Home » Blog » Understanding PTSD and its Effects on Marriage

Understanding PTSD and its Effects on Marriage

PTSD effects on marriagePost-traumatic stress disorder (PTSD) is a mental health condition that occurs following a life-threatening event such as military combat, natural disasters, terrorist incidents, serious accidents, or physical or sexual assault. Approximately eight percent of all people will experience PTSD at some point in their life. That number rises to about 30 percent for combat veterans.

Those suffering with PTSD may experience several different types of symptoms:

  • Reliving. Becoming emotionally or physically upset when reminded or triggered. Nightmares and flashbacks are extremely common.
  • Avoidance. Staying away from places or people that remind one of the traumatic events. Isolating behaviors.
  • Numbing. Feeling numb is typical. Numbing oneself with substances such as drugs and alcohol is prevalent.
  • Anxiety. Feeling on guard, unable to relax, irritable, anxious, or startling easily are all characteristic.
  • Addictive. Participating in addictive behaviors such as excessive gambling, pornography, or substance abuse.

PTSD not only affects one’s mental health but it can negatively affect one’s marriage as well. The symptoms of PTSD can create problems with trust, closeness, intimacy, communication, decision-making, and problem-solving, often giving rise to the destruction of relationships. The loss of interest in social activities, hobbies, or sex can lead to one’s partner feeling a lack of connection or being pushed away. A PTSD spouse can feel isolated, alienated and frustrated from the inability to work through the problems and help his or her partner. Partners may feel hurt or helpless because their spouse has not been able to get over the trauma. This may leave loved ones feeling angry or distant toward their partner.

The anger outbursts and improper impulses may particularly scare one’s spouse. Verbal or physical violence can even occur, significantly adding to one’s marital discord. Naturally, their spouse may become fearful of the abusive behaviors exhibited. They may feel pressured, tense, and even controlled by the survivor or by PTSD. Symptoms can be so severe and debilitating that spouses often feel like they are living in a war zone, in constant threat of danger, or may experience feelings of having been through trauma themselves.

Work and daily activities often prove to be a struggle as well for those diagnosed with PTSD, and may contribute to higher rates of divorce and unemployment. Veterans who have been diagnosed with PTSD have reported significant marital difficulties. Studies have shown that nearly 50 percent of their marriages end in divorce and that they are three times as more likely to have multiple marriages end in divorce.

People with Post-traumatic stress disorder can maintain or rebuild successful marital relationships with dedication, commitment, and perseverance by:

  • Attending individual and couples counseling regularly.
  • Being open and honest with feelings. Sharing.
  • Being respectful and compassionate.
  • Learning and practicing problem-solving and communication skills.
  • Integrating fun and playfulness into life.
  • Learning relaxation techniques and engaging in them alone and together with one’s spouse.
  • Being compliant with medication, if prescribed.
  • Avoiding addictive substances such as drugs, alcohol, gambling and pornography.

Treatment is essential for post-traumatic stress disorder. Both therapy and medications have been successful in treating individuals who have PTSD. There isn’t a single medication that cures PTSD, but medication can help reduce the symptoms associated with PTSD. Antidepressants, anti-anxiety medications, and sleep aids are sometimes prescribed by physicians. Remaining compliant is crucial.

A therapist trained in dealing with PTSD can be a big help to the individual survivor as well as to the spouse. Individual psychotherapy can be very effective for PTSD. Therapy can provide the necessary skills to manage the symptoms of PTSD. Exposure therapy may also be used to help one confront their trauma in a safe environment. Virtual reality exposure therapy has shown promising results with combat veterans as well. Marriage counseling is extremely beneficial and highly recommended. Education and support groups are also helpful.


U.S. Department of Veteran Affairs National Center for PTSD:

National Institute of Mental Health:

Anxiety and Depression Association of America:


Understanding PTSD and its Effects on Marriage

Staci Lee Schnell, MS,CS,LMFT

Staci Lee Schnell is a Licensed Marriage and Family Therapist and a Clinical Fellow of the American Association for Marriage and Family Therapy. She is currently the President of the Broward Association for Marriage and Family Therapy and the Coordinator for the South Broward/North Dade Chapter of CHADD. Staci is the President of SLS Therapy, Inc. as well as the Clinical Director and Owner of the Counseling and Wellness Center of South Florida. Staci received a Bachelor of Science Degree in Psychology with a Minor in Child Development from Florida State University in 1991. Staci then went on to earn her Master of Science Degree in Family Therapy as well as a Clinical Specialist Degree in Family Systems Health Care from Nova Southeastern University in 1993.

13 comments: View Comments / Leave a Comment
APA Reference
Schnell, S. (2018). Understanding PTSD and its Effects on Marriage. Psych Central. Retrieved on November 29, 2020, from
Scientifically Reviewed
Last updated: 8 Jul 2018 (Originally: 20 Jul 2016)
Last reviewed: By a member of our scientific advisory board on 8 Jul 2018
Published on Psych All rights reserved.