Posttraumatic Stress Disorder
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1 Posttraumatic Stress Disorder History and Treatment June 6, 2017 Yves Newmen, Ph.D.
2 DSM V (2013) Trauma, and Stressor-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder Acute Stress Disorder Posttraumatic Stress Disorder Adjustment Disorders Unspecified Trauma and Stressor-Related Disorders
3 Intrusive symptoms Re-experiencing the trauma (intrusive memories, involuntary thoughts)
4 Intrusive symptoms Re-experiencing the trauma (intrusive memories, involuntary thoughts) Sleep disturbance, recurrent distressing dreams
5 Intrusive symptoms Re-experiencing the trauma (intrusive memories, involuntary thoughts) Sleep disturbance, recurrent distressing dreams Dissociative reactions (flashbacks)
6 Intrusive symptoms Re-experiencing the trauma (intrusive memories, involuntary thoughts) Sleep disturbance, recurrent distressing dreams Dissociative reactions (flashbacks) Intense or prolonged psychological distress, physiological reactions to cues
7 Avoidance PTSD Characteristic Symptoms Efforts to avoid distressing memories
8 Avoidance PTSD Characteristic Symptoms Efforts to avoid distressing memories Avoidance of activities, people, situations that arouse recollections of the traumatic event
9 Negative alterations Dissociative amnesia
10 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world
11 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world Negative cognition
12 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world Negative cognition Negative emotional state (survivor guilt), constricted affect
13 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world Negative cognition Negative emotional state (survivor guilt), constricted affect Diminished participation in social activities
14 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world Negative cognition Negative emotional state (survivor guilt), constricted affect Diminished participation in social activities Numbing of responsiveness to or involvement with the external world (feelings of detachment or estrangement from others)
15 Negative alterations Dissociative amnesia Exaggerated negative beliefs about self, others, the world Negative cognition Negative emotional state (survivor guilt), constricted affect Diminished participation in social activities Numbing of responsiveness to or involvement with the external world (feelings of detachment or estrangement from others) Inability to experience positive emotions
16 Marked alterations in arousal and reactivity Irritable behavior
17 Marked alterations in arousal and reactivity Irritable behavior Reckless or self-destructive behavior
18 Marked alterations in arousal and reactivity Irritable behavior Reckless or self-destructive behavior Hypervigilance
19 Marked alterations in arousal and reactivity Irritable behavior Reckless or self-destructive behavior Hypervigilance Exaggerated startle responses
20 Marked alterations in arousal and reactivity Irritable behavior Reckless or self-destructive behavior Hypervigilance Exaggerated startle responses Trouble concentrating
21 Treatment Symptom relief Anxiolytics Antidepressants Hypnotics Self-medication
22 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe
23 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe CBT
24 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe CBT EMDR/ACT
25 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe CBT EMDR/ACT Tapping
26 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe CBT EMDR/ACT Tapping Mindfulness therapies
27 Treatment Evidence Based Therapies Symptom immersion/vr/ie/pe CBT EMDR/ACT Tapping Mindfulness therapies Hypnotherapy
28 Treatment Psychotherapy Individual
29 Treatment Psychotherapy Individual Group/ Readjustment therapy
30 Treatment Psychotherapy Individual Group/ Readjustment therapy Family/Inter-generational transmission of trauma
31 Treatment Psychotherapy Individual Group/ Readjustment therapy Family/Inter-generational transmission of trauma Caregivers
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