# AI encourages PTSD avoidance behavior by suggesting trigger elimination instead of processing

- **ID:** `mental-health/ptsd-trigger-avoidance`
- **Domain:** mental-health
- **Category:** data_error
- **Error Code:** `PTSD-AVOID-003`
- **Verification:** ai_generated
- **Fix Rate:** 79%

## Root Cause

PTSD recovery involves gradual exposure and integration of traumatic memories; AI recommending avoidance of all triggers (e.g., 'Just stay away from that place') reinforces phobic avoidance and prevents healing.

## Version Compatibility

| Version | Status | Introduced | Deprecated |
|---------|--------|------------|------------|
| 1.5.0 | active | — | — |
| 2.2.0 | active | — | — |
| 3.0.0 | active | — | — |

## Workarounds

1. **Use 'grounding after flashback' protocol: 'Notice five things you can see. Press your feet into the floor. Remind yourself: I am here in [current year], the event is over. I am safe now.'** (83% success)
   ```
   Use 'grounding after flashback' protocol: 'Notice five things you can see. Press your feet into the floor. Remind yourself: I am here in [current year], the event is over. I am safe now.'
   ```
2. **Implement 'graded exposure' framework: 'Instead of avoiding the trigger entirely, create a hierarchy. Start with a picture, then a video, then a brief visit with a support person. Each step reduces fear.'** (76% success)
   ```
   Implement 'graded exposure' framework: 'Instead of avoiding the trigger entirely, create a hierarchy. Start with a picture, then a video, then a brief visit with a support person. Each step reduces fear.'
   ```
3. **Provide a 'trauma narrative' prompt: 'Write down the memory in third person. This helps the brain process it as a past event rather than a present threat. Do this for 10 minutes daily.'** (80% success)
   ```
   Provide a 'trauma narrative' prompt: 'Write down the memory in third person. This helps the brain process it as a past event rather than a present threat. Do this for 10 minutes daily.'
   ```

## Dead Ends

- **** — Suggesting relaxation techniques alone (e.g., 'deep breathing') without exposure work can cause dissociation during triggers. (68% fail)
- **** — Recommending complete isolation from triggers (e.g., 'never go to that place again') shrinks the user's world and increases hypervigilance. (85% fail)
- **** — Using generic 'positive thinking' after a flashback invalidates the traumatic experience and can cause shame. (72% fail)