I only know I get thoughts that disturb me. Its usually when I'm trying to sleep or relax. I try not to think about topics that would lead to disturbing thoughts, ie triggers. The problem is they seem to come up from like out of nowhere. I feel so exhausted when I wake the next morning. One of the thoughts deals with memories of how a man who lived with me abused me Warning possibly triggering: It was in the middle of the night from bed. I felt I needed to relieve myself He wouldn't let me. My only choice was to hold it in through the night. A therapist told me it sounded to her he tortured me. Its not surprising I am diagnosed with PTSD. Triggers are a part. Its far from this one experience.