Hypervigilance And Link With PTSD

Updated October 4, 2022by BetterHelp Editorial Team

Please be advised, the below article might mention topics that include sensitive content such as trauma or assault.

When you struggle with hypervigilance and its symptoms, your mind is constantly telling you to look out for danger, similar to PTSD or PTSD paranoia that is experienced. Hypervigilance causes you to enter a room and always make sure to notice the exits. With hypervigilance, a slight change in someone’s tone puts you on edge, sudden movements and noises get your heart racing, you’re constantly checking to see if anyone’s behind you and always make sure to notice the exits. With hypervigilance, a slight change in someone’s tone puts you on edge, sudden movements and noises get your heart racing, you’re constantly checking to see if anyone’s behind you.

Is Being Hypervigilant Keeping You From Living Your Life?

Going through a traumatic event can leave us feeling like we can never let our guard down again. Exploring new coping strategies can help you manage your fears in ways that support your long-term health and well-being.

What Causes Hypervigilance? How Is It Linked To PTSD?

Hypervigilance means being in a state of high alert for any threats in your environment. This is different from hyperarousal, a symptom characterized by feelings of vigilance, fear, and hesitance. Chronic hypervigilance is often caused by post-traumatic stress disorder (PTSD) after going through an intensely painful experience. Severe accidents, military combat, assault, and ongoing abuse can trigger and maintain our body’s “flight or fight” response to guard against a repeat of the trauma.

Unfortunately, this leaves us overreacting to threats that aren’t always there. The ongoing surveillance and sensitivity to everything around you can take a toll on your physical and emotional health. Anxiety disorders can also cause us to be prepared for disaster at any moment.

Furthermore, according to the National Institute Of Mental Health, experiencing hypervigilance may worsen PTSD or anxiety, and potentially causes a positive feedback loop. 

Luckily, coping strategies like mindfulness and cognitive behavioral therapy (CBT) can help us calm down the nervous system and care for our needs while teaching our minds to feel safe again.


When living in a hostile or abusive environment, noticing the slightest cue can mean all the difference in giving you enough time to get out of harm’s way. But our minds may not totally realize when we’re free from hazards, so we remain in hypervigilance for longer than necessary. This can look like preparing for all worst-case scenarios, reading into signs that actually don’t mean danger, or experiencing constant jumpiness.

The ongoing overestimation of threats can make us feel as though we need to avoid any situation or place that can possibly put us at risk again. For example, a serious car accident can lead you to drive excessively slowly, frequently check your mirrors, or even stop driving altogether. Whether it’s making escape plans or closely reading people’s body language, hypervigilance keeps us ready for a threat that may not exist.

Circumstances beyond your control may have been unfairly brought on hypervigilance, but the fatigue and isolation of always being on guard is a burden you shouldn’t have to continue carrying. Instead, you can retrain your mind to manage fear in ways that let you enjoy life again. There are many proven treatments to successfully relieve the PTSD or anxiety that may be behind your hypervigilance. And you don’t need to go through this alone. Finding support groups with people who can relate to your experience can put you in touch with helpful resources for your needs.

Is Hypervigilance Behind Your Decisions?

The distress of constant alertness can affect our decisions without us realizing it. Knowing the physical, emotional, and behavioral symptoms caused by hypervigilance can help us see how it influences our life choices.


Our body produces adrenaline whenever we believe we are in danger. Hypervigilance affects all aspects of the nervous system. It often causes increased heart rate, dilated pupils, faster breathing, sweating, and elevated blood pressure. This ongoing “flight or fight” reflex makes us easily startled by unexpected sounds and movements, like feeling a fast, knee-jerk reaction when you hear an expected knock at the door. Being in an environment with too much going on can feel overwhelming and interfere with our ability to focus on what we’re doing. Hypervigilance can also cause difficulty sleeping, making us more likely to be fatigued or anxious.


We’re not always aware of the emotions that lie behind our need for hypervigilance. Trauma can take a drastic toll on our ability to recognize and regulate our feelings. In addition to fear, anxiety, and panic, the chronic stress caused by hypervigilance can lead to mood swings and overreactions, from irritability to sudden outbursts of anger. Anger is a common emotional response to trauma and the threat of potential danger because it helps focus our attention on survival.


The constant tension of hypervigilance can turn us toward unhealthy ways of drowning out our fears to give us a sense of control. But turning to the wrong coping habits can reinforce the anxiety that causes this in the first place.

Overworking is thought to be a coping strategy for PTSD and hypervigilance. While working long hours seems productive, an obsessive impulse to work can cause us to neglect our relationships, sleep, and health. In this case, overworking isn’t done out of enjoyment but to avoid the difficult emotions caused by trauma or to feel prepared for potential disasters.

“A mental health professional is a valuable resource for helping you toward the goal of feeling safe again. Working with someone who is remote and affordable creates one less barrier to taking the first step toward recovery.”

Substance abuse is another unhealthy way we may attempt to manage the fear and anxiety behind hypervigilance. Up to 50-66% of people who experience PTSD also struggle with Substance Abuse Disorder. Alcohol and other drugs can temporarily restore the relaxing chemicals in our brains that trauma has depleted, giving us a sense of relief from the ongoing adrenaline rush of hypervigilance. Chronic anxiety can lower our impulse control, making it easier to self-medicate when we feel distressed.

