Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can develop after exposure to a traumatic event involving threat of injury or death. Symptoms include nightmares, flashbacks, avoidance of trauma-related stimuli, and increased arousal. Risk factors include female gender, lack of social support, and pre-existing mental health conditions. Treatment involves trauma-focused cognitive behavioral therapy, family therapy, medication, and alternative therapies like EMDR. Screening tools assess trauma exposure and PTSD symptoms to help identify affected individuals.
Post-traumatic stress disorder (PTSD) is a
real illness. You can get PTSD after living through or seeing a traumatic
event, such as war, a hurricane, rape, physical abuse or
a bad accident. PTSD makes you feel stressed and afraid after the danger is
over. It affects your life and the people around you.
PTSD can cause problems like:
-- Flashbacks, or feeling like the event is
happening again
-- Trouble sleeping or nightmares
-- Feeling alone
-- Angry outbursts
-- Feeling worried, guilty or sad
PTSD starts at different times for
different people. Signs of PTSD may start soon after a frightening event and
then continue. Other people develop new or more severe signs months or even
years later. PTSD can happen to anyone, even children.
Medicines can help you feel less afraid and
tense. It might take a few weeks for them to work. Talking to a specially
trained doctor or counselor also helps many people with PTSD. This is called
talk therapy.
# 1 thing that all treatments mention is SAFETY
Followed by: coping skills/ support system/ regaining control/ reducing stress/ relaxation skills/ self nourishing
Post-traumatic stress disorder (PTSD) is a
real illness. You can get PTSD after living through or seeing a traumatic
event, such as war, a hurricane, rape, physical abuse or
a bad accident. PTSD makes you feel stressed and afraid after the danger is
over. It affects your life and the people around you.
PTSD can cause problems like:
-- Flashbacks, or feeling like the event is
happening again
-- Trouble sleeping or nightmares
-- Feeling alone
-- Angry outbursts
-- Feeling worried, guilty or sad
PTSD starts at different times for
different people. Signs of PTSD may start soon after a frightening event and
then continue. Other people develop new or more severe signs months or even
years later. PTSD can happen to anyone, even children.
Medicines can help you feel less afraid and
tense. It might take a few weeks for them to work. Talking to a specially
trained doctor or counselor also helps many people with PTSD. This is called
talk therapy.
# 1 thing that all treatments mention is SAFETY
Followed by: coping skills/ support system/ regaining control/ reducing stress/ relaxation skills/ self nourishing
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.
Trauma and stressor-related disorders are a group of emotional and behavioral problems that may result from childhood traumatic and stressful experiences. These traumatic and stressful experiences can include exposure to physical or emotional violence or pain, including abuse, neglect or family conflict.
Adjustment disorders are commonly seen in primary care settings in which the 1-year prevalence varies from 11% to 18% of those with any clinical psychiatric disorder. [Casey PR et al., 1984]
A recent study [Maercker A et al., 2012] in the general population found the prevalence of adjustment disorder to be 0.9%,
A presentation about panic attacks and panic disorder. this presentation composed of the definition, causes, symptoms, diagnosis, treatment, prevention and prognosis of panic disorder.
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project and its content please email the teacher Chris Jocham: jocham@fultonschools.org
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.
Trauma and stressor-related disorders are a group of emotional and behavioral problems that may result from childhood traumatic and stressful experiences. These traumatic and stressful experiences can include exposure to physical or emotional violence or pain, including abuse, neglect or family conflict.
Adjustment disorders are commonly seen in primary care settings in which the 1-year prevalence varies from 11% to 18% of those with any clinical psychiatric disorder. [Casey PR et al., 1984]
A recent study [Maercker A et al., 2012] in the general population found the prevalence of adjustment disorder to be 0.9%,
A presentation about panic attacks and panic disorder. this presentation composed of the definition, causes, symptoms, diagnosis, treatment, prevention and prognosis of panic disorder.
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project and its content please email the teacher Chris Jocham: jocham@fultonschools.org
Sexual violence, including rape, has long-lasting emotional, psychological, and physical effects on survivors. One of these effects is rape trauma syndrome, sometimes called sexual assault trauma syndrome.
Other common mental health disorders after being a victim of sexual violence include depression, anxiety, self-harm, and substance abuse.
PTSD (Post-Traumatic Stress Disorder) is a mental health disorder that can develop after a person has experienced or witnessed a traumatic event. Symptoms can include flashbacks, nightmares, avoidance, negative changes in mood, and increased arousal. Treatment options include therapy, medication, or a combination of both. It's important to seek professional help if you or someone you know is experiencing symptoms of PTSD. If you are also suffering from this disorder then WALTZ Trauma Care and Therapy can help you to tackle this disorder.
