PTSD: Beyond the Basics D. Ryan Hooper, Ph.D. Jesse Brown VA Medical Center

Size: px
Start display at page:

Download "PTSD: Beyond the Basics D. Ryan Hooper, Ph.D. Jesse Brown VA Medical Center"

Transcription

1 PTSD: Beyond the Basics D. Ryan Hooper, Ph.D. Jesse Brown VA Medical Center.

2 PTSD: Beyond the Basics Overview What is it? How does it develop? How many people have PTSD? What treatment options do we have? Co-occurring issues Services available at the VAMC

3 What is PTSD?

4 What is PTSD? Post Traumatic Stress Disorder

5 What is PTSD? Post After an event One of the few DSM-5 mental health disorders that is directly related to an event

6 What is PTSD? Traumatic Exposure to actual or threatened death, serious injury, or sexual violence through: Directly experiencing the event Witnessing as events occurred to others Repeated or extreme exposure to aversive details of event Examples include: Combat Robbery or physical assault Sexual assault Child sexual or physical abuse Serious accident (e.g., car accident)

7 What is PTSD? Traumatic

8 What is PTSD? Stress Fight, Flight, or Freeze response. Also known as the acute stress response Built into us as a natural, adaptive response A physiological reaction that occurs in response to a perceived harmful event, attack, or threat to survival

9 What is PTSD? Disorder (or Disruption) Reactions to traumatic events are expected Feeling tense or afraid Feeling agitated and jumpy Feeling on alert Wanting to be alone Experiencing anger spells Feelings of guilt Less patience with loved ones Avoid certain people or situations Increase drinking and/or drug use However, this typically reduces with time 1 month criteria for PTSD Disruption of natural recovery

10 What is PTSD? Symptoms Reliving the event (Reexperiencing) Feeling keyed up (Hyperarousal) Negative changes in beliefs and feelings Avoidance

11 How does PTSD Develop?

12 How does PTSD develop? How likely someone is to develop PTSD after a traumatic event can depend on many things including: How intense the trauma was or how long it lasted If a close loved one was lost in the trauma Physical proximity to the trauma Strength of the initial reaction Sense of control during the event Level of support received after the trauma Previous traumatic experiences

13 How does PTSD develop? While we don t have the definitive reason that PTSD develops for some individuals and not for others, research suggests that PTSD sticks around when the natural recovery process is disrupted

14 How does PTSD develop? Another theory of PTSD is based on the Cognitive Therapy conceptualization of mental health disorders We try to make meaning of what happens to us, including trauma: This leads us to either force a traumatic event into our beliefs Or we throw out beliefs and form new ones based on the traumatic experience

15 How many people have PTSD?

16 How many people have PTSD? About 7-8% of the US population will have PTSD at some point in their life 5.2 million adults have PTSD in a given year 4% of men will develop PTSD at some point in their life vs 10% of women who will develop PTSD in their life

17 How many people have PTSD? Vietnam War: About 15% of Vietnam veterans met criteria during last large scale study (1980s). Estimated that 30% met criteria in their lifetime Gulf War (Desert Storm): About 12% have PTSD in a given year OEF/OIF: 11%-20% have PTSD in a given year

18 Co-Occurring Issues

19 Co-Occurring Issues Substance Use Traumatic Brain Injury Chronic Pain Relationship problems Employment problems

20 Co-occurring Substance Use Disorders More than 20% of veterans with PTSD have a substance use disorder. Almost 30% of all veterans seeking SUD treatment have PTSD. 1 in 10 of all OEF/OIF veterans meet criteria for a SUD.

21 Co-occurring Traumatic Brain Injury

22 Co-occurring Chronic Pain Chronic pain is defined as pain in a particular area of the body for 3 months or more. Approximately 15% - 35% of individuals with chronic pain also have PTSD. Some veterans may have chronic pain in relation to traumatic events, which could serve as a reminder of their PTSD

23 Relationship Problems Symptoms of PTSD may lead survivors feel distant and numb, have less interest in social and sexual activities, as well as feeling increasingly jumpy and on edge May also feel an increased need to protect their family members, which may come across as tense or demanding Partners, friends, or family may feel hurt, cut off, or sad because a survivor has not been able to get over the trauma

24 Employment Problems Veterans with PTSD are less likely to be employed and if employed are likely to receive a lower wage. Increased severity of PTSD was related to a decreased likelihood of full-time employment.

