Steven E. Bruce, Ph.D. PTSD Preven2on and Treatment
|
|
- Gloria Weaver
- 5 years ago
- Views:
Transcription
1 Steven E. Bruce, Ph.D. PTSD Preven2on and Treatment Center for Trauma Recovery University of Missouri-St. Louis Washington University School of Medicine
2
3
4
5
6
7
8
9
10 Prevalence of Trauma and PTSD 70-90% of all individuals have experienced at least one trauma2c event in their life2mes. 1-2 Life2me prevalence of PTSD has been es2mated to range from 5% to 12%. 2 1 Soloman S., & Davidson, J. (1997). Trauma: Prevalence, Impairment, Service use, and cost. Journal of Clinical Psychiatry, 58 (suppl 9), Kessler et al., (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry, 51,
11 So Who Gets PTSD? Exposure alone does not account for the rela2onship between distress and a trauma2c event. Type and Severity of trauma(s) # of traumas (>50% have experienced more than one trauma) Examine Vulnerability Those with high levels of symptoms early on are at risk of subsequent PTSD Failure to Recover gene2c, neural risk factors
12 Summary of Reactions to Trauma The majority of trauma vic2ms recover with 2me PTSD represents a failure of natural recovery AYer one year, PTSD does not remit without treatment
13 Three Year Course of PTSD CumulaEve Probability of Recovery Probability of Recovery * Weeks Since Intake PTSD MDD-CDS
14 Resilience & Preven2on A preven2ve public health approach: 1. Reduce Trauma Exposure 2. Iden2ty popula2ons at risk via early detec2on and interven2on for those with severe distress or symptoms
15 PTSD and serotonin transporter gene profile (5-HTT) 80% 70% 60% 50% 40% 30% PTSD (n=100) No PTSD (n=197) 20% 10% 0% s/s s/l l/l Lee et al. Depression and Anxiety, 2005
16
17 Resilience & Preven2on A preven2ve public health approach: 1. Reduce Trauma Exposure 2. Iden2ty popula2ons at risk via early detec2on and interven2on for those with severe distress or symptoms 3. Treatment of PTSD
18 Treatment and Preven2on
19 Defini2on of Preven2on the act or prac2ce of keeping something from happening the act or prac2ce of stopping something bad from happening Preven2on should be conceptualized across the life span.
20 Inten2onal vs. Non-Inten2onal Traumas
21 Inten2onal vs. Non-Inten2onal Traumas 1-Month PTSD rate Inten2onal Non-Inten2onal Inten2onal Non-Inten2onal Santiago et al (2013). A Systematic Review of PTSD Prevalence and Trajectories in DSM-5 Defined Trauma Exposed Populations: Intentional and Non-Intentional Traumatic Events. Plos One, 11;8(4):e doi: /journal.pone
22
23
24 Treatment
25 PTSD: Best Prac2ces Psychotherapy Cogni2ve Processing Therapy (CPT) Prolonged Exposure (PE)
26 Cogni2ve Processing Therapy (CPT) Designed for sexual assault vic2ms Elicits memories of the event by having the pa2ent describe the trauma2c event in wri2ng and then read the account Uses cogni2ve therapy to correct maladap2ve cogni2ons with emphasis on themes of: safety, trust, power, esteem, and in2macy Resick & Schnicke (1992)
27 CPT RATIONALE PTSD symptoms are aeributed to a "stalling out" in the natural process of recovery What interferes with natural recovery from PTSD? Avoidance Behaviors reinforce Distorted beliefs about the trauma and become Generalized to current life situa2ons Cogni2ve-focused techniques are used to help pa2ents move past stuck points and progress toward recovery.
28 Stuck points SAFETY I cannot protect myself/others. The world is completely dangerous. TRUST Other people should not trust me. The government cannot be trusted. POWER/CONTROL I must control everything that happens to me. People in authority always abuse their power. ESTEEM I deserve to have bad things happen to me People are by nature evil and only out for themselves. INTIMACY I am unlovable because of the trauma. If I let other people get close to me, I'll get hurt again.
