Post Traumatic Stress Disorders (PTSD)
Definition
Criteria for Post-Traumatic Stress Disorder
T raumatic event
R e-experience the event
A voidance of stimuli associated with the trauma
U nable to function
M ore than a Month
A rousal increased
Epidemiology
Treatment
Non-Pharmacological
Pharmacological
Complications
Source
Toronto Notes 2012
Prof S Pridmore
Criteria for Post-Traumatic Stress Disorder
T raumatic event
R e-experience the event
A voidance of stimuli associated with the trauma
U nable to function
M ore than a Month
A rousal increased
Epidemiology
- Prevalence in general population: 7%
Treatment
Non-Pharmacological
- Confort and support. NOT DEBRIEF.
- CBT: systematic desensitization, relaxation techniques, thought stopping
- Eye Movement Desensitization and Reprocessing (EMDR): an experimental method of reprocessing memories of distressing events by recounting them while using a form of dual attention stimulation such as eye movements, bilateral sound, or bilateral tactile stimulation
Pharmacological
- SSRIs (1st line)
- Benzodiazepines (for acute anxiety)
- First-line adjunct - atypical antipsychotics (quetiapine, olanzapine, risperidone)
Complications
- Substance abuse, relationship difficulties, depression, impaired social and occupational functioning, Axis II disorders
Source
Toronto Notes 2012
Prof S Pridmore