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Dr Grace Graham
 Dr. Grace Graham has served as a psychologist and
consultant at Charis Counseling and Psychological
Services since she founded the practice in 1992. In the
following decades, Dr. Grace Graham has treated a
number of individuals affected by PTSD.
Post-traumatic stress disorder, or PTSD, may occur
when an individual experiences an extremely
frightening and typically life-threatening event. The
symptoms of this condition often include hyperarousal,
a symptom cluster that includes increased anxiety,
extreme guardedness, and a heightened startle
response. Individuals with this symptom set may also
experience difficulty concentrating, irritability, or sleep
disturbances.
 Hyperarousal can be difficult to treat, as it manifests in so
many different ways. Many clinicians find that prolonged
exposure therapy makes an effective base treatment, as
contact with a dreaded stimulus can over time help to
reduce the fear response. As this response diminishes, the
patient's alert mechanism becomes less intense as well.
Meanwhile, cognitive therapies can help a client to address
and change the emotional responses that occur when the
individual thinks about the trauma. By consciously re-
forming responses, clients can redirect themselves away
from hyperarousal responses. In many cases, these therapies
work in conjunction with a medication regimen that
addresses the neural processes affected by trauma.

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Treating Hyperarousal in Clients with PTSD

  • 2.  Dr. Grace Graham has served as a psychologist and consultant at Charis Counseling and Psychological Services since she founded the practice in 1992. In the following decades, Dr. Grace Graham has treated a number of individuals affected by PTSD. Post-traumatic stress disorder, or PTSD, may occur when an individual experiences an extremely frightening and typically life-threatening event. The symptoms of this condition often include hyperarousal, a symptom cluster that includes increased anxiety, extreme guardedness, and a heightened startle response. Individuals with this symptom set may also experience difficulty concentrating, irritability, or sleep disturbances.
  • 3.  Hyperarousal can be difficult to treat, as it manifests in so many different ways. Many clinicians find that prolonged exposure therapy makes an effective base treatment, as contact with a dreaded stimulus can over time help to reduce the fear response. As this response diminishes, the patient's alert mechanism becomes less intense as well. Meanwhile, cognitive therapies can help a client to address and change the emotional responses that occur when the individual thinks about the trauma. By consciously re- forming responses, clients can redirect themselves away from hyperarousal responses. In many cases, these therapies work in conjunction with a medication regimen that addresses the neural processes affected by trauma.