LIFESTYLE STRESSORS Stressor Yes NoGetting stuck in trafficExhaust fumes/air pollutionInterruptions at workThe weatherNoise at work or at homeWaiting in queuesOvercrowdingPoor relationshipsTime pressureFinancial difficulties
MIND STRESSORS Stressor Yes NoI always have to be pleasant no matter how IfeelI have to be the best at whatever I doI must do everything perfectlyI cannot do much about my lifeI often feel I am not good enoughI will never be a successEveryone is better than meI am the only who can solve my problems.
BODY STRESSORS Stressor Yes NoYou are unfitYou have had a recent accidentYou have an unbalanced dietYou sleep badlyYou sleep badlyYou smokeYou take drugsYou neglect your body
WORK STRESSORS Stressor Yes NoYou are overworkedYou feel undervaluedThere is too much office politics at yourplace of workThe demands of work are affecting yourprivate lifeYou are unhappy with what you are paidYou have to manage people.,You frequently take work homeYou occasionally get into conflict withcolleagues.
IMAGE FROM THEGREAT WAR TAKEN IN AN AUSTRALIANADVANCED DRESSINGSTATION NEAR YPRES IN 1917. THE WOUNDED SOLDIERIN THE LOWER LEFTOF THE PHOTO HAS A DAZED, THOUSAND- YARD STARE - AFREQUENT SYMPTOM OF "SHELL-SHOCK".
DEFINITIONASD and PTSD are characterized by severe anxiety symptomsand follow a threatening event that caused feelings offear, helplessness, or horror.ACUTE STRESS DISORDER Anxiety lasts < 1 month (but > 2 days) POST TRAUMATIC STRESS DISORDER Anxiety lasts > 1 month
POST-TRAUMATIC STRESS DISORDERPsychological disorder characterized byepisodes of anxiety, sleeplessness, andnightmares resulting from some disturbingpast event.
PTSDACUTE less than three monthsCHRONIC three months or more
RISK FACTORS/ ETIOLOGYTraumatic eventsPremorbid factors as substance abuse,personality disorders, childhood trauma,external locus of control, etc.
TRAUMATIC EVENTS War Kidnapping Natural disasters Assault Car or plane crashes Sexual or physical abuse Terrorist attacks Childhood neglect Sudden death of a loved one Or any shattering event that Rape leaves you stuck and feeling helpless and hopeless
The amygdala (Latin, corpus amygdaloideum) is an almond-shape set of neurons located deep in the brains medial temporal lobe. Shown to play a key role in the processing of emotions, theamygdala forms part of the limbic system. Conditions such as anxiety, autism, depression, post-traumaticstress disorder, and phobias are suspected of being linked toabnormal functioning of the amygdala, owing todamage, developmental problems, or neurotransmitter imbalance.
PRESENTING SYMPTOMSOnset May occur at any age, more likely among the youngor elderly. About 50% of cases resolve within 3 months.Course Symptoms usually begin immediately aftertrauma, but can occur months or years later.
PTSD TREATMENTCounsellingGroup Psychotherapy with other survivorsPharmacotherapy SSRIs Antidepressants Benzodiazepines
TRIVIA Working with trauma victims can lead to a counselor developing PTSDsymptoms. Although many people tend to associate PTSD with war-relatedviolence, it is actually this event which most often leads to a PTSD diagnosis. Jake was involved in a bad car accident three weeks ago in which his bestfriend died at the scene. Ever since the accident, Jake has not been able tosleep, thinks about the accident all the time and refuses to ride in a car. Jakeis most likely suffering from: A person with drug and alcohol issues is more likely to have PTSD thanthe general population.
Jane was sexually assaulted two months ago and is stillexperiencing PTSD symptoms. Which PTSD diagnosis is shelikely to have?Hearing about a traumatic event cannot create PTSDsymptoms; a person must experience the traumatic event first-hand in order to develop symptoms.The most commonly co-occuring disorder along with PTSDis…PTSD is untreatable.
OVER 150This is fairly representative of your situation over aperiod of years, or even just months, then your stressproblem is quite severe. You are fast approaching‘burnout’. If you do not do something to improve yourdamaging lifestyle immediately, you could be on the wayto a nervous breakdown or paving the way for illness.
BETWEEN 110 AND 149Your stress levels are too high. You may be goingthrough a crisis or major change in life. If so, do not worrytoo much as your body is designed for handling short-termstress and your score may simply represent such a periodin your life. Try to focus on the issues that are causing youproblems and try to deal with them one at a time.
BETWEEN 90 AND 109 Your stress levels are moderate. You are not in the danger zone yetbut could be if you do not take care. If you scored five in any area, youcould be experiencing stress carried over from past events. Unresolvedissues and unfinished business, which may have happened yearsbefore, can cause just as much stress as present issues. If this soundsfamiliar, try to identify and address the problems. If you are unhappyabout tackling them down on your own, then you may benefit fromseeing a counselor.
BELOW 90You show few signs of stress. This lowscore could mean that you have struck theright balance as you seem to be coping wellwith whatever stressors you encounter.