Objectives. Stressors in Theater. Disclosure statement. The speakers (Drs Fogger & Moore) have no conflict of interest to disclose
|
|
- Collin Fields
- 6 years ago
- Views:
Transcription
1 Disclosure statement Understanding Non Pharmacological Treatment for Veterans with Post Traumatic Stress Disorder Susanne Fogger DNP, PMHNP BC, CARN AP, FAANP Randy Moore DNP, RN Leah Picket DNP, PMHNP BC The speakers (Drs Fogger & Moore) have no conflict of interest to disclose Objectives Briefly discuss traditional PTSD therapies such as Cognitive Behavioral therapy, Prolonged Exposure therapy and medications useful to decrease symptoms in Veterans Discuss evidence supporting non pharmacological therapies for Veterans with Post Traumatic Stress Disorder (PTSD) Highlight recommendations for use of eye movement desensitization and reprocessing (), yoga, tai chi, breathing based meditation, and logotherapy for adjunctive PTSD therapy What makes PTSD different for individuals who have been in the military? Stressors in Theater Stress of climate/diet/living arrangements Stress of living in crowded, confined, highly structured environment Stress of combat. Personal danger, danger to others, danger of accidents Difficult to determine who is the enemy. Who is the threat? Who are your friends? Stressors in Theater Biochemical exposures Dehydration Never truly off duty (constant vigilance) Broken contact with family Seeing things one can never un see Heat/cold Nagging injuries Political decisions vs. chain of command decisions vs. personal decisions FAANP 1
2 Redeployment (Returning home) Stress Missing that sense of belonging Separation anxiety weapon, unit, buddies Sense of things undone Rationalizing what you have done. Need to validate acts of war. Leaving your military family to return home. Transition to Civilian Life Coming home from combat and resuming a normal life. Going back to work and daily routines Trying to be the person you were before the deployment. Looking forward to the happy fantasy Briefings, Briefings, Briefings. Reverse separation anxiety weapon, unit, buddies Leaving native people/friends I made promises, will they be OK when I ve gone home. Differential Diagnoses for PTSD Adjustment disorder Acute stress disorder Anxiety disorder Obsessive compulsive disorder Major depressive disorder Personality disorder Dissociative disorder Conversion disorder Psychotic disorder Traumatic brain injury * Diagnostic and Statistical Manual of Mental Disorders, 5 th ed. Cognitive Processing therapy(cpt) Targets putatively maladaptive ways of thinking about the trauma that are posited to maintain PTSD symptoms 12 one hour sessions with homework Review of Exposure Therapy: A Gold Standard for PTSD Treatment Prolonged exposure (PE) is an effective first line treatment for PTSD, regardless of the type of trauma, of Veterans and military personnel PE has demonstrated efficacy in reducing comorbid issues such as anger, guilt, negative health perceptions, and depression The PE protocol includes four main therapeutic components: psychoeducation, in vivo exposure, imaginal exposure, and emotional processing) Medications SSRIs Paroxetine, venlafaxine, fluoxetine & Sertraline Significantly more effective than placebo May take up to 6 weeks to reach therapeutic blood level Side effects wtgain, security clearance issues and sexual side effects and stigma Pharmacological interventions can be effective but the magnitude of effect is small⁸ FAANP 2
3 CPT and PE Treatment of choice within DoD and VA 2/3rds of patients receiving CPT or PE retain their PTSD dx after the treatment Non response rates are high Many patients continue to have symptoms⁷ Additional therapy may be required to bring about symptom improvement Treatment with encourages distancing effects which are considered effective memory processing rather than cognitive avoidance. The therapist accesses only brief details of the traumatic memory then encourages distancing⁴ asks patients to recall an image representing the traumatic event as well as any associated negative cognition and bodily sensations. Patients are asked to follow alternating eye movements which have been shown to lower the emotional arousal and tax the working memory so that the trauma can be worked to resolution⁵ Two meta analysis findings: significantly reduced symptoms of PTSD such as anxiety, depression, and subjective distress (Chen et al., 2014) [Taiwan] is effective in decreasing the severity of arousal and intrusive thoughts (Chen et al., 2015) [China] Logotherapy Created by Viktor Frankl ( ) Considered the Third Viennese School of Psychotherapy Today Logotherapy is blended with CBT to help decrease anxiety through paradoxical intention. Central tenets include Logotherapy Logotherapy is a meaning centered psychotherapy that literally means healing through meaning The therapy is future oriented, focused on personal strengths, and places responsibility for changes succinctly on the patient. Logotherapy is a collaborative therapy which helps the individual reframe what is perceived as broken into human achievement and meaningful action (Ameli & Dattilio, 2013; Southwich, Gilmartin, McDonough, & Morrissey, 2006) FAANP 3
