Frequently Asked Questions (FAQs)

1. What is the difference between PTSD and PTSI?

PTSD stands for Post-Traumatic Stress Disorder, while PTSI (Post-Traumatic Stress Injury) reframes it as a biological and neurological injury to the brain and nervous system caused by overwhelming stress. The term “disorder” can feel pathologizing, but many clinicians and advocates now prefer “injury” to reduce stigma. Insurance and medical systems still often require the term disorder for billing, but it’s important to remember: this is an injury, not a personal failing.

2. What are the symptoms of PTSI?

Symptoms include intrusive memories, nightmares, hypervigilance, emotional numbness, difficulty sleeping, avoidance of reminders, emotional dysregulation, and a persistent sense of danger—even when physically safe.

3. Can PTSI develop long after the traumatic event?

Yes. Post-traumatic symptoms can be delayed and may emerge months or years later—especially when triggered by stress, life changes, or similar events that activate stored trauma.

4. How is PTSI different from anxiety or depression?

While there can be overlap, PTSI is specifically trauma-induced. It often includes flashbacks, avoidance behaviors, and nervous system dysregulation. Anxiety and depression may be present, but PTSI is a trauma-rooted brain and body response.

5. Is PTSI treatable?

Yes. PTSI is a highly treatable injury. Modalities like Internal Family Systems (IFS), EMDR, somatic therapy, and nervous system regulation practices can help rewire the brain and restore safety in the body. Healing is possible.

6. Can someone have PTSI without realizing it?

Absolutely. Many people experience burnout, irritability, disconnection, or chronic health issues without linking them to unresolved trauma. Education and assessment can help bring awareness and guide healing.

7. Why combine somatic practices with talk therapy?

Talk therapy focuses on thoughts and stories, helping us process experiences cognitively. However, as highlighted in The Body Keeps the Score, trauma and stress are also stored in the body. Somatic practices encourage us to shift focus from the mind to the body—tuning into sensations, breath, posture, and subtle energy shifts.

By integrating both approaches, we address healing on every level. This connection allows us to release patterns stored in the body, build compassion for ourselves, and create lasting change beyond the cognitive level.