
FREQUENTLY ASKED QUESTIONS
Post-Incarceration Syndrome (PICS) affects mental health and reentry success for formerly incarcerated individuals. Learn the signs, the impact on families, and how to support healing after prison.
What is Post-Incarceration Syndrome (PICS)?
PICS is a psychological condition that develops in people who have been incarcerated, especially for long periods. It’s caused by exposure to trauma, institutionalization, isolation, and survival-based behavior inside prison. It often goes undiagnosed, but its effects are very real.
What are the symptoms of PICS?
Common symptoms include:
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Emotional numbness or explosive anger
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Difficulty trusting others
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Hypervigilance and paranoia
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Avoidance or social withdrawal
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Trouble concentrating or making decisions
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Feeling disconnected from emotions or reality
These are survival responses — not personality flaws.
Who is affected by PICS?
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Formerly incarcerated individuals
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Their families, partners, and children
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Professionals who work with returning citizens (vicarious trauma)
PICS impacts relationships, parenting, employment, and everyday functioning. It touches more lives than we realize.
Is PICS a real mental health disorder?
While not officially listed in the DSM (Diagnostic and Statistical Manual of Mental Disorders), PICS is widely recognized by reentry specialists, therapists, and trauma-informed professionals as a real, serious condition that mimics and overlaps with PTSD — but has its own unique prison-related roots.
Why haven’t I heard about PICS before?
Because it’s often ignored, minimized, or misunderstood. The prison system prepares people to follow rules — not to heal. Society expects people to “move on” after release without addressing the trauma they lived through. PICS is the conversation most people are afraid to have — but desperately need.
Can someone recover from PICS?
Yes — but healing takes awareness, support, and work.
It requires:
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Trauma-informed therapy
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Safe spaces to talk and be heard
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Reentry programs that prioritize mental and emotional health
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Education for families and professionals
Recovery is possible. But it’s not passive — it’s intentional.
What’s the difference between Post-Incarceration Syndrome (PICS) and PTSD?
PTSD (Post-Traumatic Stress Disorder) is a mental health condition that can develop after someone experiences or witnesses a terrifying event — like war, abuse, violence, or a serious accident.
PICS is different. It’s incarceration-specific trauma.
It’s what happens when a person spends years surviving inside a system that breaks people down and then expects them to come out whole.
Can professionals use these resources in their reentry programs?
Yes. Our tools, handouts, and books are designed to support both individuals and professionals. Many chaplains, social workers, therapists, and nonprofit leaders use our materials to educate their teams and support clients more effectively.
How can families support someone with PICS?
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Learn what PICS is and how it shows up
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Don’t take emotional withdrawal or anger personally
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Encourage therapy or peer support
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Set healthy boundaries while offering compassion
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Remember: You didn’t cause it, but you can help create space for healing.
Who is Wife After Prison for?
Wife After Prison™ is for anyone impacted by incarceration—spouses, partners, parents, children, siblings, and citizens returning to society. We also serve reentry professionals, chaplains, counselors, and anyone seeking to understand the emotional aftermath of incarceration, especially Post-Incarceration Syndrome (PICS).
Do I have to be married to someone who was incarcerated to join this community?
Not at all. The name started from my personal experience, but the mission goes far beyond that. This space is for anyone affected by incarceration—whether you’re a family member, a loved one, a reentry worker, or someone who’s walked out of prison and is trying to heal.
How does PICS affect reentry success?
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If left unaddressed, PICS can lead to:
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Relationship breakdowns
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Job loss or avoidance
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Legal issues
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Mental health crises
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A higher risk of recidivism
Addressing PICS isn’t optional — it’s the foundation of true reentry.
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Why does Post-Incarceration Syndrome (PICS) need to be taught in prisons and reentry programs?
Because if we don’t talk about it in there, it shows up out here. And when it shows up, it wrecks lives — silently.
PICS doesn’t wait until someone’s home to start working. It starts the moment someone adjusts to prison life. The trauma, hypervigilance, emotional shutdown, and loss of self—all of it gets wired in. And without education, people leave prison believing that those survival skills are still necessary on the outside.
Teaching PICS before release gives people a fighting chance. It opens their eyes to the patterns they didn’t choose, but that now shape how they live, love, and relate. It helps them understand that what kept them alive inside might destroy their freedom if they carry it outside without healing.
Teaching PICS in reentry programs helps people name what they’re feeling instead of internalizing it as weakness or failure. It gives language to the struggle. It builds bridges between families, partners, and workers who might otherwise misinterpret survival responses as rejection or defiance.
We teach anger management, job skills, and relapse prevention—but if we don’t teach people about the trauma they’ve been through, we’re setting them up to crash. We’re handing them goals without giving them back their sense of self.
PICS education is prevention. It’s healing. It’s freedom that lasts.
How do I know if coaching is right for me?
If you’re tired of feeling stuck, burned out, confused, or overwhelmed by reentry—coaching can help. It’s not therapy, but it’s a guided process to help you process, plan, and heal. We offer coaching for loved ones, returning citizens, and even professionals
Do you only help women?
No. While many of our resources speak directly to women who supported incarcerated men, our work supports anyone affected by incarceration—regardless of gender.
Is this a faith-based organization?
Wife After Prison™ is faith-led but not limited to people of faith. Everyone is welcome here, no matter your background. We focus on healing, education, and real conversations—no judgment, just support.
What kind of support do you offer?
We offer educational resources, 1-on-1 and group coaching, live and virtual workshops, and self-guided tools. We also speak and teach on topics like Post-Incarceration Syndrome, trauma, relationships, and reentry mental health.
How can I work with Shelia Bruno directly?
You can book a coaching session, attend a workshop, or invite her to speak to your group or organization. Head over to the Coaching or Speaking pages to learn more.
Is this only for people in the U.S.?
No. While our content is U.S.-based, the emotional and psychological effects of incarceration are global. We welcome anyone from anywhere who needs support, education, or encouragement.
Real Stories. Real Healing. Real Talk.
These books don’t sugarcoat life after prison — they speak to the silent struggles,
the emotional aftermath, and the path to healing.

“What you are doing with your book and messages is going to have an impact for DECADES to come. You discuss critically important issues in a way that the public will understand them and begin to ‘care’. Thank you!!” – Dr. Lisa, Expert on Suicide in Jails, Prisons, and Juvenile Justice

“This book clearly breaks down what those of us who have experienced incarceration go through (mentally) as we navigate the process of reintegrating back into society. As much as we appreciate the fact that we’ve been blessed with this opportunity to rejoin society, we can’t pretend that incarceration didn’t affect our mental well-being.” – Jose Burgos, Formerly Incarcerated
Bulk Book Orders & Program Pricing
Are you part of a reentry program, correctional facility, counseling center, or community organization?
The Second Sentence and Wife After Prison; Caught in The Aftermath are both available at discounted bulk pricing for institutions, classrooms, and group programs. These powerful resources are designed to spark real conversations, build awareness of Post-Incarceration Syndrome (PICS), and support trauma-informed reentry.
Send us a message with your organization name, quantity needed, and any special requests. We’re happy to work with you.
Contact us for details today.
Let’s put healing and education into more hands.