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June 5, 2025

Can You Get PTSD From A Breakup?

Discover if breakups can cause PTSD and explore relationship-related PTSD symptoms & coping strategies for emotional recovery.

Can You Get PTSD From A Breakup?

In the complex and often turbulent world of relationships, the emotional aftermath of a breakup can be far-reaching, leaving deep scars that can linger long after the relationship has ended. Relationship-related PTSD, which is often marked by domestic violence or abuse being present, can emerge following a particularly traumatic relationship experience.

This article will delve into the intricacies of relationship-related PTSD, exploring its symptoms, causes, and the profound impact that relationship trauma can have on an individual's emotional and psychological well-being

What Is Relationship PTSD?

Relationship PTSD is not a clinical condition, but there can certainly be relationship-related PTSD that can develop as a result of experiencing a highly distressing or abusive relationship. PTSD is characterized by a cluster of emotional, cognitive, and behavioral symptoms that arise in response to the trauma associated with the relationship. The symptoms can emerge from domestic violence or abuse that can be emotional, physical, or sexual in nature. Emotional, psychological, and financial abuse can also lead to PTSD if they threaten someone’s sense of safety. Often times, while infidelity or betrayal don’t typically lead to PTSD, they can be extremely distressing events that lead to other Trauma or Stress-Related conditions including Adjustment Disorder. 

Unlike the PTSD that can develop after a single, isolated traumatic event, relationship-related PTSD often stems from a pattern of ongoing, cumulative trauma within the context of an intimate relationship. PTSD can develop from both single event traumatic events and from a sequence or series of traumatic events. This prolonged exposure to relationship-based trauma can lead to a unique set of symptoms that can significantly impact an individual's ability to function and form healthy relationships in the future.

Symptoms Of PTSD

The symptoms of relationship-related PTSD can vary from person to person, but often include:

  1. Intrusive thoughts and flashbacks: Individuals may experience intrusive, distressing thoughts, memories, or flashbacks related to the traumatic relationship experiences.
  2. Hypervigilance and heightened arousal: They may exhibit heightened states of arousal, anxiety, and vigilance, constantly on the lookout for signs of potential danger or threat.
  3. Avoidance and emotional numbing: Survivors may actively avoid reminders of the relationship, such as certain places, people, or activities, and may experience emotional detachment or numbness.
  4. Relationship difficulties: Individuals with PTSD may struggle to trust others, form new intimate relationships, or maintain healthy boundaries in their relationships.
  5. Negative cognitions and mood: They may experience persistent negative beliefs about themselves, others, or the world, as well as feelings of depression, guilt, or shame.
  6. Physiological symptoms: PTSD can also manifest through physical symptoms, such as insomnia, fatigue, headaches, or chronic pain.

Relationship Causes Of PTSD

The primary cause of relationship-related PTSD is the experience of a traumatic or highly distressing relationship, which can include:

  • Emotional Abuse: Experiencing sustained emotional manipulation, gaslighting, or psychological torment within the relationship — often marked by threats that feel they could escalate into becoming physically violent or life-threatening.
  • Physical Abuse: Enduring physical violence, assault, or threats of physical harm of any kind.
  • Sexual Abuse: Experiencing non-consensual sexual acts or coercion within the relationship.

Relationship events that can lead to other Trauma & Stress-Related Disorders

  • Betrayal and infidelity: Discovering a partner's infidelity or a significant breach of trust.
  • Emotional neglect: Feeling consistently unsupported, invalidated, or emotionally abandoned by a partner.

The severity and duration of the trauma, as well as the individual's vulnerability and coping mechanisms, can all contribute to the development of PTSD.

Relationship Trauma And PTSD — Exploring The Connection

The connection between relationship trauma and PTSD is a complex and multifaceted one. Intimate relationships, by their very nature, involve a deep level of vulnerability and trust, and when that trust is betrayed or violated, the emotional and psychological impact can be profound.

Relationship trauma, such as emotional, physical, or sexual abuse, can trigger the same neurobiological and psychological responses as other types of trauma, leading to the development of PTSD. The chronic stress and fear associated with an abusive or traumatic relationship can disrupt the normal functioning of the body's stress response system, contributing to the onset of PTSD symptoms.

Furthermore, the unique relational context of relationship trauma can exacerbate the impact on an individual's sense of self, trust, and attachment patterns, making it particularly challenging to heal and recover from the experience.

Can A Breakup Lead To Relationship PTSD?

While the end of a relationship, even a healthy one, can be a difficult and emotionally charged experience, most breakups will not lead to PTSD. In certain circumstances, the emotional and psychological impact of a breakup can be so severe that it can trigger the development of PTSD-like symptoms, leading to a sub-threshold diagnosis or a related condition called Adjustment Disorder.

If a partner has experienced emotional, physical, or sexual abuse within the relationship, the sudden loss of that relationship, along with the associated trauma, can be a significant trigger for PTSD symptoms.

Similarly, if a breakup is accompanied by a significant breach of trust, such as infidelity or a sudden and unexpected abandonment, the individual may struggle to cope with the emotional aftermath, leading to a Trauma or Stressor-Related diagnosis or Adjustment Disorder.

The Impact Of An Abusive Relationship On PTSD

Relationships that involve abuse, whether emotional, physical, or sexual, can have a particularly devastating impact on an individual's mental health and the potential development of PTSD. The chronic stress and trauma associated with an abusive relationship can profoundly disrupt an individual's sense of safety, trust, and self-worth, making it especially challenging to heal and recover.

Survivors of abusive relationships may experience a heightened sense of vulnerability, hypervigilance, and difficulty in forming new, healthy relationships. They may also struggle with feelings of shame, guilt, and a deep mistrust of others, which can further compound the symptoms of PTSD. The impact of an abusive relationship on PTSD can be long-lasting and complex, requiring specialized support and a comprehensive approach to treatment and healing.

Healing And Recovery From PTSD

Recovering from relationship-related PTSD can be a complex and challenging process, but with the right support and intervention, individuals can learn to manage their symptoms and reclaim their lives. The journey to healing often involves a multifaceted approach, including:

  1. Trauma-informed therapy: Working with a mental health professional who specializes in trauma-informed care and can provide evidence-based treatments, such as Cognitive Processing Therapy (CPT), Prolonged Exposure (PE) or eye movement desensitization and reprocessing (EMDR).
  2. Support systems: Engaging with support groups, online communities, or trusted friends and family members who can provide emotional support and validation.
  3. Self-care practices: Incorporating self-care activities, such as mindfulness, meditation, exercise, or creative expression, to help manage stress and regulate emotions.
  4. Healthy relationship boundaries: Developing a better understanding of healthy relationship dynamics and learning to set appropriate physical and emotional boundaries in future relationships.
  5. Resilience-building: Cultivating resilience, self-compassion, and a sense of empowerment to overcome the trauma and move forward in a meaningful way.

If you're facing challenges with PTSD, rest assured that help is available. At Nema, our therapists are trained in Cognitive Processing Therapy (CPT) and other supportive treatments tailored for PTSD, aiming for lasting recovery. If you're interested in learning more, click here to schedule a complimentary consultation.

Nema team
Clinically Reviewed by
Maddie Friedman, LCSW