PTSD and Acute Stress Disorder (ASD)
32 هزار بار بازدید -
13 سال پیش
-
Dr. Dawn-Elise Snipes is a
Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com 📢SUBSCRIBE and click the BELL to get notified when new videos are uploaded.
💲 Unlimited CEUs $59 based on these videos at https://allceus.com for social work, counseling, marriage and family therapy, addiction counseling, case management, pastoral counseling and more.
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#ptsd #trauma #counselingskills
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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.
0:00 Introduction
0:11 Prevalence
0:51 Initial Assessment
3:46 Initial Interventions
5:07 Diagnostic Evaluation
6:40 Dissociative Symptoms
7:36 Reexperiencing symptoms
9:38 Avoidant symptoms
12:22 Hypervigilence Symptoms
14:04 Grief
15:19 Ongoing Treatment
17:17 Effects of a Trauma
20:17 Effective Treatments
24:16 SSRIs
26:44 Choosing Treatments
28:33 Debriefing
29:56 Supportive Interventions
30:39 Treatment Goals
32:42 Treatment Plan
36:37 Psychodynamic Psychotherapy
37:22 Countertransference
38:03 Psychoeducation
41:18 Treatment Placement
44:20 Aggression
46:00 Personality Disorders
47:11 Other Related Disorders
47:56 Summary
💲 Unlimited CEUs $59 based on these videos at https://allceus.com for social work, counseling, marriage and family therapy, addiction counseling, case management, pastoral counseling and more.
Training CEUs for Licensed Professional Counselors (LPC) and Licensed Mental Health Counselors (LMHC) by AllCEUs. https://www.allceus.com/member/cart/i...
#ptsd #trauma #counselingskills
Unlimited CEUs $59 at http://allceus.com
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.
0:00 Introduction
0:11 Prevalence
0:51 Initial Assessment
3:46 Initial Interventions
5:07 Diagnostic Evaluation
6:40 Dissociative Symptoms
7:36 Reexperiencing symptoms
9:38 Avoidant symptoms
12:22 Hypervigilence Symptoms
14:04 Grief
15:19 Ongoing Treatment
17:17 Effects of a Trauma
20:17 Effective Treatments
24:16 SSRIs
26:44 Choosing Treatments
28:33 Debriefing
29:56 Supportive Interventions
30:39 Treatment Goals
32:42 Treatment Plan
36:37 Psychodynamic Psychotherapy
37:22 Countertransference
38:03 Psychoeducation
41:18 Treatment Placement
44:20 Aggression
46:00 Personality Disorders
47:11 Other Related Disorders
47:56 Summary
13 سال پیش
در تاریخ 1390/12/19 منتشر شده
است.
32,000
بـار بازدید شده