Does High Functioning PTSD Exist?

However, some people who experienced trauma may seem like they’re doing just fine. That leads us to the question – does high functioning PTSD (HF-PTSD) exist? 

The answer is yes! While they could seem successful in many areas of their lives, those with HF-PTSD are not living at the optimal. In fact, they struggle internally and are coping through pain. Breakdowns or burnouts are likely to happen with a matter of time.  

Coping methods by those with HF-PTSD 

People with HF-PTSD are likely to cope by blocking out memories of their trauma. They avoid situations and people that remind them of their traumatic experiences. Doing so makes them look “perfectly okay”. While feeling constantly on-edge, they try to ignore the negatives. Instead, they work hard to excel at their work, relationships and other responsibilities. These distract them from the trauma and its effects.  

Healing the trauma 

While seemingly functioning well, living with HF-PTSD is not ideal. Without treatment, one could reach a breaking point. The following strategies can be used in the healing process.  

1. Talking to someone 

Having a listening ear that does not judge can help one feel supported throughout the healing process. It is useful to have an emotionally and physically safe space that gives us opportunities to express our emotions.  

2. Therapy 

Going to therapy is a good option for those with HF-PTSD. The therapist might use the following methods: 

a. Eye movement desensitization and reprocessing (EMDR) 

During EMDR, the client is guided to recall the traumatic event they experienced. At the same time, they emphasize positive beliefs like “I had put in my best effort”. This helps the brain come to terms with their negative experiences.  

b. Exposure Therapy 

People with HF-PTSD frequently avoid people and places that remind them of trauma. Exposure therapy, like its name suggests, exposes the client to these reminders. They learn to cope with their feelings of anxiety.  

c. Cognitive Behavioural Therapy (CBT) 

In CBT, unhealthy thoughts are identified and challenged to change behaviour. This helps the client makes sense of the traumatic event and deal with challenges in a more adaptive way.  

HF-PTSD is a real condition that you or people around you may be dealing with. While sharing the emotional burden with someone can be helpful, the best form of treatment is to seek guidance from mental health professionals.