A circular pattern can develop that may sometimes harm relationships.In the first weeks and months following a trauma, survivors may feel angry, detached, tense or worried in their relationships.

Partners may come to feel that talking together and working as a team are not possible.

Partners, friends, or family members may feel hurt, cut off, or down because the survivor has not been able to get over the trauma.

People with PTSD can create and maintain good relationships by: Relations with others are very important for trauma survivors.

Social support is one of the best things to protect against getting PTSD. Relationships may also help the survivor's self-esteem. A relationship can also give the survivor a way to help someone else.

He or she might go to great lengths to avoid such memories.

Survivors may avoid any activity that could trigger a memory.

If the survivor has trouble sleeping or has nightmares, both the survivor and partner may not be able to get enough rest. Survivors often struggle with intense anger and impulses.

In order to suppress angry feelings and actions, they may avoid closeness.

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