Negative thoughts, beliefs, or expectations
One of the main characteristics in posttraumatic stress disorder is an ongoing tendency to bear a negative perspective towards life, negative thoughts, beliefs, and expectations. This is because there are many intrusive thoughts and memories constantly attacking and destroying positive thought, and motivational messages and coping strategies are often not sufficient to improve negativity before another intrusive thought or emotion comes to mind and destroys any attempt to boost your mood. These patients may have severe problems in perceiving goodness in the world because they are always thinking there’s a constant danger surrounding them and threatening with their lives.
In these cases, positive thinking and training to have a more positive approach might be quite difficult, and it is not the patient’s fault but a natural response of their brain chemistry after prolonged exposure to a traumatic event and its consequences. In the majority of cases, when they are able to think positively, it is just a superficial feeling of wellness trying to ignore deep problems and emotions, and achieving a genuine shift towards a more positive frame of mind might be almost impossible without proper therapy and management.