PTSD and Acute Stress Disorder ASD

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16 Jul 2021

SUBSCRIBE and click the BELL to get notified when new videos are uploaded Unlimited CEUs 59 based on these videos at a https 3A 2F 2Fallceus com a for social work counseling marriage and family therapy addiction counseling case management pastoral counseling and more Want to chat with me Join me at a https 3A 2F 2Fmembers docsnipes com 2F a For 10 month you get access to my tips for health and wellness and you can text chat with me privately Training CEUs for Licensed Professional Counselors LPC and Licensed Mental Health Counselors LMHC by AllCEUs a https 3A 2F 2Fwww allceus com 2Fmember 2Fcart 2Findex 2Fproduct 2Fid 2F59 2Fc 2F a ptsd trauma counselingskills Unlimited CEUs 59 at a http 3A 2F 2Fallceus com a 50 to 90 of the population have been exposed to traumatic events during their life Most individuals do not develop PTSD For each exposure Proximity Similarity Helplessness Social Support 6-month stressors Hx of mental illness Initial Interventions Stabilizing Supportive medical care Supportive psychiatric care Ensure availability of basic resources Provide information verbally and in writing to the patient and support persons Avoidant symptoms avoid thoughts feelings or conversations associated with the trauma avoid activities places or people that arouse recollections of the trauma inability to recall an important aspect of the trauma feeling of detachment or estrangement from others Hypervigilence Symptoms difficulty falling asleep or staying asleep irritability or outbursts of anger difficulty concentrating hypervigilence exaggerated startle response Grief Stages Denial Anger Bargaining Depression Acceptance During the first 48 to 72 hours after a traumatic event some individuals may be very aroused anxious or angry while others may appear minimally affected or numb Ongoing Treatment establish a therapeutic alliance increase understanding of and coping with the psychosocial effects of the trauma evaluate and manage physical health and functional impairments coordinate care SSRIs Ameliorate all three PTSD symptom clusters Are effective treatments for comorbid disorders May reduce clinical symptoms Have relatively few side effects Choosing Treatments Triage assessments in a group setting may identify those in need of intervention but detailed discussion of distressing memories and events should be avoided in the group setting Supportive Interventions Encourage acutely traumatized patients to rely on their inherent strengths their existing support networks their own judgments of the need for further intervention Treatment Goals Reducing the severity of symptoms Preventing or treating related comorbid conditions Improving adaptive functioning Restoring a sense of safety and trust Protecting against relapse Restoring normal developmental progression Integrating the trauma into a constructive schema of risk safety prevention and protection Treatment Plan Observable measurable goals and objectives Interventions and their rationale CBT Targets the distorted threat appraisal process in order to desensitize the patient to trauma related triggers Stress inoculation training Psychodynamic Psychotherapy Focus on the meaning of the trauma in terms of prior psychological conflicts and development Assure patients that they will decide how deeply to explore the difficult events feelings Normalize their distress Psychoeducation the expected physiological and emotional responses strategies for decreasing secondary or continuous exposure to the trauma stress reduction techniques the importance of remaining mentally active the need to concentrate on self-care tasks Patients with serious mental illness have higher rates of abuse Depression substance abuse panic attacks and severe anxiety are associated with increased risk for suicide PTSD has demonstrated the strongest association with suicidal behaviors Family members of victims are not only secondary victims but also one of the major buffers Aggressive behavior in patients with PTSD results from the anticipatory bias caused by the trauma Occurs in the context of reexperiencing symptoms Techniques targeting symptoms may reduce aggression Personality Disorders Childhood trauma associated with development of PD Features of PTSD and PDs overlap PTSD may be masked by PD symptoms There are many causes for PTSD Early intervention may be key to preventing later developmental issues in children Strengths-based supportive interventions are the best first-line treatments