What is Post-traumatic stress disorder?
Post-traumatic stress disorder (PTSD) can develop in individuals who have experienced or witnessed a shocking, distressing, or dangerous event. Individuals who are diagnosed with PTSD suffer from symptoms that last for longer than 1 month after the event has occurred, and these symptoms disrupt aspects of their daily lives, such as relationships or work responsibilities. Symptoms of PTSD may include flashbacks, nightmares, avoidance of certain places or events, difficulty sleeping, and irritability. An individual who has been diagnosed with PTSD may also experience ongoing negative emotions, such as fear, anger, guilt, or shame.
How can a parent’s PTSD affect the family?
The effects of a parent’s PTSD-related symptoms can impact the entire family. Family members may feel hurt, alienated, or discouraged as they struggle to understand why the parent has not been able to overcome the trauma. Parents may encounter marital difficulties, and family members may experience an increased likelihood of health problems and family violence. A parent’s PTSD-related behaviors can cause children to feel afraid of their parent or take on a caregiving role prematurely. In addition, children in the family are at heightened risk for developing internalizing and externalizing disorders and symptoms, even if they have had no exposure to the traumatic event.
A parent who suffers from PTSD may experience high levels of stress and feel less satisfied in their role as a parent, and they may be less sensitive and responsive to their child. Parental PTSD is also associated with more negative parenting behaviors, such as inconsistent or reactive discipline, heightened hostility, and displays of aggression. The other parent or partner in the household may experience sadness, social isolation, and caregiver burden.
How can individuals and families get support?
Families affected by PTSD can experience a variety of challenges; however, with specific treatment and support, families can build stronger relationships and work toward a healthier and more fulfilling life together.
Support for Children
To begin to help children cope with a parent’s PTSD, parents and caregivers need to, in an age-appropriate way, explain to the children the reasons why the parent is having difficulties. Each child’s age and maturity level can help to guide how much information you share about the event and the diagnosis. Reassure the child that the parent’s symptoms are not their fault, and it is not their responsibility to fix their parent or the situation. Further, encourage children to share their feelings and ask questions. Help them understand there are treatments for PTSD that work and there is hope their parent will get better. A counselor may be able to guide parents on how to approach these conversations.
Support for the Family
Receiving social support can help families cope with PTSD-related situations. Support may include planning and participating in enjoyable activities with friends and family, offering to provide transportation or attend medical appointments with a family member (or providing child care so partners can attend together), assisting in the creation of a crisis plan (if necessary), checking in regularly to see how the family is functioning, and asking family members for specific ways to offer meaningful help.
Treatment Options
There are many treatment options that have been evidenced to improve symptoms and increase the quality of life for individuals who are struggling with PTSD and their family members. Engaging in talk therapy and using medication may help parents with a PTSD diagnosis cope with and overcome their symptoms. PTSD-treatment programs may offer group, couples, and individual counseling programs for family members that also includes counseling specifically for children. Every family is unique and may require a personalized approach to effectively manage and cope with the effects of PTSD.
Where can individuals find a PTSD program?
- If the impacted parent is a veteran, visit va.gov/directory/guide/PTSD to find the closest United States Department of Veterans Affairs (VA) PTSD program.
- Non-military affiliated individuals (or those who prefer to seek care outside of the VA) can ask their health care provider for a referral, or they can visit findtreatment.samhsa.gov to search for mental health care providers in their local area.
References
National Institute of Mental Health. (2024, May). Post-traumatic stress disorder. https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd
United States Department of Veteran Affairs. (n.d.). PTSD: National center for PTSD. https://www.ptsd.va.gov/