PTSDPSYC 5316- 01 Child Psychopathology

Dr. Christine Bradshaw

Presented by Eric Sun

Objectives Overview of PTSD Article reviews Book review Assessments/ Treatments Support groups Recommendations

What are the core features?

*Let’s review*

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Reexperiencingof the

Traumatic event

Avoidance of associated stimuliand numbing of

general responsiveness(last more than 1 month)

Symptoms of extreme arousal

WHAT

CAUSES

P T S D ?

Natural disasters

PTSD can occur at any ages exhibit the symptoms varies:

• acute: less than 3 months• chronic: 3 months or longer• delayed onset: more than 6 months (DSM-IV TR)

Terrorism

The facts of child with PTSD experienced……… • traumatic events by age of 6: 68%• physical problems and emotional difficulties: 20%• more than one traumas: 50% (NCTSN)

Physical abuse

• 20 percent to 63 percent in survivors of child• 12 percent to 53 percent in the medically ill• 5 percent to 95 percent in disaster survivors (NCTSN)

Etiology of PTSDCause

Natural disastersTerrorism

AbusesAccidents

…..

Core features•Reexperiencing of the traumatic event

• Symptoms of extreme arousal•Avoidance of associated stimuli and numbing of

general responsiveness

AssessmentCAPSLASC

M-PTSDDSM-IV-TR

Acute: > 3 monthsChronic: 3~6 months

Delayed onset: > 6 months

PTSDRelapse

(risk factors)

Article reviews Article I - Memory and learning deficits in

children with PTSD.

Purpose - to find out whether the children

with PTSD have memory and learning deficiency

Methods

- compare two different groups of children with traumatized and non-traumatized

Article II - EMDR treatment for children with

PTSD: Results of a randomized controlled trial

Purpose - to evaluate the effect of EMDR

treatment in the children with PTSD

Methods - compare two different groups of

children with PTSD and non-PTSD.

Conclusion of two articles

Children with PTSD might not only be diagnosed comorbid disorders (e.g., major depression disorder, conduct order, ADHD, and substance abuse ), but associated deficiencies in memory and learning.

Many researches have indicated EMDR treatment provides high efficacy on the adult with PTSD and it “might” also beneficial to the children with PTSD. But more EMDR studies are needed for treating children with PTSD.

What did I read? Coedited by

• Dr. Foa, Dr. Keane, and Dr. Friedman

Book contents• Section 1: Brief intro. of PTSD• Section 2: Literature review• Section 3: Treatments (12 types)

I reflect ……• Citations• Fruitful clear information • A useful tool book• very practical and oriented • Must read

Assessments Clinician-Administered PTSD Scale (CAPS)

Form: for child, adolescence, and people experience severe traumas Format: 30 item structured interview Time: 45-60 minutes

Los Angeles Symptom Checklist (LASC) Form: veteran, battered women, adult survivors of childhood abuse, psychiatric

outpatients, and high risks adolescences. Format: 43- item self-report measurement Time: 10-15 minutes

Mississippi Scale for Combat-Related PTSD (M-PTSD) Form: veteran, battered women, adult survivors of childhood abuse, psychiatric outpatients,

and high risks adolescences. Format: 35-item self-report questions Time: 10-15 minutes

TreatmentsEMDR http://www.youtube.com/watch?v=gZ5MLn1Cc94&feature=related (2:57)

Video Game Tetris Used to Treat PTSD http://www.redorbit.com/news/video/technology/7/video_game_tetris_used_to_treat_ptsd/26700/index.html (0:50)

Support groups National resource:

The National Child Traumatic Stress Disorder (US government)

The national child traumatic stress network (NCTSN)

Local resource: Bo’s Place - Address: 10050 Buffalo

Speedway Houston, TX 77054

- Phone: 713-942-8339

Recovery, Inc. (Houson - Memorial Drive)

- Address: 11612 Memorial Drive Blalock & Fondren Houston, TX 77024

- Phone: (713) 466-3387

QuickTime™ and aTIFF (Uncompressed) decompressor

are needed to see this picture.

Recommendations As a counselor, we have to

understand Post-traumatic stress disorder symptoms can come and go. We might always take fixing people’s problems as ours duty. However, PTSD is a kind of disorder in a circle of fixing and breaking. So having a tailoring treatment plan would be the only antidote.

Movie - reign over me (2007)

APA: http://www.apa.org/topics/topicptsd.html

National Center for PTSD (US government) http://www.ncptsd.va.gov/ncmain/index.jsp

NCTSN http://www.nctsnet.org/nccts/nav.do?pid=hom_main

QuickTime™ and aTIFF (Uncompressed) decompressor

are needed to see this picture.

April, 2 2009The Department of Veterans Affairs (VA) will spend more than $1.4 billion as part ofPresident Obama’s economic recovery plan ofPTSD to improve services to America’s Veterans.

NO MORE FEAR!!

References Ahmad, A., Larsson, B., Sundelin, W.V. (2007) EMDR treatment for children

with PTSD: Results of a randomized controlled trial. Nord J Psychiatry, 61, 349-354.

Course Text: Mash, E.J. & Wolfe, D.A. (2005). Abnormal Child Psychology, 3rd edition. Thomson/Wadsworth Publishing.

EDNA b. Foa, Terence M. Keane, Matthew J. Friedman, Effective treatments for PTSD, 72 Spring Street, New York, NY 10012, The Guilford Press, illustrated, 2004, 388 pages.

The national child traumatic stress network (NCTSN) United States of veterans affairs -- national center for posttraumatic stress

disorder American Psychology Association (APA) www.youtube.com Google/ yahoo pictures gallery