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Mental health

PTSD and Complex PTSD: Signs, Treatment and Community Support

A practical, trauma-aware guide to recognising possible PTSD symptoms, seeking qualified help and coordinating day-to-day community support.

By EmpowerLink Clinical Editorial Team · Published · Updated

Clinically reviewed. Reviewed by Max Bartosh (Clinical Nurse & Founder) on 2026-08-08.
Urgent help: If someone is in immediate danger, call Triple Zero (000). For urgent mental health support in Queensland, call 1300 MH CALL (1300 642 255). Lifeline is available on 13 11 14.

Important: This article provides general Australian health information. It does not diagnose a condition, replace an individual assessment or change instructions from your doctor or treating team.

What PTSD can look like

Post-traumatic stress disorder can develop after a person experiences or witnesses trauma. People respond to trauma differently, and having a strong reaction soon afterwards does not by itself mean someone has PTSD. A qualified health professional considers the type, duration and impact of symptoms before making a diagnosis.

Symptoms can affect sleep, concentration, relationships, work, physical health and a person’s sense of safety. Some people avoid reminders of what happened; others feel constantly on alert or experience intrusive memories. The experience is personal, and support should not require someone to repeatedly recount trauma to every new worker.

  • Intrusive memories, nightmares or feeling as though the event is happening again
  • Avoiding places, conversations, people or activities linked to the trauma
  • Persistent distress, shame, disconnection or negative beliefs about safety
  • Being easily startled, irritable, watchful, unable to sleep or unable to concentrate

PTSD and complex PTSD are not self-diagnoses

Complex PTSD is associated with trauma that is repeated or prolonged and can include additional difficulty with emotional regulation, self-concept and relationships. These experiences can overlap with other mental and physical health conditions, so an online checklist cannot provide a reliable diagnosis.

A GP can assess immediate needs, consider physical contributors, discuss treatment and refer to an appropriate psychologist, psychiatrist or specialist service. A person may also choose culturally specific, community-controlled or trauma-specialist support.

How community nursing can fit into treatment

Community mental health nursing is not psychotherapy or crisis care. When it is part of an established plan, a nurse may support medication routines, agreed wellbeing monitoring, physical health needs, practical education and communication with authorised clinicians.

A good referral records the person’s goals, preferred communication, known triggers, early warning signs, current medication chart and crisis plan. It should also say what information may be shared and with whom.

  • Use consistent, choice-based communication and explain what will happen before acting
  • Record what helps the person feel safe without making unsupported promises
  • Avoid unnecessary retelling by using an authorised, current care plan
  • Follow the person’s crisis plan if risk or mental state changes

When and how to seek help

Seek professional support when trauma reactions persist, cause significant distress or interfere with daily life. A GP is a useful starting point. Immediate danger, serious self-harm risk, severe confusion or a medical emergency requires urgent help rather than a routine service referral.

Support coordinators and clinicians can refer to EmpowerLink for planned community mental health nursing. Acceptance depends on the person’s consent, clinical fit, risk plan, funding and available capacity.

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