Enduring Personality Changes after Intense Stressful Event: Case Report (2024)

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  • Open Access Maced J Med Sci
  • v.4(3); 2016 Sep 15
  • PMC5042633

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Enduring Personality Changes after Intense Stressful Event: Case Report (1)

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Slavica Arsova,1,* Nensi Manusheva,1 Gabriela Kopacheva-Barsova,2 and Stojan Bajraktarov1

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Abstract

BACKGROUND

World statistical data show that a large number of individuals suffer from posttraumatic stress disorder (PTSD) after exposure to the intense traumatic event. PTSD can have a chronic course with enduring changes in the functioning of the person.

CASE PRESENTATION

Here we report two adult individuals of different gender and education who were exposed to the extremely severe stressful event after which difficulties in psychological functioning developed. The first case we present is a 46-year-old man, with completed high education, divorced, father of two children, who lives with his parents, and is retired. Disorders appeared 20 years ago when he was exposed to extremely severe stressful events in war circ*mstances that included captivity, torture, and loss of fellow soldiers. The second case is a 50-year-old female patient, with a university degree, professor of art, married, and mother of two children of whom the son died six years ago. She suffered from disorders after the sudden injury of her son that ended with his death.

CONCLUSION

Posttraumatic stress disorder after the intense stress is a risk of development enduring personality changes with serious individual and social consequences.

Keywords: posttraumatic stress disorder, enduring personality changes, SSRI anti-depressive, anti-psychotic, psycho stabilising therapy, case report, Republic of Macedonia

Introduction

World statistical data show that a large number of individuals suffer from posttraumatic stress disorder (PTSD) after exposure to the intense traumatic event. PTSD can have a chronic course with enduring changes in functioning of the person [1].

It is considered that the majority of healthy individuals will not develop posttraumatic stress disorder; however, if the individual has experienced an extremely traumatizing event associated with violence and conflict situations such as war, concentration camp, rape, domestic violence, bullying during childhood, then the chances for development of this disorder are greater [2-6].

Literature data show that men tend to experience more traumatic events, but women more often develop stress-related disorder if they have been exposed to traumatic events such as family violence, loss of a child, rape, etc [7, 8].

According to ICD 10, if psychological difficulties last for years after the survived traumatic event maladaptive forms of behaviour develop including distinct difficulties in social and personal functioning that lead to enduring personality changes [9].

The aim of this study was to present the influence of intense stressful event on the development of enduring personality changes after survived catastrophic event.

Case Presentation

Here we report two adult individuals of different gender and education who were exposed to the extremely severe stressful event after which difficulties in psychological functioning developed. The diagnosis was made in line with the ICD 10, and the following diagnostic criteria were used: HAMA, HAMD, and clinical interview, psychological and social findings.

The first case we present is a 46-year-old man, with completed high education, divorced, father of two children, who lives with his parents, and is retired. Disorders appeared 20 years ago when he was exposed to extremely severe stressful events in war circ*mstances that included captivity, torture, and loss of fellow soldiers. Within the course of the first years he developed posttraumatic stress disorder diagnosed and managed on an outpatient basis, and later several hospital stays in day hospital care have been recorded. Variable psychological difficulties with the gradual development of enduring personality changes have been observed along with a persistent feeling of insecurity, jeopardy, social inequality, withdrawal and marked work-related dysfunction.

The second case is a 50-year-old female patient, with a university degree, professor of art, married, and mother of two children of whom the son died six years ago. She suffered from disorders after the sudden injury of her son that ended with his death. Within the course of the first month’s acute stress reaction was noticed, which was later transformed into a posttraumatic stress disorder of chronic course and development of enduring personality changes.

During the day hospital stay patients were treated with pharmacologic agents (SSRI anti-depressive, anti-psychotic and psycho stabilising therapy), which showed a modest success, that is, reduction in the impulsive behaviour; sleep improvement and reduction in self-harmful behaviour. In addition to pharmacology therapy patients were treated with individual and group psychosocial therapy procedures but without significant success in their normal reintegration in their families, social and professional environment.

Discussion

Literature shows that PTSD most commonly develops in individuals who have been exposed to severe stress associated with violence when the lives of the victims or their close relatives or friends have been in jeopardy, or they have been threatened, tortured, molested, or suffered a sudden loss of a close family member or friend. Long-lasting difficulties might result in permanent maladaptive forms of behaviour [10]. These individuals have paranoid attitude towards the environment, a feeling of uncertainty, social withdrawal, work-related dysfunction, irritability, and they are prone to interpersonal conflicts, with a low threshold of tolerance for frustrating situations [1].

In conclusion, posttraumatic stress disorder after the intense stress is a risk of development enduring personality changes with serious individual and social consequences.

Footnotes

Competing Interests: The authors have declared that no competing interests exist.

