This document discusses trauma and its effects on development. It covers different types of trauma and outlines PTSD symptoms and diagnosis. It then examines the neurobiological effects of trauma and discusses dissociation. Treatment approaches are reviewed including evidence-based practices. Trauma symptoms in children are outlined and guidelines for working with traumatized children are provided. The relationship between trauma and substance abuse, the military, aging, and culture are also explored.
Trauma & Stressor Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
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.
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.
reaction to stressful experiences. the normal reactions and psychological disorders related to it. short discussion of PTSD, acute stress reaction and Adjustment disorder along with treatment options.
very summarized management of each condition. good for medical students
Trauma & Stressor Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
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.
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.
reaction to stressful experiences. the normal reactions and psychological disorders related to it. short discussion of PTSD, acute stress reaction and Adjustment disorder along with treatment options.
very summarized management of each condition. good for medical students
PTSD is a disease first introduced into the diagnostic and statistical manual of mental disorders (DSM) in 1980
With the world experiencing an unprecedented onslaught of disasters and traumas, it is imperative that health workers are aware of the disease and the factors that affect it
Traumatic events that can trigger Post-Traumatic Stress Disorder include violent physical injury, natural or man-made disasters, accidents, or military fighting.. People with Post-Traumatic Stress Disorder have intense and troubling thoughts and feelings related to their experience that linger long after the traumatic event ends. You can relive the event through flashbacks or nightmares; You can be sad, scared, or angry and they can feel distant or aloof from other people. People with Post-Traumatic Stress Disorder can avoid situations or people reminding them of the traumatic event, and they can have strong negative reactions to something as common as a loud noise or accidental touch.
# 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.
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation
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.
Posttraumatic stress disorder (PTSD) is an anxiety disorder that a person may develop after experiencing or witnessing an extreme, overwhelming traumatic event during which they felt intense fear, helplessness, or horror.
• Dimensions and areas may vary based on actual site condition.
• Furniture and appliances are not included.
• Approx. Gross floor area is inclusive of balcony/ies and service area at the roof deck, if applicable.
• key plan is based on typical floor.
PTSD is a disease first introduced into the diagnostic and statistical manual of mental disorders (DSM) in 1980
With the world experiencing an unprecedented onslaught of disasters and traumas, it is imperative that health workers are aware of the disease and the factors that affect it
Traumatic events that can trigger Post-Traumatic Stress Disorder include violent physical injury, natural or man-made disasters, accidents, or military fighting.. People with Post-Traumatic Stress Disorder have intense and troubling thoughts and feelings related to their experience that linger long after the traumatic event ends. You can relive the event through flashbacks or nightmares; You can be sad, scared, or angry and they can feel distant or aloof from other people. People with Post-Traumatic Stress Disorder can avoid situations or people reminding them of the traumatic event, and they can have strong negative reactions to something as common as a loud noise or accidental touch.
# 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.
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation
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.
Posttraumatic stress disorder (PTSD) is an anxiety disorder that a person may develop after experiencing or witnessing an extreme, overwhelming traumatic event during which they felt intense fear, helplessness, or horror.
• Dimensions and areas may vary based on actual site condition.
• Furniture and appliances are not included.
• Approx. Gross floor area is inclusive of balcony/ies and service area at the roof deck, if applicable.
• key plan is based on typical floor.
Romy minko has interest in a wide range of subjectsRomy Minko
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anxiety disorder , a common mental health problemArchanaPokharel2
A prevalent mental health concern worldwide is anxiety disorder. These are the signs of anxiety disorder, along with a treatment strategy and helpful hints.
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Learn how to differentiate
between anxiety, panic attacks, and panic
disorder, understand the cycle of panic and
how to interrupt it, and learn the fundamentals
of panic disorder treatment.
Developed a training on childhood trauma and the affects it has on elementary teachers.
The training was offered to teachers at Leffingwell Elementary School, part of the East Whittier City School District. After interning as the school's counselor for one year, it was found necessary to help train and remind teachers about childhood trauma.
The training offered:
- Reasons why students are referred to counseling
- Understanding experience of childhood trauma
- Review of PTSD
- Information of new DSM-V PTSD
- Discussion of potential misdiagnosed
- Role of Teachers
- Teacher Self-Care Practices
Psychiatric emergencies are acute changes in behavior that negatively impact a patient's ability to function in his or her environment. ... The screening assessment also involves a psychiatric safety check to explore for suicidal ideation, homicidal ideation, or patients' inability to care for themselves.