25 Treatment Options

26 What does Recovery look like? Passive Coping Problem Avoidance VS. Active Coping Problem Solving Self-Criticism or Wishful Thinking Bottle Up Emotions Re-Thinking Discuss Emotions Social Withdrawal Seek Social Support

27 What treatment options do we have? Treatment approaches are active, practice-oriented, and requires work between sessions Skills-based vs. Trauma-based therapy Group vs Individual options

28 Skills-Based Treatments Many treatment options for improving life stability and coping Seeking Safety (PTSD & Substance Use Disorders) Coping Skills ACT (Mindfulness) Anger Management

29 Other Life Changes to Consider Exercise Volunteering School/Employment More contact with other trauma survivors Invest more in personal relationships

30 Trauma-Based Treatments Prolonged Exposure (PE) is an evidence-based treatment for PTSD including: Education Trauma processing In-vivo practice

31 Trauma-based Treatments Cognitive Processing Therapy (CPT) is an evidence-based treatment for PTSD including: Becoming aware of thoughts and feelings Understanding changes in beliefs Learning skills to manage and change thoughts (and emotions)

32 Long-term Follow-up of a Clinical Trial Comparing CPT and PE. Patricia A. Resick, Lauren Williams Robert Orazem and Cassidy Gutner ISTSS & ABCT, Nov., 2005

33 Research Supporting Efficacy Follow-up conducted at five + years post-treatment (M= 6 yrs, range 5-10). 171 women were in the intent-to-treat sample. Of the 143 we located: 17 refused to participate (12%) 2 were located but were not appropriate Complete assessments on % participation rate 33

34 ITT CPT and PE cross-sectional CPT PE Pre Post 3 mo 9 mo 5+ yr CPT, N= PE, N=

35 CPT and PE on CAPS across 5 years (all assessments) CPT PE CPT, N= 35 PE, N= 32 Pre Post 3 mo 9 mo 5+ yr 35

36 Referral Options

37 Jesse Brown VA Medical Center Psychiatric Assessment Clinic: (312) OEF/OIF/OND Program Manager: Valerie Creedon, LCSW (312) PTSD Clinic Program Manager: Joseph Yount, Ph.D. (312) Women s Clinic: Jenny Garretson (312)

38 Edward Hines Jr. VA Hospital Mental Health Intake: (708) , Ext OEF/OIF Program Manager: Ivy Lloyd (MSW) (708) PTSD Clinic: Kelly Maieritsch (708) , Ext Polytrauma Director: Monica Steiner (MD) (708) , Ext

39 Online Resources https://mobile.va.gov/appstore

40 Thank you for listening Give your hands to serve and your hearts to love. Mother Teresa Find me on

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

Introduction to Veteran Treatment Court

Introduction to Veteran Treatment Court Justice for Vets Veterans Treatment Court Planning Initiative Introduction to Veteran Treatment Court Developed by: Justice for Vets Justice for Vets, 10 February 2015 The following presentation may not

More information

Post-Traumatic Stress Disorder - PTSD

Post-Traumatic Stress Disorder - PTSD Post-Traumatic Stress Disorder - PTSD Introduction Post-Traumatic Stress Disorder, or PTSD, is a common disorder in which a person experiences disabling anxiety after a traumatic event. People with PTSD

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Post Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership

Post Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership Post Traumatic Stress Disorder and Substance Abuse Impacts ALL LEVELS of Leadership What IS Post Traumatic Stress Disorder (PTSD) PTSD is an illness which sometimes occurs after a traumatic event such

More information

Cognitive Behavioral Therapy for PTSD. Dr. Edna B. Foa

Cognitive Behavioral Therapy for PTSD. Dr. Edna B. Foa Cognitive Behavioral Therapy for PTSD Presented by Dr. Edna B. Foa Center for the Treatment and Study of Anxiety University of Pennsylvania Ref # 3 Diagnosis of PTSD Definition of a Trauma The person has

More information

Post Traumatic Stress Disorder

Post Traumatic Stress Disorder Post Traumatic Stress Disorder What Is Post Traumatic Stress Disorder? Post Traumatic Stress Disorder (PTSD) was introduced into the American Psychiatric Association s official manual (DSM) in 1980. PTSD

