Course Description (From www.PESI.com):
Attend this day of training and leave with a brand new toolkit of skills, interventions, and principles for rapid success with traumatized clients. Join Jamie Marich and learn the standard of care for treatment in the field of traumatic stress – and its key ingredients. Implement evidence-based treatment protocols and interventions for establishing safety, desensitizing and reprocessing trauma memories, metabolizing and resolving grief/loss and finally, assisting clients in reconnecting to lives full of hope, connection, and achievement.
Jamie is a certified EMDR Therapist and approved consultant through the EMDR International Association (EMDR). She is additionally a member of the American Academy of Experts in Traumatic Stress, the International Association of Trauma Professionals (IATP), and has earned Certification in Disaster Thanatology.
Jamie began her career in social services as a humanitarian aid worker in post-war Bosnia-Herzegovina opening her eyes to the widespread, horrific impact of traumatic stress and grief.
Objectives:
Describe the etiology and impact of traumatic stress on the client utilizing multiple assessment strategies.
Assess a client’s reaction to a traumatic event and make an appropriate diagnosis.
Explain how grief, bereavement, and mourning are accounted for in the new DSM-5®.
Implement interventions to assist a client in dealing with the biopsychosocial manifestations of trauma, PTSD, and traumatic grief/complicated mourning.
Utilize appropriate evidence-based interventions to assist a client in dealing with the biopsychosocial-spiritual manifestations of trauma.
Explain the effects of trauma on the structure and function of the brain.
Course Description (From www.PESI.com):
Attend this day of training and leave with a brand new toolkit of skills, interventions, and principles for rapid success with traumatized clients. Join Jamie Marich and learn the standard of care for treatment in the field of traumatic stress – and its key ingredients. Implement evidence-based treatment protocols and interventions for establishing safety, desensitizing and reprocessing trauma memories, metabolizing and resolving grief/loss and finally, assisting clients in reconnecting to lives full of hope, connection, and achievement.
Jamie is a certified EMDR Therapist and approved consultant through the EMDR International Association (EMDR). She is additionally a member of the American Academy of Experts in Traumatic Stress, the International Association of Trauma Professionals (IATP), and has earned Certification in Disaster Thanatology.
Jamie began her career in social services as a humanitarian aid worker in post-war Bosnia-Herzegovina opening her eyes to the widespread, horrific impact of traumatic stress and grief.
Objectives:
Describe the etiology and impact of traumatic stress on the client utilizing multiple assessment strategies.
Assess a client’s reaction to a traumatic event and make an appropriate diagnosis.
Explain how grief, bereavement, and mourning are accounted for in the new DSM-5®.
Implement interventions to assist a client in dealing with the biopsychosocial manifestations of trauma, PTSD, and traumatic grief/complicated mourning.
Utilize appropriate evidence-based interventions to assist a client in dealing with the biopsychosocial-spiritual manifestations of trauma.
Explain the effects of trauma on the structure and function of the brain.
Healing Trauma through Somatic Experiencing and Gestalt Therapy bwitchel
Develop a basic understanding of Somatic Experiencing®, a short-term approach to healing trauma, and the use of Gestalt Therapy in trauma resolution.
Dr. Bob Witchel
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/393/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
This slide show explores the impacts of trauma on children and how symptoms of trauma impact emotional regulation, attention, relationships and development.
What is it that moves a person to give up their time, money, and even safety to relieve another person's suffering? Compassion is the key. Human suffering is inevitable, but our ability to understand and sympathize with the plight and circumstances of other people can play a major role in whether we take action to relieve this suffering. Compassion is also a highly valued quality. Religions stress the importance of compassion, while people often list characteristics such as "kind" and "compassionate" as what they look for in a potential partner.
Complex PTSD and Moral Injury - Lane Cook and Herb Piercy.pptxLaneCook2
Presented at the 25th annual Fall Psychiatric Symposium, Knoxville, TN - review of C-PTSD and Moral Injury, overlap. Reviews history, references, psychotherapy, medications. For therapists, psychiatrists and people working with veterans.
