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The avoidance of stimuli in post-traumatic stress disorder (PTSD) is significantly associated with perpetuating distress. This phenomenon occurs because individuals with PTSD often engage in avoidance behaviors to escape reminders of the traumatic event, which can include avoiding certain places, people, thoughts, or feelings related to that trauma. While these avoidance strategies may provide temporary relief from the immediate feelings of anxiety or distress, they ultimately hinder the individual’s ability to process the trauma effectively.

By continuously avoiding reminders of the trauma, individuals may find themselves trapped in a cycle where their symptoms are not confronted and processed. This can lead to increased anxiety, hyperarousal, and other PTSD symptoms over time, instead of resolution or improvement of their emotional state. As a result, avoidance becomes a maladaptive coping mechanism that prevents healing and can exacerbate the overall impact of PTSD on an individual's life.

Engaging with the traumatic memories in a safe and supportive environment is often essential for healing, which avoidance directly counteracts. Thus, the impact of avoidance in PTSD clearly aligns with the idea that it can perpetuate distress, rather than facilitating coping, emotional release, or symptom resolution.