The many faces of PTSD

Published on February 17, 2020


Johnathon was a high functioning hedge fund manager.  He was successful and seemed to be doing well in his life except for in his relationships.  As a child, his father would hit him, and he could never predict when the violencewould occur.  Whenever someone was disappointed with him or upset with him, he would lash out and become verbally aggressive.  He would tear the other person apart and then be filled with regret and shame afterwards.  His rage would often get the better of him.  This left him feeling out of control and helpless.


Susanne had a difficult time leaving her home.  She had set her home up to be a peaceful place, with little to no chaos or noise.  Any sudden noise would startle her and make her jump.  When she would leave, she would often be worried about being attacked.  In crowded places, she often felt trapped and would have a panic attack.  As a teenager, Susanne was sexually assaulted.  Since then, she found it challenging to enjoy events in places that she had never been too.  She often looked for the exit and would go home early so that she could go home where she felt safe.  Susanne was a people pleaser.  If she could keep everyone happy, then perhaps no one would hurt her.


Derek had a difficult time connecting with others since his friend committed suicide.  He was afraid to get close to anyone, as he didn’t want to feel the pain of losing someone again.  He often ruminated about what he could have done better.  He was full of shame and guilt about not being able to see the red flags that his friend was depressed.  Almost nightly, he suffered from nightmares.  He often felt like he was worthless and often contemplated committing suicide himself.


Phillip often suffered from flashbacks.  Out of nowhere, he would relive the gun violence that he had witnessed at his school.  His flashback would leave him on the floor in a panic.  It was as if the event was happening all over again.  He could smell the gun powder and feel the terror as his tremors weakened his legs, and he collapsed to the floor.  He was so worried that this would happen in public that he often isolated himself.

Post Traumatic Stress Disorder – PTSD

PTSD happens to people other than soldiers.  It often leaves people feeling terror and shame.  It is ok to ask for help; you are not broken.   PTSD is highly treatable and is not a life sentence.  You are not weak for asking for help; it is ok to stop fighting.  It might seem unsafe to stop the hypervigilance and to trust, but a professional can walk you through the darkness and back into the light.


If you feel like you have some of these symptoms please do contact me to set up an appointment. Please contact +852 2521 4668 or email

Photo by Vince Fleming on Unsplash

Category(s):Anger Management, Anxiety, Complex PTSD, Depression, Post Traumatic Stress Disorder (PTSD) / Trauma / Complex PTSD, Relationships & Marriage

Written by:

Dr Monica Borschel

Dr Borschel specialises in Attachment and Loss. She is experienced in helping adults, teens, children, and families adjust to anxiety, trauma, abuse, divorce, separation, or loss of a loved one.

Dr. Borschel’s attachment-based psychodynamic therapy along with EMDR, enables her clients to find healing within themselves. In so doing, she can help adults, teens, and children to overcome grief, anxiety, trauma, neglect, emotional, verbal, physical abuse, and child abuse.

Furthermore, as an attachment specialist, she also helps individuals understand relationship patterns which prevent them from developing or maintaining healthy relationships. She is able to help reduce anxiety, insomnia, depression and promote confidence and self-esteem. This may include deciding what is in the best interest of the children during custody disputes, strengthening the relationship and communication between the parents and the children.

Dr. Borschel is originally from Salt Lake City, Utah, U.S.A. She graduated with her Masters in Clinical Psychology from Columbia University in New York City. She later moved to Hong Kong to pursue her doctorate at the University of Hong Kong in Social Work and Social Administration.

Registered Clinical Psychologist with The Hong Kong Society of Counseling and Psychology. Member of the American Psychological Association (APA), the American Counseling Association (ACA), The British Psychological Society (BPS), the Hong Kong Family Law Association (HKFLA) and EMDRIA certified therapist.

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