4 Guilt, Depression, & Altered World View Logotherapy employs specific techniques including self distancing, Socratic dialogue, and dereflection. This is used to supplement PE, CPT,, & pharmacotherapy. Focuses on problematic symptoms such as a sense of foreshortened future, external loss of control, guilt & survivor s guilt, and existential loss of meaning. Tai Chi Ancient Chinese medicine/martial arts Mind body concept Human body has energy channels Taiji or tai chi Taiji and Qigong are meditative exercises in which breathing and physical movements are combined a form of martial art practice that incorporates a series of movements that are both graceful and strengthening Taiji has produced statistically significant improvements in areas individuals with PTSD often struggle and do not respond well to other forms of treatment due to poor overall wellbeing, self esteem, and interpersonal relationship. based interventions Decrease autonomic nervous system function Decreases blood pressure and heart rate Participants experience a sense of relaxation Post yoga improves GABA levels Decrease PTSD hyper arousal system Disturbed sleep and anger Promotes psychological flexibility and emotional regulation ₆ is a mind body practice considered a popular complementary and alternative medicine (CAM) therapy offers guided, focused movement, controlled breathing and meditation that supports relaxation Breathing exercises activates both sympathetic and parasympathetic systems Elucidating both alertness and calm Increased optimism and general wellbeing Individuals who engage in yoga therapy Are more open to begin traditional therapy ₉ FAANP 4
5 Breathing Based Meditation Mindfulness practice can help address dissociative symptoms as the person focuses on their inner self training also facilitates neurological changes responsible for the regulation of emotion and positively correlates to anxiety symptom improvement Consistent mindfulness decreases amygdala reactivity and fosters greater functional connectivity between amygdala and prefrontal cortex regions, as evidenced by lower anxiety scores on the Beck Anxiety Inventory (Hölzel et al, 2013). Summary Traditional therapies for PTSD do not provide complete symptom relief, alternative therapies can supplement traditional therapy to help decrease symptoms in Veterans have very strong bodies of evidence supporting use for those who suffer from PTSD Other adjunctive therapies such as yoga, logotherapy, tai chi and breathing based meditation have a growing evidence base and can provide a sense of improved symptom management, purpose and internal locus of control awareness of these options may assist individuals to have a better understanding of effective choices offering individualized patient centered care includes nonpharmacological treatment to augment traditional therapy FAANP 5
PTSD Guide for Veterans, Civilians, Patients and Family
PTSD Guide for Veterans, Civilians, Patients and Family Overview There are a variety of PTSD booklets available, so with ours we wanted to hand-pick the content we felt our audience could use most. We
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view the latest
More informationA Family s Guide to Posttraumatic Stress Disorder
A Family s Guide to Posttraumatic Stress Disorder Department of Veterans Affairs and Department of Defense (DoD) employees who use this information are responsible for considering all applicable regulations
More informationA Warriors Peril 8/14/2018
Developed by: Richard Ayala MSW, NCAC, CADC II, ACRPS, SAP. C.E.O./Founder Bound To Change Counseling & Consulting. Briefly Identify the progression and impacts of The Warrior Culture Briefly Identify
More informationDr. Kathleen P. Decker, M.D. 1,2
Dr. Kathleen P. Decker, M.D. 1,2 Kathleen.Decker@va.gov Melissa Campbell, M.S., Vanessa Pierce, M.S., Christa Turpin, M.S. & Sarah P. Deaver, Ph.D. 1, 1 Eastern Virginia Medical School 2 Hampton VA Medical
More informationComplementary/Integrative Approaches to Treating PTSD & TBI
Complementary/Integrative Approaches to Treating PTSD & TBI Cathy M. St. Pierre, PhD, APRN, FNP- BC, FAANP ENRM VA Hospital Bedford, Massachusetts, USA The purpose To define Post Traumatic Stress Disorder
More informationPost-Traumatic Stress Disorder (PTSD) in the military and veterans
Post-Traumatic Stress Disorder (PTSD) in the military and veterans When people think of mental illness in the military it is unsurprising that many of them think of Post-Traumatic Stress Disorder (PTSD),
More informationREBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS
REBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS A LIFE-RESTORING PTSD RECOVERY PROGRAM Our USA Re-Boot Resort is a weeklong, intensive treatment program that uses proven and evidence-based
More informationUsing Prolonged Exposure therapy for PTSD. Disclosures. Objectives. APNA 28th Annual Conference Session 3024: October 24, 2014.
