This hub explains care options and questions to discuss. Trauma-focused treatment is planned with a qualified professional, and no trauma-processing exercise is offered here.

Based on NIMH · NHS

Where this information comes from.

Use this hub to learn and prepare questions. It does not diagnose you or recommend a personal treatment plan. By Selfmora editorial; sources checked . Updated .

Additional explanations and examples: sources consulted . Examples illustrate ideas; they do not assess your personal health. Your questions

Our editorial approach