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  1. 1. P T S D PSYC 5316- 01 Child Psychopathology Dr. Christine Bradshaw Presented by Eric Sun
  2. 2. Objectives <ul><li>Overview of PTSD </li></ul><ul><li>Article reviews </li></ul><ul><li>Book review </li></ul><ul><li>Assessments/ Treatments </li></ul><ul><li>Support groups </li></ul><ul><li>Recommendations </li></ul>
  3. 3. What are the core features? *Let’s review*
  4. 4. Reexperiencing of the Traumatic event Avoidance of associated stimuli and numbing of general responsiveness (last more than 1 month) Symptoms of extreme arousal
  5. 5. WHAT CAUSES P T S D ?
  6. 6. Natural disasters <ul><li>PTSD can occur at any ages </li></ul><ul><li>exhibit the symptoms varies: </li></ul><ul><ul><li>acute: less than 3 months </li></ul></ul><ul><ul><li>chronic: 3 months or longer </li></ul></ul><ul><ul><li>delayed onset: more than 6 months </li></ul></ul><ul><ul><li>(DSM-IV TR) </li></ul></ul>
  7. 7. Terrorism <ul><li>The facts of child with PTSD experienced……… </li></ul><ul><li>traumatic events by age of 6: 68% </li></ul><ul><li>physical problems and emotional difficulties: 20% </li></ul><ul><li>more than one traumas: 50% </li></ul><ul><li>(NCTSN) </li></ul>
  8. 8. Physical abuse <ul><li>20 percent to 63 percent in survivors of child </li></ul><ul><li>12 percent to 53 percent in the medically ill </li></ul><ul><li>5 percent to 95 percent in disaster survivors </li></ul><ul><li>(NCTSN) </li></ul>
  9. 9. Etiology of PTSD Cause Natural disasters Terrorism Abuses Accidents … .. <ul><li>Core features </li></ul><ul><li>Reexperiencing of the traumatic event </li></ul><ul><li>Symptoms of extreme arousal </li></ul><ul><li>Avoidance of associated stimuli and numbing of </li></ul><ul><li>general responsiveness </li></ul>Assessment CAPS LASC M-PTSD DSM-IV-TR Acute: > 3 months Chronic: 3~6 months Delayed onset: > 6 months PTSD Relapse (risk factors)
  10. 10. Article reviews <ul><li>Article I </li></ul><ul><li>- Memory and learning deficits in children with PTSD. </li></ul><ul><li>Purpose </li></ul><ul><li>- to find out whether the children with PTSD have memory and learning deficiency </li></ul><ul><li>Methods </li></ul><ul><li>- compare two different groups of children with traumatized and non-traumatized </li></ul><ul><li>Article II </li></ul><ul><li>- EMDR treatment for children with PTSD: Results of a randomized controlled trial </li></ul><ul><li>Purpose </li></ul><ul><li>- to evaluate the effect of EMDR treatment in the children with PTSD </li></ul><ul><li>Methods </li></ul><ul><li>- compare two different groups of children with PTSD and non-PTSD. </li></ul>
  11. 11. Conclusion of two articles <ul><li>Children with PTSD might not only be diagnosed comorbid disorders (e.g., major depression disorder, conduct order, ADHD, and substance abuse ), but associated deficiencies in memory and learning. </li></ul><ul><li>Many researches have indicated EMDR treatment provides high efficacy on the adult with PTSD and it “might” also beneficial to the children with PTSD. But more EMDR studies are needed for treating children with PTSD. </li></ul>
  12. 12. What did I read? <ul><li>Coedited by </li></ul><ul><ul><li>Dr. Foa, Dr. Keane, and Dr. Friedman </li></ul></ul><ul><li>Book contents </li></ul><ul><ul><li>Section 1: Brief intro. of PTSD </li></ul></ul><ul><ul><li>Section 2: Literature review </li></ul></ul><ul><ul><li>Section 3: Treatments (12 types) </li></ul></ul><ul><li>I reflect …… </li></ul><ul><ul><li>Citations </li></ul></ul><ul><ul><li>Fruitful clear information </li></ul></ul><ul><ul><li>A useful tool book </li></ul></ul><ul><ul><li>very practical and oriented </li></ul></ul><ul><ul><li>Must read </li></ul></ul>