Using Prolonged Exposure therapy for PTSD Patricia Hentz, EdD, PMHNP-BC, CRNP Clinical Associate Professor Rutgers School of Nursing Disclosures The speaker has no conflict of interest to disclose. Objectives
More informationPTS(D): The Invisible Wound
PTS(D): The Invisible Wound Julie Rake, MS, PA C Fellow, Integrative Medicine The intelligent combination of conventional and evidence based alternative medicine. It aims to restore the focus of medicine
More informationFirst Responders and PTSD
First Responders and PTSD DR. KENNETH J. COOPER MD, MHSC, FRCPC DR. DION GOODLAND PHD OEMAC CONFERENCE ST. JOHN S NEWFOUNDLAND JUNE 13, 2017 Faculty/Presenter Disclosure Faculty: Dr. Dion Goodland Dr.
More information2/9/2016. Anxiety. Early Intervention for childhood Mental Health issues. ANXIETY DISORDERS in Children and Adolescents.
ANXIETY DISORDERS in Children and Adolescents. Joy Lauerer DNP PMHCNS BC Discussion Points Anxiety Early Intervention for childhood Mental Health issues Why? Important to long term health outcomes! What
More informationTrauma Informed Practices
Trauma Informed Practices Jane Williams & Elizabeth Dorado Social Worker & Academic Counselor Gordon Bernell Charter Rising Up! Taking Charters to New Heights 2017 Annual Conference What is Trauma? Traumatic
More informationPTSD does trauma ever really go away? Trauma. Is Trauma Common? 9/29/2010. These types of events can cause Post traumatic Stress Disorder (PTSD).
PTSD does trauma ever really go away? Ch.5 Anxiety Disorders Trauma These types of events can cause Post traumatic Stress Disorder (PTSD). Is Trauma Common? Yes more than two-thirds of people experience
More informationNeurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D.
Neurology and Trauma: Impact and Treatment Implications Damien Dowd, M.A. & Jocelyn Proulx, Ph.D. Neurological Response to a Stressor Information from the senses goes to the thalamus which sends the information
More informationM. Benedek & G.H. Wynn. (2016). Complementary and Alternative Medicine for PTSD. Oxford & New York: Oxford University Press. ISBN
European Journal for Person Centered Healthcare 2017 Vol 5 Issue 2 pp 283-287 ESSAY REVIEW M. Benedek & G.H. Wynn. (2016). Complementary and Alternative Medicine for PTSD. Oxford & New York: Oxford University
More informationPosttraumatic Stress Disorder. Casey Taft, Ph.D. National Center for PTSD, VA Boston Healthcare System Boston University School of Medicine
Posttraumatic Stress Disorder Casey Taft, Ph.D. National Center for PTSD, VA Boston Healthcare System Boston University School of Medicine Overview PTSD Overview Neurobiology of PTSD PTSD and Relationship
More informationMental Health and Stress
Mental Health and Stress Learning Objectives Ø Define mental health and discuss the characteristics of mentally healthy and selfactualized people Ø Describe the various mental disorders and appropriate
More informationEvidence-Based Treatments for PTSD: Cognitive Processing Therapy
Evidence-Based Treatments for PTSD: Cognitive Processing Therapy Brian L. Meyer, Ph.D. Interim Associate Chief Mental Health Clinical Services McGuire VA Medical Center Richmond, VA May 19, 2015 Disclaimer
More informationPosttraumatic Stress Disorder
Posttraumatic Stress Disorder History and Treatment June 6, 2017 Yves Newmen, Ph.D. DSM V (2013) Trauma, and Stressor-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder
More informationPost Traumatic Stress Disorder (PTSD)
Post Traumatic Stress Disorder (PTSD) 2016 Elder Friendly Futures Conference Multiple Voices Shaping Our Communities Panel: New Insights About What Works and What Doesn't in Geriatric Mental Health September
More informationCompassionate care and the hope you ve been seeking.
