1. E A S O M

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

3. 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

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

5. 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…

6. 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…

9. 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

10. 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?)

11. 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

12. -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

13. 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