More information

PTSD: Updated. Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System

PTSD: Updated. Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System PTSD: Updated Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System Overview New Diagnostic Criteria Resources/Apps Timely Topic: Anger, aggressiveness and PTSD Citation:

More information

How Emotional/ Psychological Trauma Affects the Body

How Emotional/ Psychological Trauma Affects the Body How Emotional/ Psychological Trauma Affects the Body Objectives: Define trauma What is the relationship between physical health and PTSD? Identify how trauma is assessed/screened How can family members

More information

GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE

GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE Introduction to trauma The earthquake was a terrifying disaster for adults, children, families, and communities. The

More information

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder

More information

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton Psychiatric Issues and Defense Base Act Claims Dr. Michael Hilton Criteria for DSM-IVRPosttraumatic Stress Disorder with changes now in effect with DSM5 a. The person has been exposed to a traumatic event

More information

USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD)

USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By: Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D. When people find

More information

PTSD IN PRIMARY CARE. Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington

PTSD IN PRIMARY CARE. Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington PTSD IN PRIMARY CARE Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington What to expect today? Defining and assessing PTSD Approach for doing differential

More information

Fear Avoidance in Chronic Pain and PTSD. Sarah Gallant, Occupational Therapist Iris Torchalla, Psychologist

Fear Avoidance in Chronic Pain and PTSD. Sarah Gallant, Occupational Therapist Iris Torchalla, Psychologist Fear Avoidance in Chronic Pain and PTSD Sarah Gallant, Occupational Therapist Iris Torchalla, Psychologist Objectives Nature of PTSD and Chronic Pain Theoretical models of comorbidity Role of Fear Avoidance

More information

Psychotherapeutic Interventions for Children Suffering from PTSD: Recommendations for School Psychologists

Psychotherapeutic Interventions for Children Suffering from PTSD: Recommendations for School Psychologists Psychotherapeutic Interventions for Children Suffering from PTSD: Recommendations for School Psychologists Julie Davis, Laura Lux, Ellie Martinez, & Annie Riffey California Sate University Sacramento Presentation

More information

TRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS

TRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS TRAUMA & ADDICTION written for American Academy of Health Care Providers in the Addictive Disorders by Sandra H. Colen, LCSW, Dip-CFC, CAS December 22, 2014 Purpose The purpose of this paper is to present

More information

There are several types of trauma that can occur when people experience difficult life changing

There are several types of trauma that can occur when people experience difficult life changing Trauma Informed Services Part 1 The Hidden Aspect of Addiction Many individuals struggling with addiction have personal and family histories of trauma including sexual, emotional, and/or physical abuse

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder It s natural to be afraid when you re in danger. It s natural to be upset when something bad happens to you or someone you know. But if you feel afraid and upset weeks or

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

Helping Heroes Come Home

Helping Heroes Come Home Helping Heroes Come Home Harris County Veterans Court May 30, 2012 Honorable Discharge, on active duty or in reserves Have pending eligible felony offense Be a legal resident of/or citizen of the United

More information

Understanding PTSD and the PDS Assessment

Understanding PTSD and the PDS Assessment ProFiles PUTTING ASSESSMENTS TO WORK PDS TEST Understanding PTSD and the PDS Assessment Recurring nightmares. Angry outbursts. Easily startled. These are among the many symptoms associated with Post Traumatic

More information

Domestic Violence, Mental Health and Substance Abuse

Domestic Violence, Mental Health and Substance Abuse Domestic Violence, Mental Health and Substance Abuse Sue Parry, PhD NYS Office for the Prevention of Domestic Violence Why does domestic violence (DV) have so many mental health effects? Put yourself in

More information

Post traumatic Stress Associated with Cancer

Post traumatic Stress Associated with Cancer Post traumatic Stress Associated with Cancer BCCA Survivorship Forum June 8, 2016 Alan Bates, MD, PhD, FRCPC Provincial Practice Leader for Psychiatry BC Cancer Agency None Disclosures Acknowledgments

More information

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Definition and Criteria PTSD is unlike any other anxiety disorder. It requires that

More information

Trauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report

Trauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report Trauma and the Family: Listening and learning from families impacted by psychological trauma Focus Group Report A summary of reflections and remarks made by Baltimore City families impacted by trauma and

More information

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic?

