
Symptoms of negative changes in thinking and mood may include:
· Negative thoughts about yourself, other people or the world
· Hopelessness about the future
· Memory problems, including not remembering important aspects of the traumatic event
· Difficulty maintaining close relationships
· Feeling detached from family and friends
· Lack of interest in activities you once enjoyed
· Difficulty experiencing positive emotions
· Feeling emotionally numb
Changes in physical and emotional reactions
Symptoms of changes in physical and emotional reactions (also called arousal symptoms) may include:
· Being easily startled or frightened
· Always being on guard for danger
· Self-destructive behavior, such as drinking too much or driving too fast
· Trouble sleeping
· Trouble concentrating
· Irritability, angry outbursts or aggressive behavior
· Overwhelming guilt or shame
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