PTSD

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  • PTSD

    1. 1. PTSD Workshop <ul><li>Presented by: Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC </li></ul>
    2. 2. <ul><li>WHO </li></ul>
    3. 3. People's Basic Needs <ul><li>Biological (Food, Water, Warmth)‏ </li></ul><ul><li>Safety </li></ul><ul><li>Love and belonging </li></ul><ul><li>Esteem </li></ul>
    4. 4. * Discussion Forum * <ul><li>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? </li></ul><ul><li>Please take a moment to share your responses in the discussion forum. </li></ul><ul><li>Thank you. </li></ul>
    5. 5. Types of Post Traumatic Stress Disorder <ul><li>Combat </li></ul><ul><li>Rape Trauma </li></ul><ul><ul><li>Victim </li></ul></ul><ul><ul><li>Parent of Victim </li></ul></ul><ul><li>Gradual Onset </li></ul><ul><ul><li>Definition </li></ul></ul><ul><ul><li>Law Enforcement, Nurses, Psychologists, Fire/EMS </li></ul></ul><ul><li>Domestic Violence </li></ul><ul><li>Other Trauma. . .(Discussion) </li></ul>
    6. 6. Diagnosis/Definition <ul><li>Exposure </li></ul><ul><li>Actual or threatened death; serious injury; witnessing such </li></ul><ul><li>Response involves intense fear, helplessness, or horror </li></ul><ul><li>Persistent reexperiencing of the traumatic event </li></ul><ul><li>Avoidance of stimuli associated with the trauma </li></ul><ul><li>Numbing of general responsiveness </li></ul><ul><li>Hypervigilence </li></ul><ul><li>Irritability </li></ul><ul><li>Clinically significant distress for more than 1 month </li></ul>
    7. 7. Complications/Impact of PTSD <ul><li>Emotional </li></ul><ul><li>Mental </li></ul><ul><li>Physical </li></ul><ul><li>Social </li></ul><ul><li>Spiritual </li></ul><ul><li>Environmental </li></ul><ul><li>Occupational/Financial </li></ul>
    8. 8. * Discussion Forum * <ul><li>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? </li></ul><ul><li>Please take a moment to share your responses in the discussion forum. </li></ul><ul><li>Thank you. </li></ul>
    9. 9. <ul><li>WHAT / WHY </li></ul>
    10. 10. Discussion <ul><li>Most concerning of all people with PTSD are PEOPLE who continue to experience </li></ul><ul><li>a loss of basic needs. </li></ul>
    11. 11. Anger and Fear <ul><li>Fear as Anger/Fight or Flight </li></ul><ul><li>Six basic fears </li></ul><ul><ul><li>Death </li></ul></ul><ul><ul><li>Isolation </li></ul></ul><ul><ul><li>Rejection </li></ul></ul><ul><ul><li>Loss of Control </li></ul></ul><ul><ul><li>Failure </li></ul></ul><ul><ul><li>The Unknown </li></ul></ul>
    12. 12. Initiation <ul><li>Discriminitive Stimuli </li></ul><ul><ul><li>Triggers </li></ul></ul><ul><ul><li>Person/Place Significance </li></ul></ul><ul><li>Why here, Why now, Why not? </li></ul><ul><ul><li>Reward vs. Punishment </li></ul></ul><ul><ul><li>Ambivalence </li></ul></ul>
    13. 13. <ul><li>WHEN </li></ul>
    14. 14. Activity <ul><li>When would someone with PTSD be motivated to take hostages? </li></ul><ul><li>When would someone with PTSD be motivated to commit suicide? </li></ul>
    15. 15. * Discussion Forum * <ul><li>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? </li></ul><ul><li>Please take a moment to share your responses in the discussion forum. </li></ul><ul><li>Thank you. </li></ul>
    16. 16. <ul><li>INTERVENTIONS </li></ul>
    17. 17. Rapport <ul><li>Rapport=Trust </li></ul><ul><ul><li>Why would this person NOT trust you? </li></ul></ul><ul><ul><ul><li>Crime victims and trust </li></ul></ul></ul><ul><ul><ul><li>The addicted family and trust </li></ul></ul></ul><ul><ul><ul><li>Domestic violence and trust </li></ul></ul></ul>
    18. 18. Rapport: Communication <ul><li>Characteristics of effective communication </li></ul><ul><li>Top communication blockers </li></ul>
    19. 19. Transference <ul><li>Definition </li></ul><ul><li>Options </li></ul><ul><ul><li>Building a positive bridge </li></ul></ul><ul><ul><li>Rewriting the story </li></ul></ul>
    20. 20. Counter-Transference <ul><li>“I'm rubber and you're glue” </li></ul>
    21. 21. PTSD Triage <ul><li>Similarity </li></ul><ul><li>Proximity </li></ul><ul><li>6-month stressors </li></ul><ul><li>History of mental health issues </li></ul><ul><li>Social support </li></ul>
    22. 22. Don't Fix It <ul><li>Characteristics of the Hostage Taker/Suicidal Person </li></ul><ul><ul><li>Hopeless </li></ul></ul><ul><ul><li>Helpless </li></ul></ul><ul><ul><li>Feel unheard/ignored </li></ul></ul><ul><li>New Roles </li></ul><ul><ul><li>Scientist/Anthropologist </li></ul></ul><ul><ul><li>Parent (A good one)‏ </li></ul></ul><ul><ul><li>Minister </li></ul></ul>
    23. 23. Brief Interventions <ul><li>Miracle Question </li></ul>
    24. 24. Linking <ul><li>Information and Referral </li></ul><ul><li>Receiving facilities </li></ul><ul><li>Victim advocates </li></ul><ul><li>Department of Children and Families </li></ul><ul><li>VA Hospital </li></ul><ul><li>Detoxification </li></ul><ul><li>Crisis Teams </li></ul><ul><li>Domestic violence shelters </li></ul>
    25. 25. Summary
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