The signs and symptoms in posttraumatic stress disorder are very intense and unpleasant. They are recurrent thoughts and memories that impair their normal functioning, mood, and behavior. Thus, they are at an increased likelihood of harming themselves deliberately, especially when they do not have enough coping strategies. Another self-destructive behavior would be engaging in substance abuse, unhealthy eating behaviors, and eating disorders, suicidal thoughts, and suicidal attempts. In some cases, these self-destructive behaviors might result in reducing their perceived levels of distress but will have long-term consequences such as alcoholism, drug abuse, and the aggravating behavioral and social problems that these practices usually bring along.