Trauma & Stress

Post-Traumatic Stress Disorder

This is not an unfinished chapter. It’s a nervous system stuck in a loop — continuing to do its job as if the danger hasn’t ended. It’s not making a mistake. It simply hasn’t received the signal that it’s safe to stop.

If you’ve already tried therapy — and still feel that something isn’t right, this page will explain why. And show you where to start differently.

How it looks in practice

Not diagnostic criteria — but what you may have noticed in yourself for years without knowing the exact name.

Memories that don’t obey

Images, smells, sensations — they return without permission. Not like ordinary memories. As if the past is happening right now. The brain doesn’t distinguish archive from threat.

Constant readiness for danger

You scan the room when you enter. You flinch at sounds. You can’t relax in a crowd. The nervous system hasn’t switched off — it’s stuck in alert mode.

Life narrowing through avoidance

Places, people, topics — entire parts of life are cut off because they remind. Over time the world gets smaller. This isn’t caution. It’s a symptom with mechanics.

Emotional numbness

Not joy, not grief — nothing. Detachment from loved ones, feeling life through glass. This is also PTSD — just in freeze mode, not explosion.

Sleep as a battlefield

Nightmares, difficulty falling asleep, waking with a racing heart. The body doesn’t rest because for it, the threat still hasn’t ended.

Disproportionate reactions

You get angry — then can’t understand where it came from. This isn’t character. It’s an overloaded nervous system reacting to an invisible threat — one that never left.

What this is not

PTSD is not weakness and not a consequence of ‘insufficiently serious’ trauma. The nervous system doesn’t choose what to consider dangerous. It simply reacts. Clinical diagnostics helps understand the mechanics — and begin working with it.

What it is

A stalled integration process

In normal processing, the brain moves experience into ‘past storage’ — with a date, without active threat. In PTSD, this process didn’t complete. Trauma remains in the active layer. That’s why a smell, sound, or intonation triggers a full physiological response. The body isn’t pretending. It’s living in that moment.

Why talk therapy doesn’t work

Narrative doesn’t rewrite physiology

Most people with PTSD have already tried talking about what happened. Sometimes it helped briefly. Then everything came back. Talk addresses the cognitive level — but PTSD lives deeper, in automatic nervous system reactions. A different level of intervention is needed. Not deeper into words — deeper into mechanics.

How we work with PTSD

Not symptom management. Resolution through structured intervention.

  1. Precise clinical picture

    The first step is understanding the full scope. We use PCL-5 and structured interview, examining comorbidities. Often PTSD is accompanied by depression, anxiety, or dissociation that previous specialists missed.

    Clinical diagnostics
  2. Working with root mechanisms

    The Mental Engineering method targets not the narrative about the past, but the neurobiological patterns maintaining the condition. Sessions are structured. Progress is measured. Every stage is documented.

    Mental Engineering
  3. Measurable progress markers

    You receive written reports after each stage. Progress is not feelings. It’s specific changes in symptoms that are recorded and discussed. You know where you stand — at every moment.

    Measurement-based care

After three years of therapy that went in circles, I finally understood what was actually happening. Not because someone explained it to me — but because it was measured and documented for the first time.

Client · PTSD · 3 months of work

Two paths. One result.

Some come to understand first. Others already know their condition and want to start immediately. Both paths lead to the same point. Choose what’s right for you now.

Standard diagnostics

Suitable if you’re seeking professional diagnostics for the first time — or want to understand exactly what you’re working with before deciding on therapy.

3502–3 sessions
  • PCL-5 + clinical interview
  • Written clinical report (12–18 pages)
  • Recommendations for further work
  • Results review — separate session
Book

Online · Confidential. Terms

Recommended for PTSD

Extended diagnostics

For those who have already tried therapy and want a full clinical picture: comorbidities, differential diagnosis, specific intervention plan. The report can be used with any specialist.

5203–5 sessions
  • PCL-5 + structured interview
  • Differential comorbidity diagnostics
  • Written clinical report (20–30 pages)
  • Structured therapy plan
  • Results review — separate session
Book

Online · Confidential. Terms

Not sure where to start? How to get started or See all fees

Related conditions

PTSD rarely travels alone. Diagnostics examines the full constellation — not just the condition that brought you here.

Questions & Answers

Frequently asked questions

Mentallect diagnostics is not diagnosis confirmation. It’s a structured analysis of current state: what’s present, what’s the intensity, why previous work gave partial results. Often diagnostics reveals an unnoticed comorbidity beneath the primary condition — and that’s exactly what explained the stagnation.

Yes. If you understand your condition well and already have experience with specialists, you can start with an introductory or deep session. We’ll assess the picture during the first meetings. Diagnostics is recommended for those unsure about the nature of their condition, or those who’ve been through extensive therapy without results and want to understand why.

No. You receive a full clinical report and can use it with any specialist. No obligations to continue here.

There’s no one-line answer — and anyone who gives one is oversimplifying. It depends on the nature of the trauma, its duration, comorbidities, and intervention history. What’s known: with structured work, significant symptom reduction is achievable for most. What that means specifically for you — diagnostics will show.

Diagnostics doesn’t require detailed recreation of traumatic events. Structured instruments allow obtaining precise clinical picture without re-immersion. The pace adapts to your state.

Clarity is already the beginning of work.

It doesn’t matter where you start. What matters is that you’re here — and that means something has already shifted. We know how to bring this to a result.

Path 1 — UnderstandStart with diagnostics
Path 2 — Start workStart work — €49

Crisis situation? Mentallect is not a crisis service. If you are in danger or experiencing suicidal thoughts:

Not a crisis service

Mentallect is a scheduled online clinic — not a crisis or emergency service. If you are in immediate danger, call 999 (UK) or 112 (EU). For emotional crisis support, contact Samaritans: 116 123 (free, 24/7) or text HELLO to 85258. For Russian speakers: 8-800-2000-122 (free, 24/7).

Book Intro Call — €49