Posttraumatic Stress Disorder: Nightmare After The Ordeal
Sarah is a 28 y/o accountant who had a traumatic past that she kept to herself. At age 15, she was grabbed by a masked man while she was jogging in a park. The man threatened to kill her with a knife and brutally raped her. She screamed but nobody seemed to have heard her.
Since that time, Sarah has developed nightmares about being raped or killed. In most days, she has suffered from flashbacks of her being attacked. Each time she watches TV shows that remind her of the incident, she gets scared, overwhelmed, and becomes agitated. At times, she develops anxiety attacks, palpitations, sweating, and restlessness.
Since the attack, Sarah can hardly trust people. As a result, her relationships have profoundly suffered. More recently, she's been depressed and feeling hopeless. She hasn't been sleeping and eating well. Her inattention has negatively impacted her work.
Based on the above symptoms, Sarah is most likely suffering from Posttraumatic Stress Disorder (PTSD). What exactly is PTSD?
PTSD is a psychiatric disorder characterized by avoidance, hypervigilance, emotional difficulties, and recall behavior such as flashbacks and nightmares after a traumatic event such as rape, war, vehicular accident, or natural disasters. Recent researches have shown that after a trauma, biochemical changes develop in the brain that can result in psychological signs as shown above.
If untreated, some individuals develop emotional difficulties such as depression associated with inability to concentrate, sleep, and eat. Occasionally, they also become hopeless to the point that they want to die.
What is the treatment for PTSD?
The combination of individual psychotherapy and medications is known to help. Antidepressants especially SSRIs have been tried with some success. Other medications have been helpful to address the associated symptoms. Anxiety and agitation can be treated with benzodiazepines. The latter should be restricted to short-term use because of their addiction potential. Insomnia can be treated by a small dose of Trazodone.
Psychotherapy or "talk therapy" is an important part of treatment and recovery. The individual should be able to express the fear, the frustration, the guilt, and the blame in a secure and safe setting. Moreover, the therapist should provide ample support and empathy.
Copyright © 2005. Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002) psychiatrist, and inventor of Oikos Game: An Emotional Intelligence or EQ Game. For more information, please visit http://www.oikosgame.com and http://www.soardime.com
Advertising by textad.biz
Go Ahead, click an ad, you know you want to.
Why Does It Seem That There Are More Children With ADHD Than Ever Before?
Even though the percentage of people with Attention Deficit Hyperactivity Disorder is likely the same as in the past, there are three likely reasons why it seems that "there is more ADHD" than ever before: First, we become more aware of problems like this as parents than we were as a children. We have grown up now and we are more concerned about these issues since we have our own children.
Intro to Being an ADHD Parent
In my fifteen years of private practice working with children with ADHD, one of the common concerns that I observed by parents was the fear that they had done something, or failed to do something, that caused their child's ADHD. I guess it is normal to blame yourself when your child is having problems.
Jack the Ripper
At around 3.40am on August 31st 1888, a carter named Charles Cross was making his way along Bucks Row Whitechapel, when he noticed a bundle lying in a gateway.
What's the Problem: Introducing Solution Focus Pt 2
Again, many of us think we listen, yet we don't always "attend" to the person who is speaking to us. We are too busy doing other things! We are not being 100% attentive.
Eating Disorders and the Narcissist
Patients suffering from eating disorders binge on food and sometimes are both anorectic and bulimic. This is an impulsive behaviour as defined by the DSM (particularly in the case of BPD and to a lesser extent of Cluster B disorders in general).
The Psychology of Torture
There is one place in which one's privacy, intimacy, integrity and inviolability are guaranteed - one's body, a unique temple and a familiar territory of sensa and personal history. The torturer invades, defiles and desecrates this shrine.
The Attention Spanner
After a long and patient wait in queue, you reached the post office counter. Just then, the peasant sauntered over and plunked himself in front of you.
Emotion is a Reaction to the Influence
Each one of us is linked to the emotions whether by protecting self values or deep affectionate involvement to the objective. The "sense" is a gift to us to analyze the values of the personality and behave in accordance.
What is the Addictions Recovery Measurement System?
As I climbed 15-feet on a wooden ladder to the top of an old platform, next to this wall of leathery gray flesh, I caught a good whiff of fresh animal dung that immediately cleared my sinuses. Attempting to hide my fear from my wife with a poker face, and already feeling a little queasy, we were then advised by an old man who held a hammer in his right hand, to step into a shaky bamboo cradle seat atop of this seemingly gentle 8000 lb mammoth giant.
The Essence of Being Human
What does it mean to be Human? Well if you reflect on your thoughts and behaviors and those of the individuals around you on this planet since the beginning of our existence here I think you will likely come to the conclusion that to wear the label Human is not exactly endearing or desirable.The death and destruction that we have brought to ourselves, others and the environment is clearly evident.
The Special Secret of Intuition
The limbic systemNerve impulses were known to relay feelings and emotions - whether they be the feel of silk, or the flush of shame. Sensors, or nerve endings reported on feelings from tissues all over the body.
Is China Testing Bio Weapons on Its Own People?
Well the conspiracy theorists are out in full force I see. I had an interesting meeting the other day at a coffee shop and talked with a highly paranoid chap, who claimed to have some real insider information.
We are all terminally ill. It is a matter of time before we all die.
Gender and the Narcissist
In the manifestation of their narcissism, female and male narcissists, inevitably, do tend to differ. They emphasise different things.
Attention Deficit Hyperactivity Disorder: Neurologically Based
Attention Deficit Hyperactivity Disorder is a neurologically based disorder. This position has become controversial as many would like to dismiss the diagnosis of Attention Deficit Hyperactivity Disorder altogether saying that there is no evidence of neurological differences, or that there are no medical tests to diagnose ADD ADHD, or that the diagnostic criteria is too broad.
Anti-Social Behaviors and Attention Deficit Hyperactivity Disorder
Anti-social behaviors are common with ADHD individuals. About 60% of Attention Deficit Hyperactivity Disorder kids are also oppositional or defiant.
Why Other Children are Rejecting Your Child
IntroductionDeveloping healthy peer relationships is critical for the normal development of a child. Peer relationships have been found to be an important predictor of positive adult adjustment and behavior.
How Big of a Problem is Attention Deficit Hyperactivity Disorder?
Attention Deficit Hyperactivity Disorder - "ADD" or "ADHD" - affects between five to ten percent (5% - 10%) of all children in the United States, and three to six percent (3% - 6%) of adults. About 35% of all children referred to mental health clinics are referred for Attention Deficit Hyperactivity Disorder, making it one of the most prevalent of all childhood psychiatric disorders.
Attention Deficit Hyperactivity Disorder is Not Related to I.Q.
It's important to know that Attention Deficit Hyperactivity Disorder and Intelligence, as measured by I.Q.
Solution Focus Process: Solution Talk vs. Problem Talk Pt 2
It is crucial that interviewing with helpee progress toward solutions. In addition to Exceptions and Miracle questions, Coping and Scaling questions are also useful and effective methods of moving helpees from problem talk to solution talk.
|home | site map|