What is Post-Infidelity Stress Disorder (PISD) all about, and what are the telltale signs? - Mental Health Q and A

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Published (Updated) on Saturday, August 19, 2023

Post-Infidelity Stress Disorder (PISD) is not a formally recognized mental health disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) or other official diagnostic manuals. It's a term sometimes used colloquially to describe the emotional and psychological distress that can follow the discovery of infidelity in a relationship. However, it's essential to note that it's not an officially recognized or clinically established condition.

That said, when infidelity occurs in a relationship, it can lead to a range of emotional responses and symptoms.
Some Common Signs and Reactions that individuals may experience after discovering infidelity include:

• Intense Emotional Distress:
Feelings of shock, anger, sadness, and betrayal are common reactions. People may have trouble coping with these intense emotions.

• Intrusive Thoughts:
Intrusive thoughts about the infidelity, the cheating partner, or the details of the betrayal can be distressing and persistent.

• Anxiety and Depression:
Infidelity can trigger or exacerbate symptoms of anxiety and depression. People may experience sleep disturbances, changes in appetite, and low energy levels.

• Loss of Trust:
Trust in the relationship may be severely damaged, making it challenging to rebuild and move forward.

• Low Self-Esteem:
Those who have been cheated on may question their self-worth and attractiveness, which can negatively impact self-esteem.

• Obsessive Behavior:
Some individuals may engage in obsessive behaviors such as checking their partner's phone or social media accounts to gather more information about the affair.

• Difficulty in Coping:
Coping with the emotional aftermath of infidelity can be overwhelming, leading to difficulties in daily functioning.

• Relationship Issues:
The impact of infidelity often extends to the relationship itself, causing conflicts, communication breakdowns, and sometimes separation or divorce.

It's important to emphasize that while these signs or reactions are common after infidelity is discovered, they don't constitute a distinct disorder like PTSD (Post-Traumatic Stress Disorder).

If someone is experiencing significant emotional distress or symptoms resembling a stress disorder after infidelity in a relationship, it's advisable for them to seek professional help.
Here are some options for whom they can consult:

• Licensed Therapist or Counselor:
A qualified therapist or counselor, especially one who specializes in relationships or infidelity, can provide individual therapy to help the person process their emotions, cope with distress, and develop strategies for healing.

• Marriage or Couples Therapist:
If both partners are willing to work through the aftermath of infidelity together, a marriage or couples therapist can facilitate open communication, address trust issues, and help rebuild the relationship.

• Psychiatrist:
If the individual is experiencing severe anxiety or depression symptoms, or if there are concerns about medication management, consulting a psychiatrist may be beneficial. They can provide a comprehensive assessment and prescribe medication if necessary.

• Support Groups:
Joining a support group for individuals who have experienced infidelity can offer a sense of community and shared understanding. These groups are often led by trained facilitators or therapists.

• Online Resources:
Many online platforms offer resources, articles, and forums where individuals can find information and connect with others who have experienced infidelity. However, these should complement, not replace, professional support.

It's crucial for the individual to choose a professional who makes them feel comfortable and understood. The type of support they need may vary based on their specific situation and emotional state. Seeking help early can be instrumental in addressing the emotional impact of infidelity and finding a path towards healing and recovery.

* For more understanding and clarification, consult a mental health professional.

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