A car crash can have an impact on many aspects of your life – from your physical wellbeing to the weight of your wallet. But the most serious effect of being in an accident might be one you cannot immediately see.

Research published by the American Psychological Association shows that car wrecks are the leading cause of post-traumatic stress disorder (PTSD) in the general population – and the primary cause of trauma among men in the United States.

This is especially alarming given the number of people who are affected by car accidents across the country every day. Data from the National Highway Traffic Safety Administration suggests that crashes are on the rise, with an estimated 2.3 million people reporting injuries after road accidents annually.

Many victims of car accidents won’t know that they are suffering from PTSD in the immediate aftermath of the event. However, data from WebMD shows that motor-vehicle crashes can have long-lasting effects – and at least one-third of accident victims show signs of anxiety, depression and even phobia related to driving a vehicle up to one year after their accident.

In the weeks after a collision, ask yourself these three questions:

1. Are You Reliving the Event through Nightmares?
One of the most immediate and noticeable effects of PTSD is continually feeling as though you are reliving the accident. Incessant memories and nightmares can force you to replay the incident in your mind, and sudden stimuli – such as sights or sounds – can trigger a flashback.

2. Are You Emotionally Distant?
Many victims of serious accidents report feeling dazed for long periods afterward. You may feel confused or even emotionally empty, as if you cannot relate to other people or adequately express your feelings.

3. Are You Always on Your Guard?
An accident can leave you in a state of what is known as hyperarousal – as though danger lies around every corner. Being constantly vigilant can cause you to lose sleep or struggle to concentrate, become jumpy or frequently frightened.

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