Healing Trauma through Somatic Experiencing and Gestalt Therapy bwitchel
Develop a basic understanding of Somatic Experiencing®, a short-term approach to healing trauma, and the use of Gestalt Therapy in trauma resolution.
Dr. Bob Witchel
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/393/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
This slide show explores the impacts of trauma on children and how symptoms of trauma impact emotional regulation, attention, relationships and development.
What is it that moves a person to give up their time, money, and even safety to relieve another person's suffering? Compassion is the key. Human suffering is inevitable, but our ability to understand and sympathize with the plight and circumstances of other people can play a major role in whether we take action to relieve this suffering. Compassion is also a highly valued quality. Religions stress the importance of compassion, while people often list characteristics such as "kind" and "compassionate" as what they look for in a potential partner.
Complex PTSD and Moral Injury - Lane Cook and Herb Piercy.pptxLaneCook2
Presented at the 25th annual Fall Psychiatric Symposium, Knoxville, TN - review of C-PTSD and Moral Injury, overlap. Reviews history, references, psychotherapy, medications. For therapists, psychiatrists and people working with veterans.
Post-Traumatic Stress Disorder (PTSD) is a debilitating mental health condition caused by traumatic events, impacting individuals worldwide, including children. DSM-5 outlines symptoms like re-experiencing, avoidance, negative mood, and hyperarousal. Biological, psychological, and environmental factors contribute to PTSD's etiology, and adverse childhood experiences and lack of social support heighten the risk. Childhood PTSD symptoms may differ from adults', necessitating early diagnosis and intervention. Differential diagnosis is crucial to distinguish PTSD from other disorders like ASD, Adjustment Disorders, Panic Disorder, Dissociative Disorders, Major Depressive Disorder, and Traumatic Brain Injury. Treatment involves psychotherapy (CBT, EMDR, Prolonged Exposure) and medication (SSRIs) along with social support and self-care. The movie "American Sniper" portrays the impact of war trauma on Chris Kyle, illustrating intrusive memories, hyperarousal, and reintegration challenges. Treatment and long-term recovery emphasize continuous support and self-care. Understanding PTSD's complexity is crucial, and "American Sniper" highlights the need for increased awareness and support to improve the well-being of those affected.
Diagnostic Criteria:
exposure to actual or threatened death, serious, or sexual violence in one( or more) of the following ways:
1) Directly experiencing the traumatic events.
2) Witnessing in person
3) Learning that the traumatic event occur to close family member or friend.
4) Experiencing repeated or extreme exposure to aversive details of the traumatic events.
Chapter Seven:
Posttraumatic Stress Disorder
Background of PTSD
Psychic trauma is the result of experiencing an acute overwhelming threat in which disequilibrium occurs.
Most people are extremely resilient and will quickly return to a state of mental and physical homeostasis.
Acute stress disorder is when symptoms continue for a period of 2 days to 1 month and have an onset within 1 month of the traumatic event.
Background Cont.
If acute stress disorder symptoms develop, they will typically diminish in 1 to 3 months.
Delayed PTSD is when symptoms disappear for a period of time and then reemerge in a variety of symptomatic forms months or years after the event.
Benchmarks
Railway train accidents
“Railway spine”
Freud’s research on trauma cases of young Victorian women
“Hysterical neurosis”
Traumatized combat veterans (especially veterans of the Vietnam Conflict)
“Shell shock”
“Combat fatigue”
Benchmarks Cont.
Recognition of domestic violence and rape via the women’s movement
“Battered women’s syndrome”
All came together to be defined as posttraumatic stress disorder in the third edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (1980).
Diagnostic Criteria
Exposure to a trauma that involves:
Actual or perceived threat of serious injury or death to self or others
Response to the trauma was intense fear, helplessness, or horror
Symptoms arise that were not evident before the event
Persistent re-experiencing of the trauma in at least ONE of the following ways:
Recurrent and distressing recollections
Recurrent nightmares
Flashback episodes
Distress related to internal or external cues that symbolize the event
Physiological reactions to events that symbolize the trauma
Diagnostic Criteria Cont.