The overstimulation caused by hypervigilance can also cause us to avoid social situations, isolating us from loved ones and other sources of support. When we’re left on our own with troubling thoughts, negative emotions and perception of threats can seem even more powerful. Isolation can also make you feel like you’re alone in your struggle. But according to the National Center for PTSD, 7 or 8 out of every 100 people will experience PTSD at some point in their lives. Reaching out to others who know what you are going through, whether through support groups or group therapy, can help you navigate the way to recovery.

Coping With Hypervigilance And Its Symptoms

There are skills and habits to help manage the impulse to continually be on guard and reduce the impact hypervigilance has on our lives.


Recovering from trauma and anxiety disorders can take time, patience, and practice. One of the best ways to support ourselves through this process is to practice a bit of self-care. Tending to our basic needs, like eating, sleep, and exercise can seem challenging but will do wonders for your resilience and sense of well-being. If you’re thinking, “How can a complex issue like hypervigilance require such simple solutions?” it’s important to realize that at the end of the day, we’re human, biological beings who rely on energy to sustain ourselves. Of course, we do need other things in life (like shelter and social interaction), but you may be surprised at how much of our well-being depends on energy (food, sleep, and exercise). Don’t just brush aside this information if it seems obvious—try to push yourself to prioritize these three things, and you’ll likely notice a shift.

If hypervigilance affects your sleep, try setting a regular bedtime and exercise at some point (enough to sweat) during the day. If you find yourself lying awake worrying, turn to something calming like a favorite book or herbal tea.

Eating regularly maintains a steady blood sugar level, which can help us manage how hypervigilance affects our moods. Try starting off the day with a solid breakfast, eating small portions of slow-release energy foods (like whole grains and nuts) spaced throughout the day, and avoid foods that can spike your blood sugar (like candy and soda).

Studies have shown that exercise can help relieve the symptoms of PTSD and support recovery. Even gentle physical activities (like yoga, walking, or tai chi) release soothing endorphins and keep us focused on the present.


Practicing mindfulness teaches us how to become aware of what’s happening in the moment. This involves noticing thoughts, emotions, and sensations without judging them or pushing them away. Mindfulness can help untangle our expectations of danger from what is actually going on around us. It also reveals how the overwhelming emotions that drive us to hypervigilance cannot harm us, even though they are painful and upsetting.

One of the first steps toward practicing mindfulness is to just notice your breathing. This can help put you in touch with what’s happening in your body and guide you to how anxiety might be affecting your mindset. Are you breathing quickly? Can you slow this down? Are you holding tension anywhere else in your body? Where is that strain coming from? Can you sit with the unease without pushing it away?

Speaking With An Expert To Alleviate Paranoia And Anxiety Symptoms

While there are many healthy things you can do to cope with hypervigilance, it can be challenging to face its underlying causes alone. Revisiting them can feel safer with the guidance and support of someone dedicated to your recovery.

Research shows that online therapy can be a powerful tool in reducing PTSD symptoms like hypervigilance. For example, this study found that therapist-assisted internet-based cognitive behavior therapy can be an effective and more time-efficient treatment option for people with PTSD than face-to-face treatment. Researchers go on to say that online therapy maintains the therapeutic alliance or relationship found in more traditional therapy treatment settings, which means you will still have the opportunity to develop a strong connection to your counselor.

BetterHelp can connect you with licensed mental health experts online who specialize in techniques to help you work through trauma and how it affects your experience of the world. Working with someone who is remote—and therefore available anywhere, anytime—creates one less barrier to taking the first step toward recovery. BetterHelp also offers affordable pricing options typically comparable with the co-pays of most insurance plans. Consider the following reviews of BetterHelp counselors from people experiencing similar issues.

Counselor Reviews

“Erin is the best counselor I’ve ever had the pleasure of working with. She works with me on things I’ve turned over and over in my head and reframes them so that they seem much less daunting. She understands PTSD and trauma better than anyone I’ve spoken to and is really helping me unpack some of it. Thank you, Erin!”

Is Being Hypervigilant Keeping You From Living Your Life?
“Joseph takes a caring, individualized approach for what I need to cover for my mental health, whether it’s talking about past traumas or an ongoing crisis. He is attentive and recalls details that I wouldn’t have expected him to, which really helps me know that there’s a genuine rapport. I am a military and police veteran with divorce and relationship issues, post traumatic stress, and major depression. Sometimes I feel like I just want to update Joseph on what’s going on in life when I don’t really have a general direction in the conversation that I want to go in, and he shows interest even when I’m just venting. I would absolutely recommend him to a friend or coworker.”

You Deserve To Feel Safe

Hypervigilance can trick us into thinking the world is against us, even when the dangers we’ve escaped in our past are long gone. Rediscovering a sense of calm with therapy, healthy coping strategies, and support from those who understand our experience can make the road to recovery seem less perilous. Take the first step.

Below are some commonly asked questions on this topic:

  1. What is an example of hypervigilance?
  2. What is hypervigilant personality?
  3. What causes hypervigilance?
  4. How do you calm down hypervigilance?
  5. How do I know if I'm hypervigilant?
  6. Are narcissists hypervigilant?
  7. Is it good to be hypervigilant?
  8. What medication helps with hypervigilance?
  9. What is the impact of hypervigilance?
  10. Does hypervigilance cause insomnia?

You Don't Have To Face Post Traumatic Stress Disorder Alone.

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