PTSD Workshop Presented by: Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC

Presented by: Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC

WHO

WHO

People's Basic Needs Biological (Food, Water, Warmth)‏ Safety Love and belonging Esteem

Biological (Food, Water, Warmth)‏

Safety

Love and belonging

Esteem

* Discussion Forum * Think of a client you have worked with who did not have their basic needs met. How did they present? How did they respond to treatment? What services can you refer this client to? Please take a moment to share your responses in the discussion forum. Thank you.

Think of a client you have worked with who did not have their basic needs met. How did they present? How did they respond to treatment? What services can you refer this client to?

Please take a moment to share your responses in the discussion forum.

Thank you.

Types of Post Traumatic Stress Disorder Combat Rape Trauma Victim Parent of Victim Gradual Onset Definition Law Enforcement, Nurses, Psychologists, Fire/EMS Domestic Violence Other Trauma. . .(Discussion)

Combat

Rape Trauma

Victim

Parent of Victim

Gradual Onset

Definition

Law Enforcement, Nurses, Psychologists, Fire/EMS

Domestic Violence

Other Trauma. . .(Discussion)

Diagnosis/Definition Exposure Actual or threatened death; serious injury; witnessing such Response involves intense fear, helplessness, or horror Persistent reexperiencing of the traumatic event Avoidance of stimuli associated with the trauma Numbing of general responsiveness Hypervigilence Irritability Clinically significant distress for more than 1 month

Exposure

Actual or threatened death; serious injury; witnessing such

Response involves intense fear, helplessness, or horror

Persistent reexperiencing of the traumatic event

Avoidance of stimuli associated with the trauma

Numbing of general responsiveness

Hypervigilence

Irritability

Clinically significant distress for more than 1 month

Complications/Impact of PTSD Emotional Mental Physical Social Spiritual Environmental Occupational/Financial

Emotional

Mental

Physical

Social

Spiritual

Environmental

Occupational/Financial

* Discussion Forum * Think of a client you have worked with who’s spirituality was deeply affected as a complication from the impact of PTSD. How did this affect their life as a whole? How did this affect you? Please take a moment to share your responses in the discussion forum. Thank you.

Think of a client you have worked with who’s spirituality was deeply affected as a complication from the impact of PTSD. How did this affect their life as a whole? How did this affect you?

Please take a moment to share your responses in the discussion forum.

Thank you.

WHAT / WHY

WHAT / WHY

Discussion Most concerning of all people with PTSD are PEOPLE who continue to experience a loss of basic needs.

Most concerning of all people with PTSD are PEOPLE who continue to experience

a loss of basic needs.

Anger and Fear Fear as Anger/Fight or Flight Six basic fears Death Isolation Rejection Loss of Control Failure The Unknown

Fear as Anger/Fight or Flight

Six basic fears

Death

Isolation

Rejection

Loss of Control

Failure

The Unknown

Initiation Discriminitive Stimuli Triggers Person/Place Significance Why here, Why now, Why not? Reward vs. Punishment Ambivalence

Discriminitive Stimuli

Triggers

Person/Place Significance

Why here, Why now, Why not?

Reward vs. Punishment

Ambivalence

WHEN

WHEN

Activity When would someone with PTSD be motivated to take hostages? When would someone with PTSD be motivated to commit suicide?

When would someone with PTSD be motivated to take hostages?

When would someone with PTSD be motivated to commit suicide?

* Discussion Forum * Think of a client you have worked with who was suicidal as a complication of PTSD. How did this affect you? What were your interventions? Have you since discovered further interventions you could implement in a future, similar circumstance? Please take a moment to share your responses in the discussion forum. Thank you.

Think of a client you have worked with who was suicidal as a complication of PTSD. How did this affect you? What were your interventions? Have you since discovered further interventions you could implement in a future, similar circumstance?

Please take a moment to share your responses in the discussion forum.

Thank you.

INTERVENTIONS

INTERVENTIONS

Rapport Rapport=Trust Why would this person NOT trust you? Crime victims and trust The addicted family and trust Domestic violence and trust

Rapport=Trust

Why would this person NOT trust you?

Crime victims and trust

The addicted family and trust

Domestic violence and trust

Rapport: Communication Characteristics of effective communication Top communication blockers

Characteristics of effective communication

Top communication blockers

Transference Definition Options Building a positive bridge Rewriting the story

Definition

Options

Building a positive bridge

Rewriting the story

Counter-Transference “I'm rubber and you're glue”

“I'm rubber and you're glue”

PTSD Triage Similarity Proximity 6-month stressors History of mental health issues Social support

Similarity

Proximity

6-month stressors

History of mental health issues

Social support

Don't Fix It Characteristics of the Hostage Taker/Suicidal Person Hopeless Helpless Feel unheard/ignored New Roles Scientist/Anthropologist Parent (A good one)‏ Minister

Characteristics of the Hostage Taker/Suicidal Person

Hopeless

Helpless

Feel unheard/ignored

New Roles

Scientist/Anthropologist

Parent (A good one)‏

Minister

Brief Interventions Miracle Question

Miracle Question

Linking Information and Referral Receiving facilities Victim advocates Department of Children and Families VA Hospital Detoxification Crisis Teams Domestic violence shelters

Information and Referral

Receiving facilities

Victim advocates

Department of Children and Families

VA Hospital

Detoxification

Crisis Teams

Domestic violence shelters

Summary