| Dissociative subtype of PTSD | Hyperaroused PTSD |
Etiology | Likely to be more severe, chronic, repeated, usually childhood and adult trauma | Likely to be later-occurring trauma and/or less cumulative trauma |
Likely response when presented with traumatic narrative or triggers | Dissociation, numbing | Terror |
Decreased, blunted autonomic arousal | Increased autonomic arousal |
Decreased heart rate | Increased heart rate |
Cortisol release is delayed | Rapidly increased cortisol level |
Decreased skin conductance | Increased skin conductance |
Brain areas activated that may over-control emotion and alter sense of self (eg, MPFC) | Brain areas activated that may under-control emotion |