Beruflich Dokumente
Kultur Dokumente
Education Conferences:
Bangkok, Orlando, Dakar
Understanding
Post-Trauma Reactions
Priscilla M. Schulz, LCSW-C
Peace Corps Headquarters
Counseling and Outreach Unit
Washington, DC
Unwanted
upsetting
memories
Darkness in mood
and thoughts
Trauma
Reactions
Agitation,
watchfulness,
irritability
Avoidance of
trauma reminders
57
52
47
44
42
37
32
27
Likely PTSD
22
17
1
60
50
40
30
20
10
0
1
23% have
persistent
distress
77% recover
on their own
PTSD BIOLOGY
Thinking
brain
(vmPFC)
Optimal brain
response to
threat
Fight/Flight
Amygdala
brain
(Amygdala)
Motor
brain
Threat
Frontal lobe
Hippocampus
(-)
Fight/flight
(-) (-)
Milad et al. (2009); Rauch et al. (2006); Shin et al. (2005); Southwick et al. (2005)
Immediate traumatic
stress response,
and PTSD
Trauma Triggers
Motor
brain
PTSD THINKING
Ignore context
Are automatic impressions,
NOT fair assessments of experiences
Are like snapshots of the experience
PTSD AND
LEARNING BY ASSOCIATION
PTSD Treatment
When symptoms of traumatic stress linger more than a
month, involving mental health providers can help
A-LEVEL TREATMENTS
ISTSS: 2000/09
ET (includes CPT)
TF-CBT, EMDR
Therapist ratings
Pre-Tx
70
Post-Tx
60
50
40
30
20
10
0
Patient 1
MedEvac
ET: safety
Patient 2
MedEvac
RTC
Patient 3 Patient 4
MedEvac Phone
RTC
COS
26
The end.
Thank you!