Mental HealthPending review

Post-traumatic stress disorder

A failure to file a traumatic memory away as 'over', so the amygdala continues to fire it as a present-tense threat, producing intrusive re-experiencing, hyperarousal and avoidance long after the danger has passed.

First principles

PTSD is a memory-consolidation disorder, not simply a strong emotional reaction

During an overwhelming traumatic event, extreme amygdala activation and stress-hormone surge impair the hippocampus's normal job of contextualising a memory in time and place. Instead of the trauma being encoded as a narrative memory ('this happened to me, in the past'), fragments are stored as raw, decontextualised sensory and emotional traces. Because the memory was never properly filed as 'over', a trigger (a sound, smell or thought resembling the trauma) can reactivate it as though it were happening again in the present, rather than being recalled as something in the past.

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Educational content pending clinical review. Not medical advice.