Physically I start trembling/shaking sometimes sevrely out of control, heart palpitations, my ankle starts to hurt, and I get headaches. I can't stand for too long because I feel faint due to exhaustion. Also, I get sick when the ptsd gets worse.

Mentally I change completely almost. I don't trust people, I don't feel safe, I isolate myself thinking that's the only way for me to stay safe, anxiety kicks in, and I'm just exhausted mentally.