Los Angeles San Diego Compassionate care and the hope you ve been seeking. Our goal is to identify the causes of your suffering, help you find relief through compassionate and effective care, and support
More informationWARRIOR EXPEDITIONS RESEARCH SUMMARY Dr. Shauna Joye
WARRIOR EXPEDITIONS RESEARCH SUMMARY Dr. Shauna Joye Dr. Zachary Dietrich sjoye@joyepsyc.com zcdietrich@gmail.com In our line of wilderness research, we currently primarily work with the Warrior Expeditions
More informationReactions to Trauma and Clinical Treatment for PTSD
Reactions to Trauma and Clinical Treatment for PTSD Cultural specific concerns and recommendations. Dr. K. Loan Mai AHSSC. October 19, 2012 Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder
More informationNovel Approach to Treating Stigma to Improve Mental Health and HIV Outcomes in Black Gay Men
Novel Approach to Treating Stigma to Improve Mental Health and HIV Outcomes in Black Gay Men LaRon E. Nelson, PhD, RN, FNP, FNAP, FAAN Assistant Professor and Dean s Endowed Fellow in Health Disparities
More informationAttachment: The Antidote to Trauma
Liberty University DigitalCommons@Liberty University Faculty Publications and Presentations Center for Counseling and Family Studies 9-24-2009 Attachment: The Antidote to Trauma Joshua Straub Liberty University,
More informationCounseling Troops, Veterans and Their Families Webinar Sponsored by North Carolina Central University
Counseling Troops, Veterans and Their Families Webinar Sponsored by North Carolina Central University Department of Counselor Education Durham North Carolina Gwendolyn Keith Newsome, PhD, LPC, NCC Coping
More informationWhat the heck is PTSD? And what do I do if I have it?
What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?
More informationHelping the Mind Heal the Body: Mind Body Approaches to Pain Medicine
Helping the Mind Heal the Body: Mind Body Approaches to Pain Medicine Michelle Dossett, MD, PhD, MPH mdossett@mgh.harvard.edu June 29, 2018 Disclosures I have no relevant financial conflicts of interest
More informationA Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens
A Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens P R E S E N T E D B Y : B R E N D E N A. H A R G E T T, P H. D., L P C, L C A S, N C C, M A C A L G R E E N E A D D I C T I O
More informationPTSD, Chronic PTSD, C-PTSD
Treating Complex PTSD and Dissociation with Integrative EMDR Therapy: A Resilience Informed Approach to Trauma Treatment Arielle Schwartz, PhD PTSD, Chronic PTSD, C-PTSD Acute Traumatic Stress: Normal
More informationFOR: JONATHAN WOODSON, M.D., ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS)
DEFENSE HEALTH BOARD FIVE SKYLINE PLACE, SUITE 810 5111 LEESBURG PIKE FALLS CHURCH, VA 22041-3206 FOR: JONATHAN WOODSON, M.D., ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS) SUBJECT: Interim Report: Department
More informationTrauma and Addiction New Age Treatment versus Traditional Treatment
Trauma and Addiction New Age Treatment versus Traditional Treatment Marc J. Romano, Psy.D., RN, PMHNP, BC, CAP, LHRM Delphi Behavioral Health Group delphihealthgroup.com Presentation Objectives Review
More informationReview of Research on Post-Traumatic Stress and Current Treatments. published in The San Francisco Psychologist, June 2005 issue, pp 6-7
Review of Research on Post-Traumatic Stress and Current Treatments published in The San Francisco Psychologist, June 2005 issue, pp 6-7 By Shelley F. Diamond, Ph.D. On May 6 th, 2005, approximately 20
More informationChapter 7. Posttraumatic Stress Disorder PTSD
Chapter 7 Posttraumatic Stress Disorder PTSD >***Post-Traumatic Stress Disorder - (PTSD) is an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm
More informationThe Meaning and Implication of Key Events Form
APPENDIX 2 The Meaning and Implication of Key Events Form Please take a few moments to get into the right frame of mind to do this exercise. Find a private quite place and take some deep slow breaths.
