Page 323 - 2021 IDMT Digital

POST TRAUMATIC STRESS DISORDER (PTSD)
Introduction:
• ([SRVXUH WR D WUDXPDWLF OLIH WKUHDWHQLQJ HYHQW EDVHG RQ SDWLHQW¶V SHUFHSWLRQ
• &KDUDFWHUL]HG E\ ³UH H[SHULHQFLQJ´ D WUDXPDWLF HYHQW DQG GHFUHDVHG UHVSRQVLYHQHVV
DQG DYRLGDQFH RI FXUUHQW HYHQWV ZKHQ DVVRFLDWHG ZLWK WKH WUDXPD
• 0RUH FRPPRQ ZKHQ DVVRFLDWHG ZLWK SK\VLFDO LQMXU\
• 9HWHUDQV dDWD ,UDT $IJKDQLVWDQ
• $VVRFLDWHG SUREOHPV GLYRUFH SDUHQWLQJ SUREOHPV GLIILFXOWLHV ZLWK ODZ
VXEVWDQFH DEXVH
• RI FDVHV LQFOXGH FRPRUELG GHSUHVVLRQ RU SDQLF GLVRUGHU

Subjective:
• 6LJQV DQG 6\PSWRPV
o ,QWUXVLYH V\PSWRPV IODVKEDFNV QLJKWPDUHV
o $YRLGDQFH V\PSWRPV ZLWKGUDZDO
o 3K\VLRORJLF K\SHUDURXVDO VWDUWOH UHDFWLRQV LQWUXVLYH WKRXJKWV VOHHS SUREOHPV
QLJKWPDUHV K\SHUDOHUWQHVV LUULWDELOLW\
• DSM-5 FULWHULD V\PSWRPV PXVW ODVW for more than PRQWK
• 6\PSWRPV PD\ EH SUHFLSLWDWHG RU H[DFHUEDWHG E\ HYHQWV WKDW DUH D UHPLQGHU RI RULJLQDO
HYHQW
• 6\PSWRPV IUHTXHQWO\ DULVH DIWHU D ORQJ ODWHQF\ SHULRG
• )RFXVHG +LVWRU\
o 6,*(&$36
o ,QTXLUH DERXW WUDXPDWLF HYHQWV
o +LVWRU\ RI SHUVRQDO RU IDPLO\ SV\FKLDWULF GLVRUGHUV
o $VVHVV SDWLHQW¶V ULVN IRU KDUP WR VHOI RU RWKHUV 6, +,
Objective:
• 3K\VLFDO ([DP
o 8VXDOO\ QR VSHFLILF SRVLWLYH ILQGLQJV RQ H[DP
o 1RWH PRRG DIIHFW GUHVV DQG DSSHDUDQFH
Assessment:
• .H\ WR 'LDJQRVLV
o +LVWRU\ RI H[SRVXUH to OLIH WKUHDWHQLQJ HYHQW IROORZHG E\ LQWUXVLYH RU DYRLGDQFH
V\PSWRPV
• 'LIIHUHQWLDO
o $FXWH VWUHVV GLVRUGHU RFFXUV DIWHU D WUDXPDWLF HYHQW VLPLODU WR 376' EXW RQO\
ODVWV GD\V
o $Q[LHW\ GLVRUGHUV IHHOLQJV RI QHUYRXVQHVV XQHDVLQHVV
o 3DQLF GLVRUGHU VKRUW OLYHG UHFXUUHQW XQSUHGLFWDEOH HSLVRGHV RI LQWHQVH DQ[LHW\
DFFRPSDQLHG E\ PDUNHG SK\VLRORJLF PDQLIHVWDWLRQV

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