PTSD And Memory

The PTSD And Memory handout outlines the brain regions typically associated with post-traumatic stress disorder (PTSD). It is ideal for early psychoeducation or therapy rationale in memory-focused trauma treatments.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

This resource is a concise, one-page psychoeducational guide explaining how trauma can affect memory and brain function. It focuses on two key regions often discussed in PTSD: the amygdala and the hippocampus. These are described using clear, metaphor-based language and visual cues to support client understanding.

The resource illustrates how the amygdala acts as a threat detector and how the hippocampus — responsible for storing memories with time and place — can become disrupted during extreme stress. The content supports conversations about why traumatic memories may feel intrusive, confusing, or as though they are happening in the present.

This tool is suitable for early psychoeducation, especially when helping clients make sense of memory processing techniques such as EMDR or trauma-focused CBT.

Why Use This Resource?

Understanding how trauma affects memory can:

  • Help clients make sense of their symptoms.
  • Provide a rationale for memory-focused interventions.
  • Support psychoeducation in trauma therapy.
  • Reduce shame by offering a biological explanation for confusing experiences.

Key Benefits

Clarity

Uses metaphor and a simple explanation to communicate brain function.

Engagement

Encourages reflection and questions during psychoeducation.

Supportive

Helps normalise trauma responses linked to memory and recall.

Who is this for?

Post-Traumatic Stress Disorder (PTSD)

Understanding why traumatic memories feel intrusive or ‘present’.

Dissociation

Clarifying why some memories lack time/place tags.

Integrating it into your practice

01

Introduce

Use during psychoeducation to explain key brain areas linked to PTSD.

02

Reflect

Invite clients to relate the concepts to their own experiences of PTSD.

03

Prepare

Use before EMDR or trauma-focused CBT to provide a therapy rationale.

Theoretical Background & Therapist Guidance

This resource draws on neuroscience-informed models of PTSD that highlight alterations in the brain’s memory and threat-detection systems. Research has shown that in PTSD, the amygdala tends to become overactive — responding strongly to perceived threat, even when it originates from internal cues like thoughts or memories.

The hippocampus, which typically tags memories with time and place, may become impaired under stress. This can lead to memories being stored without proper context, contributing to the sensation that past events are happening in the present — often described as "re-experiencing."

The material aligns with dual representation theories of PTSD (Brewin et al., 1996) and supports the rationale for therapeutic approaches that focus on integrating traumatic memories.

Clinicians can use this information thoughtfully to support memory-focused interventions, reinforcing the rationale for therapeutic approaches that aim to integrate traumatic memories and regulate neurobiological responses to threat.

What's inside

  • A one-page illustrated handout explaining the roles of the amygdala and hippocampus.
  • Clear explanations of how these areas respond to threat and stress.
  • Psychoeducational material suitable for use with clients, carers, or trainees.
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FAQs

PTSD is often associated with heightened activity in the amygdala (the brain’s threat detector), reduced regulation by the prefrontal cortex, and disrupted function of the hippocampus, which normally helps situate memories in time and place.
When someone experiences overwhelming stress, the hippocampus may not encode memories with appropriate context, making it harder to distinguish past from present. This can contribute to flashbacks and the sense that traumatic memories are happening now.
This handout can support early psychoeducation by explaining how trauma affects memory and brain function. It may help clients feel less confused or ashamed about their symptoms and increase engagement with memory-focused approaches.

How This Resource Improves Clinical Outcomes

This resource can enhance clinical care by:

  • Supporting clients’ understanding of re-experiencing and memory-related symptoms.
  • Reinforcing psychoeducation in early trauma therapy sessions.
  • Providing therapists with a visual aid to explain complex neuropsychological processes.

References And Further Reading

  • Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686. https://doi.org/10.1037/0033-295X.103.4.670
  • Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010). Intrusive images in psychological disorders: Characteristics, neural mechanisms, and treatment. Psychological Review, 117(1), 210–232. https://doi.org/10.1037/a0018113
  • Hayes, J. P., Vanelzakker, M. B., & Shin, L. M. (2012). Emotion and cognition interactions in PTSD: A review of neurocognitive and neuroimaging studies. Frontiers in Integrative Neuroscience, 6, 89. https://doi.org/10.3389/fnint.2012.00089
  • Liberzon, I., & Sripada, C. S. (2008). The functional neuroanatomy of PTSD: A critical review. Progress in Brain Research, 167, 151–169. https://doi.org/10.1016/S0079-6123(07)67011-3
  • Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). Guilford Press.
  • Shin, L. M., Rauch, S. L., & Pitman, R. K. (2006). Amygdala, medial prefrontal cortex, and hippocampal function in PTSD. Annals of the New York Academy of Sciences, 1071(1), 67–79. https://doi.org/10.1196/annals.1364.007
  • Van der Kolk, B. A. (1994). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253–265. https://doi.org/10.3109/10673229409017088