More informationTreating Depressed Patients with Comorbid Trauma. Lori Higa BSN, RN-BC AIMS Consultant/Trainer
Treating Depressed Patients with Comorbid Trauma Lori Higa BSN, RN-BC AIMS Consultant/Trainer Learning Objectives By the end of this training, participants should be able to: Discuss recent trends in trauma
More informationMental Health and Stress Management
Mental Health and Stress Management In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics, strengths, and conditions that create
More informationPost Traumatic Stress Disorder (PTSD) (PTSD)
Post Traumatic Stress Disorder (PTSD) (PTSD) Reference: http://www.psychiatry.org/military Prevalence of PTSD One in five veterans of the Iraq and Afghanistan wars is diagnosed with PTSD. (http://www.psychiatry.org/military
More informationCBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences CBT FOR ANXIETY (CBT-A): WHAT CAN I DO WITH MY PATIENT INSTEAD OF GIVING THEM A PRN BENZODIAZEPINE PATRICK J. RAUE,
More informationPrinciples of Emotional Intervention 1 (Part2)
Principles of Emotional Intervention 1 (Part2) Leslie S Greenberg, York University, Toronto. Manuscript MOOC Leuven University. Abstract: From the EFT perspective change occurs by helping people make sense
More informationPosttraumatic Stress Disorder
Posttraumatic Stress Disorder Amanda Smith, Ph.D., & Gretchen H. Wilber, Psy.D. Staff Psychologists, PTSD Program Albany Stratton VAMC Roadmap/Outline for Today s Talk PTSD incidence, symptoms, etiology
More informationMindful Stress Reduction
Amy Carlson, LCSW TURNING POINT COUNSELING SERVICES Mindful Stress Reduction TODAY S PRESENTATION How to recognize symptoms of stress in the body and stress in the brain. The long-term effects of stress
More informationDerek Rutter Wake Forest University
Derek Rutter Wake Forest University According to a 2008 Department of Veterans Affairs (VA) study cited by Albright and Thyer (2009), from 2002 until January of 2008, the VA diagnosed 40% of OEF (Operation
More informationExposures, Flooding, & Desensitization. Anxiety Disorders. History 12/2/2009
Exposures, Flooding, & Desensitization Anxiety Disorders Major advances in treating a wide spectrum of anxiety problems over last 20 years Common thread in effective treatments is hierarchy-based exposure
More informationENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER
ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER MPC 00620 ICD-9 309.81 ICD-10 43.1 DEFINITION Posttraumatic Stress Disorder (PTSD) is a condition in the Diagnostic and Statistical Manual
More informationMental Health and Stress
Mental Health and Stress CHAPTER 2 1 Positive Psychology and Character Strengths In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics,
More informationACUTE STRESS DISORDER
ACUTE STRESS DISORDER BEHAVIORAL DEFINITIONS 1. Has been exposed to actual death of another or perceived death or serious injury to self or another that resulted in an intense emotional response of fear,
More informationPSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS
PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS Abbey Kruper, Psy.D. Assistant Professor Department of Obstetrics & Gynecology Medical College of Wisconsin OBJECTIVES 1. Overview of perinatal anxiety
More information4/3/2017 WHAT IS ANXIETY & WHY DOES IT MATTER? PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS OBJECTIVES. 1. Overview of perinatal anxiety
PSYCHOLOGICAL PERSPECTIVES PERINATAL ANXIETY DISORDERS Abbey Kruper, Psy.D. Assistant Professor Department of Obstetrics & Gynecology Medical College of Wisconsin OBJECTIVES 1. Overview of perinatal anxiety
More informationOUTLINE PSYCHOLOGICAL TREATMENT
OUTLINE PSYCHOLOGICAL TREATMENT Learning-Based Treatments CBT RET Humanistic Treatments Carl Rogers Frankl s Logotherapy Professor Fazakas-DeHoog lfazakas@uwo.ca VARIATIONS OF PSYCHODYNAMIC THERAPY INTERPERSONAL
More informationTRAUMA: AN INTRODUCTION. Deborah A. Orr, RN, Ph.D. Director of Nursing The Refuge - A Healing Place
TRAUMA: AN INTRODUCTION Deborah A. Orr, RN, Ph.D. Director of Nursing The Refuge - A Healing Place WHAT CAN YOU EXPECT THIS MORNING? 1. You will understand how trauma is defined. 2.You will understand
More informationDoncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery
Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery Aims of the session To introduce the role and function of Doncaster IAPT (improving access to psychological
More informationSeema Khan, MD, FRCPC, Bridgepoint Active Healthcare Susan MacRae, RN, M.Ed, RP, Women s College Hospital
THE INTERPERSONAL AND MINDFULNESS GROUP (I AM GROUP): USING INTERPERSONAL AND MINDFULNESS- BASED GROUP PSYCHOTHERAPY TO ENHANCE THE SENSE OF BELONGING (FOR DIVERSE AND MEDICALLY COMPLEX PATIENTS) IN AN
More informationTrauma: From Surviving to Thriving The survivors experiences and service providers roles
