Working with people affected by complex trauma and/or PTSD

Slides:



Advertisements
Similar presentations
Posttraumatic Stress Disorder: Silver Prototype: PowerPoint
Advertisements

Mr Paul Hardisty A Veterans Perspective Launch of South East Coast Armed Forces Forum
© 2011 QTC Management, Inc. Confidential & Proprietary “Examinations for America’s Heroes”
Chapter 7: Obsessive-Compulsive- Related and Trauma-Related Disorders Criteria for Obsessive-Compulsive Disorder clarified Hoarding Disorder added to.
Post Traumatic Stress Disorder By: Psychology and History Students.
POST TRAUMATIC STRESS DISORDER
Post-Traumatic Stress Disorder. Posttraumatic Stress Disorder is a psychiatric disorder that can happen following the experience or witnessing of life-
Roberta Schweitzer, PhD, RN, FCN.  What is PTSD?  Symptoms of PTSD  PTSD causes and factors  Getting help for PTSD  Types of treatment for PTSD 
Sam Bechtel Tech and Assess of HES course POST TRAUMATIC STRESS DISORDER (PTSD)
MS. KIERNAN ENGLISH 10R POST TRAUMATIC STRESS DISORDER (PTSD)
Generalised Anxiety Disorder, Panic Disorder, Phobias, OCD and PTSD.
By: Brooks Mitzel.  Post Traumatic Stress Disorder (PTSD) is a condition of persistent mental and emotional stress occurring as a result of injury or.
How do we define STRESS? Incongruity between the demands placed on the organism and the adaptive capacities of the organism.
Traumatic Events War Rape Physical/sexual abuse Natural disasters Car or plane crash Kidnapping Violent assaults Medical procedures (especially in children.
General Anxiety Disorder (GAD) Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often.
NADE National Conference Columbus, Ohio September 11, 2012 PTSD & Veteran Issues David J Dietz, PhD.
Posttraumatic Stress Disorder: Sexual Assault Silver Prototype: PowerPoint Partial Lecture - Example Only.
POST-TRAUMATIC STRESS DISORDER BY: Michael Prestininzi 6 th hour 10/31/12.
Nayeli Ayala psychology Periods 1. Definition of PTSD An anxiety disorder characterized by haunting memories nightmares social withdrawal jumpy anxiety.
 Panic Disorder / PD With Agoraphobia  Agoraphobia  Specific Phobias  Social Phobia (social anxiety disorder)  Generalized Anxiety Disorder  Obsessive.
 Overview for this evening Seminar!  Anxiety Disorders (PTSD) and Acute Stress  Treatment planning for PTSD  Therapy methods for PTSD and Acute Stress.
Victim, Trauma and PTSD Dicky Pelupessy
Detecting and Diagnosing PTSD in Primary Care Joseph Sego Advisor Dr. Grimes.
Post Traumatic Stress Disorder
Post- Traumatic Stress Disorder
What is PTSD?.  In the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), revised in 2000, sets forth five criteria for diagnosing PTSD.
Stress and Depression Common Causes Common Signs and Symptoms Coping Strategies Caring & Treatment Tips.
POST-TRAUMATIC STRESS DISORDER BY ISEL ADAME. POST-TRAUMATIC STRESS DISOARDER (PTSD) An anxiety disorder characterized by haunting memories, nightmares,
Chapter 16 Abnormal Psychology “To study the abnormal is the best way of understand the normal.” -William James.
Trauma and Trauma Informed Care. Trauma  What is trauma?  How prevalent is trauma ?  How long does it last?  Why should we be aware of it?
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed DSM-IV Diagnostic Criteria for PTSD Exposure to.
What is life like with PTSD? PTSD- Post Traumatic Stress Disorder.
Lesson 2. I. What is stress?  Stress is the body's physical and emotional response to anything that disrupts your normal life and routine or a challenging.
By Madeline Gelmetti. According to MayoClinic.com, PTSD is a mental health condition that's triggered by a negatively life altering event. Symptoms may.
Talking about it Anxiety Disorders. talking about it What are Anxiety Disorders Who is affected Risk factors for Anxiety Disorders Signs and Symptoms.
OBSESSIVE COMPULSIVE DISORDER OCD. DSM-IV Criteria Unwanted repetitive thoughts (obsessions) and/or actions (compulsions). Soon realizes that obsession.
Post Traumatic Stress Disorder Identification and Management Am Fam Physician (12):
PTSD for all Domains Jessica LaBudda, MSW, LSW Outreach Program Specialist Denver Vet Center Department of Veterans Affairs.
Dr. Dion Goodland, Psychologist Goodland Psychology May 2016 What the heck is PTSD? And what do I do if I have it?
Introduction and Education on Post Traumatic Stress Disorder John D. McKellar, PhD Clinical Psychologist Department of Veteran Affairs, Clinical Educator.
Posttraumatic Stress Disorder
PRESENTED BY: Anne Seymour National Crime Victim Advocate
Mental and Emotional Health
Working with people experiencing depression and anxiety disorders
Working with people experiencing psychosis
UNIT 2: Mental & Emotional Health
Lesson 30 Working with Trauma
Posttraumatic Stress Disorder
Mental Disorders.
Anxiety Disorders.
From our story try to know our subject ?
Trauma- Stress Related Disorders
Secondary Traumatization
THE ROLE OF PEDIATRICIANS IN THE MANAGEMENT OF TRAUMATISED CHILDREN
What are the three components of your health triangle?
MENTAL HEALTH December 2017.
A better view of mental illness
Understanding Child Trauma
Posttraumatic Stress and Co-Occurring Disorders
PTSD Lecturer TBD.
Posttraumatic Stress and Co-Occurring Disorders
PTSD soldiers-with-brain-injuries/
A Pilot Study Delivering Eye Movement Desensitisation and Reprocessing (EMDR) for Post-Intensive Care Unit Patients with Post Traumatic Stress Disorder.
Safety Health and Survival ROTW: Post Dramatic Stress Disorder
Managing the Stress in Your Life
Post Traumatic Stress Disorder
Caitlyn Gunn Erica Reyes
Disaster Site Worker Safety
Drugging of the American Soldier
Presentation transcript:

