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May 1, 2025

What happens when PTSD is untreated?

Delve into the consequences of untreated PTSD on mental health and well-being — and the power of cognitive processing therapy for healing.

What happens when PTSD is untreated?

Post-Traumatic Stress Disorder (PTSD) is a mental health condition triggered by exposure to trauma involving actual or threatened death, serious injury, or sexual violence. This exposure may occur through direct experience, witnessing the traumatic event, learning it happened to a close family member/friend, or with repeated exposure to traumatic details, as seen in first responders or law enforcement. Examples of traumatic events that may lead to PTSD include but are not limited to: natural disasters, serious accidents (e.g., car crashes), combat exposure, physical assault, sexual violence, terrorist attacks, and being threatened with a weapon. PTSD symptoms fall into four main categories: intrusive symptoms, avoidance, negative changes in thoughts and mood, and changes in arousal and reactivity. For example, a person may have distressing memories or flashbacks of a traumatic event (intrusion), avoid places or conversations that remind them of it (avoidance), feel detached from others or blame themselves (negative mood), and become irritable, easily startled, or have trouble sleeping (arousal).

The causes of PTSD are complex and can vary from person to person. Factors such as the severity of the traumatic event, the individual's coping mechanisms, and their overall mental health can all play a role in the development of the condition. Additionally, certain biological and genetic factors may also contribute to an individual's susceptibility to PTSD.

It's important to note that PTSD is a treatable condition, and with the right support and intervention, individuals can learn to manage their symptoms and reclaim their lives.

The importance of early intervention for PTSD

Early intervention is crucial when it comes to addressing PTSD. When left untreated, the condition can become increasingly debilitating, leading to a range of negative consequences that can impact an individual's mental, physical, and social well-being.

Seeking professional help as soon as possible after a traumatic event can help individuals process their experiences, develop healthy coping mechanisms, and prevent the development of more severe symptoms. This can include cognitive-behavioral therapies such as Cognitive Processing Therapy (CPT), or Prolonged Exposure (PE), medication management or other evidence-based treatments such as Eye Movement Desensitization and Reprocessing Therapy (EMDR).

By addressing PTSD early on, individuals can reduce the risk of long-term complications and improve their overall quality of life. It's essential to encourage those who have experienced trauma to seek help and to destigmatize the process of seeking mental health support.

Consequences of untreated PTSD on mental health

When PTSD is left untreated, the consequences on an individual's mental health can be severe and far-reaching. Untreated PTSD can lead to the development of other mental health conditions, such as depression, anxiety, and substance abuse disorders.

Individuals with untreated PTSD may struggle with persistent feelings of fear, guilt, and hopelessness, which can make it challenging to engage in daily activities and maintain healthy relationships. They may also experience increased irritability, difficulty concentrating, and a general sense of detachment from their surroundings.

Over time, the cumulative impact of these symptoms can take a significant toll on an individual's mental well-being, leading to a decreased quality of life and an increased risk of suicidal thoughts or behaviors. It's crucial to address PTSD in a timely manner to prevent these devastating consequences.

Physical health implications of leaving PTSD untreated

The consequences of untreated PTSD extend beyond an individual's mental health and can also have significant implications for their physical well-being. Chronic stress and anxiety, which are common symptoms of PTSD, can take a toll on the body and contribute to a range of physical health problems.

Individuals with untreated PTSD may experience increased inflammation, which can lead to a higher risk of cardiovascular disease, chronic pain, and other inflammatory conditions. They may also struggle with sleep disturbances, which can further exacerbate physical health issues and contribute to a weakened immune system.

Additionally, the heightened stress response associated with PTSD can disrupt the body's natural hormonal balance, leading to a range of issues such as digestive problems, headaches, and even reproductive difficulties. Ignoring these physical manifestations of PTSD can have serious long-term consequences for an individual's overall health and well-being.

Impact on relationships and social interactions

Untreated PTSD can also have a significant impact on an individual's relationships and social interactions. Symptoms such as hypervigilance, emotional detachment, and difficulty trusting others can make it challenging for individuals with PTSD to maintain healthy, fulfilling relationships with family, friends, and romantic partners.

Individuals with untreated PTSD may struggle to communicate their needs effectively, leading to misunderstandings and conflicts within their relationships. They may also withdraw from social situations, isolating themselves and further exacerbating their feelings of loneliness and disconnection.

The ripple effect of untreated PTSD can be felt across an individual's entire social network, as the condition can strain relationships, disrupt family dynamics, and hinder an individual's ability to form and maintain meaningful connections with others. Addressing PTSD is crucial for preserving and strengthening these important relationships.

Untreated PTSD and its effect on work or school performance

Untreated PTSD can also have a significant impact on an individual's work or school performance. Symptoms such as difficulty concentrating, increased irritability, and emotional dysregulation can make it challenging for individuals with PTSD to remain focused and productive in their professional or academic pursuits.

Individuals with untreated PTSD may struggle to meet deadlines, complete tasks, or maintain consistent attendance, leading to decreased job performance or academic achievement. This can have far-reaching consequences, including the risk of job loss, missed educational opportunities, and decreased financial stability.

Moreover, the stigma surrounding mental health conditions can make it difficult for individuals with untreated PTSD to seek the support they need in the workplace or at school. This can further exacerbate the challenges they face and contribute to a cycle of underperformance and decreased self-confidence.

The ripple effect: How untreated PTSD affects family and loved ones

The impact of untreated PTSD extends beyond the individual, as it can have a significant ripple effect on their family and loved ones. Individuals with untreated PTSD may struggle to maintain healthy relationships and communication within their families, leading to increased tension, conflict, and emotional distress.

Family members and loved ones may feel helpless as they witness the individual’s struggle with PTSD, and they may also experience vicarious trauma or caregiver stress. This can lead to increased stress, anxiety, and even the development of their own mental health issues.

Furthermore, the financial and practical implications of untreated PTSD can place a significant burden on the individual's family and loved ones, who may have to take on additional responsibilities or provide financial support. This can further strain relationships and contribute to a sense of overwhelming responsibility and burnout.

How Does Cognitive Processing Therapy as an evidence based therapy help in treating PTSD?

Cognitive Processing Therapy (CPT) is an evidence-based treatment approach that has been shown to be highly effective in the treatment of PTSD. This form of cognitive-behavioral therapy helps individuals with PTSD identify and challenge the maladaptive cognitions or “stuck points” that have developed as a result of their traumatic experiences.

During CPT, individuals work closely with a trained mental health professional to explore the impact of the traumatic event on their thoughts, feelings, and behaviors. They are then guided through a process of exploring these negative cognitions, developing more adaptive ways of thinking, and integrating their experiences into a coherent narrative.

By addressing the core cognitive distortions that maintain PTSD symptoms, CPT helps individuals to regain a sense of control and empowerment over their lives. This, in turn, can lead to a significant reduction in PTSD symptoms, improved emotional regulation, and a greater ability to engage in healthy, fulfilling relationships and activities.

Additionally, CPT is a structured, time-limited therapy, typically lasting 12 sessions, which makes it an accessible and efficient option for individuals seeking PTSD treatment. This evidence-based approach has been widely studied and has consistently demonstrated its effectiveness in helping individuals with PTSD to overcome the challenges they face and reclaim their lives.

Our team at Nema provides expert guidance in Cognitive Processing Therapy (CPT) and other nurturing, evidence-based treatments for PTSD recovery. If you're searching for sustained healing with CPT,  please schedule a free intro call here.

Nema team
Clinically Reviewed by
Mariana Peralta, LPC, LMHC