פוסט טראומה וחרדה - תמונה להמחשה - סטלה ישראל

The Hostages Are Home – But Are Their Minds Free?

December 3, 2025

After a long period of more than a year in captivity, in harsh and at times degrading conditions, some of the hostages have returned home. But can we really say they are free? While their bodies have been released, their minds are likely still imprisoned by the severe trauma they endured. Captivity was not only a physical imprisonment: for some, it was an ongoing psychological imprisonment that included physical and psychological abuse and daily humiliation. Many of the hostages may now be suffering from a condition known as complex PTSD (C-PTSD), a psychological syndrome resulting from prolonged exposure to extreme situations.

What Is Complex PTSD (C-PTSD)?

Complex PTSD is a form of post-traumatic stress disorder caused by prolonged exposure to repeated traumatic events. Unlike “standard” PTSD, which is usually caused by a single traumatic event, C-PTSD results from ongoing abuse or a long period spent in extreme situations of fear and loss of control. The condition is characterized by high levels of psychological distress, a sense of complete helplessness and serious consequences for the quality of life of those who suffer from it.

Click here for detailed information about complex PTSD (C-PTSD)

Symptoms of Complex PTSD:

The symptoms of complex PTSD can be varied and severe:

  • Intrusive memories and nightmares: Many hostages are likely experiencing flashbacks and recurring images of the terrible moments they went through.
  • Severe emotional difficulties: Feelings of fear, anger, shame and a complete lack of trust in people.
  • Avoidance: A desire to stay away from anything that is a reminder of their time in captivity, including conversations with loved ones.
  • Depression and anxiety: Many of the hostages are probably experiencing hopelessness and serious difficulty functioning day to day.
  • Damage to personal identity: There may be a sense of losing oneself and of being cut off from the past and from life as it was before the abduction.
  • Difficulty with emotional regulation: There may be extreme emotional reactions, excessive irritability, fits of rage or complete emotional numbness.
תקווה למטוטפל בחרדה בסטלה סנטר

The Hostages' Release: Coping With PTSD

Coming home is only the beginning of a long road. Most of the hostages must cope not only with their own memories, but also with complex social, media and family pressures. Some may even find it hard to reintegrate into society, feel insecure, and in some cases struggle to leave the house or communicate with their loved ones.

In addition, many of them witnessed unimaginable scenes: killing, violence, harrowing sights of their friends being hurt, memories that cannot be forgotten.

Can Complex PTSD Be Treated, and How?

Tragically, those who were killed in captivity can never come back, but for those who survived, there is hope. Alongside the immense difficulties caused by the trauma, there are now advanced treatment methods that can help reduce symptoms and improve quality of life.

Some of the Available Treatment Options:

  • Psychological therapy: Methods such as CBT (cognitive behavioral therapy) and EMDR (a trauma reprocessing method) can help returning hostages cope with flashbacks and anxiety.
  • Group and family support: Building a close support network allows for gradual recovery and encourages a return to routine.
  • Medication: In severe cases, medication that helps reduce anxiety and depression can sometimes be added.
  • SGB treatment: This treatment is a sympathetic nerve block. One of the most innovative and advanced methods for treating both PTSD and complex PTSD is SGB treatment (Stellate Ganglion Block) from Stella worldwide. It is based on a local injection into a nerve area in the neck, which helps regulate the nervous system and reduce the body’s physiological response to trauma. The treatment can significantly reduce symptoms within a short time.

More than 75% of patients treated with SGB report significant relief from PTSD symptoms after just 2 treatments.

The hostages’ release from captivity is not the end of the road for them, but the beginning of a new chapter. While their bodies have come home, their minds are likely still imprisoned by traumatic memories of captivity. Complex PTSD is a difficult, long-lasting condition, but with the right support and advanced treatment methods, it is possible to give them hope for a better life. Stella Israel offers SGB treatment as one of the most effective ways to cope with complex PTSD, alongside other treatment methods that support healing and recovery. For some of the hostages, the fight for true freedom, freedom of the mind, is only just beginning.

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Dr. Jason Cohen

Dr. Jason Cohen

Chief Medical Officer, Stella Israel

Dr. Jason Cohen is a specialist in pain medicine and anesthesia, part of the global Stella organization that provides mental health care to tens of thousands of people across the United States, Australia, and Israel. Dr. Cohen is a leading expert in the dedicated SGB protocol for treating post-traumatic stress and anxiety disorders.