2. Types
• Can be one exposure or a series of exposures
• Can be direct or vicarious
• Can be accidental, natural disaster, or deliberate
• Which is most harmful? Why?
3. PTSD
• More serious than acute stress disorder
• Exposure to traumatic event
• Lasts from 2 days to 4 weeks
• Occurs within a month of the event
• Duration of more than 1 month
• Acute PTSD < 3 months
• Chronic PTSD 3 months or more
• Can cause long-term changes in affect, behavior, and
functioning for some
4. Assessing Trauma
• Important to consider:
• Characteristics of the trauma
• Pretrauma factors
• Recovery factors
• Social support can make a big difference
5. Neurobiology of Trauma
• Hyperactive arousal states:
• Limbic system (emotion)
• Endocrine system (metabolism; blood pressure)
• Autonomic nervous system (gastrointestinal)
• Immune system (lymph nodes)
• Can result in problems with:
• Memory
• Learning
• Attention
• Concentration
• Can affect children's development
• May be related to higher levels of ADD
6. Dissociation
• What happens if you cannot fight or flee?
• Body prepares for injury
• Seen most commonly in sexual abuse
• Starts as a coping strategy but becomes problemsatic
• Does not allow for appropriate grief response
• Depersonalization: internal world and self are unreal
• Derealization: external world is unreal
7. Treatment
• Evidence-based practices
• E.g., CBT, DBT; psychopharmacology
• Safety must be reestablished
• Remembrance and mourning
• Reconnection
• Trauma and substance abuse
Self-medicating hypothesis
High-risk hypothesis
Susceptibility hypothesis
• Trauma and PTSD usually precede substance abuse
• Both issues carry shame and stigma
• Must be treated together
8. Trauma-Related Issues in Children
• Symptoms of PTSD :
• Re-enactment
• Play
• Drawing
• Nightmares
• Intrusive ideations
• Avoidance
• Being withdrawn
• Daydreaming
• Avoiding other children
• Physiological hyperreactivity
• Anxiety
• Sleep problems
• Hypervigilance
• Behavioral impulsivity
9. Guidelines for Living or Working With
Traumatized Children
1. Don't be afraid to talk about the traumatic event.
2. Provide a consistent, predictable pattern for the day.
3. Be nurturing, comforting, and affectionate, but be sure that this
is in an appropriate context.
4. Discuss your expectations for behavior and your style of
discipline with the child.
5. Talk with the child.
6. Watch closely for signs of reenactment, avoidance, and
physiological hyperreactivity.
7. Protect the child.
8. Give the child choices and some sense of control.
10. Play Therapy with Traumatized Children
• Level One (ages 0-2): therapist creates an experience that can undo
what the child has experienced—toys, stuffed animals
• Level Two (ages 3-5): Interpretation is added to corrective
experiences in the playroom— pretend toys, settings,
playdough/clay, sand, coloring book
• Level Three (ages 6-10): Therapy a blend of corrective experience
and interpretation. Child can think concretely can use language but
feels more comfortable playing—pretend toys, settings, art, clay,
construction toys, board games
• Level Four (ages 11-13): Children can utilize some talk therapy as
they can now move into abstract thinking but will likely want to be
involved in activities
11. Trauma and Substance Abuse
• Three hypotheses:
• Self medication
• High risk behavior
• Susceptibility
• Trauma and PTSD usually precede substance abuse
• Each disorder sustains the other
12. Trauma and the Military
• Veterans have often seen death and/ or have been in life-
threatening situations
• May have intrusive thoughts
• May lose the ability to contextualize
• Early childhood trauma may lead to later PTSD
• May need to re-learn how to be a civilian
13. Trauma and Aging
• Integrity vs. despair
• Symptoms may emerge after a long latency period
• Part of life review
• Could have been victims or perpetrators
14. Trauma and Culture
• Collective trauma -- a traumatic psychological effect shared by a
group of people of any size, up to and including an entire society.
Traumatic events witnessed by an entire society can stir up
collective sentiment, often resulting in a shift in that society's
culture and mass actions
• Cultural countertransference -- set of experiences and expectations
of self and of the patient, which have roots in one’s own cultural
experience
• Racial trauma -- the physiological, psychological and emotional
damage that results from harassment and/or discrimination. It is
based in the established evidence that demonstrates that racial
discrimination and/or harassment in the context of racism are
stressors for its targets