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic? Trauma FAQs Content 1. What is trauma? 2. What events are traumatic? 3. Who experiences trauma? 4. What are symptoms of trauma? 5. How can I help someone who may be experiencing trauma? 6. Where can people

More information

Session Nine What I Can Do When My Family Member Is Angry or Violent

Session Nine What I Can Do When My Family Member Is Angry or Violent 127 Session Nine What I Can Do When My Family Member Is Angry or Violent Materials Needed: Handout Q: Anger Management Time-Out Process Handout R: Referrals for Domestic Violence Brochures on local treatment

More information

Substance Abuse and Sexual Violence:

Substance Abuse and Sexual Violence: Substance Abuse and Sexual Violence: The Need for Integration When Treating Survivors Kelli Hood, M.A. Objective To understand the necessity for therapeutic strategies in clients with cooccurring Substance

More information

TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma

TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma Introduction The events of September 11, 2001, have reminded Americans that they are vulnerable to international terrorism and

More information

Mollie Michelfelder, LISW and Eileen Swoboda, LISW. Copyright 2012 Trauma Informed Care Stakeholders Group Training Subcommittee 1

Mollie Michelfelder, LISW and Eileen Swoboda, LISW. Copyright 2012 Trauma Informed Care Stakeholders Group Training Subcommittee 1 Mollie Michelfelder, LISW and Eileen Swoboda, LISW Copyright 2012 Trauma Informed Care Stakeholders Group Training Subcommittee 1 Definitions Prevalence Impact of Trauma Trauma Informed Care Resiliency

More information

Trauma, PTSD, Complex Trauma, and the ARC Framework

Trauma, PTSD, Complex Trauma, and the ARC Framework Trauma, PTSD, Complex Trauma, and the ARC Framework Learning Objectives What do we mean when we use the term trauma? What do different types of traumatic events have in common? Why do people respond differently

More information

THE CAUSES OF DRUG ADDICTION

THE CAUSES OF DRUG ADDICTION 1 Statistical facts associated with addiction and substance abuse are concerning, but many men and women choose to ignore the dangers. By understanding the main causes of addiction to drugs, it is possible

More information

Trauma 101 PowerPoint User s Guide

Trauma 101 PowerPoint User s Guide Trauma 101 PowerPoint User s Guide In an effort to further the goal of creating a trauma informed state, the Trauma Informed Care Project Training Subcommittee, as part of the Trauma Informed Care Project

More information

Post Traumatic Stress Disorder & Substance Misuse

Post Traumatic Stress Disorder & Substance Misuse Post Traumatic Stress Disorder & Substance Misuse Produced and Presented by Dr Derek Lee Consultant Chartered Clinical Psychologist Famous Sufferers. Samuel Pepys following the Great Fire of London:..much

More information

Scope of Services provided by the Mental Health Service Line (2015)

Scope of Services provided by the Mental Health Service Line (2015) Scope of Services provided by the Mental Health Service Line (2015) The Mental Health Service line provides services to Veterans with a wide variety of mental health needs at its main facility in Des Moines

More information

Original Article: http://www.mayoclinic.com/health/post-traumatic-stress-disorder

Original Article: http://www.mayoclinic.com/health/post-traumatic-stress-disorder 1 of 11 6/29/2012 12:17 PM MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution,

More information

Treatment for PTSD and Substance Use Problems in Veterans

Treatment for PTSD and Substance Use Problems in Veterans Treatment for PTSD and Substance Use Problems in Veterans Charity Hammond, Ph.D. PTSD/SUD Psychologist Michael E. DeBakey VA Medical Center Houston, Texas Goals of workshop Define Posttraumatic Stress

More information

7/15/2010. 11 th Annual Summer Institute Sedona, AZ July 21, 2010. July 21, 2010 Sedona, AZ Workshop 1

7/15/2010. 11 th Annual Summer Institute Sedona, AZ July 21, 2010. July 21, 2010 Sedona, AZ Workshop 1 The Addiction-Trauma Connection: Spirals of and Healing Stephanie S. Covington, Ph.D., L.C.S.W. Center for Gender and Justice Institute for Relational Development La Jolla, CA 11 th Annual Summer Institute

More information

Dr. Elizabeth Gruber Dr. Dawn Moeller. California University of PA. ACCA Conference 2012

Dr. Elizabeth Gruber Dr. Dawn Moeller. California University of PA. ACCA Conference 2012 Dr. Elizabeth Gruber Dr. Dawn Moeller California University of PA ACCA Conference 2012 http://www.youtube.com/watch?v=9rpisdwsotu Dissociative Identity Disorder- case presentation Diagnostic criteria Recognize

More information

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT?