29 CPT Sessions Session 1: Introduc2on and Educa2on Session 2: The Meaning of the Event Session 3: Iden2fica2on of Thoughts and Feelings Session 4: Remembering the Trauma2c Event Session 5: Iden2fica2on of Stuck Points Session 6: Challenging Ques2ons Session 7: Paeerns of Problema2c Thinking Session 8: Safety Issues Session 9: Trust Issues Session 10: Power/Control Issues Session 11: Esteem Issues Session 12: In2macy Issues and Meaning of the Event
30 Comparison of 9 PE Sessions, 12 CPT Sessions, and Waitlist With Female Assault Survivors CAPS Total Pre Post FU 0 PE CPT WL Resick et al., 2002 PE = CPT
31 CAPS Severity Pre Post 3 mo 9 mo 5+ yr CPT PE CPT, N= PE, N=
32 Amygdala ac2vity reduc2on ayer Treatment PTSD Pre- Treatment Post- Treatment
33 1. Cognitive control, regulation of negative affect Yang et al (submitted to AJP). Cognitive Behavioral Therapy Improves Prefrontal Cortex Activity Across Major Depression and PTSD: Evidence from Longitudinal Task-based fmri
34 CPT normalized the baseline deficient amygdala FC within the IFG region among patients. CPT generates meaningful changes in brain activity by increasing the capacity for top-down emotion regulation Shou et al (2017). Cognitive behavioral therapy increases amygdala connectivity with the cognitive control network in both MDD and PTSD. Neuroimage: Clinical
35
36 CPT: Individual vs. Group Resick et al (2016). Effect of Group vs Individual Cognitive Processing Therapy in Active-Duty Military Seeking Treatment for Posttraumatic Stress Disorder A Randomized Clinical Trial. JAMA Psychiatry, E1-E9.
37 Conclusions: Treatment and Preven2on 1. Relapse Preven2on 2. Reduc2on of Trauma Exposure 3. Reduced likelihood of PTSD with new traumas 4. Scarr (1983) people make their own environments
38 It s never too late to prevent future trauma exposure and PTSD symptoms
39
40
Integrated Approach to Trauma in Eating Disorders Treatment. Nicole Siegfried, PhD, CEDS Clinical Director
Integrated Approach to Trauma in Eating Disorders Treatment Nicole Siegfried, PhD, CEDS Clinical Director Overview Trauma and Eating Disorders Cognitive Processing Therapy (CPT) Prolonged Exposure Therapy
More informationCONTINUED EXPLORATION OF EVIDENCE- BASED TREATMENTS FOR PTSD COGNITIVE PROCESSING THERAPY
Contemporary Mental Health Treatment For Returning Veterans Portland State University CONTINUED EXPLORATION OF EVIDENCE- BASED TREATMENTS FOR PTSD COGNITIVE PROCESSING THERAPY ASHLEE WHITEHEAD, LPC, CADC
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 informationCOGNITIVE PROCESSING THERAPY AND PROLONGED EXPOSURE THERAPY
COGNITIVE PROCESSING THERAPY AND PROLONGED EXPOSURE THERAPY Patricia Resick and colleague s work with rape survivors in the 1990s Social Cognitive Theory based Traumatic Events alter beliefs about the
More informationCOGNITIVE PROCESSING THERAPY AND PROLONGED EXPOSURE THERAPY
COGNITIVE PROCESSING THERAPY AND PROLONGED EXPOSURE THERAPY Patricia Resick and colleague s work with rape survivors in the 1990s Social Cognitive Theory based Traumatic Events alter beliefs about the
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 informationCognitive Processing Therapy: Moving Towards Effectiveness Research
Cognitive Processing Therapy: Moving Towards Effectiveness Research Courtney Chappuis, M.A., Chelsea Gloth, M.A., & Tara Galovski, Ph.D. University of Missouri-St. Louis Overview Brief review of trauma
More informationHow do people respond to natural disasters? Outline 1/7/18. How do people respond to natural disasters? What is PTSD?
Outline How do people respond to natural disasters? What is PTSD? What to do and what not to do to treat PTSD effec>vely How do people respond to natural disasters? 1 Exposure to Trauma>c Events in U.S.
