A PTSD-Specific TCM Protocol – Sinclair Lian Model In 2006, The Journal of Alternative and Complementary Medicine published a study conducted by N. Sinclair-Lian, M. Hollifield M. Menache, T. Warner, J. Viscaya and R. Hammerschlag – “Developing a Traditional Chinese Medicine Diagnostic Structure for Post-Traumatic Stress Disorder”. In order to develop a TCM structure for the treatment of PTSD, and in preparation for a phase II clinical trial, the authors conducted an 11-textbook review of depression, anxiety and insomnia; a survey of 20 TCM practitioners, and a diagnosis of 21 PTSD patients. DSM –IV definitions of PTSD were utilized. The study resulted in the following primary diagnostic patterns for PTSD: • Heart Shen disturbance • Liver Qi stagnation • Kidney deficiency. The following secondary patterns were determined: • Liver Qi stagnation- • Wood-Earth Disharmony • Liver Fire • Phlegm Fire • Phlegm-Damp • Heart Fire • Xu of: Heart, Kidney, and Spleen The TCM diagnosis for PTSD required arousal symptoms that were not exhibited before the traumatic event; two of the following would need to be present in order to make a PTSD diagnosis: difficulty falling or staying asleep, irritability or outbursts of anger, difficulty concentrating, hypervigilance or exaggerated startle response. Symptoms were assigned to a general organ system. Heart patterns covered re-experiencing and increased arousal; liver patterns covered anger, detachment, flat affect, depression, somatic
The diagnosis of PTSD requires one or more symptoms from three main categories. The first category is re-experiencing the event. This can include reliving the event through nightmares, upsetting thoughts, flashbacks, or anything that can remind the person of the traumatic event, making them have physical and mental reactions ("Post-traumatic Stress," 2014). Next, the second category is avoidance. The individual will avoid thoughts, activities, or conversations that can remind them of the traumatic event. The third stage to diagnose PTSD is increased arousal in your life including, a loss of interest in important things you need such as decreased sleep and being unable to concentrate in your day to day life ("Post-traumatic Stress," 2014). Major depression, substance abuse, and panic can also correlate with PTSD. This diagnosis requires these symptoms to be bad enough to interfere with your daily life and last at least a month.
The treatments can be classified into five categories, natural products, alternative traditional medicines, mind-body medicines, manipulative practices, and other alternative therapies that do not fit into the other four (“Alternative”). Natural products contain herbal supplements such as green tea and kava kava that helps to reduce stress and prevent ulcers from forming as a result. “Used three thousand years ago in ancient India, traditional medicines combine minerals and herbs to treat various diseases and disorders” (“Alternative”). Mind-body medicines like acupuncture, tai chi, and yoga help with relaxation and are the most commonly seeked treatments for PTSD. Like mind-body medicines manipulative practices include activities like massages. Movement and energy therapies as well as support groups fit into the category of other treatments. Researchers have proven that if someone seeks out treatment that they will get better and that combining treatments is very
At least 50% of all adults and children are exposed to a psychologically traumatic event (such as a life-threatening assault or accident, humanmade or natural disaster, or war). As many as 67% of trauma survivors experience lasting psychosocial impairment, including post-traumatic stress disorder (PTSD); panic, phobic, or generalized anxiety disorders; depression; or substance abuse.(Van der Kolk, et al, 1994) Symptoms of PTSD include persistent involuntary re-experiencing of traumatic distress, emotional numbing and detachment from other people, and hyperarousal (irritability, insomnia, fearfulness, nervous agitation). PTSD is linked to structural neurochemical changes in the central nervous system which may have a direct
PTSD affects nearly 60% of men and 50% of women. Annually, 5.2 million adults suffer from PTSD. 20 out of 100 Veterans who served in Iraq suffer from PTSD, and 15 out of every 100 Veterans who served in Vietnam suffer from PTSD (5). However, PTSD is not limited to veterans; These symptoms contain negative changes in thinking and mood, including negative feelings about oneself or others, inability to experience positive emotions, and feeling emotionally numb, and changes in emotional reactions, including angry outburst, aggressive behavior, guilt and shame, and self-destructive behavior (1). Complex Post Traumatic Stress Disorder, discussed by Pete Walker in Complex PTSD: From Surviving to Thriving: A Guide and Map For Recovering from Childhood Trauma, is a more severe form of PTSD, which contains emotional flashbacks, toxic shame, self-abandonment, inner critic, and social
A little background: PTSD is a psychological disorder formed from traumatic experiences that involves physical harm or the threat of physical harm that make the person feel stressed or frightened when they are no longer in danger. Signs and symptoms of PTSD can be grouped into three categories: Re-experiencing symptoms, avoidance symptoms, and hyper arousal symptoms . The main treatment for this is psychotherapy or
The symptoms of PTSD, while generally not life threatening, can be very distressing and have serious effects on a person’s health and well-being. There are three classes of symptoms related to PTSD, re-experiencing symptoms, avoidance symptoms, and hyperarousal symptoms. The re-experiencing symptoms are generally flashbacks, bad dreams and frightening thoughts. These symptoms are produced from the persons own thoughts and can be triggered by anything reminding them of the experience. The second classification of symptoms are called the avoidance symptoms and they include staying away from places and other objects that remind the person of the experience, as well as feeling strong guilt, depression, worry, emotional numbness, and a loss of interest in the world around you. The final classification, hyperarousal symptoms, includes being easily startled, feeling tense, having angry outbursts, and insomnia. These symptoms are
