I'm certainly no authority on it... but I do teach the basics of PTSD in Intro Psychology... and I worked in CHild Abuse for 21 years... next to Fort Knox military base... so I am familiar with it. I always say I know enough to be dangerous
The main symptoms I noticed:
hypervigilance
insomnia
focusing issues. concentration
panic attacks and/or generalized anxiety
intrusive thoughts
would avoid anything that reminded them of the triggering event
tended to not like crowds or noisy places
distanced themselves from others
startled easily
felt the future was not going to be pleasant
Usually feelings of guilt, shame, anger, distrust, betrayal, aloneness, depression
Sound familiar ?
The people I worked with usually had experienced
Domestic Violence
Sex Abuse
Loss of a parent - or parents... forcefully... sometimes through the military; sometimes through child protective services, sometimes through violence
Substance Abuse
A lot of homes burned down in fires
I think a person does become numb... I know even as in-home therapists we seemed to suffer a secondary PTSD from being exposed to the constant horror
(I wasn't a Child Protective service worker... but CPS referred their families to our program... families at high risk of removal due to abuse or neglect or sometimes mental illness)
So I saw these situations daily... spent 8 to 10 hours a week with a family in their homes.... in their situations. Usually we worked with 2 to 3 families at a time.
I worked with a family that killed their twin 2 month old infants
a child who had the top of her scalp chewed off by a Pit Bull
children pulled screaming from their mothers by CPS
women beaten by boyfriends
one woman killed when she left her husband
a schizophrenic teenager who threatened his mother with a machete
one therapist was locked into the house by a Borderline client
failure to thrive infants
infants born blind and with heart problems and mentally retarded due to drug use of parents (one 14 year old teen had 2 of these infants from her use of crack)
one little 3 year old girl raised her shirt and masturbated in front of me
meth labs
times I was threatened - one skinhead teenager threatened me with his "herd" of Chows...As he walked me through the fenced in yard to the driveway... the Chows surrounded us. He smiled and said "All I have to do is say the word"... I just calmly said, "Well, don't say it"
After 21 years of working in this job I have a LOT more stories
They were numb to the horror... it seemed a normal way of life to many of them. The numbness was part of their PTSD... and mine