More informationClinical Staging and the At-Risk Phase of Psychotic Disorder
Clinical Staging and the At-Risk Phase of Psychotic Disorder Sabina Abidi MD FRCPC IWK Youth Psychosis Program Capital Health Nova ScoCa Early Psychosis Program Key Findings in Early Psychosis Knowledge
More informationUsing CBT techniques to support pa4ents with depression and anxiety
Using CBT techniques to support pa4ents with depression and anxiety Andrew Grimmer Counselling Psychologist BABCP Accredited CBT Therapist bristolcbt.email@gmail.com www.bristolcbt.co.uk www.onlinecbtresources.co.uk
More informationApplication of PE in Veterans with Military Sexual Trauma (MST) Breakout Session
Application of PE in Veterans with Military Sexual Trauma (MST) Breakout Session May 3, 2013 Diane T. Castillo, Ph.D. Coordinator, Women s Stress Disorder Treatment Team New Mexico VA Health Care System
More informationCognitive Processing Therapy Veteran/Military Version:
Cognitive Processing Therapy Veteran/Military Version: THERAPIST AND PATIENT MATERIALS MANUAL Patricia A. Resick, Ph.D. and Candice M. Monson, Ph.D. Duke University & Ryerson University Kathleen M. Chard,
More informationPATHWAYS TO HEALING FOR VICTIMS AND THEIR FAMILIES
THE ATTACK ON THE WORLD TRADE CENTER PATHWAYS TO HEALING FOR VICTIMS AND THEIR FAMILIES Monica J. Indart, Psy.D. Rutgers University Graduate School of Applied and Professional Psychology Physical Facts
More informationPTSD 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 informationGestalt of Fatigue Risk Management within a Safety Management System
Gestalt of Fatigue Risk Management within a Safety Management System Aircraft Inspection & Maintenance Seminar Coogee Bay October 24, 2017 Robert ForsterLee Fatigue Enablers What is Gestalt? Gestalt is
More informationB Your thoughts (belief) A The Event (antecedent) C Your feelings (consequence) JS Beck Requires a strong, posi2ve therapeu2c alliance
Thanks to Sona Dimidjian " Overview, cognitive model, and case conceptualization Sequence and structure of treatment Automatic thoughts Underlying assumptions and core beliefs Competence Cogni2ve therapy
More informationClinical Relevance of Biological Alterations in PTSD. Rachel Yehuda, PhD Mount Sinai School of Medicine New York, NY
Clinical Relevance of Biological Alterations in PTSD Rachel Yehuda, PhD Mount Sinai School of Medicine New York, NY New developments in PTSD Conceptual shift New findings of prevalence, longitudinal course,
More informationAnxiety Disorders. GAD: Generalized anxiety disorder. Panic disorder. Phobias. OCD: Obsessive- compulsive disorder
Anxiety Disorders GAD: Generalized anxiety disorder Panic disorder Phobias OCD: Obsessive- compulsive disorder PTSD: Post- trauma@c stress disorder hap://www.usatoday.com/story/news/poli@cs/2015/02/12/obama-
More informationPTSD: Epidemiology, Course, Co-Morbidity and Treatments
PTSD: Epidemiology, Course, Co-Morbidity and Treatments R. John Sutherland, PhD, LP HealthEast Care System Director for Psychology Training and Certified Nat l PE Trainer for PTSD University of Minnesota
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationMartin Bohus. Central Institute of Mental Health Mannheim, Germany
Martin Bohus Central Institute of Mental Health Mannheim, Germany Stage I: Severe Behaviour Dyscontrol Stage II: Pervasive Axis I Disorders Change PTSD; Eating Disorders; Substance Abuse Stage III: Towards
More informationPosttraumatic Stress Disorder in the Occupational Context, Including Military Service
Posttraumatic Stress Disorder in the Occupational Context, Including Military Service John R. McQuaid, PhD Associate Chief of Mental Health, SFVAHCS Professor of Clinical Psychology, UCSF Disclosures I
More informationPsychological outcomes of cri2cal illness for pa2ents and family members. Erin K. Kross, MD Summer Lung Day June 18, 2010
Psychological outcomes of cri2cal illness for pa2ents and family members Erin K. Kross, MD Summer Lung Day June 18, 2010 Outline Overview of psychological outcomes for pa2ents and family members ager cri2cal
More informationEffects of Traumatic Experiences
Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D When people find themselves suddenly in danger, sometimes they are overcome with feelings
More informationTRAUMA-INFORMED CARE:
TRAUMA-INFORMED CARE: W H A T I S I T A N D W H Y I S I T I M P O R T A N T? Stephanie Dove, M.A., LCSW MST Coordinator Phoenix VA Medical Center Stephanie.Dove@va.gov OBJECTIVES - Definition of trauma
More informationTrina Hall, Ph.D. Dallas Police Department Lessons Learned: Unfolding the story of PTSD NAMI 2014 Fall Conference
Trina Hall, Ph.D. Dallas Police Department Lessons Learned: Unfolding the story of PTSD NAMI 2014 Fall Conference Loss of career ( unfit for duty ) Embarrassment Label of ill or sick Loss of Confidentiality
More informationTheory and Practice of Cognitive Behavioral Therapy
Theory and Practice of Cognitive Behavioral Therapy Shona N. Vas, Ph.D. Department of Psychiatry & Behavioral Neuroscience Cognitive-Behavior Therapy Program MS-3 Clerkship 2008-2009 Outline n What is
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 informationWomenʼs Health Day. Marsha McInnis, Family Member and President, NAMI Tri-Valley. September 25, 2008
Womenʼs Health Day Marsha McInnis, Family Member and President, NAMI Tri-Valley September 25, 2008 Introduc)on Depression Symptoms Depression Facts What Causes Higher Rate of Seeking Professional Help
More informationConcepts for Understanding Traumatic Stress Responses in Children and Families
The 12 Core Concepts, developed by the NCTSN Core Curriculum Task Force during an expert consensus meeting in 2007, serve as the conceptual foundation of the Core Curriculum on Childhood Trauma and provide
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 informationWorking with Individuals with Mental Health Issues
Working with Individuals with Mental Health Issues HPOG Grantee Meeting Washington D.C. August 1, 2018 Kath Schilling M.Ed., CAS, LADC I Institute for Health and Recovery www.healthrecovery.org 2 What
More informationCreating Opportunities for Success: Working with Trauma Survivors in the Shelter Setting
University of Massachusetts Medical School escholarship@umms Systems and Psychosocial Advances Research Center Publications and Presentations Psychiatry 11-2010 Creating Opportunities for Success: Working
More informationTRAUMA RECOVERY: THE ROLE OF STRESS INOCULATION AND VALUES CLARIFICATION MATT E. JAREMKO, PH.D. STEVE CRUMP, M.A.
TRAUMA RECOVERY: THE ROLE OF STRESS INOCULATION AND VALUES CLARIFICATION MATT E. JAREMKO, PH.D. STEVE CRUMP, M.A. Facebook: Matt E. Jaremko Website: drmattbook.com Blog: Hope for Post-Traumatic Growth
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 informationPROMOTING A TRAUMA INFORMED SYSTEM OF CARE: PSYCHOEDUCATIONAL ACTIVITIES FOR SCHOOL-AGED CHILDREN. Megan Plagman, LMSW, MPH & Meghan Graham, LMSW
PROMOTING A TRAUMA INFORMED SYSTEM OF CARE: PSYCHOEDUCATIONAL ACTIVITIES FOR SCHOOL-AGED CHILDREN. Megan Plagman, LMSW, MPH & Meghan Graham, LMSW WHAT IS TRAUMA? Severe neglect, loss, and/or witnessing
More informationTreating Children and Adolescents with PTSD. William Yule Prague March 2014
Treating Children and Adolescents with PTSD William Yule Prague March 2014 In the beginning. When DSM III first identified PTSD, it was thought that children would rarely show it Why did professionals
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 informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder "I was raped when I was 25 years old. For a long time, I spoke about the rape as though it was something that happened to someone else. I was very aware that it had happened
More informationPRISM SECTION 15 - STRESSFUL EVENTS
START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these
More informationCOGNITIVE BEHAVIOR THERAPY (CBT) & DIALECTICAL BEHAVIOR THERAPY (DBT)
COGNITIVE BEHAVIOR THERAPY (CBT) & DIALECTICAL BEHAVIOR THERAPY (DBT) Kim Bullock, MD Clinical Associate Professor, Director of Neurobehavioral Clinic Director of Virtual Reality Therapy Lab Department
More informationVeteran Support Specialist Training Program
