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PTSD Workshop

Presented by: Dawn-Elise Snipes Ph.D., LMHC, CRC, NCC


WHO
People's Basic Needs

Biological (Food, water, warmth)

Safety

Love and belonging

Esteem
Types of Post Traumatic Stress
Disorder

Combat

Rape Trauma
− Victim
− Parent of Victim

Gradual Onset
− Definition
− Law Enforcement, Nurses, Psychologists, Fire/EMS

Domestic Violence

Other Trauma. . .(Discussion)
Diagnosis/Definition

Exposure

Actual or threatened death or serious injury or witnessing such

Response involves intense fear, helplessness, or horror

Persistent reexperiencing of the traumatic event

Avoidance of stimuli associated with the trauma

Numbing of general responsiveness

Hypervigilence

Irritability

Clinically significant distress for more than 1 month
Complications/Impact of PTSD

Emotional

Mental

Physical

Social

Spiritual

Environmental

Occupational/Financial
WHAT/WHY
Discussion

Above all people with PTSD are PEOPLE who


continue to experience a loss of basic needs
Anger and Fear

Fear as Anger/Fight or Flight

Six basic fears
− Death
− Isolation
− Rejection
− Loss of Control
− Failure
− The Unknown
Initiation

Discriminitive Stimuli
− Triggers
− Person/Place Significance

Why here, Why now, Why not?
− Reward vs. Punishment
− Ambivalence
WHEN
Activity

When would someone with PTSD be motivated to
take hostages?

When would someone with PTSD be motivated to
commit suicide?
INTERVENTIONS
Rapport

Rapport=Trust
− Why would this person NOT trust you?

Crime victims and trust

The addicted family and trust

Domestic violence and trust
Rapport: Communication

Characteristics of effective communication

Top communication blockers
Transference


Definition

Options
− Building a positive bridge
− Rewriting the story
Counter-Transference

I'm rubber and you're glue
PTSD Triage

Similarity

Proximity

6-month stressors

History of mental health issues

Social support
Don't Fix It

Characteristics of the Hostage Taker/Suicidal Person
− Hopeless
− Helpless
− Feel unheard/ignored

New Roles
− Scientist/Anthropologist
− Parent (A good one)
− Minister
Brief Interventions

Miracle Question
Linking

Information and Referral

Receiving facilities

Victim advocates

Department of Children and Families

VA Hospital

Detoxification

Crisis Teams

Domestic violence shelters
Summary