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Open Learning Agency 2004 WHAT IS IT? Anxiety is a normal human feeling characterized by worry, nervousness and fear. Not only does anxiety

More information

Assessing families and treating trauma in substance abusing families

Assessing families and treating trauma in substance abusing families Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (amys@day-one.org) Don Burke LCPC CCS (donb@day-one.org) Assessing families and treating trauma in

More information

Do you help people recover from trauma? training programs

Do you help people recover from trauma? training programs Do you help people recover from trauma? 2015 training programs Do you or your staff help people who have experienced trauma? Phoenix Australia s training programs teach the skills required by a range of

More information

PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients

PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients W. Allen Hume, Ph.D.,C.D.P. Licensed Psychologist www.drallenhume.com October 2, 2007 COD client with PTSD seeking

More information

The Forgotten Worker: Veteran

The Forgotten Worker: Veteran The Forgotten Worker: Veteran Larry Ashley & Meghan Pierce University of Nevada, Las Vegas Veteran Workforce Statistics The unemployment rate of veterans from all eras is 8.7% (Bureau of Labor Statistics,

More information

The treatment of. post-traumatic stress disorder (PTSD) in adults and children

The treatment of. post-traumatic stress disorder (PTSD) in adults and children The treatment of post-traumatic stress disorder (PTSD) in adults and children Understanding NICE guidance information for people with PTSD, their advocates and carers, and the public The paragraphs are

More information

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,

More information

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS Exposure to a traumatic event is normally accompanied by distress. For most individuals such distress resolves spontaneously

More information

Psychological First Aid Red Cross Preparedness Academy 2014

Psychological First Aid Red Cross Preparedness Academy 2014 Caring for Survivors of Trauma and Disaster: An Introduction to Psychological First Aid Biographical Information Rev. William F. Engfehr III LutheranChurch MissouriSynod DisasterResponseChaplain Senior

More information

Acute Stress Disorder and Posttraumatic Stress Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder Acute Stress Disorder and Posttraumatic Stress Disorder Key Messages Traumatic Events Events that involve actual or threatened death or serious injury (real or perceived) to self or others (e.g., accidents,

More information

Responding to the Needs of Justice-Involved Veterans. Mark Mayhew, LCSW VA Justice Outreach Coordinator

Responding to the Needs of Justice-Involved Veterans. Mark Mayhew, LCSW VA Justice Outreach Coordinator Responding to the Needs of Justice-Involved Veterans Mark Mayhew, LCSW VA Justice Outreach Coordinator There is inherent sympathy for those who sustain damage in defense of country, whether that damage

More information

Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) Post traumatic stress disorder is a condition where you have recurring distressing memories, flashbacks, and other symptoms after suffering a traumatic event. Treatment

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION What is TBI? An external force that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The

More information

Critical Incidents. Information for schools from Derbyshire Educational Psychology Service

Critical Incidents. Information for schools from Derbyshire Educational Psychology Service Critical Incidents Information for schools from Derbyshire Educational Psychology Service Introduction to Critical Incidents A critical incident (CI) is any event that is unexpected, acute, stressful and

More information

What is Narrative Exposure Therapy (NET)?

What is Narrative Exposure Therapy (NET)? What is Narrative Exposure Therapy (NET)? Overview NET is a culturally universal short-term intervention used for the reduction of traumatic stress symptoms in survivors of organised violence, torture,

More information

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining

More information

Management Assistance Program

Management Assistance Program Management Assistance Program COMMUNICATING WITH EMPLOYEES DURING A CRISIS: How to prepare and help employees cope with a workplace related crisis GOALS: The goal of this module is to provide organizations,

More information

Objectives. Care of the Returning Military Veteran. Recent Efforts. US Military. Screening at VA PCP Offices. Veterans 9/29/2014

Objectives. Care of the Returning Military Veteran. Recent Efforts. US Military. Screening at VA PCP Offices. Veterans 9/29/2014 Care of the Returning Military Veteran James Kravec, M.D., F.A.C.P. Chairman, Department of Internal Medicine, St. Elizabeth Health Center, Youngstown, Ohio Chief, General Internal Medicine Section, Northeast

More information

Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D.

Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D. Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D. SARRTP: Mission Statement We strive to provide a safe, educational, and supportive

More information

Post-traumatic stress disorder overview

Post-traumatic stress disorder overview Post-traumatic stress disorder overview A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive

More information

Trauma Informed Care: Top 10 Tips for Caregivers and Case Managers. Dr. David Ott Christina Suarez, LCSW Kimberly Brien

Trauma Informed Care: Top 10 Tips for Caregivers and Case Managers. Dr. David Ott Christina Suarez, LCSW Kimberly Brien Trauma Informed Care: Top 10 Tips for Caregivers and Case Managers Dr. David Ott Christina Suarez, LCSW Kimberly Brien Our Goals Today Provide information about concepts associated with trauma informed

More information

Traumatic Stress with Alcohol and/or Drug Addiction

Traumatic Stress with Alcohol and/or Drug Addiction Traumatic Stress with Alcohol and/or Drug Addiction information for individuals and families Eastern Trauma Advisory Panel What is Post Traumatic Stress Disorder (PTSD)? How people react to a traumatic

More information

Minnesota Co-occurring Mental Health & Substance Disorders Competencies:

Minnesota Co-occurring Mental Health & Substance Disorders Competencies: Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held

More information

Orange County Combat Veterans Court. Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701

Orange County Combat Veterans Court. Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701 Orange County Combat Veterans Court Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701 1 MISSION STATEMENT The mission of the Orange County Combat Veterans Court is to

More information

Chris Buser, LCSW-C, BCD Clinical Director, Post-Deployment Health Reintegration Program

Chris Buser, LCSW-C, BCD Clinical Director, Post-Deployment Health Reintegration Program Chris Buser, LCSW-C, BCD Clinical Director, Post-Deployment Health Reintegration Program When defining who is a veteran it is often better to ask, Did you serve in the military? Basic VA Eligibility A

More information

4/25/2015. Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC)

4/25/2015. Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Ryan Edlind MS, MSW, LISW-S April 29, 2015 Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Ryan Edlind

More information

9/11Treatment Referral Program How to Get Care

9/11Treatment Referral Program How to Get Care 9/11Treatment Referral Program How to Get Care Health 9/11 Treatment Referral Program The 9/11 Treatment Referral Program was created to help enrollees and others find care for WTC-related health problems.

More information

From DSM-IV-TR to DSM-5: Changes in Posttraumatic Stress Disorder Classification Criteria

From DSM-IV-TR to DSM-5: Changes in Posttraumatic Stress Disorder Classification Criteria From DSM-IV-TR to DSM-5: Changes in Posttraumatic Stress Disorder By Ashley A. Houston, M.A., Jennifer Webb-Murphy, Ph.D., & Eileen Delaney, Ph.D. Naval Center for Combat & Operational Stress Control One

More information

PSYCHOSOCIAL ISSUES AND HIV/AIDS. TIHAN Training for Care & Support Volunteers

PSYCHOSOCIAL ISSUES AND HIV/AIDS. TIHAN Training for Care & Support Volunteers PSYCHOSOCIAL ISSUES AND HIV/AIDS TIHAN Training for Care & Support Volunteers WHAT IS PSYCHOSOCIAL? Psychology + Sociology Psychosocial development is how a person's mind, emotions, and maturity level

More information

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder? FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that

More information

Stalking 101: Understanding the lethality of stalking in today s world

Stalking 101: Understanding the lethality of stalking in today s world Stalking 101: Understanding the lethality of stalking in today s world Objectives Participants will be able to recognize the dynamics of stalking and the its impact on victims Participants will understand

More information

1. What is post-traumatic stress disorder (PTSD)?

1. What is post-traumatic stress disorder (PTSD)? Post-traumatic stress disorder (PTSD) This factsheet has information about the symptoms and causes of posttraumatic stress disorder (PTSD). It says who might get PTSD and what treatment is available. You

More information

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C.