Veteran Support Specialist Training Program MEHUL MANKAD, MD, DUKE PSYCHIATRY / DURHAM VA MC KAREN GOETZ, DUKE UNIVERSITY EPIC Acknowledgements GlaxoSmithKline NC Foundation Duke Psychiatry / Duke Evidence-based
More informationCase Series Utilizing Exposure, Relaxation, and Rescripting Therapy: Impact on Nightmares, Sleep Quality, and Psychological Distress
BEHAVIORAL SLEEP MEDICINE, 3(3), 151 157 Copyright 2005, Lawrence Erlbaum Associates, Inc. Case Series Utilizing Exposure, Relaxation, and Rescripting Therapy: Impact on Nightmares, Sleep Quality, and
More informationBringing the War Home? Family rela3ons of military veterans
Bringing the War Home? Family rela3ons of military veterans Prof. Zahava Solomon Head of the I- Core Research Center for Mass Trauma Tel- Aviv University The Never Ending Story He keeps waking up from
More informationNeurobiology of Sexual Assault Trauma: Supportive Conversations with Victims
Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In
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 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 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 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 informationTreating Complex Trauma, Michael Lambert, Ph.D. 3/7/2016
UNC-CH School of Social Work Clinical Lecture Series Michael C. Lambert, PhD Professor and Licensed Psychologist with HSP Cert. March 7, 2016 It is not a diagnostic category recognized by the DSM or ICD
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 informationFocus on Trauma. Helping Children Heal. Trauma Interventions 2
January 2013 Volume 2, Issue 4 Child Welfare Strategies to Promote Resiliency and Well-Being Issue Resources and References: 1. Complex Trauma in Children and Adolescents, pg 390 394, Psychiatric Annuls,
More informationRunning Head: Counseling for Grieving families of Violence. Counseling for Grieving Families of Violence. Andrea Simmons. Tulane School of Social Work
Grief 1 Running Head: Counseling for Grieving families of Violence Counseling for Grieving Families of Violence Andrea Simmons Tulane School of Social Work SOWK 745 Professor Jamey Boudreaux April 23,
More informationSelf-harm in social care: 14 key points
Mind the care 07872 102626 Self-harm in social care: 14 key points Working with people who hurt themselves can be confusing and bewildering. Staff are often at a loss to understand what drives their resident
More informationModeling is the most effective parenting tool
Lighthouse Parents Modeling is the most effective parenting tool Resilience Resilience is the ability of an individual to overcome challenges of all kinds trauma, tragedy, personal crises, ordinary life
More informationTrauma Informed Care
Trauma Informed Care 1 h"p://www.ncdsv.org/ncd_911.html 2 Objec2ves Define trauma
More informationSocial stressors and suicidal behaviour: neurobiology. Philippe Courtet Montpellier
Social stressors and suicidal behaviour: neurobiology Philippe Courtet Montpellier WHO estimates about 1.5 million deaths by suicide per year worldwide by 2020 10-20 fold more suicide attempts (Organisation
More informationLearning objectives addressed Describe various responses among helpers working with survivors of trauma.
1 2 3 4 Describe various responses among helpers working with survivors of trauma. Research has shown that some professionals and adults working with survivors of trauma are often affected by the experiences
More informationAn Experiential Approach to Reliving with Complex Trauma. Dr Jo Billings Berkshire Traumatic Stress Service
An Experiential Approach to Reliving with Complex Trauma Dr Jo Billings Berkshire Traumatic Stress Service A Phase-Based Approach Stabilisation Processing trauma memories Reclaiming life Overview What
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 informationPTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP
PTSD and Other Invisible Wounds affecting our Service Members and Veterans Alan Peterson, PhD, ABPP 1 Alan Peterson, PhD, ABPP Retired USAF Lt Col Clinical Health Psychologist Former Chair, Department
More informationPSYCHOLOGICAL DISORDERS Abnormal Behavior/Mental Disorders. How do we define these?
