final ptsd vs cptsd 1
TRANSCRIPT
![Page 1: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/1.jpg)
Janisha Mickens B.A
![Page 2: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/2.jpg)
Irritable heart
Battle shock
Shell shock
War strain
War neurosis,
Combat exhaustion
![Page 3: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/3.jpg)
![Page 4: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/4.jpg)
Combat: is a 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)
![Page 5: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/5.jpg)
Difficulties with relationships
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
![Page 6: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/6.jpg)
When diagnosing an 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.
![Page 7: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/7.jpg)
PTSD•Clinical interpretation
•occurs as 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
![Page 8: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/8.jpg)
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”
![Page 9: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/9.jpg)
60% of men 50% women (military 2010)
Traumatic Incident at a Law Enforcement Agency
Experianced a tramatic incident No experience
![Page 10: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/10.jpg)
Age of Raped Victimss/Reported
Under 18 Under 30 Not Reported Reported
![Page 11: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/11.jpg)
Street Gangs has 94% 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
![Page 12: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/12.jpg)
1. Individual perception of 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).
![Page 13: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/13.jpg)
• Influence on amygdala is dependent on perceived threat, rather than actual exposure, suggesting that threat appraisal affects interceptive awareness and amygdala regulation.
![Page 14: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/14.jpg)
2. Improved understanding 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.
![Page 15: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/15.jpg)
3. Specified treatment options 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
![Page 16: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/16.jpg)
4. Misdiagnosed PTSD
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”
![Page 17: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/17.jpg)
Cognitive –Cognitive behavior therapy (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.
![Page 18: Final ptsd vs cptsd 1](https://reader030.vdocuments.mx/reader030/viewer/2022032421/55a730501a28abc1668b46cd/html5/thumbnails/18.jpg)
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