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Essential Trauma Informed Practices in Schools Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Objectives: Participants attending this session will be able to: Define trauma Explain how trauma may impact child/teen

More information

NATIONAL COUNCIL for Behavioral Health

NATIONAL COUNCIL for Behavioral Health NATIONAL COUNCIL for Behavioral Health National Council of State Legislatures Understanding the Needs of Veterans and Military Families Jeannie Campbell Executive Vice President December 9, 2014 Resources

More information

Kevin Henze, Ph.D., CPRP Patricia Sweeney, Psy.D., CPRP. New England MIRECC Peer Education Center

Kevin Henze, Ph.D., CPRP Patricia Sweeney, Psy.D., CPRP. New England MIRECC Peer Education Center Kevin Henze, Ph.D., CPRP Patricia Sweeney, Psy.D., CPRP New England MIRECC Peer Education Center Discuss the origins and stages of impact of mental health issues. Contrast the Medical Model and Psychosocial

More information

Psychology Externship Program

Psychology Externship Program Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of

More information

The New York Society for the Prevention of Cruelty to Children. Kathy Lotsos, LCSW & Helen Woodbury, LCSW www.nyspcc.org

The New York Society for the Prevention of Cruelty to Children. Kathy Lotsos, LCSW & Helen Woodbury, LCSW www.nyspcc.org The New York Society for the Prevention of Cruelty to Children Kathy Lotsos, LCSW & Helen Woodbury, LCSW www.nyspcc.org Overview Trauma a definition The neurobiology of trauma; Trauma memory storage; Trauma

More information

Challenges to Detection and Management of PTSD in Primary Care

Challenges to Detection and Management of PTSD in Primary Care Challenges to Detection and Management of PTSD in Primary Care Karen H. Seal, MD, MPH University of California, San Francisco San Francisco VA Medical Center General Internal Medicine Section PTSD is Prevalent

More information

Acquired Brain Injury & Substance Misuse

Acquired Brain Injury & Substance Misuse Acquired Brain Injury & Substance Misuse A Need for a Paradigm Shift? Dr Oliver Aldridge MBBCh, DRCOG, MRCGP Certificant of the International Society of Addiction Medicine Challenges Integration of services

More information

Behavioral Health in the School Community: An Innovative Collaboration to Reduce Trauma-Related Barriers to Academic Success

Behavioral Health in the School Community: An Innovative Collaboration to Reduce Trauma-Related Barriers to Academic Success Keeping Communities Whole Through Collaborative Partnerships Behavioral Health in the School Community: An Innovative Collaboration to Reduce Trauma-Related Barriers to Academic Success Presented By Charlie

More information

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview for DSM-5 (PSS-I-5) Past Month Version. Edna B. Foa and Sandy Capaldi

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview for DSM-5 (PSS-I-5) Past Month Version. Edna B. Foa and Sandy Capaldi Manual for the Administration and Scoring of the PTSD Symptom Scale Interview for DSM-5 (PSS-I-5) Past Month Version Edna B. Foa and Sandy Capaldi 1 Introduction The PTSD Symptom Scale Interview for DSM-5

More information

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW TABLE OF CONTENTS What is Depression? 4 Symptoms of Depression 6 Substance Abuse as a Coping Mechanism 8 Which Occurs First? 10 Substance Abuse and the

More information

Understanding PTSD treatment

Understanding PTSD treatment Understanding PTSD treatment Do I need professional help? Whether or not you need help can only be determined by you and a mental health professional. However, you can take the self-assessment in the PTSD

More information

ADAA Master Clinician Workshop April 4, 2013 Melanie Harned, Ph.D. Treating PTSD in Suicidal and Self-Injuring Clients with BPD

ADAA Master Clinician Workshop April 4, 2013 Melanie Harned, Ph.D. Treating PTSD in Suicidal and Self-Injuring Clients with BPD TREATING PTSD IN SUICIDAL AND SELF-INJURING CLIENTS WITH BORDERLINE PERSONALITY DISORDER Behavioral Research and Therapy Clinics University of Washington Disclosures This work is funded by the National

More information

Child Welfare Trauma Referral Tool

Child Welfare Trauma Referral Tool Module 4, Activity 4F; Module 4, Activity 4G Child Welfare Trauma Referral Tool This measure is designed to help child welfare workers make more trauma-informed decisions about the need for referral to

