How PTSD Affects Relationships – And How Therapy Can Help
- Jennifer Humphreys

- Sep 25, 2025
- 3 min read
Post-Traumatic Stress Disorder (PTSD) is often associated with individuals who have experienced trauma firsthand. However, the impact of PTSD can extend far beyond the person who has suffered the traumatic event—it can deeply affect the relationships they have with family, friends, and partners.
Whether from a past trauma, a recent event, or ongoing stress, PTSD can reshape how people relate to one another, often leading to misunderstandings, communication breakdowns, and a lack of trust. But with the right support, healing is possible.

How PTSD Affects Relationships
Trauma doesn’t just leave mental and emotional scars—it also influences how someone interacts with the world around them. PTSD can affect relationships in several ways, including:
Communication Issues People with PTSD may find it difficult to express their feelings or thoughts. Emotional numbness, anger, or withdrawal are common symptoms that can make it hard for them to connect with loved ones. When one person is unable to communicate openly, misunderstandings can easily arise, leading to frustration and resentment.
Trust Issues Trust is a cornerstone of any healthy relationship. However, trauma can leave individuals feeling unsafe or suspicious, even when they’re with someone they love and trust. This distrust can cause tension and distance, making it difficult to maintain intimacy and closeness in the relationship.
Difficulty Feeling Safe PTSD can create a constant state of hypervigilance. Someone suffering from PTSD may feel on edge all the time, expecting danger even when there is none. This heightened state of alertness can make it difficult for them to relax and feel safe in relationships, leading to isolation or tension.
Emotional Volatility People with PTSD may experience intense emotions, such as anger, anxiety, or sadness, that seem disproportionate to the situation at hand. This emotional volatility can create conflicts or emotional distance in relationships, leaving loved ones feeling uncertain and unsupported.
How Therapy Can Help Heal Relationships
While PTSD can create significant challenges in relationships, therapy offers powerful tools for healing. Whether through individual therapy or couples counseling, there are strategies that can help rebuild trust, improve communication, and restore intimacy.
Healthy Communication Skills Therapy can teach both partners how to communicate more effectively and openly. Learning to listen without judgment, express needs clearly, and validate each other’s feelings is key to overcoming the barriers PTSD creates in relationships.
Setting Healthy Boundaries People with PTSD often need space to process their feelings. Therapy can help both partners understand the importance of setting healthy boundaries that protect each person’s emotional well-being. Establishing these boundaries can provide the safety needed to rebuild trust and intimacy.
Rebuilding Trust Through Understanding One of the most difficult aspects of healing after trauma is rebuilding trust. In therapy, individuals and couples can learn to understand the impact of PTSD on behavior and emotions. With this understanding, they can work together to rebuild trust and safety in their relationship.
Couples Therapy Couples therapy can be an essential part of the healing process. Working with a trained therapist, couples can address the challenges PTSD presents in their relationship, learn new coping strategies, and strengthen their bond. Therapy provides a safe space where both individuals can express their feelings, address conflicts, and work toward mutual healing.
You Don’t Have to Navigate This Alone
If PTSD is affecting your relationship, it’s important to know that healing is possible. You and your partner can regain the connection, trust, and intimacy that may feel lost. At The Nelson Center for Family Therapy, we offer expert therapy to help individuals and couples work through the challenges of trauma and rebuild their relationships.
Call us at +1 248-301-1080 to learn more about how therapy can help you and your loved ones heal. Together, we can find a path forward to stronger, healthier relationships.


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