DisordersofTraumaandStress.ppt

How Do Clinicians Treat Acute and Posttraumatic Stress Disorders? Treatment Drug therapy Anti-anxiety and antidepressant medications are most common Behavioral exposure techniques Reduce specific symptoms, increase overall adjustment Use flooding and relaxation training Use eye movement desensitization and reprocessing (EMDR) Insight therapy Bring out deep-seated feelings, create acceptance, lessen guilt Often use couple, family, or group therapy formats; * Dissociative Disorders Although their conditions are also triggered by traumatic events, individuals do not typically experience the significant arousal, negative emotions and other symptoms associated with the stress disorders Instead, their symptoms are characterized by patterns of memory loss and identity change * Dissociative Disorders The key to our identity – the sense of who we are and where we fit in our environment – is memory In dissociative disorders, one part of the person’s memory typically seems to be dissociated, or separated, from the rest * Amnesia Retrograde Amnesia Anterograde Amnesia Is the amnesia biologically-based or psychogenic? Organic amnesia usually involves personal and general information; also may involve anterograde amnesia. Psychogenic amnesia usually involves only personal information; also may involve retrograde amnesia. Dissociative Disorders There are several kinds of dissociative disorders, including: Dissociative amnesia Dissociative fugue Dissociative identity disorder (multiple personality disorder) Depersonalization-derealization disorder * Dissociative Amnesia People with dissociative amnesia are unable to recall important information, usually of a stressful nature, about their lives The loss of memory is much more extensive than normal forgetting and is not caused by physical factors Often an episode of amnesia is directly triggered by a specific upsetting event * Dissociative Amnesia Dissociative amnesia may be: Localized Selective Generalized Continuous *