1. Elevated baseline anxiety was BECAUSE of the trauma. Delayed onset PTSD by 25 years... This argument sort of falls apart. You can't say that there is a history of anxiety in all PTSD people when the anxiety itself was because of the trauma. Circular argument that goes nowhere. (Delayed onset PTSD is very common.)
No matter what, those on the outside will NEVER....never ever ever understand things from the inside as a sufferer. This guy misunderstands the argument that PTSD is a lifelong struggle with no cure. Maybe if he actually joined and read the many threads on this topic on the forum, he'd understand rather than posting as a guest who thinks he knows all and more likely than not, never coming back to this forum or this thread.
So Gary, if you do come back....the lifelong struggle goes something like this. There is no cure for PTSD. (There is no getting around this one.) Many sufferers go into remission, some for years, perhaps decades, or even the rest of their lives. But, there is no denying that we are susceptible to being re-triggered at any time. (My trigger was so benign that nobody would understand that something so minor kicked my symptoms into full blown PTSD.) Knowing that I require a lifetime of a higher level of self care is enough to tell me that yes, this is indeed a lifelong struggle.
Accepting the fact that this is a long term struggle is empowering, but not for the reasons that you believe. Acceptance, ie moving out of the realm of denial allows people to heal. You wouldn't believe how many people post about being healed only to come back weeks or months later only to realize it was a remission of sorts. Those of us who understand its part of the roller coaster can deal with downturns a lot better as we understand it is all part of the cyclical nature of the disorder. Those who believe they are cured because of a period of cessation of symptoms but later experience a relapse of sorts, well, lets just say that they feel like utter failures. They think that they had it beaten, that they were cured, and because things got bad again, there is something wrong with them.
Your statistic of 20% of the population having PTSD? Uhm, NOPE! (One out of Five? That's an insane figure!) No, its not even close to the true statistic....which leads me to believe that you don't know the diagnostic criteria of true PTSD (and are including lesser traumas in your diagnosis process). And maybe I'm going down a bunny trail here, but if you honestly think that 20% of the population has PTSD, then no wonder you think that we're all curable! I honestly do think you are incorrectly diagnosing people as you think the prevalence of PTSD is a lot higher than it actually is coupled with the notion that everyone can heal (rather quickly, I might add, per your own post).
Can I ask you how many of your patients you follow after treatment ends? I'm guessing very few, which means that you really don't know if these people are indeed cured. You don't know if they have a resurgence in symptoms a year later, a decade later, or even further in the future.