Although posttraumatic stress disorder (PTSD) is sometimes considered to be a relatively new diagnosis, as the name first appeared in 1980, the concept of the disorder has a very long history. That history has often been linked to the history of war, but the disorder has also been frequently described in civilian settings involving natural disasters, mass catastrophes, and serious accidental injuries. The diagnosis first appeared in the official nomenclature when Diagnostic and Statistical Manual of Mental Disorders (DSM)-I was published in 1952 under the name gross stress reaction. It was omitted, however, in the next edition in 1968, after a long
(Rosenthal, J. Z., Grosswald, S., Ross, R., & Rosenthal, N. 2011) Veterans presenting with symptoms of PTSD will often engage in behaviors which can be dangerous for themselves, their families and socity. Lack of effective treatment can place the veteran at increased risk for drug and alcohol abuse or dependence, suicide ideations or attemps, and bouts violence toward others. (National Center for PTSD, 2010) PTSD can occur anytime anytime one has have been through the experience of a traumatic event. PTSD has been referred to by many names in past years such as post-combat disorders, shell shock, post-traumatic stress disorder, disordered or heavy heart, and war neurosis. In DSM-I PTSD was referred to as ‘‘gross stress reaction’’ this was the name of the diagnoises given to those individuals who had suffered combat exposure, and their minds had become psychologically altered. It was very helpful to have a name to the sympotms of military or civilian individual that had been exposed to combat exposure, ex-prisoners of war, and rape victims. This term had also been helpful in diagnosing Nazi Holocaust
Post-traumatic stress disorder (PTSD) is a relatively new diagnosis that was associated with survivors of war when it was first introduced. Its diagnosis was met largely with skepticism and dismissal by the public of the validity of the illness. PTSD was only widely accepted when it was included as a diagnosis in 1980 in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) of the American Psychiatric Association. PTSD is a complex mental disorder that develops in response to exposure to a severe traumatic event that stems a cluster of symptoms. Being afflicted with the disorder is debilitating, disrupting an individual’s ability to function and perform the most basic tasks.
Individuals with PTSD persistently re-experience their traumatic event in their thoughts, perceptions, imagery, dreams, illusions, hallucinations, and flashbacks. They may experience intense physiological distress or reactivity to cues of the traumatic event. These individuals persistently avoid any stimuli associated with the traumatic event and use other mechanisms to cope with any situation or cue that recalls or contradicts their emotional or cognitive responses to the traumatic event (American Psychiatric Association [DSM-IV-TR], 2000). Individuals with PTSD also experience persistent symptoms of increased arousal, such as irritability and difficulty concentrating. These disturbances can cause significant distress in social life, the work place, and family systems. According to the American Psychiatric Association (DSM-IV-TR), in order for individuals to be diagnosed with PTSD they must experience disturbances and symptoms for more than one month (2000). Symptoms can be specified as acute (less than 3 months), chronic (3 months or more), or with delayed onset; in which onset starts 6 months after the actual stressor (DSM-IV-TR, 2000).
A biological psychologist would describe PTSD by the stereotypical symptoms. These are a heighten autonomic activity, accelerated heart rate, a rise in blood pressure. Also, an exaggerated startle response. Other factors affect how people react, such as social support, sex, age, among others, thus creating inconsistencies in how symptoms are distinguished.
Traumatic Stress Disorder (PTSD) was seen as a condition where people are shocked into fear of facing situations. Over the years, it was labeled as “Soldier’s Heart” in the post Civil war era and “Shell Shock” in the World War I. In a situation of ‘fight-or-flight’ an individual is triggered to escape from danger, however in PTSD this reaction is reversed in which case the individual feels a constant threat of danger even when there is no danger present.The person diagnosed with PTSD can be anyone from a child to an adult. Many causes of this disorder include traumatic events, knowing someone who is in danger, genetic factors, and more. Symptoms include
Posttraumatic Stress Disorder (PTSD) is a relatively new diagnosis that found its way into the third edition of the DSM as a classifiable mental disorder in 1980. To warrant such diagnosis, a person must have witnessed or experienced an actual or threatened traumatic event, such as combat, assault, sexual abuse, natural disasters, and vehicle accidents. Additionally, a person must meet the criteria in the DSM-5, such as recurrent and intrusive thoughts of the event, flashbacks, diminished in activities, difficulty concentrating, and trouble falling asleep.
Seedat explains that “the disorder represents a pathological response to a traumatic event, characterized by symptoms of recurrent and intrusive distressing recollections of the event (e.g. nightmares, a sense of reliving the experience with illusions, hallucinations, or dissociative flashback episodes, intense psychological or physiological distress at exposure to cues that resemble the traumatic event)” (Seedat, 2013). Seedat also states that other symptoms could be such things as avoidance of stimuli associated with the trauma that you have experienced “(e.g. inability to recall important aspects of the trauma, loss of interest, estrangement from others)” (Seedat, 2013). Seedat mentions increased arousal as other PTSD symptom. This could include “(sleep disturbances, irritability, difficult concentrating, hypervigilance, and exaggerated startle response)” (Seedat, 2013). The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) includes other symptoms that are characterized by cognition and mood of the individual. Seedat states that in order for an individual to be diagnosed
The Great Potato Famine is characterized as one of the leading disasters in Ireland’s history. It began in the summer of 1845 with the appearance of an unusual disease growing on potato crops throughout various parts of Europe. With the spread of this disease, it soon targeted Ireland consuming the major crop of potatoes. The famine began by this mysterious disease that hit many parts of Europe during 1845. This disease known as the blight was caused by a fungus known ‘phytophthora infestans’. Prior to the blight, two main diseases known as ‘curl’ and ‘dry rot’ attacked Ireland but were not as destructive (Kinealy 33). The blight was known to be originated from South America through cargo ships that