May 27, 2008
PTSD, Uncategorized
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PTSD Diagnosis up 50 % in Iraq Troups in 2007 according to an associated press article.
Is anyone really suprised that acute stress reactions are very high in troups in Iraq? I would think not. But the issue of a PTSD diagnoses is another matter altogether. In my opinion PTSD is a diagnosis in vogue these days that is overused (similar to Bi-Polar disorder) . I do not believe you do justice to a person returning from combat by labeling (and burdening) them with a diagnosis too quickly.
Persons returning from War need time to heal. They need a few months of reduced stress and expectations, a place to talk if they want, information on how to deal with common problems, help with reestablishing relationships (with very stressed family) and contact with others who have some idea of what they are going through. Lets give them the support and the time they need. This is what VA and communities should provide, not just another label. Ongoing support will provide prevention for PTSD, allow healing and time to identify those who are not doing so well.
When looking at the criteria to make a PTSD diagnosis having experienced a major stressor is only one criteria needed for the diagnosis to be made.
Any life-threatening event
- Combat
- Natural disasters
- Accidents
- Assault
Most survivors of trauma return to normal given a little time. Some will have stress reactions that linger or even get worse over time. These individuals may develop PTSD.
Signs and Symptoms that last over a month ( this seems unrealistically brief to me.)
- Reliving the trauma (thinking about it with full emotional reactions)
- Becoming angry or upset with a thought or reminder of the trauma
- Avoiding places or people that bring memories of the trauma,
- Spending lots of time alone avoiding others.
- Lack of feelings or complaints of feeling numb.
- Feelings of being on guard (hypervigalent), irritable, and being easily startled.
January 19, 2008
Crises, PTSD, stress
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Lets face it, as much as we would like to, we can’t always avoid stress. Many times we are told to “reduce the stress in your life”; this is so much easier said then done! However, some factors have been identified that can help us deal with the inevitable stressors of live and protect against developing Post Traumatic Stress Disorder after a Crisis. Research has shown that theses factors will help in making you more stress resistant.
1. Getting lots of physical exercise
2. Using active coping skills
3. Remaining positive in your outlook
4. Identifying and living you basic values and principles 5. Getting a little help from your friends6. Being open and flexible about your thinking and behavior
There are many things we are not able to control in life, and we cannot totally avoid stress and crisis. We do however have the ability to make ourselves more stress resistant. We can become more able to deal with that stress and move past it with a little self-awareness and planning.
I will discuss each of these points individually and specifically with “how tos” in future blogs. I hope others will join with their ideas.
Reference: Haglund, Cooper, Southwich, Charney. 6 Keys to resilience for PTSD and everyday stress. Current Psychiatry, April 2007
Check out my book Behavioral First Aid For lots of practical information and advice on stress related topics.
January 16, 2008
PTSD
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The main cause of PTSD is exposure to a severe stress that results in fear and helplessness. The stress may be caused by intentional or unintentional human actions or nature. Intentional trauma is thought by some to be more traumatic then unintentional harm. A partial listing of possible stressors is below.
Intentional traumas
- War
- Abuse, sexual and physical
- Personal assault
- Hostage
- Terrorism
- Kidnapping
- Victim Crime
- Witness to violence (murder/ suicide)
Unintentional traumas and natural disasters
Risk Factors for PTSD
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25% of people exposed to trauma will develop PTSD
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Women are at twice the risk of getting PTSD then men.
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Biochemical makeup
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Childhood abuse may sensitive the nervous system to future PTSD with minimal stress
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Guilt may increase the risk of PTSD
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Mixed feelings about the stress (such as in combat) may increase the risk of PTSD
Watch for future discussion of what you can do to avoid PTSD.