TERMINOLOGY
CLINICAL CLARIFICATION
• Chronic and incapacitating mental condition that is triggered by traumatic events, either experienced or visualized by the patient 1
CLASSIFICATION
• DSM –V criteria for Post-traumatic Stress Disorder 2
○ “A” Stressor criteria
– Exposed to catastrophic event including threatened death, injury, physical abuse
○ “B” Intrusive recollection criteria
– Patients in whom trauma manifests during intrusive daytime images of the event and nightmares known as post- traumatic stress disorder flashbacks
– Trauma-related stimuli may initiate recollections of the original event and trigger mental images and physiological reactions associated with the trauma.
○ “C” Avoidance criteria
– Different behavioral
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The symptoms can be grouped into four categories:
– Re-experiencing symptoms
□ Flashbacks of trauma
□ Nightmares
– Avoidance Symptoms
□ Try to stay away from things that remind them of the trauma
□ Feel worried, depressed or emotionally
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□ Negative emotional state and difficulty experiencing positive emotions
.□ Diminished interest in activities
□ Being detached/estranged from others
○ Sometimes, symptoms appear as late as 6 months after the trauma; this is termed delayed post-traumatic stress disorder
○ In children with post-traumaticpost-traumatic Stress Disorder, the following symptoms may be indicative of post- traumaticpost-traumatic Stress Disorder:
– Unusually clingy with parents
– Bedwetting
– Forgetting how to speak 3
• Physical examination
○ May reveal evidence of physical trauma including scars, burns, abrasions etc 4
○ Patients show evidence of fixation with the trauma in the form of seeing flashbacks, nightmares
○ May present avoidance and/ hyperarousal behavior
○ May be reluctant to talk about the problem or may have difficulty explaining the trauma
○ Feeling of detachment and inability to relate to others
○ Significantly reduced interest in participating in various activities
○ Insomnia
○ Irritability and outbursts of anger 4
○ May present with some general medical conditions:
– Headache
– Insomnia
– Stomach ache 5
CAUSES AND RISK FACTORS
• Causes
○ Traumatic experiences in life
○ Lack of good support system to assist in
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.
Here it can be noted that the patient feels unsafe and may be struggling with some Post Traumatic
Frequently, as humans, we are faced with traumatic memories and experiences that prove to
The different health care services that links to this are post-traumatic stress disorder meaning that the trauma returns in night terrors or ‘flashbacks’. Another example is childhood guilt/anxiety, both
Many people with PTSD repeatedly re-experience the ordeal in the form of flashback episodes, memories, nightmares, or frightening thoughts, especially when they are exposed to events or objects reminiscent of the trauma. Anniversaries of the event can also trigger symptoms. People with PTSD also
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
The symptom that most acutely describes the mental condition is recurring flashbacks of the event that triggered the PTSD originally.
Post-Traumatic Stress Disorder (PTSD) is a psychiatric sequel to a stressful event or situation of an exceptionally threatening or catastrophic nature. It develops after a person is involved in a horrifying ordeal that involved physical maltreatment or the threat of physical harm. These events can include combat or military experience, abuse during childhood or adulthood (physical or sexual), terrorist attacks, serious accidents or natural disasters. This person may have been the one that was harmed, witnessed a harmful event or had a loved one who was harmed. It is normal for the body’s fight or flight mechanism to engage in times of danger. With a person who has PTSD, that mechanism is damaged and the person feels this even when they are not in danger. Symptoms can be categorized into four different areas – re-experiencing symptoms (flashbacks, bad dreams, frightening thoughts) , avoiding situations that remind the person of the event, negative changes in beliefs and feelings (may be fear, guilt, shame or losing interest in those activities that once were enjoyable) and hypervigilence (always feeling keyed up, trouble concentrating or sleeping). There are also feelings of hopelessness, despair, depression or anxiety, alcohol or substance abuse, physical symptoms or chronic pain and problems with employment and relationships.
The client presents to the facility appearing to have symptoms of posttraumatic stress disorder including night mares, flash backs, and having a difficulty sleeping at night; she reports many nights that she does not want to go to sleep because the nightmares will wake her up. According to the American Psychiatric Association “posttraumatic stress disorder (PTSD) is a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event such as a natural disaster, a serious accident, a terrorist act, war/combat, rape or other violet personal assault” (American Psychiatric Association, 2018, para.
Post-traumatic stress disorder, otherwise known as PTSD is a mental health condition triggered by a terrifying event, either by experience or witness, it can trigger flashbacks, nightmares, severe anxiety, and as well as uncontrollable thoughts about the
Antwone Fisher is a character who is very hostile and antisocial. He feels alone and confused by previous events that occurred during his childhood. Fisher is very withdrawn, unforgiving, and apprehensive. The constant battle of flashbacks denoting verbal, physical, and sexual abuse frequently interferes with his everyday life. The diagnostic criteria for post traumatic stress disorder explain the details of Antwone’s life in its entirety. Antwone meets the following criteria in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition: “Directly experiences a traumatic event, experiences extreme exposure to aversive details of the traumatic event, recurrent, involuntary distressive memories” (271).
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.
Trauma is an individual’s visceral reaction to a horrible event, events such as early childhood traumas, accidents, sexual abuse, or community violence (apa.org, 2016). An individual may react with shock and denial in the aftermath. As time continues some reactions may comprise of mood swings, intrusive memories, difficulties maintaining relationships and can manifest into physical symptoms to include headache or upset stomach. There are individuals who experience difficulties functioning in their daily lives; these observable responses are a normal response to the trauma (apa.org, 2016).
When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.
Traumatic events also produce profound and lasting changes in physiological arousal, emotion, cognition, and memory. Moreover, traumatic events may result in the severance of these normally integrated functions from one another. Traumatized individuals may also suffer from the memories of the tragic or horrifying experiences they have undergone. Frequently, as a result of these many symptoms, it becomes inevitable for the individual to develop certain complications associated with trauma-related disorders, such as posttraumatic stress disorder.