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PTSD suffers can also pursue self-help strategies such as volunteering and serving to help others. In addition, it is strongly recommended that PTSD sufferers attempt to avoid any type of alcohol or substance abuse as a coping mechanism. In Web Directory addition, it is suggested that PTSD sufferers try to avoid any kind of alcohol or substance abuse as a coping mechanism. Reaching out to supportive friends and family and staying connected with them is extremely helpful, as well. Abuse of alcohol or drugs can worsen symptoms.