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Strengths Based Approach to Dealing with PTSD

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View the video here: https://youtu.be/7ZnmKzo5H9M
A CEU course is here: https://www.allceus.com/member/cart/index/product/id/508/c/
PTSD results after a trauma. Understanding how the symptoms are the brain's way of trying to protect the person, examining the strategies they are using to stay healthy are rested and identifying what they are doing already that is helping to address the symptoms can be a great place to start

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Strengths Based Approach to Dealing with PTSD

  1. 1. A Strengths Based Biopsychosocial Approach to PTSD Instructor: Dr. Dawn-Elise Snipes Ph.D., LMHC, LPC-MHSP AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  2. 2. Objectives  Highlight the functional nature of most behaviors and reactions  Define PTSD  Examine the function and meaning of PTSD symptoms  Develop an understanding of why some people develop PTSD and others do not  Explore useful interventions for persons with PTSD AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  3. 3. Reward and Survival  Humans and animals experience reactions to prompt behavior  Anger/Fight  Fear/Flight  Reactions are responses designed to  Protect life  Achieve a reward  Avoid punishment AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  4. 4. PTSD and Gradual Onset PTSD  PTSD: Traditional exposure to an event or multiple events  Military  Crime Victims  Gradual Onset PTSD: repeated exposure to horrific or threatening events causing a sense of helplessness  Law Enforcement  Child Abuse/Neglect  Domestic Violence AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  5. 5. Definition  Exposure to a horrifying event in which there was a sense of helplessness  For each symptom that follows, we will identify The function What triggers that symptom or exacerbates it How the person deals with/mitigates that symptom Other things he or she could do AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  6. 6. Symptoms Re-experiencing the traumatic event Intrusive, upsetting memories of the event Flashbacks (acting/feeling like the event is happening again) Nightmares Feelings of intense distress when reminded Intense physical (panic) reactions to reminders AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89 Function Triggers Mitigators Exacerbators
  7. 7. Symptoms  PTSD symptoms of avoidance and emotional numbing Avoiding reminders of the trauma Inability to remember important aspects of the trauma Loss of interest in activities and life in general Feeling detached from others or emotionally numb Sense of a limited future AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89 Function Triggers Mitigators Exacerbators
  8. 8. Symptoms  PTSD symptoms of increased arousal Difficulty falling or staying asleep Irritability or outbursts of anger Difficulty concentrating Hypervigilance (on constant “red alert”) Feeling jumpy and easily startled AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89 Function Triggers Mitigators Exacerbators
  9. 9. Other common symptoms of PTSD  Anger and irritability  Headaches, stomach problems, chest pain  Guilt, shame, or self-blame (Assimilation)  Substance abuse  Depression and hopelessness, Suicidal thoughts  Feeling alienated and alone  Feelings of mistrust and betrayal AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89 Function Triggers Mitigators Exacerbators
  10. 10. Triage  Similarity to the victim (or being the victim)  Proximity to your safe zones (home, work)  Social support after the trauma  History of mental health problems  Number of stressors in the past 6 months AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  11. 11. Assessment  If you were not the victim, how were you similar to the victim?  How are people around you similar to the perpetrators?  What was (or would have been) helpful for people to do after the trauma?  Who can you rely on to do those things now?  What symptoms are you having…  What makes each better? Worse? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  12. 12. Strengths Based Interventions  It is easier (and more effective) to build upon something that already works to some extent.  Strengths-based approach helps people identify how they are already trying to cope and builds on that  There are two types of strengths  Prevention/Resilience Strengths  What you do on a daily basis to stay healthy and happy  Intervention/Coping Strengths  In the past when you have felt this way, what helped?  What made it worse? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  13. 13. Creating Safety / Accommodation  What can you do to take back your “safe zones”  How are you protecting yourself now?  How can your protect yourself from this in the future?  How did the experience change…  How you view things?  What is important to you?  How you will live your life now? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  14. 14. Create Safety Activity  Identify places/times when you feel safe vs. unsafe and compare them  Brainstorm different ways to create safety  At home  At night  In the car  At your office AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  15. 15. Sleep  Function  Balances neurochemicals  Helps reduce cortisol  May improve adrenal fatigue  Safety  Environmental (Feng Shui)  Common sense AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  16. 16. Sleep  Anchoring  So when you awaken you can stay in/get in the present moment  Lights  Safety item/dog  Stimuli  Sounds  Smells  Sights AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  17. 17. Sleep  Routine  Let your body know when it is time to sleep  Find ways to release stress and tension  Avoid “triggers” before bed (Television shows, news, email…)  Medication  Guided Imagery  Progressive Relaxation AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  18. 18. Social Support  Friends, family, support groups, clergy…  Nonjudgmental  Available 24/7-ish  This can include specialty hotlines and chatrooms (ptsdhotline.com; ptsdusa.org; centers.rainn.org etc.)  Empathetic  Help to meet health and safety needs  Handle the details  People in shock/traumatized cannot remember squat. They need people to prompt them and write things down AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  19. 19. Desensitization  Some things you logically know are not threatening but still evoke a startle response  Acknowledge the event  Be kind to yourself  Recognize the value of the startle response (Strength)  Identify times when your startle response might be greater (i.e. library vs. restaurant)  Identify ways to mitigate your startle response AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  20. 20. Cognitive Processing Therapy  Some beliefs about safety, happiness, or people/situations in general can be distorted by trauma. Ask yourself:  What happened? (Rape)  What is the belief? (I will never be safe, It was my fault, All people like him are bad)  Is this belief based on facts or feelings?  How reliable is the source?  Are you using extreme words?  Is the belief based on only part of the picture?  In what ways does this belief protect you?  In what ways does this belief impair your life?  How can you best use your energy? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  21. 21. Stress Management Can’t squeeze blood from a turnip  Emotional Health  Physical health  Exercise  Nutrition  Sleep  Socialization AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  22. 22. Trauma Recovery  Grief Topics  Loss of control (Acceptance=What do you have control over)  Loss of a sense of safety  Loss of hope  Loss of idealism  Loss of ______________  Grief Stages  Denial  Anger  Bargaining  Depression  Acceptance AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  23. 23. Grief Resolution  What losses did you experience as a result of the trauma  For each loss:  What about this makes you angry?  How can you deal with this anger healthfully?  Anger protects you and pushes people away. What do you still need to be protected from?  Depression signals a sense of hopelessness or helplessness. About what can you be hopeful? Empowered? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  24. 24. Summary  PTSD can be from a single event or multiple, ongoing stressors  Traumatic Events can change people’s beliefs about the world in an extreme way  For some people understanding the function of the symptoms can help them  Desensitize  Modify their beliefs  Make positive, mindful choices AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89

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