post traumatic stress disorder schimizzi.pdf · 2020. 10. 15. · 2 wwi shell shock diagnostic...
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POST TRAUMATIC STRESS DISORDER
Presented by Joseph Schimizzi
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2
WWI
SHELL SHOCK
Diagnostic Criteria:
War Related
WWII
COMBAT FATIGUE
Diagnostic Criteria
War Related.
NOW
PTSD
Diagnostic Criteria
Defined Diagnostic Criteria
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WHAT IS PTSD?
NATURAL DISASTER SERIOUS ACCIDENT
ASSAULT – SEXUAL, PHYSICAL, RAPEWAR, COMBAT, ACT OF TERRIORISM
PTSD is a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event such as:
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• PTSD is difficult to diagnosis and requires careful evaluation
• Exposure to an upsetting Traumatic Event:• Direct Exposure
• Example: Witnessing a Murder• Example: Repeated Exposure to Child Abuse
• Indirect Exposure• Example: Learning about the tragic death of a loved one• Example: Repeated exposure to a child abuse trauma
• Ensuring the CORRECT Diagnosis in a Disability Claim setting
• PTSD not to be confused with Generalized Anxiety Disorder (GAD)
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PTSD STATISTICS
Ethnicity, nationality, and culture are not unique predispositions to PTSD
PTSD affects approximately 3.5% of U.S adults
Women are 2x more likely to have PTSD than men
Pre‐existing exposure to traumatic events results in higher risk of developing PTSD
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PRE-DISPOSITION TO PTSD
Childhood Emotional Problems
Exposure to Other Traumatic Events
Pre-existing Mental Illness
Repeated Exposure
Inherited Personality
Features
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AVOIDING REMINDERS
Avoiding environments, people, or situations that are a reminder of the Traumatic Event
AROUSAL & REACTIVE SYMPTOMS
Arousal to an environment, people, or situations
INTRUSIVE THOUGHTS
Uncontrolled thoughts regarding the Traumatic Event (or like event)
NEGATIVE THOUGHTS & FEELINGS
Negative or hurtful thoughts stemming from the Traumatic Event
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ASD PTSD
• Occurs in reaction to a traumatic event (like PTSD)
• Symptoms similar to PTSD
• Symptoms occur between 3 days and 1 month after event
.
• Symptoms last greater than a month and can last years
• Symptoms usually occur a month after the event, but can take years to develop
ACUTE STRESS DISORDER (ASD) VS. POST TRAUMATIC STRESS DISORDER (PTSD)