More information

Guidelines for Mental Health Practitioners

Guidelines for Mental Health Practitioners Normality of Trauma Response Guidelines for Mental Health Practitioners Our understanding of Post-Traumatic Stress Disorder has changed dramatically over the past 10 years. We now recognize that it is

More information

PTSD Symptom Scale Interview

PTSD Symptom Scale Interview {Module Name} Module PTSD Symptom Scale Interview Agency Name: ID #: Site Name: Date: / / INTERVIEWER: Ask the participant whether he/she has experienced each symptom at all "in the past two weeks" (if

More information

Postpartum Depression and Post-Traumatic Stress Disorder

Postpartum Depression and Post-Traumatic Stress Disorder Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after

More information

Harm Reduction Strategies to Address Anxiety and Trauma. Presented by Jodi K. Brightheart, MSW

Harm Reduction Strategies to Address Anxiety and Trauma. Presented by Jodi K. Brightheart, MSW Harm Reduction Strategies to Address Anxiety and Trauma Presented by Jodi K. Brightheart, MSW What would you diagnose a client with the following symptoms? Frantic efforts to avoid being abandoned by friends

More information

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Satellite Conference and Live Webcast Thursday, August 25, 2011 5:30 7:00 p.m. Central Time Faculty David J. Schonfeld,

More information

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House The Effects of Domestic Violence on Children: Picking Up The Pieces Kristy Nelson & Andrea Link Legacy House Overview of the Adverse Childhood Experiences (ACE) Study PowerPoint & Research Adapted from

More information

RETURNING FROM THE WAR ZONE

RETURNING FROM THE WAR ZONE RETURNING FROM THE WAR ZONE Created by experts at the National Center for PTSD, 2006 A Guide for Families of Military Members HOMECOMING The days and weeks after a homecoming from war can be filled with

More information

Working at the Intersection: Substance Abuse and Trauma in the Context of Violence Against Women. Patricia J. Bland.

Working at the Intersection: Substance Abuse and Trauma in the Context of Violence Against Women. Patricia J. Bland. Presented at the Moving Forward in Challenging Times Conference July 6-8, 2011 SafePlace Austin, TX Working at the Intersection: Substance Abuse and Trauma (Bland, Patricia; April 2012) Working at the

More information

Objective: Provide information regarding 4 Department of Veterans Affairs programs.

Objective: Provide information regarding 4 Department of Veterans Affairs programs. Veterans Benefits Objective: Provide information regarding 4 Department of Veterans Affairs programs. OEF/OIF/OND Case Management Peer Support VA Claims and Benefits Vocational Rehabilitation Structure

More information

GENDER-RESPONSIVE ASSESSMENT AND TREATMENT FOR JUSTICE-INVOLVED WOMEN IN COMMUNITY SUPERVISION

GENDER-RESPONSIVE ASSESSMENT AND TREATMENT FOR JUSTICE-INVOLVED WOMEN IN COMMUNITY SUPERVISION GENDER-RESPONSIVE ASSESSMENT AND TREATMENT FOR JUSTICE-INVOLVED WOMEN IN COMMUNITY SUPERVISION Krista Gehring, Ph.D. Assistant Professor Department of Criminal Justice University of Houston-Downtown January

More information

Trauma-Focused CBT for Children and Adolescents

Trauma-Focused CBT for Children and Adolescents Trauma-Focused CBT for Children and Adolescents Judith A. Cohen, M.D. Medical Director Center for Traumatic Stress in Children and Adolescents Allegheny General Hospital, Pittsburgh, PA Evidence-based

More information

Coping with trauma and loss

Coping with trauma and loss Coping with trauma and loss Coping with trauma and loss Someone close to you may have died in sudden and/or traumatic circumstances. You may have witnessed the death, or the deaths and injury of others.

More information

POST TRAUMATIC STRESS DISORDER: A PRIMER PTSD. POST-TRAUMATIC STRESS DISORDER A TRAUMA and STRESSOR-RELATED DISORDER

POST TRAUMATIC STRESS DISORDER: A PRIMER PTSD. POST-TRAUMATIC STRESS DISORDER A TRAUMA and STRESSOR-RELATED DISORDER PTSD POST-TRAUMATIC STRESS DISORDER A TRAUMA and STRESSOR-RELATED DISORDER To help yourself, you need to take care of yourself and be willing to have other people help you. This pamphlet furnishes general

More information