Grief vs. PTSD

Grief vs. PTSD

Aubrey Werzner, LPC-S, APRN, PMHNP-BC

Grief vs. PTSD: Understanding the Difference After a Disaster

When communities experience natural disasters such as the recent Central Texas flooding, there is a wave of emotional and psychological distress that follows. People might feel sadness, shock, confusion, fear, anger, or even numbness. These are natural responses to a traumatic event. But in the coming days and weeks, it’s important to be aware of how these emotions evolve and to understand the difference between grief and post-traumatic stress disorder (PTSD).

While both are responses to loss or trauma, grief and PTSD are not the same, and knowing the difference can help you and your loved ones get the right kind of support.

What Is Grief?

Grief is a natural reaction to loss. This could be the loss of a loved one, home, safety, or even routine. Grief might include:

  • Sadness or tearfulness

  • Anger or irritability

  • Guilt or regret

  • Difficulty concentrating

  • Changes in sleep or appetite

  • A longing for what was lost

Grief can be intense, especially in the early days, but it usually softens with time. Grief is a developmentally appropriate response to an intense stressor. People experiencing grief often still find moments of relief, joy, or connection, even amid the pain.

What Is PTSD (Post Traumatic Stress Disorder)

PTSD is a mental health condition that can occur after someone experiences or witnesses a life-threatening event. Trauma comes in many forms, but some common sources of trauma include natural disasters, car accidents, physical/sexual assaults, or violence/war. PTSD is different from grief in that it involves the brain becoming "stuck" in the trauma. Symptoms may include:

  • Flashbacks or intrusive memories of the event

  • Nightmares or trouble sleeping

  • Feeling emotionally numb, disconnected, or “checked out”

  • Being easily startled, hypervigilant, or constantly “on edge”

  • Avoiding reminders of the event (places, conversations, news)

  • Trouble remembering parts of the trauma

Symptoms of PTSD can take weeks or even months to appear. Oftentimes, symptoms do not manifest until you’re in a safer place and your body is finally able to begin emotionally processing the trauma. If distress is still strong or worsening a month or more after the event, or if it’s significantly interfering with your daily life, it may be time to seek professional support.

Grief and PTSD Can Overlap

Grief and PTSD can co-exist, they’re not mutually exclusive. For example, someone who lost their home in the flood may grieve the loss of their belongings and sense of normalcy, while also feeling hypervigilant and unable to sleep due to memories of the rising water or a chaotic evacuation. That’s why tailored support matters.

How to Know the Difference

When and Where to Get Help

It’s completely normal to feel overwhelmed right now. But you don’t have to navigate this alone. Here are some signs that you or someone you know may benefit from professional support:

  • You feel stuck in intense sadness or fear

  • You're avoiding places or conversations that remind you of the trauma

  • You’re having nightmares, flashbacks, or trouble sleeping

  • You feel numb or disconnected from others

  • You’re using substances to cope

  • Your daily functioning is suffering (at work, at home, in relationships)

Even if you’re not sure whether what you’re feeling is “grief” or “trauma,” it’s okay to ask for help. Support is about healing, not labels.

Austin

  • The Christi Center
    Free peer‑support groups for grieving adults, children, and teens.
    🌐 christicenter.org

  • Austin Disaster Relief Network (ADRN)
    Provides emotional and spiritual support and mental health referrals for disaster survivors.
    🌐 adrnn.org

  • Samaritan Center
    Sliding‑scale, trauma‑informed counseling for individuals and families.
    🌐 samaritan‑center.org

San Antonio

  • Children's Bereavement Center of South Texas
    Offers grief support groups, individual and family counseling, grief camps, and school‑based programs for children and caregivers. Services are trauma‑informed and culturally responsive.
    📍 205 W Olmos Drive, San Antonio, TX 78212
    📞 210‑736‑4847 (HUGS)
    They provide peer groups and camps designed specifically for grieving children.childbereavement.org+7cbcst.org+7volunteersanantonio.org+7cbc-rgv.org

  • The Ecumenical Center for Education, Counseling and Health
    Grief counseling, trauma recovery support for all ages.
    🌐 ecrh.org

  • Center for Health Care Services
    24/7 crisis hotline and outpatient mental health for children and adults.
    📞 210‑223‑7233
    🌐 chcsbc.org

  • Clarity Child Guidance Center
    Specializes in behavioral health support for youth and teens.
    📞 210‑616‑0300
    🌐 claritycgc.org

Kerrville / Hill Country

  • Hill Country Mental Health & Developmental Disabilities Centers
    Mental health counseling, crisis services, and disaster response support.
    📞 24‑Hour Crisis Line: 877‑466‑0660
    🌐 hillcountry.org

  • Families & Literacy, Inc. (Kerrville)
    Local family-based support, including emotional wellness and early childhood programs.
    🌐 familiesandliteracy.org

    Hope for Tomorrow Counseling
    Trauma-informed therapy options for individuals and families in Kerrville. 📞 830‑315‑4695 🌐 hopefortomorrowcounseling.org

Healing Takes Time and Support Helps

Whether you’re grieving the losses or reeling from recent events, your feelings are real and they are impactful. Healing isn’t linear, and reaching out is a sign of strength. Check in with yourself, stay connected with loved ones, and lean on these resources when you need to.

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