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It's when this process fails to happen that PTSD can set in, she said in a telephone interview. PTSD is more than ordinary stress. It's associated with severe or unusual trauma. Those experiencing it may suffer from violent, intrusive thoughts. They have trouble sleeping. Once innocuous things, like a particular smell or sensation, can bring back terrible memories. In the community of Newton, Conn., for instance, signs ask people to close doors softly because loud bangs still bring on flashbacks, nearly a year after a gunman opened fire inside the Sandy Hook Elementary School.