PTSD – the invisible epidemic (part 1, the brain)

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Post-traumatic Stress Disorder (PTSD) is something of an invisible epidemic. The events underlying it are often mysterious and always unpleasant. It is certainly far more widespread than most people realize. For example, a prime cause of PTSD is childhood sexual abuse. About 16% of American women (about 40 million) are sexually abused (including rape, attempted rape, or other form of molestation) before they reach their 18th birthday

Childhood abuse may be the most common cause of PTSD in women, 10% of whom suffer from PTSD (compared to 5% for men) at some time in their lives, but many other types of psychological trauma can cause the disorder — car accidents, military combat, rape and assault.

Recent studies have shown that victims of childhood abuse and combat veterans actually experience physical changes to the hippocampus, a part of the brain involved in learning and memory, as well as in the handling of stress. The hippocampus also works closely with the medial prefrontal cortex, an area of the brain that regulates our emotional response to fear and stress. PTSD sufferers often have impairments in one or both of these brain regions. Studies of children have found that these impairments can lead to problems with learning and academic achievement.

Other typical symptoms of PTSD in children, including fragmentation of memory, intrusive memories, flashbacks, dissociation (or the unconscious separation of some mental processes from the others, e.g., a mismatch between facial expression and thought or mood), and pathological (“sick”) emotions, may also be related to impairment of the hippocampus. Damage to the hippocampus, which processes memory, may explain why victims of childhood abuse often seem to have incomplete or delayed recall of their abusive experiences.