1. Post Traumatic Stress Disorder
Exposed to traumatic event
The person’s response involved intense fear, helplessness or horror
witnessed, or was confronted with an event involving actual or threatened death, serious injury
The traumatic event is re-experienced in one or more of the following ways
Recurrent images, thoughts, recurrent distressing dreams of the event
Persistent avoidance of stimuli associated with trauma and numbing as indicated by 3 or more:
Avoiding thoughts, feelings, or discussion, activities, places or people that bring back recollections; sense of foreshortened future, feeling detached
Persistent symptoms of increased arousal by 2 or more:
Difficulty falling or staying asleep, Irritability or outbursts of anger
Difficulty concentrating
Duration for more than 1 month

2. 1-14% community, 3-58% in at-risk populations
25-30% lifetime prevalence in Vietnam veterans
85% in concentration camp survivors
30% recover completely
40% continue with mild symptoms
20% moderate symptoms
10% unchanged or worsen

3. Examples of Traumatic Events
Complicated or unexpected bereavements
Accidents
Captivity
Violent crime
Sexual trauma
Chronic physical abuse
Military combat
Natural disasters
Manufactured disasters

4. Treatment Talking about the trauma allowing
Individual or group therapy, hypnosis , followed by support
Pharmacotherapy
Psychotherapy
Relaxation Training

5. DREAMS Detachment Re-experiencing the event Emotional effects
Avoidance
Month in Duration
Sympathetic hyperactivity or hypervigilance

6. PTSD Questionnaire