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"While there is evidence that certain types of psychological abuse can cause a physical reaction akin to that experienced by victims of physical violence, those cases are extremely rare"

Is this actually true? I was under the impression that trauma quite often results in physical responses afterwards regardless of source. eg. panic attacks, night terrors.




Trauma generally involves either violence, or the credible threat of violence. The three greatest factors underlying trauma are the fear of imminnat death or grievous injury, and/or the loss of control and resulting sense of helplessness, and a destruction of bedrock assumptions such as “I am a good person” or “I’m safe at home.”

It’s not common for PTSD to emerge in the context of purely psychological abuse, although it does happen. Almost inevitably abuse resulting in PTSD has a component of either physical harm, or the threat of physical harm (including witnessing violence or threats of violence).


I know lots of people who had panic attacks in response to emotional abuse with no physical violence involved.

Probably not rising to the level of a PTSD diagnosis though.




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