Dealing with post traumatic experience during covid 19sojan47
Prepared by
Dr Sojan Antony
Department of Psychiatric Social Work
National Institute of Mental Health Care and Nero Sciences (NIMHANS), Bangalore, India
Bipolar Disorder is a serious Mental Illness which can be managed with the help of medication and psychotherapy. Diagnosis is the first step but unfortunately it typically happens 10 years after onset of first symptoms. Mood swings between mania, hypomania and depression characterise Bipolar Disorder.
Post traumatic stress disorder is a real and serious mental health condition. If you or a loved one is struggling, please know that Pathways Real Life Recovery offers treatment for PTSD in Utah.
https://pathwaysreallife.com/post-traumatic-stress-disorder-ptsd-treatment-in-utah/
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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3. Definition“Posttraumatic Stress
Disorder is a type of
anxiety disorder that
occurs after one sees
or experiences a
traumatic event that
involves the threat of
injury, death or other
physical integrity.”
Involved in/with event
Witness event
Learning or hearing about event
Person responds with intense
fear, horror, helplessness,
disorganized or agitated
behavior.
Symptoms must be present for
more than 1 month
Disturbance causes clinically
significant distress or impairment
in important areas of
functioning.
4. Specifiers
Acute
Symptoms last less than 3
months
Chronic
Symptoms last more than
3 months
Delayed Onset
At least 6 months have
passed between traumatic
event and onset of
symptoms
5. Differential Diagnosis
Adjustment Disorder
Stressor can be of any severity.
Situation in which symptoms occur are not extreme (e.g. being
fired, spouse leaving).
Acute Stress Disorder
Symptoms are similar to PTSD, but occur within 4 weeks and
resolve within the same 4 week period.
Obsessive-Compulsive Disorder
Recurrent intrusive thoughts not related to traumatic event.
Thoughts are experienced as inappropriate.
7. Risk Factors
• Female Middle-aged (40 to 60 years old)
• No experience coping with traumatic events
• Ethnic minority
• Lower socioeconomic status
• Children
• Spouse or partner with PTSD
• Pre existing psychiatric condition
• Primary exposure to the trauma
• Living in traumatized community
8. Symptoms
• Sleep problems
• Irritability,
• Difficulty concentrating,
• Jumpiness,
• Feeling constantly “on
guard”
are associated with anger
and
hostility (hyper alertness)
• Hostility
• Fear and anxiety
9. Symptoms cont'd
• Nightmares and flashbacks
• Sight, sound, and smell recollection
• Avoidance of recall situations
• Anger and irritability
• Guilt
• Depression
• Increased substance abuse
• Negative world view
• Decreased sexual activity
10. Screening for PTSD
• Posttraumatic Stress Disorder Checklist
• the only screening tool for PTSD
• 17-item checklist
• tested in primary care settings.
• Sensitivity is low (11)
• SPAN(Startle, Physiological arousal, Anger,
Numbness).
• only screens for four symptoms
• correlates with more extensive measures of PTSD
11. Screening for Trauma
(non-PTSD) Michigan Critical Events Perception Scale
five-item questionnaire
positive scores are 3X more likely to develop PTSD
Acute Stress Disorder Scale
19-item self report
psychometric properties(reliability, validity),
not tested in trauma or primary care setting.
Suicide evaluation
Very important for any trauma victim
12. PCL: PTSD Checklist
Examples
• Have you been jumpy or easily
startled lately?
• Have you been irritable or had
outbursts of anger?
• Have you found yourself trying
to avoid situations that remind
you of it?
• Have you had nightmares about
it or thought about it when you
did not want to?
The PCL is self administered
Responses range from 1 being
the lowest to 5 being the highest
The higher the score, the more
symptoms a patient may have.
Used for military personnel.
13. SPAN
Span is administered by clinician
Answers are evaluated by verbal
answer and body language.
If client answers “NO” to 2 or
more questions, PTSD is very
unlikely
“In your life have you ever had any
experience that was so
frightening, horrible, or upsetting
that in the past month you: “
Startle: “Have you had nightmares
or thought about it when you did
not want to”
Physiological arousal: “Tried hard
to avoid it or not think about it?”
Anger: where constantly on guard
or easily startled?
Numbness: “felt numb or
detached?”
14. Treatment
Trauma-focused cognitive-behavioral therapy. Cognitive-behavioral therapy for PTSD and trauma involves carefully
and gradually “exposing” yourself to thoughts, feelings, and situations that remind you of the trauma. Therapy also
involves identifying upsetting thoughts about the traumatic event–particularly thoughts that are distorted and
irrational—and replacing them with more balanced picture.
