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PTSD Workshop

Presented by: Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC


What
 Acute Stress Disorder
 Post Traumatic Stress Disorder
Diagnosis/Definition
 Exposure
−Actual or witness of death or serious injury
 Response involves intense fear, helplessness, or horror
 Persistent reexperiencing of the traumatic event
−Can be ego syn- or dys-tonic
 Avoidance of stimuli associated with the trauma [or
immersion]
 Numbing of general responsiveness
 Hypervigilence/Irritability
 Clinically significant distress for more than 1 month, after 1
month
WHO
Types of Post Traumatic Stress
Disorder
 Combat
 Rape Trauma
− Victim
− Parent of Victim
 Gradual Onset
− Definition
− Law Enforcement, Nurses, Psychologists, Fire/EMS
− Children of addicts
 Domestic Violence
 Other Trauma. . .(Discussion)
 Sally: Child sex abuse
 Tommy: Addicted family
 Sue: Domestic violence
 Roger: Witnessed mother shoot father
 Greg: Cop
 Sean: 9/11 bombings
Complications/Impact of PTSD
 Emotional
 Mental
 Physical
 Social
 Spiritual
 Environmental
 Occupational/Financial
WHAT/WHY
Discussion

Above all people with PTSD are PEOPLE who


continue to experience a loss of basic needs
People's Basic Needs
 Biological (Food, water, warmth)
 Safety
 Love and belonging
 Esteem

 Trauma removes the foundation


Anger and Fear
 Fear as Anger/Fight or Flight
 Six basic fears
− Death
− Isolation
− Rejection
− Loss of Control
− Failure
− The Unknown
Initiation
 Discriminitive Stimuli
− Triggers
 Sensory
 Media

 Temporal

 Person (real or transference)

 Place

 Why here, Why now, Why not?


− Reward vs. Punishment
− Ambivalence
WHEN
Activity
 When would someone with PTSD be motivated to
take hostages?
 When would someone with PTSD be motivated to
commit suicide?
INTERVENTIONS
Rapport
 Rapport=Trust
− Why would this person NOT trust you?
 Stranger crime victims and trust
 Family crime victims and trust

 The addicted family and trust

 Domestic violence and trust


Rapport: Communication
 Characteristics of effective communication
− Active listening
− Summarizing
− Handle one issue at a time
− Empathizing
Rapport cont...
 Top communication blockers
− Lecturing
− Judging
− Interrupting
− Negating
− Minimizing
− Patronizing
− Fighting the yes buts...
Communication with persons in crisis
 Simple
 Not therapy
 Check orientation to time and place
− Regressive language clues
 Write it down
Transference

 Definition
 Options
− Building a positive bridge
− Rewriting the story
Counter-Transference
 I'm rubber and you're glue
PTSD Triage
 Domains
− Similarity
− Proximity
− 6-month stressors
− History of mental health issues
− Social support
 Usefulness
− For the client
− For the professional
Don't Fix It
 Characteristics of the Hostage Taker/Suicidal Person
− Hopeless
− Helpless
− Feel unheard/ignored
 New Roles
− Scientist/Anthropologist
 What brought them to this point?
 How is this the best option?

− Parent (A good one)


− Minister
− Advocate
Brief Interventions
 Miracle question
 Find out what/who is important to them
 Help identify what they have control over
 Provide hope/a way out
− Brainstorming
− Decisional Balance
 Acknowledge imperfections/mistakes
 It takes a village
Linking
 Information and Referral
 Receiving facilities
 Victim advocates
 Department of Children and Families
 VA Hospital
 Detoxification
 Crisis Teams
 Domestic violence shelters
Summary
 A variety of issues can lead to PTSD

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