Working with people affected by complex trauma and/or PTSD MHBiz 9 December 2015 Working with people affected by complex trauma and/or PTSD Dr. Leanne Craze, Sydney, Australia

What we will cover today What is trauma? Normal reactions to trauma When to worry What is PTSD? What is complex trauma? Affects of trauma Facts & stats

What we will cover today How healing happens Effective treatment and support Where to get help Trauma informed care Relevance to working with Hume customers How to help Helpful resources

What is trauma? Understanding trauma - https://vimeo.com/132773892\ Traumatic experiences that involve death, serious injury or sexual violence (actual or threatened) can potentially cause PTSD. Everyone responds to trauma differently and although people may experience extreme distress, most eventually recover on their own. Only a minority of people develop PTSD after a traumatic event.

Normal reaction to trauma Fear is a natural and healthy response to a life- threatening event. When people experience or witness danger, the body prepares to take action with the “fight-or- flight” response. The heart rate speeds up, breathing quickens and we feel anxious and ‘pumped’, enabling us to run or combat danger. These feelings of fear normally fade away after the traumatic event.

Acute stress reaction following trauma Signs and symptoms occurring during or shortly after trauma: a sense of detachment poor memory of the specific events generalized anxiety & hyperarousal avoidance of situations or stimuli that elicit memories of the trauma persistent, intrusive recollections of the event via flashbacks, dreams, or recurrent thoughts or visual images.

When to worry If symptoms of acute stress reaction persists for over a month - particularly Still being fearful and very upset Unable to escape intense & distressing feelings Jumpy & pervasive uneasiness Persistence of nightmares Can’t stop thinking about what happened Can’t get on with everyday activities Still feeling detached Feeling guilty and to blame

What is PTSD? https://www.youtube.com/watch?v=YMC2jt_QVEE When someone develops post-traumatic stress disorder (PTSD), fear, anxiety and memories of trauma persist for a long period of time and interfere with daily life. PTSD is a treatable anxiety disorder affecting around one million Australians each year.

Signs and symptoms of PTSD Three main sets Intrusive memories & images – daytime memories, dreams/nightmares & flashback experiences Avoidance of reminders – activities, places, people & feelings Arousal – resulting in difficulty sleeping, irritability or outbursts of anger, difficulty concentrating, hypervigilance, exaggerated startle response

Signs and symptoms of PTSD Additionally - emotional numbing e.g. restricted emotions feeling detached loss of interest difficulty seeing a long term future Frequently occurs with depression, other anxiety disorders and alcohol and drug misuse

What is complex trauma? Complex PTSD can be caused by any type of severe and long-term trauma Usually involves situations where the victim is held (perceived or actual) captive and unable to escape

What is complex trauma? The types of traumatic situations which can cause this disorder include: long-term childhood physical or sexual abuse long-term domestic violence concentration camps or prisoner of war camps prostitution brothels or sex trafficking organised child exploitation rings.