PSYCHOLOGICAL DISORDERS Abnormal Behavior/Mental Disorders How do we define these? Abnormality is identified from three vantage points: 1. That of society 2. That of the individual 3. That of the mental
More informationHandouts for Training on the Neurobiology of Trauma
Handouts for Training on the Neurobiology of Trauma Jim Hopper, Ph.D. April 2016 Handout 1: How to Use the Neurobiology of Trauma Responses and Resources Note: In order to effectively use these answers,
More informationTo have loved and lost: A group for students who have lost a loved one
To have loved and lost: A group for students who have lost a loved one 1 Background Informa;on A bereaved person is grieving the loss of someone (or something) he or she valued Loss can nega;vely impact
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 informationWorking With Women Who Are Victims of Domestic Violence & Substance Abuse
National Indigenous Women s Resource Center Presents Working With Women Who Are Victims of Domestic Violence & Substance Abuse Brenda Hill, Native Co-Director brenda@sdcadvsa.org South Dakota Coalition
More informationUP LIFTING LIFE AND COMMUNITY AT THE SAME TIME PRESENTER Charlise Smith, CEO Women Against Violence Enterprises and Services (WAVES)
UP LIFTING LIFE AND COMMUNITY AT THE SAME TIME PRESENTER Charlise Smith, CEO Women Against Violence Enterprises and Services (WAVES) #A NEW WAVE OF LIFE Our Mission The mission of WAVES is to primarily
More informationChildhood trauma and its impact on emotional brain circuits, mood disorder and treatment outcomes
Childhood trauma and its impact on emotional brain circuits, mood disorder and treatment outcomes Leanne (Lea) Williams, PhD med.stanford.edu/williamslab Learning objectives a) Understand the prevalence
More informationPost-Traumatic Stress, Resilience and Post Traumatic Growth (PTG): What are they? How do they relate? How do they differ? How can we advance PTG?
Post-Traumatic Stress, Resilience and Post Traumatic Growth (PTG): What are they? How do they relate? How do they differ? How can we advance PTG? In the scholarly literature on trauma, three important
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 informationThe Opiate Epidemic Collateral Damage The Impact on our children & families. Heather Gibson C.E.O. Danielle Ratcliff C.O.O.
The Opiate Epidemic Collateral Damage The Impact on our children & families. Heather Gibson C.E.O. Danielle Ratcliff C.O.O. Trauma Trauma Any experience that leaves a person feeling hopeless, helpless,
More informationDistrict Led Parent Training Series on Au4sm 10/6/14
Tri- State Au,sm Spectrum Disorder Webinar Series This presentation is a collaborative effort between the following: This material was developed under a grant from the Colorado Department of Education.
More informationLarissa Meysner Webinar for the EMDRAA March 2016
Larissa Meysner Webinar for the EMDRAA March 2016 Grief Theoretical considerations Evidence-base Key tasks in grief Practical implications Phases of EMDR Questions Grief Responses, both internal and external,
More informationMental and Emo,onal Disorders
Mental and Emo,onal Disorders Directions: Match each description or definition in the left column with the correct term in the right column. Write the letter of each term in the answer space provided.
More informationACEs in forensic populations in Scotland: The importance of CPTSD and directions for future research
ACEs in forensic populations in Scotland: The importance of CPTSD and directions for future research Thanos Karatzias School of Health & Social Care Professor of Mental Health Director of Research Overview
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 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 informationUNC-CH School of Social Work Clinical Lecture Series
UNC-CH School of Social Work Clinical Lecture Series Michael C. Lambert, PhD Professor and Licensed Psychologist with HSP Cert. March 7, 2016 It is not a diagnostic category recognized by the DSM or ICD
More informationRochelle F. Hanson, Ph.D.
Rochelle F. Hanson, Ph.D. Nti National lci Crime Victims Research and Treatment tcenter Medical University of South Carolina Charleston, SC Webinar hosted by the National lhealth hcollaborative on Violence
More informationTopic 2: The Stress-Vulnerability Model of Co-occurring Disorders
The Stress-Vulnerability Model of Co-occurring Disorders What causes psychiatric disorders? Why do some people develop a psychiatric disorder but not others? What affects the course of the disorder? s
More informationReducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma
Reducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma Module created by Glenn Saxe, MD: 2002 revised 2009, 2011, 2013,
More informationAn event where a person is exposed to: death threatened death actual or threatened serious injury actual or threatened sexual violence
By Jo Lunn An event where a person is exposed to: death threatened death actual or threatened serious injury actual or threatened sexual violence Characterized by symptoms of: } Intrusion/re experiencing
