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Diseases & conditions
Mental health

Post-traumatic stress disorder (PTSD)

PTSD can develop after a person lives through or sees a terrible event, such as a bomb blast, fighting, violence, a serious accident or the sudden death of a loved one. The person keeps reliving the event, feels constantly on guard and avoids reminders of it. It is common in Afghanistan after decades of conflict. PTSD is a normal reaction to abnormal events, and it can be treated.

Symptoms

  • Unwanted memories, flashbacks or nightmares about the event
  • Feeling upset or afraid when something reminds you of it
  • Avoiding places, people or talk linked to the event
  • Being easily startled and always on guard
  • Trouble sleeping and concentrating
  • Anger, irritability or feeling numb and distant from others
  • Feelings of guilt or shame

When to see a doctor

Get medical help quickly if you notice any of these:

  • Thoughts of suicide or harming yourself or others: get help immediately
  • Symptoms last more than a month after the event
  • Nightmares or flashbacks stop you sleeping or working
  • You cannot care for yourself or your family
  • You use alcohol, drugs or pills to cope

In an emergency, go to the nearest hospital or clinic straight away.

Causes

  • Living through or seeing war, bombings or fighting
  • Physical or sexual violence, including violence at home
  • Serious accidents or natural disasters such as earthquakes
  • Sudden or violent death of a loved one
  • Repeated trauma, little support afterwards or other mental health problems raise the risk

Prevention

  • After a frightening event, stay close to people you trust
  • Talk about what happened when you feel ready; do not force yourself

Talk to a doctor

Get advice by video, voice or chat without leaving home.

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Keep daily routines, sleep and meals as normal as possible
  • Avoid alcohol and drugs
  • Seek help if distress has not eased after about a month
  • Treatment

    • Trauma-focused talking therapy with a trained psychologist
    • Learning ways to cope with stress, sleep and difficult memories
    • Support from family and community
    • Medicine prescribed by a doctor when symptoms are severe or there is also depression
    • Do not use sleeping pills, tranquillisers or other prescription medicines without a doctor

    Common questions

    Is it normal to feel shaken after a bomb blast or attack?

    Yes. Fear, poor sleep and bad memories are common in the first weeks and often get better with time and support. If they last more than a month or get worse, it may be PTSD and help is available.

    Can children get PTSD?

    Yes. Children may show it through bedwetting, clinging to parents, nightmares, anger or playing out the event. A calm routine, reassurance and help from a health worker can help them recover.

    General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.