Trauma: From Surviving to Thriving The survivors experiences and service providers roles Building Awareness, Skills & Knowledge: A Community Response to the Torture Survivor Experience Objectives 1. To
More informationThe Cognitive Behavior Therapy Workshop Nuts & Bolts for Beginners and Seasoned APNs
The Cognitive Behavior Therapy Workshop Nuts & Bolts for Beginners and Seasoned APNs Kathleen McCoy DNSc APRN, PMHNP-BC, PMHCNS-BC, FNP-BC, FAANP Pamela Lusk DNP PMHNP-BC FAANP Ruth Milstein DNP PMHNP-BC
More informationTreatments for PTSD: A brief overview
Treatments for PTSD: A brief overview Dr Jasmine Pang DPsych(Clin) Snr Clinical Psychologist Psychotraumatology Service Department of Psychological Medicine Changi General Hospital, Singapore Outline Brief
More informationWorkshop I. Dialectical Behaviour Therapy Workshop Saturday March 12 th, About Dialectical Behaviour Therapy
Workshop I Dialectical Behaviour Therapy Workshop Saturday March 12 th, 2014 About Dialectical Behaviour Therapy Dialectical Behaviour Therapy, or DBT, is an innovative and comprehensive psycho-educational
More informationInnovative Mental Health Interventions Methods During Crises and Emergencies
Innovative Mental Health Interventions Methods During Crises and Emergencies Moshe Farchi PhD Head of the Stress, Trauma & Resilience Studies Tel-Hai College Upper Galilee, ISRAEL 1 Bambi - calm and peaceful
More informationPost-Traumatic Stress Disorder (PTSD) Among People Living with HIV
Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV Milton L. Wainberg, M.D. Associate Clinical Professor of Psychiatry College of Physicians and Surgeons Columbia University mlw35@columbia.edu
More informationInformation about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP
Information about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP what is emotional trauma People experience many challenging and painful emotions including fear,
More informationPsychological and Pharmacological Treatments for Adults with Posttraumatic Stress Disorder (PTSD)
1 Psychological and Pharmacological Treatments for Adults with Posttraumatic Stress Disorder (PTSD) This continuing education monograph examines the results of a comparative effectiveness review to assess
More informationFeeling nervous? Class Objectives: 9/3/2008. Chapter 4-Anxiety Disorders. Discuss the paper guidelines
Feeling nervous? Chapter 4-Anxiety Disorders Class Objectives: Discuss the paper guidelines How are anxiety, fear and panic similar? Different? What is GAD? Abnormal Psychology (PSY 210) Position Paper
More informationBoots in the Arena. On Combat. Warriors. Invisible Wounds of War
Boots in the Arena the use of EAGALA-model Equine Assisted Psychotherapy in the treatment of Combat Trauma Eva J. Usadi, MA, BCD 2012 PATH, Intl. Conference November 2, 2012 Usadi 2012 On Combat War is
More informationHE 250 PERSONAL HEALTH. Stress
HE 250 PERSONAL HEALTH Stress Stress Stress General state of the body, mind, and emotions when an environmental stressor has triggered the stress response Stressor Events or agents in the environment that
More informationTHE SUICIDE RISK IN POST COMBAT RELATED STRESS SYMPTOMS. By Nicki Bartram, M.C., L.P.C. ACMF Symposium Planning Partner
THE SUICIDE RISK IN POST COMBAT RELATED STRESS SYMPTOMS By Nicki Bartram, M.C., L.P.C. ACMF Symposium Planning Partner LEARNING OBJECTIVES What is combat stress? How does it work post deployment? Symptoms
More informationSelf-actualization: the state attained when a person has. Optimism: tendency to. Self-efficacy: a
Chapter 2: Mental Health and Stress Positive Psychology and Character Strengths In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics,
More informationResponding to School Crises: Psychological Crisis Response
Responding to School Crises: Psychological Crisis Response August 16, 2006 Presented by Stephen E. Brock, Ph.D., NCSP California State University, Sacramento 1 Preface The need for a school crisis intervention
More informationComorbidity Rates. Comorbidity Rates. Males: Females:
Comorbidity Rates Males: Any Diagnosis: 88% Alcoholism 52% Depression 48% Conduct Disorder 43% Drug Abuse 35% Phobia 31% Kessler, et al. (1995) Comorbidity Rates Females: Any Diagnosis 78% Depression 49%
More informationVA/DoD Clinical Practice Guideline for Management of Post Traumatic Stress. Core Module
VA/DoD Clinical Practice Guideline for Management of Post Traumatic Stress Core Module Module A Acute Stress Continue Treatment for ASD Treatment for ACUTE Stress Disorder Module B PTSD Continue Treatment
More informationThe Cutting Edge Commissary. Finding the Right Balance In Video Visitation. The Information Source for Prison and Jail Management Professionals
The Information Source for Prison and Jail Management Professionals November/December 2013 Vol. 22 No.6 Finding the Right Balance In Video Visitation The Cutting Edge Commissary Corrections Forum 69 Lyme
More information9/3/2014. Which impairs the ability to integrate these experiences in an adaptive manner.