More informationPsychological (Emotional/Mental) Disorders. Mental disorder. Your turn 11/30/11
Psychological (Emotional/Mental) Disorders Mental disorder Any ongoing behavior or psychological emo3onal state that causes a person to suffer, is self- destruc3ve; seriously impairs the person s ability
More informationNIDA Par9cipa9on in Major NIH Pain Consor9um Ini9a9ves
NIDA Par9cipa9on in Major NIH Pain Consor9um Ini9a9ves David A. Thomas, Ph.D. Deputy Director, Division of Clinical Neuroscience and Behavioral Research, Na9onal Ins9tute on Drug Abuse NIH Pain Consor9um
More informationExamples of Cognitions that can Worsen Anxiety:
Examples of Cognitions that can Worsen Anxiety: Cognitive errors, such as believing that we can predict that bad events will happen Irrational beliefs, such as bad things don t happen to good people, so
More informationPTSD and the Combat Veteran. Greg Tribble, LCSW Rotary Club of Northwest Austin January 23, 2015
PTSD and the Combat Veteran Greg Tribble, LCSW Rotary Club of Northwest Austin January 23, 2015 What is PTSD Posttraumatic Stress Disorder? Traumatic Events that you see, hear about, or happens to you:
More informationEvaluation of an Enhanced Drug Treatment Court Santa Barbara County, California,USA
Evaluation of an Enhanced Drug Treatment Court Santa Barbara County, California,USA Merith Cosden June 19, 212 Drug Court Enhancements Address clients trauma Serve adults with co-occurring disorders Implement
More informationCHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT
CHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT The Role of Trauma in Child Development The role of development in vulnerability to and responses to traumatic events is important to child welfare because
More information11/21/2007. Introduction to Psychological and Psychiatric Disorders. James M. Rice, RhD, CLCP Medical Psychology Associates, PC
Introduction to Psychological and Psychiatric Disorders James M. Rice, RhD, CLCP Medical Psychology Associates, PC Goals of this lecture/presentation To discuss, review, and understand the DSM IV multiaxial
More informationNeuroanatomy of Emotion, Fear, and Anxiety
Neuroanatomy of Emotion, Fear, and Anxiety Outline Neuroanatomy of emotion Fear and anxiety Brain imaging research on anxiety Brain functional activation fmri Brain functional connectivity fmri Brain structural
More informationTrauma-Informed Environments to Promote Healing. Laurie Markoff, Ph.D. Institute for Health and Recovery URL:
Trauma-Informed Environments to Promote Healing Laurie Markoff, Ph.D. Institute for Health and Recovery URL: www.healthrecovery.org What is Trauma? Trauma Definition Extreme stress that overwhelms a person
More informationPTSD: Treatment Opportunities
PTSD: Treatment Opportunities Professor Malcolm Hopwood Department of Psychiatry University of Melbourne Professorial Psychiatry Unit, Albert Road Clinic DSM 5: PTSD CRITERION A exposure to: actual or
More informationDOWNLOAD OR READ : UNDERSTANDING TRAUMATIC STRESS PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : UNDERSTANDING TRAUMATIC STRESS PDF EBOOK EPUB MOBI Page 1 Page 2 understanding traumatic stress understanding traumatic stress pdf understanding traumatic stress Like what you read?
More informationBrian Kurz, LCSW, SAH Certified Therapist. Viviana Figueroa, LCSW, BCD Strength at Home Clinical Supervisor Orland VA Medical Center
Brian Kurz, LCSW, SAH Certified Therapist Viviana Figueroa, LCSW, BCD Strength at Home Clinical Supervisor Orland VA Medical Center 407-631-0478 Men who use IPV exhibit cognitive deficits (e.g., faulty
More informationWorking with trauma in forensic therapeutic communities: Implications for clinical practice.
Working with trauma in forensic therapeutic communities: Implications for clinical practice. SHUKER, Richard and NEWBERRY, Michelle Available from Sheffield Hallam
More informationPreventing Posttraumatic Stress in Children following Injury
Preventing Posttraumatic Stress in Children following Injury Presenter: Cristal Lopez Mentors: Meghan Marsac Ph.D., Nancy Kassam-Adams Ph.D., and Kristen Kohser MSW, LSW Overview Define/describe PTSD Background
More informationEMDR and Severe Mental Disorders
EMDR and Severe Mental Disorders Reflections on the concept of therapeutic resistance Anabel Gonzalez MD, PhD. anabelgonzalez@outlook.com Resistant patients or inadequate models? Severe Mental Illness
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 informationBiology Change Pressure Identity and Self-Image
Victoria L Foster Biology Change Pressure Identity and Self-Image Sadness Sadness is something we all experience. Sadness is usually tied to one event or reason. Sadness is what happens when normal
More informationMaking Justice Work. Executive Summary
Making Justice Work Experiences of criminal justice for children and young people affected by sexual exploitation as victims and witnesses Executive Summary Helen Beckett and Camille Warrington March 2015
More information