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Anxiety, PTSD and Emotional Effects After a Car Accident

Short answer: Emotional effects after a crash are common and real. Fear of getting back on the road, irritability, changes in appetite and depression can follow a wreck. Tell your provider, because these effects can be documented as part of your injury.

Feeling tense on I-35W or Loop 820 after a crash is common. This page covers what’s normal and when to get help.

How common is PTSD after a car accident?

About 1 in 5 crash survivors develop post-traumatic stress disorder (PTSD). PTSD means lasting fear, flashbacks or nightmares. It's most common in the first month and eases somewhat by month three.

20.3%

of road crash survivors developed PTSD across 82 studies. It was 29.4% at one month and 18.8% at three months.

Source: Systematic review, 2025 →

Other reviews agree

A second review of 69 studies found PTSD in 26% of survivors (2025), and a 2018 review found 22.25% (Medicine, 2018).

Fear of driving after a crash

Being nervous to drive or ride in a car after a wreck is common. For some people it fades in weeks. For others it lasts months. It's worth telling your provider about it early.

Other emotional changes to watch for

Emotional effects don't always look like fear. Watch for:

If you're thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) any time.

Emotional effects often come with physical ones like concussion. Back to all injuries, or read getting treatment.

Want a lawyer to look at your case for free?

If you were hurt in a crash that wasn't your fault, in Fort Worth or anywhere else in Texas, you can ask for a free consultation. A participating personal injury law firm will reach out to you promptly. There's no cost to ask and no obligation.

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Last reviewed October 31, 2026. Medical review: pending. Sources are linked in each section and collected on our research library.