Posttraumatic Stress
Disorder
Posttraumatic Stress Disorder at
a Glance
• There are events that happen to
us as children or adults that are so overwhelming and inherently
frightening that they cause transient (temporary), and in
some cases, permanent changes in our physical and psychological
responses to stress. Thankfully, most of us have a relatively
non-traumatic childhood and do not suffer many traumas as
adults. However, when there is a significant traumatic event,
everyone can expect to be temporarily overwhelmed and develop
at least some of the symptoms of posttraumatic stress disorder.
• Others, however, may be more biologically
(inherently or genetically) vulnerable, have a history of
more trauma, or are more directly and/or deeply affected by
the trauma. Still, these people usually will have transient
(temporary) symptoms of posttraumatic stress syndrome that
can be managed and treated effectively. In fact, in many cases,
PTSD can be cured. Our treatment includes Color Therapy, EFT,
EMDR and a Green Wave Therapy Technique in combination.to
assist in releasing the trauma.
• Nevertheless, there is another small
percentage of people who develop a more chronic (long duration)
PTSD. Some of them may also develop other associated psychiatric
disturbances that complicate the clinical picture of PTSD
and make their full recovery more challenging. Finally, it
is somewhat comforting to know that our various methods of
treatment are highly effective and that we are trained clinicians
experienced at handling the difficult problems of posttraumatic
stress.
What is the scope of posttraumatic stress disorder?
Sadly, the September 11th tragedy is only
one recent causative (precipitating) event for posttraumatic
stress disorder. The scope of the PTSD problem in our society
is actually substantial. For example, a current diagnosis
of PTSD has been found in 15% of 500,000 men who were Vietnam
veterans. Likewise, almost 18% of 10 million women who were
victims of physical assault have PTSD. As a matter of fact,
eight to 10% of the population will suffer from PTSD at sometime
in their lives.
The consequences of PTSD for both the afflicted
individual and society are significant. For example, studies
have shown that patients with PTSD will have an increased
number of suicides and hospitalizations. Also, patients with
PTSD will have an increased frequency of alcohol abuse and
drug dependency problems. In addition, we know that patients
who have been victims of criminal acts subsequently have a
much higher utilization of medical services in general. Most
significantly, one third of PTSD patients will have related
symptoms 10 years after the trauma. The majority of these
people will also suffer from other psychiatric, marital, occupational,
financial, and health problems.
What are the symptoms of PTSD?
In general, posttraumatic stress disorder
can be seen as an overwhelming of the body's normal psychological
defenses against stress. Thus, after the trauma, there is
abnormal function (dysfunction) of the normal defense systems,
which results in certain symptoms. The symptoms are produced
in three different ways:
1. Re-experiencing the trauma
2. Persistent avoidance
3. Increased arousal
First, symptoms can be produced by re-experiencing
the trauma, whereby the individual can have distressing recollections
of the trauma. For example, the person may relive the experience
as terrible dreams or nightmares or as daytime flashbacks
of the event. Furthermore, external cues in the environment
may remind the patient of the event. As a result, the psychological
distress of the exposure to trauma is reactivated (brought
back) by internal thoughts, memories, and even fantasies.
Persons also can experience physical reactions to stress,
such as sweating and rapid heart rate. The patient's posttraumatic
symptoms can be identical to those symptoms experienced when
the actual trauma was occurring.
The second way that symptoms are produced
is by persistent avoidance. The avoidance refers to the person's
efforts to avoid trauma-related thoughts or feelings and activities
or situations that may trigger memories of the trauma. This
so-called psychogenic (emotionally caused) amnesia (loss of
memory) for the event can lead to a variety of reactions.
For example, the patient may develop a diminished interest
in activities that used to give pleasure, detachment from
other people, restricted range of feelings, and a sad affect
that leads to the view that the future will be shortened.
The third way that symptoms are produced
is by an increased state of arousal of the affected person.
These arousal symptoms include sleep disturbances, irritability,
outbursts of anger, difficulty concentrating, increased vigilance,
and an exaggerated startle response when shocked.
PTSD can occur at any age, although it is
less frequent in the elderly. Young children who have suffered
a trauma may have dreams of the event, which within a few
weeks, turn into general nightmares. Children will often relive
the event through play. They may also exhibit physical symptoms,
such as headaches and stomach aches.
INSTRUCTIONS TO PATIENT:
Below is a list of problems and complaints that people sometimes
have in response to stressful experiences. Please read each
one carefully, put an X in the box to indicate how much you
have been bothered by that problem in the past month.