When the Past Doesn’t Feel Like the Past: Understanding PTSD

Most people experience something scary or upsetting at some point in their lives. It could be a car crash, a natural disaster, being the victim of a crime, or serving in combat. These experiences are called traumatic events. It’s normal to feel afraid, anxious, or even have trouble sleeping after something traumatic happens. But for some people, those feelings don’t go away; they get worse.

When that happens, it may be Post-Traumatic Stress Disorder, or PTSD. This month is PTSD Awareness Month, a time dedicated to raising awareness about PTSD, its impact, and the resources available for those affected by it. The recognition aims to reduce the stigma surrounding PTSD and encourage support for individuals and families impacted by trauma.

“PTSD is a condition that develops after experiencing or witnessing a life-threatening event,” Sandra Mills, Ph.D., clinical director of Lee Health Behavioral Health. “It’s not just feeling sad or anxious. PTSD changes how your brain and body react to stress, and it can affect your entire life.”

How common is PTSD?

PTSD affects about 7 to 8 out of every 100 people in the U.S. at some point in their lives. That’s about 8 million adults each year. Women are more likely to experience PTSD than men. In women, sexual trauma is one of the most common causes. In men, it’s often combat or war-related trauma.

In our Southwest Florida community, people face many kinds of trauma: from hurricane disasters and serious car accidents to medical emergencies. First responders, veterans, and healthcare workers are especially at risk.

What does PTSD feel like?

PTSD looks and feels different for everyone, but there are some common signs to look out for. Many people experience nightmares or flashbacks that bring the traumatic event back to life. They may feel constantly on edge, easily startled, or always on the lookout for danger. Some avoid people, places, or situations that remind them of what happened. Others feel numb, hopeless, or disconnected from those around them. 

Trouble sleeping, difficulty concentrating, and emotional ups and downs are also common symptoms. In some cases, PTSD can even cause physical symptoms like headaches, sweating, or stomach issues, making it even harder to cope day to day.

“Some people think they just need to ‘get over it,’ but PTSD is not a sign of weakness,” Dr. Mills says. “It’s a real medical condition, and it’s treatable.”

Why does PTSD happen?

After something traumatic happens, your body goes into “fight or flight” mode. Your heart races, your muscles tense up, and your brain stays on high alert. This is meant to keep you safe in dangerous situations. However, in people with PTSD, this response doesn’t turn off, even when the threat is gone.

Sometimes the brain keeps replaying the traumatic memory, trying to make sense of it. This can lead to flashbacks, nightmares, and feelings of fear or guilt, Dr. Mills says.

“Many people with PTSD blame themselves for what happened or feel ashamed,” Dr. Mills says. “But trauma is not your fault. Healing begins with understanding that truth.”

What can you do to cope?

There are many ways to take care of your mental health after experiencing a trauma. Dr. Mills says one helpful step is to have a routine, that includes regular meals, exercise, and sleep. Maintaining a routine can bring a sense of stability. 

Limiting your exposure to news or media, especially if it increases your stress, can also make a big difference. Talking to someone you trust, whether it’s a friend, family member, or therapist, can help you process your feelings. If you’re not ready to talk, writing your thoughts down in a journal may be a good alternative. Calming activities, such as walking, drawing, or listening to music, can also help you relax and feel more grounded.

Recovery is different for everyone, and it takes time. 

“It’s okay to feel angry, sad, or scared,” Dr. Mills says. “These are normal responses. But if your symptoms are getting in the way of your life, it’s time to ask for help.”

When to seek professional help

You may want to speak to your doctor or counselor if your symptoms last longer than three months or if they begin to affect your work, school, or relationships. It's also important to seek help if you find yourself feeling hopeless, angry, or emotionally numb most of the time. Using alcohol or drugs to cope with your emotions can be a sign that you need support. 

Dr. Mills stresses that if you have thoughts of hurting yourself or others, reaching out to a mental health professional is essential. That’s the most important time to get help.

“We want people in Southwest Florida to know that they are not alone,” she says. “PTSD is treatable, and there is hope for a better tomorrow.”

How loved ones can help

If someone you care about is going through PTSD, there are meaningful ways you can support them. Be patient and understanding with them. And recognize that healing takes time. Be patient and listen when they're ready to talk, but don't push them to open up. Let them know you’re there for them no matter what.

Taking the time to learn about PTSD can help you better understand what they’re experiencing. Encourage them to seek professional help when they’re ready—it can make a real difference in their recovery. It’s also important to take care of your mental health when supporting someone else.

While PTSD is treatable, the majority of those with PTSD go without help. All those with PTSD—military veterans and civilian survivors of sexual assault, accidents, natural disasters, and other traumas—can find effective treatments to reduce symptoms and improve their lives, says Dr. Mills.

Lee Health Behavioral Health resources and support 

The Lee Health Behavioral Health team offers support groups, therapy, and resources to help individuals and families manage PTSD and other mental health conditions.

Whether you're a veteran, a trauma survivor, a first responder, or simply someone trying to understand your feelings, help is available.

If you or someone you know is in crisis, call the Suicide & Crisis Lifeline at 988 or contact Lee Health’s Behavioral Health team for guidance and support at 239-343-9180.

You're not alone. PTSD doesn’t have to control your life. With time, support, and treatment, healing is possible — and hope is within reach.

Behavioral Resource Guide: Need help navigating our community’s behavioral health services? 

Finding your way through behavioral health services can be challenging, but you have our support. The Lee Health comprehensive Behavioral Health Resource Guide provides detailed information on a wide range of mental health services available in our community. 

From therapy and group sessions to specialized treatments and case management, this guide is designed to help you quickly find the support you need. Click here to access details like contact information, services offered, accepted insurance plans, and the populations each program serves. 

Each entry is hyperlinked for easy access, allowing you to search by specific services or specialties. Whether you’re looking for information for yourself or a loved one, this guide is here to connect you with the right resource.