Family therapy. Since PTSD affects both you and those close to you, family therapy can be especially productive.
Family therapy can help your loved ones understand what you’re going through. It can also help everyone in the
family communicate better and work through relationship problems.
Medication. Medication is sometimes prescribed to people with PTSD to relieve secondary symptoms of depression or
anxiety. Antidepressants such as Prozac and Zoloft are the medications most commonly used for PTSD. While
antidepressants may help you feel less sad, worried, or on edge, they do not treat the causes of PTSD.
EMDR (Eye Movement Desensitization and Reprocessing). EMDR incorporates elements of cognitive-behavioral
therapy with eye movements or other forms of rhythmic, left-right stimulation, such as hand taps or sounds. Eye
movements and other bilateral forms of stimulation are thought to work by “unfreezing” the brain’s information
processing system, which is interrupted in times of extreme stress, leaving only frozen emotional fragments which
retain their original intensity. Once EMDR frees these fragments of the trauma, they can be integrated into a
cohesive memory and processed.
15. Medication
• Selective serotonin reuptake inhibitors
• Celexa, Lexapro, Paxil and Prozac
• Reduce avoidance, numbing, hyper arousal, and intrusive thoughts.
• Side effects are general nausea, restlessness, and loss of libido.
• Heterocyclic antidepressants
• Elavil, Tofranil, and Pamelor
• Inhibit nerve cells' ability to reuptake serotonin and norepinehrine
• Reduce intrusive thoughts, hyper arousal, numbing, and insomnia
• Side effects include weight gain, sedation, constipation, dry mouth,
dizziness, blurred vision, EKG changes, Orthostasis. Can be harmful if
suddenly stopped.
16. Alternative Prevention
• Reach out to others for support
• Avoid alcohol and drugs
• Challenge your sense of helplessness
• http://www.youtube.com/watch?v=eHmXYhS4HQI
Positive ways of coping with PTSD:
• Learn about trauma and PTSD.
• Join a PTSD support group
• Practice relaxation techniques
• Confide in a person you trust
• Spend time with positive people
• Avoid alcohol and drugs
17. Complications
• Early treatment is better.
• PTSD symptoms can change family life.
• PTSD can be related to other health problems.
• Previous traumatic experiences, especially in early life.
• Family history of PTSD or depression.
• History of physical or sexual abuse.
• History of substance abuse.
• History of depression, anxiety, or another mental illness.
• High level of stress in everyday life.
• Lack of support after the trauma.
• Lack of coping skills.
18. PTSD Self-Test
Are you troubled by the following?
Yes No
You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.
Do you re-experience the event in at least one of the following ways?
Yes No
Repeated, distressing memories, or dreams
Yes No
Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it)
Yes No
Intense physical and/or emotional distress when you are exposed to things that remind you of the event
Do reminders of the event affect you in at least three of the following ways?
Yes No
Avoiding thoughts, feelings, or conversations about it
Yes No
Reference:
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.
19. References
Hathaway, L. M., Boals, A., & Banks, J. B. (2010). PTSD symptoms and dominant
emotional response to a traumatic event: an examination of DSM-IV Criterion
A2.Anxiety, Stress & Coping, 23(1), 119-126. doi:10.1080/10615800902818771
Marshall, G. N., Schell, T. L., & Miles, J. V. (2010). All PTSD symptoms are highly
associated with general distress: Ramifications for the dysphoria symptom
cluster. Journal of Abnormal Psychology, 119(1), 126-135.
doi:10.1037/a0018477
Park, C. L., Mills, M., & Edmondson, D. (2010). Ptsd as meaning violation: Testing a
cognitive worldview perspective. Psychological Trauma: Theory, Research,
Practice, and Policy, doi:10.1037/a0018792
Postdeployment Anger and Aggressiveness in Veterans of Iraq and Afghanistan Wars.
(2010). The American Journal of Psychiatry, (), . Retrieved from
http://www.psych.org/MainMenu/Newsroom/NewsReleases/2010-News-
Releases/Anger-and-Aggressiveness-in-Veterans-.aspx
20. References cont'd
Drug treatment for posttraumatic stress disorder retrieved though
http://pier.axponline.org/physicians on February 5, 2011
DHCC Clinicians Helpline. (2003). PCL Primer. Retrieved from
http://www.pdhealth.mil/guidelines/downloads/PCL_Primer.pdf
http://www.adaa.org/living-with-anxiety/ask-and-learn/screenings/screening-
posttraumatic-stress-disorder-ptsd