E A S O M 2015.

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Presentation transcript:

E A S O M 2015

POSTTRAUMATC STRESS DISORDER AND PREVENTION Mirjana Damej, dr. med. spec. psihiatrije

THE PRIMARY CARE PTSD SCREEN = PC – PTSD A frightening experience in the past month folloved by: --nightmares or unwanted thoughts about it --trying hard not to think about it or avoiding situations that remind you of it --being costantly on guard, watchful or easily startled --feeling numb or detached from others, daily activities, your surroundings 3 positive answers suggest PTSD

PTSD as a result of series of events Complex PTSD Prolonged Duress Stress Disorder Cumulative stress Rolling PTSD

Psychological processes caused by mobbing (= emotional stress) Fear, anxiety, worrying Outrage, anger, helplessness A need for self-defence and self-justification Sleeplessnes, restlessnes, fatigue Impairment of concentration and attention Increased muscle tension – low back pain, headache Abuse of PAS Indirect selfdestructive behaviour Psychosomatic disorders Psychiatric conditions –PTSD, anxiety states, depression, aggressivity, suicide…

Can workplace mobbing cause illness? Experiencing mobbing – emotional response The brain cortex …hypotalamus…autonomous nervous system… hormonal changes Changes in heart function and blood circulation – hypertension, brain or heart stroke, infarction Metabolic disorders – diabetes, thyroid, dyslipidemia Immune system disorders – infections, autoimmune pathology, malignant growth…

Individual psychosocial consequences Work incapability, disability Lower socioeconomic status Social connections, even familial, may fall apart (divorce) Drifting toward social margin Different forms of social pathology Suicide

MOBBING-FREE WORKPLACE CULTURE A difficult interpersonal situation versus a mobbing situation Workplace mobbing policies – a must Understanding and help from managing structures is crucial Training managers on how to understand and support targets (victims?)

PREVENTION OF PDSD - PERSONAL LEVEL EMPLOYERS: -respectful work environment as rated by employees -appreciation as motivator -treating employees as insiders -empathy for problems -discipline + relationship GREAT PEOPLE DO NOT TREAT OTHERS DISRESPECTFULLY

-recognizing mobbing as such EMPLOYEES: -recognizing mobbing as such -carefully building and maintaining a supportive social grid -learning any kind of relaxation techniques and practising it regularly -keeping fit -appropriate nonverbal communication (eyes, posture, hands, standing position, going away) -appropriate verbal communication (mirroring, meaningless comments, humor, irony) Tion techniques ation

WHEN TO SEEK MEDICAL ADVICE Loss of energy and motivation Chest pain Weakness, loss of consciousness, dizziness Concentration and watchfulness problems, errors at work, driving problems Eating and/or digestive disorders Using alcohol, OTC drugs, illegal drugs Unintentional self-injuries