Presented by DaLene Forester Thacker, PhD Licensed Marriage and Family Therapist Licensed Professional Clinical Counselor Director and Trainer with AEI daleneforester@yahoo.com I was not able to use EMDR
More informationUnderstanding and Treating Anxiety in Youth and Adults. Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc.
Understanding and Treating Anxiety in Youth and Adults Presented by Kathryn Faver, MSW, LICSW North Homes Children and Family Services Inc. What is Anxiety and How Does it Affect the Brain and Body? Anxiety
More informationKari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington. Approach for doing differential diagnosis of PTSD
IN PRIMARY CARE June 17, 2010 Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington Defining and assessing Approach for doing differential diagnosis of Best
More informationTreating PTSD with MDMA-Assisted Psychotherapy
Treating PTSD with MDMA-Assisted Psychotherapy One out of three people suffering from posttraumatic stress disorder (PTSD) do not respond adequately to treatment. Can MDMA-assisted psychotherapy help?
More informationDepression: selective serotonin reuptake inhibitors
Depression: selective serotonin reuptake inhibitors Selective serotonin reuptake inhibitors (SSRIs) are considered first-line treatment for the majority of patients with depression. citalopram and fluoxetine
More informationCompassion Fatigue; Helping the Helper. Malissa Mallett, LMSW Brain Injury Alliance of Arizona, Program Director
Compassion Fatigue; Helping the Helper Malissa Mallett, LMSW Brain Injury Alliance of Arizona, Program Director Objectives Effects of our work as a caregiver What is compassion Fatigue PTS / Secondary
More informationDefinition. Objectives. PTSD: The Unrecognized Symptom Jorge I. Ramirez, MD, FAAHPM Caroline Schauer, RN, BSN, CHPN
PTSD: The Unrecognized Symptom Jorge I. Ramirez, MD, FAAHPM Caroline Schauer, RN, BSN, CHPN VISN 23 Hospice and Palliative Care Objectives Describe Post Traumatic Stress Disorder (PTSD) and the population
More informationThe changing face of PTSD in 2013: Proposed Updates & Revised Trauma Response Checklist Quick Screener (Baranowsky, May 2013)
The changing face of PTSD in 2013: Proposed Updates & Revised Trauma Response Checklist Quick Screener (Baranowsky, May 2013) Dr. Anna B.Baranowsky Traumatology Institute http://www.ticlearn.com TRAUMATOLOGY
More informationThe use of EMDR within The use of EMDR an Acute Sexual Assault Referral Centre Overview
The use of EMDR within an Acute Sexual Assault Referral Centre Raquel Correia Lead Clinical Psychologist The Haven-Whitechapel Raquel.Correia@bartsandthelondon.nhs.uk Overview What is EMDR? How does it
More informationNEUROPATHIC PAIN MINDFULNESS FOR CANCER SURVIVOR LIVING WITH CHRONIC
MINDFULNESS FOR CANCER SURVIVOR LIVING WITH CHRONIC NEUROPATHIC PAIN By Patricia Poulin, Ph.D., C.Psych. Clinical, Health, and Rehabilitation Psychologist Associate Scientist, OHRI PRESENTED ONLINE FOR
More informationTreatment of Co-occurring Trauma/PTSD and Addiction. Presenter: Michele Pole, Ph.D. Director of Psychology
Treatment of Co-occurring Trauma/PTSD and Addiction Presenter: Michele Pole, Ph.D. Director of Psychology mpole@caron.org Goals & Objectives 1. Understand the Disease Model of Addiction 2. Describe the
More informationLoud noises, loss of support, heights, strangers, separation (in the present) Animals, the dark, storms, imaginary creatures, anticipatory anxiety
Anxiety is normal, adaptive, and protective Anxiety varies in intensity from person to person High levels of anxiety are problematic Lowering the volume, not changing the station Developmental Stage Infancy
More informationMICHELE BEDARD-GILLIGAN, PH.D. ASSISTANT PROFESSOR DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES UNIVERSITY OF WASHINGTON
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences PTSD IN PRIMARY CARE MICHELE BEDARD-GILLIGAN, PH.D. ASSISTANT PROFESSOR DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL
More informationCBT for Hypochondriasis
CBT for Hypochondriasis Ahmad Alsaleh, MD, FRCPC Assistant Professor of Psychiatry College of Medicine, KSAU-HS, Jeddah Agenda Types of Somatoform Disorders Characteristics of Hypochondriasis Basic concepts
More informationABCT Convention 2018 Washington, D.C. Relevant Events for Military Psychology SIG Members
ABCT Convention 2018 Washington, D.C. Relevant Events for Military Psychology SIG Members EVENT TIME LOCATION Thursday, NOV 15 Registration All Day Atrium, Exhibition Level Clinical Intervention Training
More informationTrauma & Therapies.
