Final ptsd vs cptsd 1

Final ptsd vs cptsd 1

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  Janisha Mickens B.A
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   Irritable heart Battle shock  Shell shock  War strain  War neurosis,  Combat exhaustion
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   Combat: isa purposeful violent conflict meant to weaken, establish dominance over, or kill the opposition, or to drive the opposition away from a location where it is not wanted or needed. Is any violent conflict between individuals or nations  Trauma: is an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea (APA,2014)  Stress: interference with normal living, damage your physical health or cause difficulties with concentration or mood. (APA,2014).  Stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. (Psychologytoday,2014)
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   Difficulties withrelationships  frustration and depression ("Every man has his breaking point).  Stay to self/Guarded  Forgets until trigger occurs  That it can wear off  Self medications  Fluctuating in appetite and sexual interest
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   When diagnosingan individual with CPTSD his or her personality, developmental history, and situational context should be consider in an effort to make an accurate diagnosis.  CPTSD has no duration as long as the individual has experience an trauma based on their perception.
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   PTSD •Clinical interpretation •occursas a result of injury •or severe psychological shock •must have a history of or have direct exposure to an extreme traumatic event. •Explosive behaviors •Does not always have a violent History • Event must involves an actual threat or threatened death or serious injury
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   Police officers(“Never let them see you cry”)  Citizens (gang affiliations, bullying etc.)  Rape Victims  Soldiers  Dispatchers  “What can be a minor experience to one can be traumatic for another”
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   60% ofmen 50% women (military 2010) Traumatic Incident at a Law Enforcement Agency Experianced a tramatic incident No experience
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  Age of RapedVictimss/Reported Under 18 Under 30 Not Reported Reported
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  Street Gangs has94% presence of a population of 100,000 US. Cities Chicago Cook County Hospital  2,000 patients (gunshots, stabbing, violent injuries)  43 % showed signs and symptoms Atlanta Researcher Interviewed 8,000 residents  1/3 were violently attached  1 in 3 experienced CPTSD symptoms  Rates are as high or Higher than the military
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  1. Individual perceptionof Combat/Trauma • The amygdala and prefrontal cortex are key brain regions involved in threat detection and fear regulation. • Combat exposure increased amygdala reactivity in military soldiers, whereas no significant change was observed in soldiers that were never deployed. • Combat exposure also increased insula reactivity in soldiers (Van Wingen, G., Geuze, E., Vermetten, E., Fernández, G., 2011).
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  • Influence onamygdala is dependent on perceived threat, rather than actual exposure, suggesting that threat appraisal affects interceptive awareness and amygdala regulation.
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   2. Improvedunderstanding and focus on CPSTD by clinicians  • Civilian clinicians may not be as familiar with the nature and intensity of combat  • These may “feel” somewhat different to treat  • Returning soldiers not only suffer from more “standard” traumatic events (e.g., witnessing a friend die, being raped), but may also experience PTSD symptoms due to actions they have themselves taken (e.g., killing enemy combatants).  • Improved awareness of specified treatment options.
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  3. Specified treatmentoptions for CPTSD  Prolonged Exposure (PE)  Eye Movement Desensitization and Reprocessing (EMDR)  Cognitive Processing Therapies (CPT)  PE possessing the most empirical evidence in favor of its efficacy
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   4. MisdiagnosedPTSD  There has been controversial issue surrounding the US military's diagnostic application with PTSD surrounding three aspects, being:  The diagnosis of thousands of veterans upon return from deployment with personality based disorders.  Pre-existing condition  No compensation / No treatment  Confusion between Traumatic Brain Injury (TBI) and PTSD  symptom overlap  The intentional misdiagnosis by treating physicians due to Department of Veterans Affairs (DVA).  “Didn’t see enough trauma”
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  Cognitive –Cognitive behaviortherapy (CBT) Trauma –Focused Cognitive behavior therapy (TF-CBT) Medication Management Exposure therapy: form of behavioral therapy help patients safely confront the memories or things that are upsetting or distributing, so that they can learn to cope effectively.
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   www.emotionaltuning.com  www./psyhcentral.com/lib/facts American Psychiatric Association. (2013) Diagnostic andstatistical manual of mental disorder, (5th ed ). Washington DC: Author.  www.marketheconnection.net  Becker, B.B., Zayfert, C Cognitive-Behavioral Therapy for PTSD: A Case Formulation Approach  Cohen, J. A, Deblinger, E., Mannarino, A. P., ( 2006). Treating Traumatic Grief in Children and Adolescents. New York, NY  Sharpless, B., Barber, J. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice: 42(1): 8-15.  Carlson,J., Chemtob,C., Rusnak,K.,Hedlund,N. (1996). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy: Theory, Research, Practice, Training 33(1):104–113.  Rozynko, V., Dondershine, H.,(1991). Trauma focus group therapy for Vietnam veterans with PTSD. Psychotherapy: Theory, Research, Practice, Training 28(1):157–161  https://www.rainn.org/statisticsRetrieved April 19, 2014  http://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder- ptsd/index.shtml  http://www.psychologytoday.com/basics/stress