What is Post Traumatic Stress Disorder? Adult Psychology Specialty
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1 What is Post Traumatic Stress Disorder? Dr Rachael Thorp Counselling Psychologist Dr Donna Rooney Clinical Psychologist Adult Psychology Specialty
2 What is PTSD? A cluster of symptoms appearing after a trauma
3 Which of the following events might be considered traumatic? 1. A mugging 2. A man s wife running off with her dance instructor 3. Watching a car accident from a distance 4. Working on patrol in a combat zone
4 Which of the following events might be considered traumatic? A mugging X A man s wife running off with her dance instructor Watching a car accident from a distance Working on patrol in a combat zone
5 Defining traumatic exposure to actual or threatened death, serious injury or sexual violation (DSM-V, APA, 2013) T versus t t t t
6 The effects of PTSD - Lisa s experience spx
7 What are the symptoms of Posttraumatic stress disorder? There are four main types of symptom: Re-experiencing Avoidance Negative cognitions (thoughts and beliefs) and negative mood Arousal Adapted from DSM-V, APA, 2013
8 Loss of hope Shame and worthlessness Memory loss Nightmares Flashbacks Hypervigilance Mistrust Emotion dysregulation Insomnia Decreased concentration Feeling Numb Self-harm Lost interest Low mood Post trauma Symptoms Generalised Anxiety Panic attacks Chronic physical pain Headaches Substance misuse Eating problems Lost sense of identity Thorp, R Adapted from Psychoeducational Aids for Working with Psychological Trauma, by Fisher, Janina, 2009
9 Which of the following statements are true 1. Everyone who witnesses or experiences a traumatic event will go on to develop PTSD 2. At least 1/3 individuals who develop PTSD experience symptoms for 3 or more years 3. Individuals can prevent themselves from developing PTSD 4. There are different types of PTSD 5. Some individuals are more likely to develop PTSD
10 Which of the following statements are true X Everyone who witnesses or experiences a traumatic event will go on to develop PTSD At least 1/3 individuals who develop PTSD experience symptoms for 3 or more years X Individuals can prevent themselves from developing PTSD There are different types of PTSD Some individuals are more likely to develop PTSD
11 Risk factors in developing Post-traumatic stress disorder Low levels of income Low levels of education Previous Mental Health problems Being from a minority ethnic group Being female Occupation Young and living in an urban area Number of traumas experienced Kind of trauma experienced
12 How is PTSD diagnosed? No formal test Criteria in diagnostic manual - DSM V Clinical history Questionnaires/screening tools
13 Impact of Events Scale Over the past seven days: 1. Any reminder brought back feelings about it. 2. I had trouble staying asleep. 3. I was jumpy and easily startled. 4. I felt irritable and angry. 5. I avoided letting myself get upset when I thought about it or was reminded of it.
14 What causes PTSD? A Psychological Model Our brain s information processing system shuts down during/after a traumatic experience
15 The body s Nervous System is designed to protect us Fight-Flight Response: do something! Freeze-submit Response recovery or shut-down Sympathetic Nervous System Neurochemical release Thorp, R Adapted from Psychoeducational Aids for Working with Psychological Trauma, by Fisher, Janina, 2009 Parasympathetic Nervous System
16 Thorp, R Adapted from Psychoeducational Aids for Working with Psychological Trauma, by Fisher, Janina, 2009 After trauma, the nervous system keeps prepared for danger Long-term Hyperarousal Optimal Arousal Zone Long-term Hypoarousal
17 After the trauma has taken place Pre-trauma me Get on with my life Thorp, R Adapted from Psychoeducational Aids for Working with Psychological Trauma, by Fisher, Janina, 2009 Traumatised
18 Dysfunctional Memory Networks Sensory Emotions Cognitions / Beliefs Body Sensations
19 Mike s Journey
20 Mike s Journey Mike s Journey
21 Mike s Journey Mike had really enjoyed his job role and driving his Police vehicle. But now found himself: Unable to work as not driving Mike s Journey Irritable with partner and two daughters Stopped hanging out with his friends for fear of losing it if he heard squealing brakes Make himself small and cry uncontrollably
22 Mike s Journey On your tables, sort the cards into sensory Mike s triggers, Journey emotions, thoughts and bodily responses
23 Mike s Journey Mike s Journey To be continued in Part II
24 What do I do if I think someone I know has PTSD? 1. Encourage them to visit their GP 2. Take them back to the place where the trauma occurred 3. Ask lots of questions about what happened 4. Provide a listening ear 5. Test their memory on different aspects of the event 6. Be understanding of irritability and mood changes 7. Tell them they re going mad
25 What do I do if I think someone I know has PTSD? Encourage them to visit their GP X Take them back to the place where the trauma occurred X Ask lots of questions about what happened Provide a listening ear X Test their memory on different aspects of the event X Be understanding of irritability and mood changes X Tell them they re going mad
26 End of Part I Mike s Journey
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