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What is post-traumatic stress disorder?
Team 15. January 2026

PTSD – when the body reacts faster than the mind

 

People with post-traumatic stress disorder often experience their everyday life like a minefield. A smell, a sound, a shadow, a facial expression – all of these can unconsciously activate memories before they themselves understand what is happening. For outsiders, a trigger often seems “small”. For those affected, however, it means an immediate physical and emotional overload.

This is exactly where many PTSD assistance dogs start their work – long before the person senses that something is wrong.

What a trigger actually is – and why it is so difficult to predict

A trigger is not a rational thought. It is a physical reaction that occurs within milliseconds:

  • Heartbeat accelerates

  • Breathing changes

  • Muscle tension increases

  • the body goes on alert

Many of those affected can hardly recognize such signals themselves in time.
dogs, on the other hand, can.

Why assistance dogs can recognize triggers – scientifically explained

Dogs perceive us differently than we can perceive ourselves.
They follow signs that are often invisible to humans:

1. changes in odor (neurochemistry)

Stress changes our smell. Specifically: the ratio of stress hormones such as cortisol, adrenaline and sweat components.

Dogs have up to 300 million olfactory cells – humans have around five million.
This means that even the slightest hormonal shifts can become perceptible.

Many PTSD dogs react to:

  • Increasing stress odor

  • Smell of adrenaline

  • Changed breath chemistry

  • Slight metabolic shifts

These signals often occur before conscious perception.

2. micro changes in body language

PTSD sufferers often show flashbacks or trigger reactions unconsciously:

  • Changed muscle tension

  • tiny hand or head movements

  • other blink rate

  • Minimal change in posture

  • Restlessness of the legs or hands

Humans rarely notice such patterns. Dogs are experts at it.

An assistance dog memorizes for months exactly which movements precede its human when an overload occurs.

3. change in breathing

Even before the human notices that their breathing is becoming shallower, faster or more irregular, the dog reacts. For many teams, this ability alone is life-changing:

  • because flashbacks are prevented or attenuated

  • because dissociations are recognized earlier

  • because the dog can perform stabilizing tasks at an early stage

4. pattern recognition – individual, not generalized

An important point: PTSD assistance dogs do not react to “PTSD in general”, but to the individual patterns of their human.

That’s what makes them so reliable. And at the same time so highly specialized.

Stabilizing tasks – what the dog can do

Depending on the human’s needs, the dog can:

  • indicate an impending overload

  • interrupt a flashback

  • Create physical closeness (deep pressure)

  • Secure space (blocking, creating distance by “standing in the way”)

  • Contribute to the return to the body (nudging, making contact)

  • lead out of situations

  • Bringing medication or aids

  • Inform caregivers (with appropriate training)

The tasks are not “magical” – they are based on clean, scientifically sound training and the close human-dog relationship.

Why PTSD assistance dogs are no substitute for therapy

An assistance dog can stabilize, calm, protect, prevent – but it is no substitute for psychotherapeutic treatment. What it can do is often crucial:

  • Making everyday life safer

  • Catch triggers earlier

  • Strengthen the feeling of control and self-efficacy

  • Facilitate access to social situations

  • noticeably improve the quality of life

What makes these dogs so special

PTSD assistance dogs need:

  • exceptional strength of nerve

  • High ability to empathize

  • a stable basic calm

  • Fine powers of observation

  • Constant binding

  • Clear structure

  • clean training

  • Strict aptitude test if they are old enough

  • A calm puppy and young dog time in which they can grow up in peace and make their (positive) experiences.

Not every dog has these prerequisites – and that’s perfectly fine. But the dogs that are suitable change lives.

Conclusion: Early detection is not magic – it is science, relationship and training. A PTSD assistance dog does not recognize triggers because it is “clairvoyant”.
It recognizes them because the human body unconsciously sends out signals that a dog can detect through its senses and its bond with humans.

Important to know:

This article provides general information. For specific legal questions, please contact a specialist office or a legal advisor.

Author: Katharina Küsters