  13. 13. Assessments <ul><li>Clinician-Administered PTSD Scale (CAPS) </li></ul><ul><ul><li>Form: for child, adolescence, and people experience severe traumas </li></ul></ul><ul><ul><li>Format: 30 item structured interview </li></ul></ul><ul><ul><li>Time: 45-60 minutes </li></ul></ul><ul><li>Los Angeles Symptom Checklist (LASC) </li></ul><ul><ul><li>Form: veteran, battered women, adult survivors of childhood abuse, psychiatric outpatients, and high risks adolescences. </li></ul></ul><ul><ul><li>Format: 43- item self-report measurement </li></ul></ul><ul><ul><li>Time: 10-15 minutes </li></ul></ul><ul><li>Mississippi Scale for Combat-Related PTSD (M-PTSD) </li></ul><ul><ul><li>Form: veteran, battered women, adult survivors of childhood abuse, psychiatric outpatients, and high risks adolescences. </li></ul></ul><ul><ul><li>Format: 35-item self-report questions </li></ul></ul><ul><ul><li>Time: 10-15 minutes </li></ul></ul>
  14. 14. Treatments <ul><li>EMDR </li></ul><ul><li> (2:57) </li></ul><ul><li>Video Game Tetris Used to Treat PTSD </li></ul><ul><li> (0:50) </li></ul>
  15. 15. Support groups <ul><li>National resource: </li></ul><ul><ul><li>The National Child Traumatic Stress Disorder (US government) </li></ul></ul><ul><ul><li>The national child traumatic stress network (NCTSN) </li></ul></ul><ul><li>Local resource: </li></ul><ul><ul><li>Bo’s Place </li></ul></ul><ul><ul><li>- Address: 10050 Buffalo Speedway Houston, TX 77054 </li></ul></ul><ul><ul><li>- Phone: 713-942-8339 </li></ul></ul><ul><ul><li>Recovery, Inc. (Houson - Memorial Drive) </li></ul></ul><ul><ul><li>- Address: 11612 Memorial Drive Blalock & Fondren Houston, TX 77024 </li></ul></ul><ul><ul><li>- Phone: (713) 466-3387 </li></ul></ul>
  16. 16. Recommendations <ul><li>As a counselor, we have to understand Post-traumatic stress disorder symptoms can come and go. We might always take fixing people’s problems as ours duty. However, PTSD is a kind of disorder in a circle of fixing and breaking. So having a tailoring treatment plan would be the only antidote. </li></ul><ul><li>Movie - reign over me (2007) </li></ul><ul><li>APA: </li></ul><ul><li>National Center for PTSD (US government) </li></ul><ul><li>NCTSN </li></ul>
  17. 17. April, 2 2009 The Department of Veterans Affairs (VA) will spend more than $1.4 billion as part of President Obama’s economic recovery plan of PTSD to improve services to America’s Veterans. NO MORE FEAR!!
  18. 18. References <ul><li>Ahmad, A., Larsson, B., Sundelin, W.V. (2007) EMDR treatment for children with PTSD: Results of a randomized controlled trial. Nord J Psychiatry, 61 , 349-354. </li></ul><ul><li>Course Text: Mash, E.J. & Wolfe, D.A. (2005). Abnormal Child Psychology , 3 rd edition. Thomson/Wadsworth Publishing. </li></ul><ul><li>EDNA b. Foa, Terence M. Keane, Matthew J. Friedman, Effective treatments for PTSD, 72 Spring Street, New York, NY 10012, The Guilford Press, illustrated, 2004, 388 pages. </li></ul><ul><li>The national child traumatic stress network (NCTSN) </li></ul><ul><li>United States of veterans affairs -- national center for posttraumatic stress disorder </li></ul><ul><li>American Psychology Association (APA) </li></ul><ul><li> </li></ul><ul><li>Google/ yahoo pictures gallery </li></ul>