Trauma & Therapies #GetBackToLife @henmorehealth Trauma The impact of trauma occurs on various levels and can interfere with a person s ability to function in daily life, affecting relationships, work,
More informationSheila A.M. Rauch, Ph.D., ABPP
Sheila A.M. Rauch, Ph.D., ABPP Atlanta VAMC Emory University School of Medicine Disclaimer: The views expressed in this presentation are solely those of the authors and do not reflect an endorsement by
More informationHealing after Rape Edna B. Foa. Department of Psychiatry University of Pennsylvania
Healing after Rape Edna B. Foa Department of Psychiatry University of Pennsylvania Outline of Lecture What is a trauma? What are common reactions to trauma? Why some people do not recover? How can we help
More informationNew Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality
New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality Paul A. Arbisi, Ph.D. ABAP, ABPP. Staff Psychologist Minneapolis VA Medical Center Professor Departments of Psychiatry
More informationLet s Talk About Treatment
What Doesn t Work Let s Talk About Treatment Lisa R. Terry, LPC What we ve tried Talk therapy- You can t talk you way out of a medical disorder Play Therapy Family Therapy Psychoanalysis While these are
More informationEagala s Military Services Designation raises the bar for equine assisted psychotherapy for active military, reserves, veterans and their families.
Serving those who serve with the global standard in equine assisted psychotherapy Eagala s Military Services Designation raises the bar for equine assisted psychotherapy for active military, reserves,
More informationStress Disorders. Stress and coping. Stress and coping. Stress and coping. Parachute for sale: Only used once, never opened.
Stress Disorders Parachute for sale: Only used once, never opened. Stress and coping The state of stress has two components: Stressor: event creating demands Stress response: reactions to the demands Stress
More informationA Patient s Guide: Understanding Posttraumatic Stress Disorder and Acute Stress Disorder
A Patient s Guide: Understanding Posttraumatic Stress Disorder and Acute Stress Disorder Department of Veterans Affairs and Department of Defense (DoD) employees who use this information are responsible
More informationPTSD Definition. Page 1. Posttraumatic Stress Disorder. Depression and Anxiety Disorders: Prevalence (lifetime, of 200M adults in U.S.
Posttraumatic Stress Disorder Randall D. Marshall MD Associate Professor of Clinical Psychiatry, Columbia University College of Physicians and Surgeons Director of Trauma Studies and Services, New York
More informationExpanding Mindfulness as a Core Treatment Skill for Men and Women With Cognitive Deficits Thomas G. Beckers BS, LADC Vinland Center
Expanding Mindfulness as a Core Treatment Skill for Men and Women With Cognitive Deficits Thomas G. Beckers BS, LADC Vinland Center What Are We Going to Cover? To gain understanding of the nature of addiction
More informationIntroduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist
Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality
More informationUnderstanding Posttraumatic Stress Disorder
Understanding Posttraumatic Stress Disorder Have you or a loved one: Been through combat? Lived through a disaster? Been assaulted or raped? Experienced any other kind of traumatic event? Are painful memories
More informationIntroduction to the DSM-5 for APRNs. Presenters. Disclosures. Continuing Education Subcommittee APNA Education Council. Co-Chairs of CE subcommittee:
Introduction to the DSM-5 for APRNs Continuing Education Subcommittee APNA Education Council Presenters Co-Chairs of CE subcommittee: Barbara J. Limandri, PhD, PMHCNS-BC Joyce M. Shea, DNSc, APRN, BC Presenters:
More information