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Post Traumatic 2008

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Dr. Andrea Calabrese LCSW, CASAC
Dr. Andrea Calabrese LCSW, CASAC
Health & Medicine
1 of 34
POST TRAUMATIC STRESS DISORDER Working with Trauma Clients in the Shelter System Developed under contractual agreement between New York State Office of Temporary and Disability Assistance and Brookdale Center for Healthy Aging & Longevity of Hunter College 2007
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is PTSD? ,[object Object],[object Object]
How does PTSD affect the population? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms of PTSD ,[object Object],[object Object],[object Object],[object Object]
HYPERAROUSAL ,[object Object],[object Object],[object Object],[object Object],[object Object]
INTRUSION ,[object Object],[object Object],[object Object],[object Object],[object Object]
INTRUSION (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONSTRICTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONSTRICTION (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs & Symptoms of PTSD ,[object Object],[object Object],[object Object]
Associated Features of a Trauma Client ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recognizing the Triggers of PTSD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trauma Events & Triggers ,[object Object],[object Object],Dark clouds; strong winds Asthmatic breathing Male boss criticizes Elevator Seeing a crime on television Firecracker Entering a subway tunnel Campfire/BBQ Physical assault gunfire Abuse by father Fire Hand held over mouth of rape victim Trench warfare Tornado Taken captive
COPING MECHANISMS
Understanding the difference between Simple and Complex PTSD ,[object Object],[object Object],[object Object],[object Object],[object Object]
Understanding the difference between Simple and Complex PTSD (continued) Combat Stress Acute Stress Disorder Acute PTSD Chronic PTSD TRAUMA 2 Days 1 Month 3 Months Acute Stress Disorder- symptoms develop after a few days or weeks after traumatic event Acute PTSD- Symptoms have been present for less than 3 months PTSD - symptoms persist for a period of time or occurs at least 6 months after event occurred ( delayed onset) Chronic PTSD- Symptoms have lasted longer than 6 months
Trauma Bubbles DEFENSE memory EMOTION BEHAVIOR despair shame terror helplessness shame terror helplessness horror rage grief
Chronic PTSD & Disassociation ,[object Object],[object Object],[object Object]
PTSD and Diversity
Trust and the Trauma Client ,[object Object]
Understanding Trust and the Trauma Client ,[object Object],[object Object],[object Object],[object Object],[object Object]
Personal Control and the Trauma Client ,[object Object]
Working with Trauma Clients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Healing and Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of Recovery ,[object Object],[object Object],[object Object],[object Object]
Healing, Recovery, and Growth Traumatic Event PTSD Healing Recovery Growth
Secondary Stress and the Worker ,[object Object]
The Emotional Impact of Trauma Work ,[object Object]
Stages Leading to Burnout STAGE 1- Early Warning Signs Vague anxiety Fatigue Feelings of depression Apathy Moderate social isolation STAGE 2- Mild Burnout Lowered emotional control Increased anxiety Sleep disturbance Headaches Diffuse physical symptoms irritability STAGE 3- Moderate Burnout Skin rashes Generalized physical weakness Strong feelings of depression Increased blood pressure Emotional outbursts Development of irrational fears Difficulty with relationships Stage 4- Serious Burnout Serious medical conditions Severe withdrawal Accident proneness Severe depression Suicidal thoughts/actions Serious psychiatric disorders
Coping Techniques and the Trauma Worker ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to Manage Overwhelming Stress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PTSD and the Individual ,[object Object]
In Conclusion ,[object Object],[object Object],[object Object]

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Post Traumatic 2008

  • 1. POST TRAUMATIC STRESS DISORDER Working with Trauma Clients in the Shelter System Developed under contractual agreement between New York State Office of Temporary and Disability Assistance and Brookdale Center for Healthy Aging & Longevity of Hunter College 2007
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  • 17. Understanding the difference between Simple and Complex PTSD (continued) Combat Stress Acute Stress Disorder Acute PTSD Chronic PTSD TRAUMA 2 Days 1 Month 3 Months Acute Stress Disorder- symptoms develop after a few days or weeks after traumatic event Acute PTSD- Symptoms have been present for less than 3 months PTSD - symptoms persist for a period of time or occurs at least 6 months after event occurred ( delayed onset) Chronic PTSD- Symptoms have lasted longer than 6 months
  • 18. Trauma Bubbles DEFENSE memory EMOTION BEHAVIOR despair shame terror helplessness shame terror helplessness horror rage grief
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  • 27. Healing, Recovery, and Growth Traumatic Event PTSD Healing Recovery Growth
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  • 30. Stages Leading to Burnout STAGE 1- Early Warning Signs Vague anxiety Fatigue Feelings of depression Apathy Moderate social isolation STAGE 2- Mild Burnout Lowered emotional control Increased anxiety Sleep disturbance Headaches Diffuse physical symptoms irritability STAGE 3- Moderate Burnout Skin rashes Generalized physical weakness Strong feelings of depression Increased blood pressure Emotional outbursts Development of irrational fears Difficulty with relationships Stage 4- Serious Burnout Serious medical conditions Severe withdrawal Accident proneness Severe depression Suicidal thoughts/actions Serious psychiatric disorders
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Editor's Notes

  1. Talk about my background- my work with the VA hospital Maybe my father