References

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Articles from Open Access Macedonian Journal of Medical Sciences are provided here courtesy of Scientific Foundation SPIROSKI

Enduring Personality Changes after Intense Stressful Event: Case Report (2024)

FAQs

How does your personality change after severe trauma? ›

PTSD can manifest in various ways, including heightened vigilance or alertness, increased anxiety, and emotional dysregulation, all of which can contribute to noticeable personality changes. For example, an individual who was previously outgoing and cheerful might become withdrawn and serious after experiencing trauma.

What causes extreme personality changes? ›

Anxiety, panic, depression, post-traumatic stress disorder (PTSD), bipolar disorder, schizophrenia, and others can all fundamentally change how a person perceives and interacts with the world around them. Lastly, addiction can play a large role in these sudden personality changes.

What is an example of a personality change? ›

A person behaving in an uncharacteristically moody, aggressive, or euphoric manner, inconsistent with their usual way of behaving in similar situations also demonstrates a personality change.

What are the long term responses to trauma? ›

Delayed responses to trauma can include persistent fatigue, sleep disorders, nightmares, fear of recurrence, anxiety focused on flashbacks, depression, and avoidance of emotions, sensations, or activities that are associated with the trauma, even remotely.

What are the symptoms of enduring personality change? ›

Enduring personality change after catastrophic experience, also known as EPCACE, is characterized by personality changes after a significant event or events. This condition may be preceded by PTSD. Symptoms may include a distrustful attitude, social isolation, or feeling a sense of threat.

What are the four trauma personalities? ›

The 4 Trauma Responses: Fight, Flight, Freeze, Fawn: Examining The Four Trauma Reactions. According to a research on the neurobiological consequences of psychological trauma, our bodies are designed to respond to perceived threats with a set of near-instantaneous, reflexive survival behaviors.

Can stress cause personality changes? ›

A little stress every now and then is not something to be concerned about. But ongoing, chronic stress can cause or worsen many serious health problems, including: Mental health problems, such as depression, anxiety, and personality disorders.

What is the hardest mental illness to live with? ›

Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.

What is the root cause of personality disorders? ›

It's not clear exactly what causes personality disorders, but they're thought to result from a combination of the genes a person inherits and early environmental influences – for example, a distressing childhood experience (such as abuse or neglect).

What events can change personality? ›

Personality might feel stable, but personality change is a normal part of the life course. Life events, including relationship events, can alter personality. Marriage and divorce both increase conscientiousness. Having a child tends to lower extraversion.

What are the 8 personalities of change? ›

Typically there are eight personality types that can make or break a change management programme: Champion, Ambassador, Challenger, Sceptic, Prisoner, Passenger, Saboteur or Thief. Identification of the personality traits involved in a change project is usually only done when problems arise.

What influences personality change? ›

Many factors may lead to changes in personality. Genetics influences the development of a person's traits as they grow up, and personality researchers have argued that important life changes (such as getting married) and new social roles (such as a job) can alter personality traits as well.

What is trauma dumping? ›

While not a clinical term, trauma dumping is when someone unloads the details of their traumatic experience onto someone without regard for its impact, says Naomi Torres-Mackie, Ph. D., a clinical psychologist at Lenox Hill Hospital in New York and head of research at The Mental Health Coalition.

What is trauma dissociation? ›

Dissociation can occur in response to traumatic events, and/or in response to prolonged exposure to trauma (for example, trauma that occurs in the context of people's relationships). Dissociation can affect memory, sense of identity, the way the world is perceived and the connection to the physical body 3.

How do traumatized people act? ›

Emotional reactions to trauma can include: fear, anxiety and panic. shock – difficulty believing in what has happened, feeling detached and confused. feeling numb and detached.

Can trauma alter your personality? ›

The effects of exposure to trauma in childhood have repeatedly been linked to the development of maladaptive personality traits and personality disorders [1,2,3,4]. In contrast, much less is known about personality related problems that may arise in adulthood.

What kind of trauma causes personality disorder? ›

Childhood trauma.

One study found a link between the number and type of childhood traumas and the development of personality disorders. People with borderline personality disorder, for example, had especially high rates of childhood sexual trauma.

Can you develop a personality disorder after trauma? ›

Among 182 participants with probable personality disorder, 65 (35.7%) reported that these problems started after exposure to war-trauma as adults. The most prevalent personality problems among those with late-onset pathology were borderline, avoidant, schizotypal, schizoid and paranoid.

How can severe trauma play a role in developing a personality disorder? ›

The hypothesis that early traumatic life experiences foster the development of BPD received increasing scientific validation. In particular, early traumas work as triggers for the evolution of several BPD characteristics, such as affect instability, emotion dysregulation, and self-destructive behaviors (47).

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