DOC PREVIEW
CORNELL HD 3700 - PTSD and Treating Anxiety
Type Lecture Note
Pages 6

This preview shows page 1-2 out of 6 pages.

Save
View full document
View full document
Premium Document
Do you want full access? Go Premium and unlock all 6 pages.
Access to all documents
Download any document
Ad free experience
View full document
Premium Document
Do you want full access? Go Premium and unlock all 6 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 6 pages.
Access to all documents
Download any document
Ad free experience

Unformatted text preview:

HD 3700 1st Edition Lecture 19Outline of Last LectureI. “Normal Anxiety” and common ways of coping with itII. Obsessive-Compulsive Disorder and its neuro-anatomical circuit.III. The range of anxiety disordersIV. Hamlet and HoratioOutline of Current LectureI. Anxiety disordersII. PTSDIII. Trauma and the selfIV. Psychotherapy V. Medicating Anxiety (Anxiolytics – what they are, how they work)VI. Approaching the play-within-the-play Current LectureI. Anxiety Disorders: all of these are fueled by anxiety- Phobias: specific severe spiders and snakes most common- Generalized anxiety disorder: the opposite of phobias, general anxiety- Panic disorder: panic attacks are specific events that happen to people, body in arousal state as if you’re in danger- Panic disorder with agoraphobia- Social anxiety disorder: not shyness, fear of social situations- OCD: obsessive thoughts, compulsive behaviors- Eating disorders: bulimia, anorexia- Body dysmorphic disorder- PTSD: inherently human, leaves the person dysfunctional afterwardsII. PTSD- Inherently human, person faces severe stress, and the stress leaves the person dysfunctional afterwards- Common after WWI, known as shell shock, left soldiers impulsive, depressed, often self-medicated with alcohol or opium because its if the trauma doesn’t stop happening- WWII less traumatizing because soldiers weren’t sitting in trenches for months, called it combat fatigue- Vietnam vets also had awful PTSD, but mental health professionals began to notice it- Started being diagnosed in survivors from earthquakes, women who had been raped- Post-traumatic stress disorder (PTSD) is an anxiety disorder that can develop afterexposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD include violent personal assaults, natural or human-caused disasters, accidents, or military combat.- Among those who may experience PTSD are military troops who served in the Vietnam and Gulf Wars; rescue workers involved in the aftermath of disasters likethe terrorist attacks on New York City and Washington, D.C.; survivors of the Oklahoma City bombing; survivors of accidents, rape, physical and sexual abuse, and other crimes; immigrants fleeing violence in their countries; survivors of the 1994 California earthquake, the 1997 North and South Dakota floods, and hurricanes Hugo and Andrew; and people who witness traumatic events. Family members of victims also can develop the disorder. PTSD can occur in people of any age, including children and adolescents.- Many people with PTSD repeatedly re-experience the ordeal in the form of flashback episodes, memories, nightmares, or frightening thoughts, especially when they are exposed to events or objects reminiscent of the trauma. Anniversaries of the event can also trigger symptoms. People with PTSD also experience emotional numbness and sleep disturbances, depression, anxiety, and irritability or outbursts of anger. Feelings of intense guilt are also common. Most people with PTSD try to avoid any reminders or thoughts of the ordeal. PTSD is diagnosed when symptoms last more than 1 month.- Physical symptoms such as headaches, gastrointestinal distress, immune system problems, dizziness, chest pain, or discomfort in other parts of the body are common in people with PTSD. Often, doctors treat these symptoms without being aware that they stem from an anxiety disorder.- Diagnostic criteriao The person has been exposed to a traumatic event in which both of the following were present: the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. the person’s response involved intense fear, helplessness, or horror. o The traumatic event is persistently re-experienced in one (or more) of thefollowing ways: recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions  recurrent distressing dreams of the event  acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated)  intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event  physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic evento Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: efforts to avoid thoughts, feelings, or conversations associated with the trauma  efforts to avoid activities, places, or people that arouse recollections of the trauma  inability to recall an important aspect of the trauma  markedly diminished interest or participation in significant activities  feeling of detachment or estrangement from others restricted range of affect (e.g., unable to have loving feelings) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span) o Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: difficulty falling or staying asleep  irritability or outbursts of anger difficulty concentrating hypervigilance exaggerated startle responseIII. Trauma and the self- A few thoughts on “trauma”- Predictive factors that make people more likely to get PTSD as a result of stress/war: o If you had an earlier traumao Coping style: men in Vietnam “seal over”, internalize, don’t talk about it- There is a spectrum of traumatic impact, from devastating events (death, assault)to more subtle repetitions (a subtle, rejecting parent)- The mind responds to trauma through the narrowing of associations. This “narrowing” can range from isolation of affect to compete forgetting- To know and not know—that is the evolutionary challenge. Human beings’ great strength was remembering and communicating, yet traumatic events are too devastating for the individual to remember fully.o Evolution: we can still be traumatized but dissociate from it, see mother get eaten by lion you can dissociate and run to safetyo When


View Full Document

CORNELL HD 3700 - PTSD and Treating Anxiety

Type: Lecture Note
Pages: 6
Download PTSD and Treating Anxiety
Our administrator received your request to download this document. We will send you the file to your email shortly.
Loading Unlocking...
Login

Join to view PTSD and Treating Anxiety and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view PTSD and Treating Anxiety 2 2 and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?