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Strengths Based Biopsychosocial Approach to Addressing PTSD

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Strengths Based Biopsychosocial Approach to Addressing PTSD

  1. 1. Instructor: Dr. Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  2. 2.  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.  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: 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 ◦ Military ◦ Child Abuse/Neglect AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  5. 5.  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.  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
  7. 7.  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
  8. 8.  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
  9. 9.  Anger and irritability  Guilt, shame, or self-blame  Substance abuse  Depression and hopelessness  Suicidal thoughts and feelings  Feeling alienated and alone  Feelings of mistrust and betrayal  Headaches, stomach problems, chest pain AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  10. 10.  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.  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? AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  12. 12.  What can you do to take back your “safe zones”  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
  13. 13.  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
  14. 14.  Anchoring ◦ (So when you awake you can stay in/get in the present mom) ◦ Lights ◦ Safety item/dog  Stimuli ◦ Sounds ◦ Smells ◦ Sights AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  15. 15.  Routine ◦ Let your body know when it is time to sleep ◦ Find ways to release stress and tension  Medication AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  16. 16.  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
  17. 17.  Nonjudgmental people  Available 24/7  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
  18. 18.  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 ◦ 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
  19. 19.  Some beliefs about safety, happiness, or people/situations in general can be distorted by trauma. Ask yourself: ◦ What happened? ◦ What is the belief? ◦ 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
  20. 20.  Overgeneralization  Control fallacy ◦ You could have controlled it ◦ You can change it (If I would have…)  All-or-Nothing Thinking  Catastrophizing  Grandiosity  Personalization AllCEUs Unlimited CE $59 | Webinars $5 | Specialty Certificates $89
  21. 21. 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.  A grief process ◦ Loss of control ◦ 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.  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.  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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