Posttraumatic stress disorder (PTSD) is an anxiety disorder that can develop after exposure to one or more traumatic events, such as physical or sexual abuse, assault, accidents, natural disasters, or war. Symptoms include flashbacks, nightmares, insomnia, and hypervigilance that cause impairment to social and occupational functioning. Psychological trauma is caused by experiencing or witnessing events like abuse, assault, addiction, illness, bullying, family violence, or accidents that produce feelings of fear, helplessness, or horror.