Exercise – table discussion Disease ranking

Exercise – table discussion Why do you think severe PTSD ranks so high? What do you think are the most difficult symptoms or affects of PTSD?

Impacts of trauma https://www.youtube.com/watch?v=LKWUmwxi1ZI - affects on the brain https://www.youtube.com/watch?v=Uzlt-LFr8-o - affects on child development https://www.youtube.com/watch?v=X4o-EXLkA7Y - affects on memory

How trauma affects development The Adverse Childhood Experiences (ACE) Study, a longitudinal study of the long-lasting impact of childhood trauma into adulthood 17,000 participants aged 19 to 90 nearly 64% experienced at least one exposure, and of those, 69% reported two plus incidents connection between childhood trauma exposure, high-risk behaviors (e.g., smoking, unprotected sex), chronic illness eg heart disease, mental illness, cancer, and early death.

Facts and stats About 5% to 10% of Australians experience PTSD at some point in their lives In a 12 month period, more women (8.3%) than men (4.6%) experience PTSD
The rate of PTSD differs according to the trauma experienced. As a general rule, higher rates of PTSD (up to 50%) for survivors of intentional acts of violence or prolonged/repeated events than in survivors of non-intentional trauma e.g. natural disasters or accidents (around 10%).

Facts and stats Following a trauma 20% of women & 8% of men will develop PTSD Between 5-20% of Australian veterans experience PTSD PTSD is high in front line emergency services and health and community services

Facts and stats Following a trauma 20% of women & 8% of men will develop PTSD Between 5-20% of Australian veterans experience PTSD PTSD is high in front line emergency services and health and community services

Exercise – how good can you google? In which population groups in Australia is PTSD high? In which professional groupings or workplaces is PTSD high?

How healing happens? Why do I feel so crazy - https://www.youtube.com/watch?v=4lnVcL51Ocs How healing happens - https://www.youtube.com/watch?v=cUlKIHVDxYw

Effective treatments and supports Trauma-focused cognitive behavioural therapy Prolonged Exposure Therapy Cognitive Processing Therapy Eye Movement Desensitisation and Reprocessing (EDMR) Medication https://www.youtube.com/watch?v=FeLLt39DI8A https://www.youtube.com/watch?v=Jqj5zDbkPxY https://www.youtube.com/watch?v=rHg_SlEqJGc https://www.youtube.com/watch?v=bnjEr7GVhLo

Other treatments Education about PTSD Training in controlling hyperventilation Relaxation training Distraction techniques Learning to alter unhelpful thinking patterns and beliefs Stress inoculation training Treatment of other conditions such as depression

Where to get help GP – Better Access A Psychologist (The Australian Psychological Society has a referral service: Ph. 1800 333 497) http://www.psychology.org.au/FindaPsychologist A psychiatrist (see RANZCP website) Local community mental health centre

Trauma informed care & Hume applied understanding the neurological, biological, psychological and social effects of trauma views the individual as having been harmed by something or someone recognition and acknowledgement of trauma and its prevalence awareness and sensitivity to trauma’s dynamics  

Trauma informed care & Hume strengths-based responsive to the impact of trauma emphasises physical, psychological, and emotional safety for both staff and clients creates opportunities for clients to rebuild a sense of control and empowerment  

Relevance to working with customers Many customers have experienced complex trauma Many customers will have PTSD Do no harm – what do we do that may trigger trauma or traumatise? Vicarious trauma Importance of self care and professional boundaries

How to help - exercise Fact sheets

Helpful resources Promoting recovery after trauma - http://phoenixaustralia.org/wp-content/uploads/2015/03/Phoenix-Adults-Guide.pdf Factsheets and booklets - http://phoenixaustralia.org/recovery/fact-sheets-and-booklets/ Online treatment programs Mindspot - https://mindspot.org.au/ptsd-course eCentreClinic - https://www.ecentreclinic.org/?q=PTSDCourse Mental Health Online - https://www.mentalhealthonline.org.au/ PTSD Coach Australia app - https://www.youtube.com/watch?v=2sUmqItlQvE