And I can see why defining yourself as a lifetime addict can be a self-fulfilling prophecy. She added that her team hopes to encourage more research and promote broader discussion of these issues during therapy. People with PTSD live with continuous anxiety, denial and avoidance mechanisms, intrusive thoughts, and more, about what happened to them, whether it was a serious accident, a mugging, physical or sexual abuse , rape, or getting wounded in a war. It is more likely for a child to experience sexual abuse at the hands of a family member or another supposedly trustworthy adult. With childhood sexual abuse, victims are often too young to know how to express what is happening and seek out help. I've been busy doing other things and taking some time off, but now I want to get back into this blog, starting pretty much where I left off. Peters Veterans Affairs Medical Center and the Icahn School of Medicine at Mount Sinai in New York City, said in her email that while women are more likely to experience rape and men are more likely to experience combat trauma or physical assault, they can both experience sexual dysfunction linked to PTSD. The trauma that results from sexual abuse is a syndrome that affects not just the victim and their family, but all of our society. Substance abuse is a common outcome of sexual abuse. So they have to remain constantly vigilant: They keep the anxiety alive in order to entrench traumatic memories of addiction, by telling and retelling anecdotes about how bad it was at its worst or about the awful repercussions of their last relapse. PTSD is in some ways an adaptive emotional response to trauma. But for some people, this might be the best way — the only way — to stay clean. Almost like telling scary stories to keep little kids in line. You have to reinforce those connections keep strengthening those synapses to keep vivid memories vivid.