PTSD

• Survivor's guilt is when a person has feelings of guilt because they survived a life-threatening situation when others did not
• PTSD in patients >6 years old present as hypervigilance, flashback, avoidance, dissociation, detachment
• PTSD in patients <6 years old present as repetitive play and re-enactment
• PTSD Pychotherapy

  Defusing – providing education on stress and stress management
• PTSD Pychotherapy

  Debriefing – client is asked about their emotional reaction to an incident
• PTSD Pychotherapy

  Exposure therapy – confronting trauma associated thoughts rather than avoiding
• PTSD Pychotherapy

  Adaptive disclosure therapy (empty chair technique)
• PTSD Pychotherapy

  Catharsis – releasing repressed emotions thru art and music
• SSRI - medical management of PTSD
• Depersonalization vs Derealization

  Depersonalization – out of the body experience, "seeing yourself in 3rd person"
• Depersonalization vs Derealization

  Derealization – out of the world experience, "living in a dream"
• Talk Therapy 


  primary management of Depersonalization/Derealization