There is one item of PTSD not mentioned. The Workers Compensation System uses psychologically abusive appeals processes in all its claims handling. Many who have suffered severe accidents and become disabled from their employment but who do not show signs of PTSD develop this condition as a direct result of the appeals. These appeals leave a person in poverty, often losing all they worked for which adds to the stress. Many suffer from Chronic Pain as a result of their accidents and subsequent nerve damage and are not being treated pending appeals. This also causes stress. Too much for any normal person to take. An accident victim accepts compensation believing the Workers Compensation Boards are there to help them get well and back to work. When this does not happen and they are forced into these appeals even though there is an abundance of medical evidence to prove they are disabled from employment, this causes their world view to fall apart. The nice community they lived in now becomes their enemy out to hurt them. Their perception is not wrong. Suicide, heart attacks, strokes, and ulcers all caused from the stress of trying to fight Workers Compensation Boards is common amongst injured workers because of the neglect of their medical care when needed and enforced poverty. These appeals can lasts months and years and force the person to constantly think about their case because they have not gotten a satisfactory resolution to their problems. Instead they are abused further both physically and mentally. In other words it is not the accidents that cause the PTSD but rather the mistreatment they endure after injury.