Evidence Based Practices for PTSD Mind-Body Interventions

1 Views

18 Jul 2021

SUBSCRIBE and click the BELL to get notified when new videos are uploaded Unlimited CEUs 59 based on these videos at allceus com for social work counseling marriage and family therapy addiction counseling case management pastoral counseling and more Chat with me at a https 3A 2F 2Fmembers docsnipes com 2F a For 10 month where you get access to my tips for health and wellness and you can text chat with me privately 7 days a week PTSD mindbody mindfulness hpaaxis Objectives - Explore physical affective and cognitive evidence-based practices for PTSD Physical - Medications - Use of benzodiazepines following trauma was not beneficial and may increase the risk of developing PTSD - Use of the beta-blocker propranolol have been conflicting but one RCT did show a significant decrease in the severity of PTSD symptoms and lower likelihood of developing subsequent PTSD - SSRIs may be helpful for addressing anxiety and depressive symptoms related to PTSD Physical - Medications - CBD may offer therapeutic benefits as an adjunct to psychological therapy for disorders related to inappropriate responses to traumatic memories and aversive memory processing - Meds for Sleep Disorders in PTSD - Prazosin an alpha-1 blocker for HBP - Eszopiclone Lunesta - Risperidone and olanzapine atypical antipsychotics Physical - Nutrition - Changes in diet with an emphasis on an anti-inflammatory protocol which contains Omega 3s a full compliment of vitamins minerals and amino acids may influence psychiatric disorders through direct effects on mood via the gut microbiome and nutrient availability - Obesity is associated with changes in neurotransmitters neuropeptides and inflammatory factors that are present in both the gut and the brain and have effects on both mood and subsequent eating behaviors Physical - Hormones Progesterone and estrogen appear to influence fear processing and extinction in PTSD with differing vulnerabilities at different stages of the menstrual cycle - Exercise Potential mechanisms by which aerobic exercise could exert a positive impact in PTSD include exposure and desensitization to internal arousal cues enhanced cognitive function exercise-induced neuroplasticity normalization of hypothalamic pituitary axis HPA function and reductions in inflammatory markers Physical - Mindfulness-Based Stretching and Deep Breathing Exercises reduce the prevalence of PTSD-like symptoms and normalize cortisol levels in individuals exhibiting subclinical features of PTSD - HPA-Axis Re-regulation Suppression of the HPA axis in PTSD has been reported with less variability fewer peaks and troughs in the diurnal cortisol cycle in individuals with PTSD Flat and the furious Physical - Sleep rapid-eye movement REM sleep supports a process of affective brain homeostasis optimally preparing the organism for next-day social and emotional functioning - poor sleep is associated with increased anxiety irritability deficient coping circadian rhythm disruption - investigators have found both hypo and hyperactivation of specific brain regions in individuals with PTSD during sleep - People with PTSD are at higher risk of developing OSA Affective Cognitive - Meta-analyses do not support the efficacy of wide spread use of psychological debriefing after trauma in preventing or reducing the intensity of PTSD - meta-analyses have demonstrated the benefit of brief TF-CBT for prevention and multisession TF-CBT in patients with ASD or PTSD - Exposure-based and other CBT protocols as well as mindfulness-based cognitive therapy MBCT psychological treatments in group and individual formats in patients PTSD Affective Cognitive - CBT strategies - Exposure - Encourage patients to face fears - Patients learn corrective information through experience - Extinction of fear occurs through repeated exposure - Successful coping enhances self-efficacy - Safety response inhibition - Patients restrict their usual anxiety-reducing behaviors e g escape need for reassurance - Decreases negative reinforcement - Coping with anxiety without using anxiety-reducing behavior enhances self-efficacy Video by Dr Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness AllCEUs provides multimedia counselor education and CEUs for LPCs LMHCs LMFTs and LCSWs as well as addiction counselor precertification training and continuing education Live Interactive Webinars 5 Unlimited Counseling CEs for 59 Specialty Certificates starting at 89