Behaviors consistent with at least THREE of the following:
Persistently avoiding related thoughts, dialogues, or feelings
Persistently avoiding related activities, people, or situations
Inability to recall important details of the trauma
Markedly diminished interest in significant activities
Emotionally detached from others
Restricted range of affect
Sense of foreshortened future
Diagnostic Criteria Cont.
Persistent symptoms of increased nervous system arousal that were not present prior to the trauma, as indicated by at least TWO of the following:
Difficulty falling or staying asleep
Irritability or outbursts of anger
Difficulty concentrating
Hyper-vigilance
Exaggerated startle reactions to minimal stimuli
The disturbance causes clinically significant impairment in social, occupational, or other critical areas of living.
PTSD in Children
Bus kidnapping in Chowchilla, CA
30-50% of children will experience at least one traumatic event by the age of 18.
3-16% of boys and 1-6% of girls will develop PTSD.
The type of trauma will impact the likelihood of developing PTSD.
Nearly 100% if they see a parent killed or sexually assaulted.
Approximately 90% if the child .
Understand Clients Mental Health Diagnosis & Appropriately Interact with themuyvillage
Definition of mental illness. The causes of mental illness. Tips on how to empower youth with mental health disorders. Ways to teach skills to youth who have the following diagnosis: Reactive Attachment, Post Traumatic Stress Disorder, Oppositional Defiant Disorder, ADHD, Spectrum Disorders,
Similar to Complex PTSD and Bordeline Personality Disorder (20)
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
The goals for today’s presentation are to take a look at a cluster of symptoms not yet included in the DSM. The concept of CPTSD has been around for at least 17 years, since the term was first used by Judith Herman in Trauma and Recovery (1992). In 1997 it was called Disorders of Extreme Stress, Not Otherwise Specified (DESNOS) studied in a field trial for potential inclusion in the DSM-IV. Rather than introducing CPTSD as a new diagnosis, as recommended by Pelcovitz, Kaplan, & Spitzer and the field trial group, 9 of the 12 recognized symptoms were included in the Associated Features of PTSD. We will look at the ways in which the current PTSD diagnosis does not properly describe the symptoms experienced by those who would be diagnosed with CPTSD, as well as a number of diagnoses that might be comorbid with PTSD or subsumed under CPTSD. One of the more controversial conclusions dranw by some researchers is that many people currently diagnosed with Borderline Personality Disorder might actually have CPTSD, which might have the benefit of reducing the stigma attached to BPD. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
This slide is an abbreviated version of the DSM-IV TR criteria for BPD. We will be looking at these more later. The full criteria follow. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. frantic efforts to avoid real or imagined abandonment. Note : Do not include suicidal or self-mutilating behavior covered in Criterion 5. 2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3. identity disturbance: markedly and persistently unstable self-image or sense of self. 4. impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note : Do not include suicidal or self-mutilating behavior covered in Criterion 5. 5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). 7. chronic feelings of emptiness 8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 9. transient, stress-related paranoid ideation or severe dissociative symptoms The essential feature of Borderline Personality Disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
Now we will shift gears briefly to discuss Dissociative Disorders. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
Here we have the six general criteria for the diagnosis of PTSD. In the following sections we will consider the ways in which these criteria may be inadequate to describe the closely related, yet distinctly different, cluster of symptoms ‘unofficially’ called Complex Posttraumatic Stress Disorder. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
The associated features of PTSD are subsumed within the aspects of CPTSD as defined by the DSM-IV field trial for DESNOS. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
FIND CITATION 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
Splitting off of elements of trauma 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
Here is a comparison between CPTSD and BPD. As you can see, there are significant similarities between the two. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
46 questions within 6 subscales 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
ADD ROTH 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
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